As filed with the Securities and Exchange Commission on
September 26, 2005
Registration No. 333-124832
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
Amendment No. 6
to
Form S-1
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933
WEBMD HEALTH CORP.
(Exact name of registrant as specified in its charter)
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Delaware
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7375
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20-2783228
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(State or other jurisdiction of
incorporation or organization)
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(Primary Standard Industrial
Classification Code Number)
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(IRS Employer
Identification Number)
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111 Eighth Avenue
New York, New York 10011
(212) 624-3700
(Address, including zip code, and telephone number, including
area code, of
registrants principal executive offices)
Douglas W. Wamsley
Executive Vice President,
General Counsel and Secretary
111 Eighth Avenue
New York, New York 10011
(212) 624-3700
(Name, address, including zip code, and telephone number,
including area code, of agent for service)
Copies to:
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Stephen T. Giove, Esq.
Shearman & Sterling LLP
599 Lexington Avenue
New York, New York 10022
Telephone: (212) 848-4000
Facsimile: (212) 848-7179
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Marc S. Rosenberg, Esq.
Andrew J. Pitts, Esq.
Cravath, Swaine & Moore LLP
Worldwide Plaza
825 Eighth Avenue
New York, New York 10019
Telephone: (212) 474-1000
Facsimile: (212) 474-3700
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Approximate date of commencement of proposed sale of the
securities to the public:
As soon as practicable after this
Registration Statement becomes effective.
If any of the securities being registered on this Form are to be
offered on a delayed or continuous basis pursuant to
Rule 415 under the Securities Act of 1933, check the
following
box.
o
If this form is filed to register additional securities for an
offering pursuant to Rule 462(b) under the Securities Act,
check the following box and list the Securities Act registration
statement number of the earlier effective registration statement
for the same
offering.
o
If this form is a post-effective amendment filed pursuant to
Rule 462(c) under the Securities Act, check the following
box and list the Securities Act registration statement number of
the earlier effective registration statement for the same
offering.
o
If this form is a post-effective amendment filed pursuant to
Rule 462(d) under the Securities Act, check the following
box and list the Securities Act registration statement number of
the earlier effective registration statement for the same
offering.
o
If delivery of the prospectus is expected to be made pursuant to
Rule 434, please check the following
box.
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CALCULATION OF REGISTRATION FEE
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Proposed Maximum
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Proposed Maximum
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Amount of
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Title of Each Class of
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Amount to be
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Offering Price per
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Aggregate Offering
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Registration
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Securities to be Registered
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Registered(1)
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Share(2)
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Price(1)(2)(3)
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Fee(3)
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Class A Common Stock, $.01 par value per share
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7,935,000
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$17.50
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$138,862,500
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$16,344
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(1)
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Including shares of common stock that may be purchased by the
underwriters to cover overallotments, if any.
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(2)
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Estimated solely for the purpose of calculating the registration
fee pursuant to Rule 457(a).
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(3)
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$14,478 previously paid.
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The registrant hereby amends this Registration Statement on
such date or dates as may be necessary to delay its effective
date until the registrant shall file a further amendment which
specifically states that this Registration Statement shall
thereafter become effective in accordance with Section 8(a)
of the Securities Act or until the Registration Statement shall
become effective on such date as the Securities and Exchange
Commission, acting pursuant to such Section 8(a), may
determine.
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The information in
this prospectus is not complete and may be changed. We may not
sell these securities until the registration statement filed
with the Securities and Exchange Commission is effective. This
prospectus is not an offer to sell these securities and it is
not soliciting an offer to buy these securities in any state
where the offer or sale is not permitted.
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PROSPECTUS (Subject to Completion)
Issued September 26, 2005
6,900,000 Shares
WebMD Health Corp.
Class A Common Stock
This is our initial public offering of our Class A common
stock. We are selling all of the Class A common stock in
this offering.
We are a wholly owned subsidiary of WebMD Corporation, which has
announced that it is now operating under the name Emdeon
Corporation and is in the process of changing its legal name
from WebMD Corporation to Emdeon Corporation.
We have two classes of authorized common stock
Class A common stock, which is offered hereby, and
Class B common stock, all of which will be owned by Emdeon,
our parent. Holders of our Class A common stock generally
will have identical rights to holders of our Class B common
stock, except that holders of our Class A common stock will
be entitled to one vote per share on all matters to be voted on
by stockholders, while holders of our Class B common stock
will be entitled to five votes per share on all matters to be
voted on by stockholders. The holders of our Class A common
stock and Class B common stock generally will vote together
as a single class. Upon the completion of this offering, without
giving effect to any exercise of the underwriters option
to purchase additional shares, our parent will own all of our
outstanding Class B common stock, which will represent
approximately 87.5% of our outstanding common stock, and
approximately 97.1% of the combined voting power of our
outstanding common stock. As a result, after this offering, our
parent will continue to control us.
We expect the public offering price of our Class A common
stock to be between $15.50 and $17.50 per share. Currently,
no public market exists for our shares. We intend to apply to
have our Class A common stock quoted on The Nasdaq National
Market under the symbol WBMD.
Investing in our Class A common stock involves risks
that are described in the Risk Factors section
beginning on page 12.
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Per Share
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Total
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Public offering price
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$
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$
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Underwriting discount
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$
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$
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Proceeds, before expenses, to our company
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$
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$
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The underwriters may also purchase up to an additional
1,035,000 shares of our Class A common stock from us,
at the public offering price, less the underwriting discount,
within 30 days from the date of this prospectus to cover
overallotments.
Neither the Securities and Exchange Commission nor any state
securities commission has approved or disapproved of these
securities or determined if this prospectus is truthful or
complete. Any representation to the contrary is a criminal
offense.
The shares of Class A common stock will be ready for
delivery on or
about ,
2005.
Goldman, Sachs & Co.
The date of this prospectus
is ,
2005.
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WebMD Better information. Better health.
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TABLE OF CONTENTS
You should rely only on the information contained in this
prospectus. We have not, and the underwriters have not,
authorized any other person to provide you with different
information. If anyone provides you with different or
inconsistent information, you should not rely on it. We are not,
and the underwriters are not, making an offer to sell these
securities in any jurisdiction where the offer or sale is not
permitted. You should assume that the information appearing in
this prospectus is accurate only as of the date on the front
cover of this prospectus. Our business, financial condition,
results of operations and prospects may have changed since that
date.
Until ,
2005 (25 days after the commencement of the offering), all
dealers effecting transactions in these securities, whether or
not participating in this offering, may be required to deliver a
prospectus. This is in addition to the dealers obligation
to deliver a prospectus when acting as an underwriter and with
respect to unsold allotments or subscriptions.
All Web site references in this prospectus are intended to be
inactive textual references only. The content of such Web sites
are not incorporated by reference in this prospectus.
WebMD®, WebMD Health®, Medscape®, CME
Circle®, Medpulse®, The Little Blue Book,
MedicineNet®, RxList® and Select Quality Care®
are among our trademarks.
Emdeon
TM
,
Emdeon Business
Services
TM
,
Emdeon Practice
Services
TM
and POREX® are trademarks of our Parent.
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SUMMARY
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This summary highlights information contained elsewhere in
this prospectus. This summary sets forth the material terms of
this offering, but does not contain all of the information that
you should consider before investing in our Class A common
stock. You should read the entire prospectus carefully before
making an investment decision, especially the risks of investing
in our Class A common stock discussed under Risk
Factors. Unless the context otherwise requires, the terms
we, us, our, our
company and WebMD refer to WebMD Health Corp.
and its consolidated subsidiaries following the transfer to us,
by way of a capital contribution, of the subsidiaries and
certain related assets and liabilities that comprise our
Parents WebMD Health business segment. Unless the context
otherwise requires, the terms Parent and
Emdeon refer to our parent company, WebMD
Corporation (which is in the process of changing its legal name
to Emdeon Corporation) and its other consolidated subsidiaries.
References in this prospectus to common stock
include both our Class A common stock, par value
$.01 per share, and our Class B common stock, par
value $.01 per share. Unless we specifically state
otherwise, all information in this prospectus assumes the
conversion of all outstanding shares of our common stock into
shares of Class B common stock immediately prior to the
completion of this offering. Unless otherwise indicated,
industry data are derived from publicly available sources, which
we have not independently verified.
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Our Business
Introduction
We are a leading provider of health information services to
consumers, physicians, healthcare professionals, employers and
health plans through our public and private online portals and
health-focused publications. The online healthcare information,
decision-support applications and communications services that
we provide:
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enable consumers to obtain detailed information on a particular
disease or condition, analyze symptoms, locate physicians, store
individual healthcare information, receive periodic
e-newsletters on topics of individual interest, enroll in
interactive courses and participate in online communities with
peers and experts;
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make it easier for physicians and healthcare professionals to
access clinical reference sources, stay abreast of the latest
clinical information, learn about new treatment options, earn
continuing medical education credits and communicate with
peers; and
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enable employers and health plans to provide their employees and
plan members with access to personalized health and benefit
information and decision-support technology that helps them make
more informed benefit, provider and treatment choices.
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WebMD Health
, our primary public portal for consumers,
and our other consumer portals, help consumers take an active
role in managing their health by providing objective healthcare
and lifestyle information.
WebMD Health
s content
offerings include access to health and wellness news articles
and features, and decision-support services that help consumers
make better informed decisions about treatment options, health
risks and healthcare providers.
Medscape from WebMD
, our
primary public portal for physicians and healthcare
professionals, helps physicians and healthcare professionals
improve their clinical knowledge and practice of medicine. Its
original content, including daily medical news, commentary,
conference coverage, expert columns and continuing medical
education, or CME, activities are written by authors from widely
respected academic institutions and edited and managed by our
in-house editorial staff.
The WebMD Health Network
consists of the public portals
that we own, such as
www.WebMD.com
and
www.Medscape.com
, as well as third party sites through
which we provide our branded health and wellness content, tools
and services, such as the America Online service.
The WebMD
Health Network
had an average of approximately
24 million aggregate unique users per month and generated
approximately 1.2 billion aggregate page views in the first
half of 2005.
The WebMD Health Network
does not include
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our private portals for employers and health plans, which are
described below. We believe that our ability to create, source,
edit and organize online health-related content and interactive
services has made
The WebMD Health Network
the leading
online health destination, based on the total number of unique
users, and has made the WebMD brand among the most recognized in
healthcare. According to recent studies, some of which were
prepared at our request for a fee, by Manhattan Research, LLC, a
leading Internet market research firm, WebMD is the information
source most frequently recommended by physicians to their
patients for healthcare information.
Our public portals generate revenue primarily through the sale
of advertising and sponsorship products, including CME services.
We do not charge user fees for access to our public portals.
The WebMD Health Network
enables sponsors to reach,
educate and inform target audiences of health-involved consumers
and clinically-active physicians. We work closely with our
sponsors to develop programs to reach specific groups of
consumers, physicians and healthcare professionals and give them
placement on the most relevant areas on our portals. Our
advertisers and sponsors consist primarily of pharmaceutical,
biotechnology and medical device companies and consumer products
companies whose products relate to health, wellness, diet,
fitness, lifestyle, safety and illness prevention.
Our private portals enable employees and health plan members to
make more informed benefit, treatment and provider decisions. We
provide a personalized user experience by integrating individual
user data (including personal health information), plan-specific
data from our employer or health plan clients and much of the
content, decision-support technology and personal communication
services that we make available through our public portals. We
generate revenue from private portals through the licensing of
our content and technology to employers, such as American
Airlines, Inc., Microsoft Corporation and PepsiCo, Inc., and to
health plans, such as Cigna and Empire Blue Cross and Blue
Shield. Our private portals do not generate revenue from
advertising or sponsorship and, accordingly, we do not include
users or page views from these portals in
The WebMD Health
Network
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In addition to our online presence, we also have a Publishing
Services segment that provides complementary offline health
content. Our offline publications also increase awareness of our
brand among consumers, physicians and healthcare professionals.
These publications include
The Little Blue Book,
a
physician directory,
ACP Medicine
and
ACS Surgery:
Principles of Practice
, our medical reference textbooks, and
WebMD the Magazine,
a consumer publication launched in
early 2005 that we distribute free of charge to physician office
waiting rooms.
Industry Background
The Internet.
The Internet has emerged as a major
communications medium and has already fundamentally changed many
sectors of the economy, including the marketing and sales of
financial services, travel and entertainment, among others. The
Internet is also changing the healthcare industry and has
transformed how consumers and physicians find and utilize
healthcare information.
Advertising and sponsorship trends.
Internet advertising
continues to grow rapidly. Total online advertising spending in
the United States was projected by eMarketer to increase
approximately 21.0% in 2005 to $11.5 billion and rise to
about $17.6 billion in 2008. We believe that this market
growth is driven by several factors, including consumers
shifting their buying and media preferences to online services
and the benefits of online advertising relative to traditional
media, which include interactivity, rapid and measurable user
feedback and the ability to target consumers more efficiently.
Based upon industry estimates, we believe that, in the United
States in 2004, pharmaceutical, biotechnology and medical device
companies spent approximately $12 billion on marketing,
promotion and education activities, excluding costs of product
samples, and consumer products companies spent significant
amounts on media to advertise products that relate to health,
wellness, diet, fitness, safety and illness prevention. We
estimate that pharmaceutical, biotechnology and medical device
companies currently spend less than 5% of their marketing and
educational budgets on online media, but we believe they are
becoming increasingly aware of the benefits of using online
media, including the ability to reach targeted audiences
cost-effectively. We believe that we are well positioned to
benefit from the expected
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trend toward increased online spending by these companies
because we provide a significant number of the major
health-related advertisers and sponsors with access to a
health-focused audience. We also provide a means by which these
companies can gauge the effectiveness of their online marketing
campaigns and programs through objective statistical reports
that detail the number of visitors to their sponsored area and
the type of actions taken by these visitors.
Healthcare industry trends.
Our business is affected by a
number of trends in the healthcare industry, including:
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Healthcare cost-shifting by employers.
While overall
healthcare costs are rising at a rapid annual rate,
employers costs of providing healthcare benefits to their
employees are increasing at an even faster rate. In response to
these cost increases, employers and health plans have been
changing benefit plan designs to increase consumer out-of-pocket
costs and have been enhancing wellness programs. These changes
include taking steps to provide healthcare information and
education to employees and members, including through the use of
online services.
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Health and wellness initiatives.
We believe that health
plans and employers have begun to recognize that encouraging the
good health of their members and employees not only benefits the
members and employees but also has financial benefits for the
health plans and employers. As part of the initiatives to
promote member and employee wellness and to allow members and
employees to better manage chronic conditions, health plans and
employers are offering their members and employees online access
to health and wellness information and decision-support tools.
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We believe that we are well positioned to benefit from these
trends because our private portal services provide the tools and
information employees and plan members need in order to make
more informed decisions about benefit, treatment and healthcare
provider options. As employers continue to implement high
deductible and consumer-directed healthcare plans, we believe we
will be able to attract more employers and health plans to use
our private online portals. Additionally, we believe that as
consumers are required to bear increased financial
responsibility for their healthcare, our public portals will
benefit as consumers utilize our decision-support and personal
health information applications to better manage their health
decisions.
Our Strengths
We believe that we are able to fulfill the needs of our clients
with differentiated offerings based upon our:
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Recognized brand.
Our brand is widely recognized as a
source of health and wellness information and
The WebMD
Health Network
provides a means for advertisers and sponsors
to reach, educate and inform large target audiences of
health-involved consumers and clinically-active physicians.
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Leading online health destination.
The WebMD Health
Network
is the leading online health destination today based
on the total number of unique users. In addition,
Medscape
from WebMD
is the leading online provider of CME programs,
with approximately 67% of online CME participants taking at
least one of their CME courses on
Medscape from WebMD
in
2004.
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Motivated users.
The WebMD Health Network
enables
health-involved consumers and clinically-active physicians to
readily access healthcare information relevant to their specific
areas of interest.
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Highly targeted advertising and sponsorship model.
We are
able to offer advertisers and sponsors programs that deliver
their message to either our entire audience or to more targeted
audiences of consumers, physicians and other healthcare
professionals based upon the audience members specific
interests or specialties.
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Comprehensive and personalized private portal solutions.
We offer employers and health plans a platform that provides a
personalized user experience for employees and health plan
members. We believe that our private portal services have
several important advantages over competitive offerings,
including, among other things, the fact that we offer products
and services both for selecting healthcare benefits and for
managing overall health status.
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Proven and experienced management team.
Our senior
managements experience in and understanding of the
healthcare industry allows us to respond quickly to developing
industry trends with new products and services that build on our
existing content, infrastructure and capabilities.
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Our Strategy
We have positioned our services to benefit from the trends
described above under Industry Background, and the
other trends affecting the Internet, online advertising and
healthcare industries described in this prospectus. Our goal is
to be the leading provider of online health information services
in each of the markets in which we participate and to use our
content, technology platform and expertise to continue to enter
additional complementary markets. The strategies we expect to
pursue include:
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Enhancing our current products and services.
We intend to
continue to invest in the resources needed to deliver health and
medical information by continuing to build our repository of
in-depth health content, broadening our interactive services and
increasing their functionality.
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Expanding awareness of the WebMD brand.
We plan to
promote the WebMD brand through relationships with other well
known Internet media and healthcare companies, through
advertising and through the breadth of online and offline
products and services that we offer.
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Expanding our sponsorship base.
We intend to continue to
devote significant resources to expanding the sponsorship base
of
The WebMD Health Network
, including by continuing to
hire additional sales, marketing and account management
personnel. Our sales and marketing efforts are directed to
potential new sponsors as well as to existing sponsors and are
focused on the pharmaceutical, biotechnology, medical device and
consumer products industries. We see significant opportunities
for expanding relationships with existing sponsors, both for
rollouts of new brands and products and as a result of expected
increases, for existing brands and products, in the portion of
their advertising and sponsorship budgets allocated to online
media.
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Increasing market penetration of our private portals.
We
intend to increase the market penetration of our private health
and benefits portals for employers and health plans, and we
expect demand for these services to increase as more employers
and health plans seek to complement or replace their existing
offline benefit-related services with more efficient Web-based
decision-support tools and related online services.
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Acquiring complementary online and offline services.
We
expect to continue to supplement our internal product
development efforts with strategic acquisitions that add new
capabilities or help us enter additional complementary markets.
While we currently are not a party to any definitive agreement
or other commitment with respect to future acquisitions, we
regularly engage in discussions as to potential acquisitions.
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Capitalizing upon governmental initiatives relating to the
use of information technology in healthcare.
There are
currently numerous federal, state and private initiatives
seeking ways to increase the use of information technology in
healthcare, including the creation of portable consumer health
records. We believe that we are well positioned to play a role
in such efforts, as well as efforts to establish the adoption of
electronic medical records among physicians and to provide
channels for the exchange of information among patients,
providers and payers. While we do not expect to realize any
short term benefit as a result of these government initiatives,
we believe that such initiatives will create opportunities for
our company over the long term.
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Risks and Challenges That We Face
We face a number of competitive challenges and potential risks,
including risks relating to our operations and financial
performance, risks relating to our relationships with clients,
risks relating to our technological infrastructure and risks
relating to the legal and regulatory environment in which we
operate. Some of those risks include the following:
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Our ability to attract and retain users depends on our ability
to hire and retain qualified authors and independent writers, to
license quality content from third parties and to monitor and
respond to
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increases and decreases in users interest in specific
topics. If we are unable to attract and retain users of
The
WebMD Health Network
at a level that is attractive to
advertisers and sponsors, our revenues could be reduced.
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Substantially all of our revenue is derived from the healthcare
industry and could be adversely affected by changes impacting
that industry, including changes in healthcare delivery and
spending, changes in regulation of advertising and promotion of
prescription and over-the-counter drugs and medical devices,
changes in the design of health insurance plans or changes in
marketing strategies and budgets of pharmaceutical,
biotechnology or medical device companies.
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We face significant competition for our products and services
from numerous competitors, some of which have greater financial,
technical, marketing and other resources than we do and some of
which are better known than we are, and since there are no
substantial barriers to entry into the markets in which we
participate, we expect that additional competitors will continue
to enter these markets. Our public portals face competition from
general purpose consumer online services, such as yahoo.com,
msn.com, About.com and other high-traffic Web sites that include
healthcare-related content. Our public portals also face
competition from more specialized providers of online services,
tools and applications for healthcare consumers, such as
iVillage.com, DrKoop.com, drugs.com, eMedicine.com and
Realage.com. Our private portals compete with providers and
vendors in the licensing of content, such as the Mayo Foundation
for Medical Education and Research, and in the sale of decision
support services and tools, such as Hewitt Associates LLP. Our
Publishing Services segments products and services compete
with numerous online and offline sources of healthcare
information, medical reference publications and print journals,
public sector and non-profit Web sites and online conferences
and CME programs.
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We may not be able to attract visitors to our Web sites on a
consistent basis because users of our public portals may be
attracted to
The WebMD Health Network
as a result of a
specific condition or for a specific purpose. Accordingly, it is
difficult for us to predict the rate at which users will return
to our public portals.
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Acquisitions, business combinations and other transactions may
be difficult to complete and, if completed, may not result in
the benefits anticipated and may have negative consequences for
our business and our securityholders.
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Implementation of changes to hardware and software platforms
used to deliver our online services may result in performance
problems or an interruption in our ability to operate those
services, which could have an adverse effect on our
relationships with users and clients.
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The WebMD Health Network
includes Web sites that we
supply content to, but do not own, and the termination of our
relationship with the owners of these Web sites, including AOL,
may negatively affect our results of operations. In the event
that our relationship with AOL or other third party Web sites is
terminated, the user traffic and page views in
The WebMD
Health Network
may be negatively affected and AOL would
become a competitor, which may negatively affect our results of
operations.
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In addition, our online businesses are difficult to evaluate
because they have a limited operating history and participate in
relatively new and rapidly evolving markets. We have only earned
income in three of our historical fiscal quarters and, even if
user demand for our online services exists, we cannot assure you
that providing these services will be profitable.
Risks and potential conflicts of interest that may arise out of
our relationship with our Parent include the following:
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There has been no independent appraisal of the assets that our
Parent has contributed to us and, as a result, our assets may be
worth less than their historical cost or current book value.
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Our Parents controlling interest may discourage a change
of control that the holders of our Class A common stock may
favor which may in turn may have an adverse effect on the market
price of our Class A common stock.
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5
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The sale by our Parent of additional shares of Class A
common stock in the public market, or the perception that such
sales might occur, could reduce the price that our Class A
common stock might otherwise obtain or could impair our ability
to obtain capital through the sale of equity securities.
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Some of our directors, officers and employees, as a result of
having positions with, or owning equity interests in, our
Parent, may have potential conflicts of interest when faced with
decisions that could have different implications for our Parent
than they do for us.
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We expect to enter into a number of agreements with our Parent
governing our future relationship with our Parent, including a
services agreement, a tax sharing agreement, an indemnity
agreement and an intellectual property license agreement. The
terms of these agreements have been determined by our Parent in
preparation for this offering and may be more or less favorable
than those that we could have negotiated with unaffiliated third
parties. Our Parent may also have conflicts of interest arising
from its position as our majority stockholder and as the
provider of these key services to us.
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6
Our Corporate Structure
The businesses that comprise our company include acquisitions
made by our Parent beginning in 1999. Our operations were, until
2001, commingled with other operations of our Parent. In 2000
and 2001, our Parent initiated two restructuring and integration
plans, and in 2001, our businesses were organized as a separate
segment of our Parent, which is currently called WebMD Health.
We were incorporated in Delaware on May 3, 2005 under the
name WebMD Health Holdings, Inc., to be a holding company for
our Parents WebMD Health business segment in order to
conduct this offering. On September 6, 2005, our Parent
transferred to us, by way of a contribution to capital, the
subsidiaries and certain related assets and liabilities that
comprise our Parents WebMD Health business segment.
Our Parent has announced that it is now operating under the name
Emdeon Corporation and that it plans to seek stockholder
approval, at its 2005 Annual Meeting of Stockholders, to change
its legal name from WebMD Corporation to Emdeon Corporation. We
will continue to use WebMD as our primary brand name
for our products and services. Our Parent has begun to use
Emdeon as a brand name for the products and services
of its other segments and intends to take the steps necessary to
cease using WebMD as a brand name for those products
and services.
Prior to the completion of this offering, the certificate of
incorporation of WebMD Health Corp., will be amended and
restated to, among other things:
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create two classes of common stock Class A
common stock and Class B common stock;
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establish the voting rights associated with each such class of
our common stock, pursuant to which holders of our Class A
common stock will be entitled to one vote per share on all
matters to be voted on by stockholders and holders of our
Class B common stock will be entitled to five votes per
share on all matters to be voted on by stockholders; and
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provide for the conversion of the Class B common stock into
Class A common stock upon the terms and subject to the
conditions set forth therein.
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Our Relationship with Our Parent
Our Parents Business.
Our Parents business is
comprised of our business and three other segments:
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Our Parents Emdeon Practice Services segment develops and
markets physician practice management and electronic health
record software and services that help healthcare providers
increase practice efficiency and enhance patient care.
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Our Parents Emdeon Business Services segment provides
revenue cycle management and clinical communication solutions
that enable payers, providers and patients to improve healthcare
business processes.
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Our Parents Porex segment develops, manufactures and
distributes proprietary porous plastic products and components
used in healthcare, industrial and consumer applications.
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Background to this Offering.
As disclosed in our
Parents Quarterly Report on Form 10-Q for the quarter
ended June 30, 2005, our Parent believes that the benefits
of an initial public offering of our company include creating a
security that would allow investors to participate directly in
the performance of its WebMD Health segment, enabling us to
motivate our employees through equity compensation plans that
provide for equity participation in our company and enabling us
to make acquisitions using our own equity as consideration.
Our Parent Will Be Our Controlling Stockholder.
Immediately following this offering, holders of our Class A
common stock will own approximately 12.5% of our outstanding
common stock and 2.9% of the combined voting power of our
outstanding common stock (approximately 14.2% of our outstanding
common stock and 3.3% of the combined voting power of our
outstanding common stock if the underwriters exercise in full
their option to purchase additional shares).
Immediately following this offering, our Parent, which will hold
100% of our Class B common stock, will own approximately
87.5% of our outstanding common stock and 97.1% of the combined
voting power
7
of our outstanding common stock (approximately 85.8% of our
outstanding common stock and 96.7% of the combined voting power
of our outstanding common stock if the underwriters exercise in
full their option to purchase additional shares). As a result,
our Parent will continue to control us following the completion
of this offering, and will be able to exercise control over all
matters requiring shareholder approval, including the election
of our directors and approval of significant corporate
transactions. In addition, our Parents controlling
interest may discourage a change of control that the holders of
our Class A common stock may favor.
As of the date of this prospectus, our Parent has indicated that
it has no current intention to sell or otherwise dispose of its
Class B common stock. However, our Parent is not subject to
any contractual obligation to retain any of its Class B
common stock, except that it has agreed not to sell or otherwise
dispose of any of our common stock for a period of 180 days
after the date of this prospectus without the prior written
consent of the representatives of the underwriters, as described
in Underwriting.
Agreements Between Us and Our Parent.
We expect to enter
into a number of agreements with our Parent governing our future
relationship with our Parent, including a services agreement, a
tax sharing agreement, an indemnity agreement and an
intellectual property license agreement. These agreements cover
a variety of matters, including matters related to our Parent
providing us with administrative services, such as payroll,
accounting, tax, employee benefit plan, employee insurance,
intellectual property, legal and information processing
services, tax-related matters and the indemnification by our
Parent against certain liabilities. The terms of these
agreements have been determined by our Parent in preparation for
this offering and may be more or less favorable than those that
we could have negotiated with unaffiliated third parties.
Under the services agreement, our Parent will receive an amount
that reasonably approximates its cost of providing services to
us. Our Parent has agreed to make the services available to us
for up to 5 years. However, we will not be required, under
the services agreement, to continue to obtain services from our
Parent. In the event we decide to replace our Parents
services, we will have the option to terminate services, in
whole or in part, at any time we choose to do so, generally by
providing, with respect to the specified services or groups of
services, 60 days prior notice and, in some cases,
paying a termination fee of not more than $30,000 to cover costs
of our Parent relating to the termination.
In addition, on the date of this prospectus, we expect to grant
options to purchase shares of Class A common stock under
our 2005 Long-Term Incentive Plan to the following employees of
our Parent who are expected to perform services for our company:
Kevin Cameron, Chief Executive Officer
55,000 shares; Charles A. Mele, General
Counsel 44,000 shares; Robyn Esposito, assistant to
the Chairman of both our company and our Parent
13,750 shares. The exercise price of these options will be
the initial public offering price in the offering and the
options will vest at the rate of 25% per year on each of the
first through fourth anniversaries of the date of grant.
In addition to the above agreements that govern our future
relationship with our Parent, we also will enter into several
agreements pursuant to which our Parent or one or more of its
subsidiaries will continue to be a customer for some of our
services, including our private portal services.
Company Information
Our principal executive offices are located at 111 Eighth
Avenue, New York, New York 10011 and our telephone number at
that address is (212) 624-3700.
8
Our Use of Certain Measures of Usage of
The WebMD Health
Network
In this prospectus, we provide information regarding usage of
The WebMD Health Network
that we have calculated using an
internal technology solution that identifies and monitors usage
by individual computers. As used in this prospectus:
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A unique user during any calendar month is an
individual computer that accesses a Web site in
The WebMD
Health Network
during the course of such calendar month
determined by the use of its internal tracking technology, such
as cookies. Accordingly, with respect to such calendar month,
once an individual computer accesses that Web site in
The
WebMD Health Network
, that computer will generally be
included in the total number of unique users for
that month, regardless of the method by which such computer
accesses that Web site (i.e., whether directed by an individual
or by automated software, such as robotic programs, spiders
and/or crawlers). Similarly, with respect to any calendar month,
a computer accessing a specific Web site in
The WebMD Health
Network
may only be counted once as a single unique
user regardless of the number of times such computer
accesses that Web site or the number of individuals who may use
such computer. However, if that computer accesses more than one
site within
The WebMD Health Network
during a calendar
month, it will be counted once for each such site. A computer
that does not access any of the Web sites in
The WebMD Health
Network
during a particular calendar month is not included
in the total number of unique users for that
calendar month, even if such computer has in the past accessed
one or more of these Web sites. In addition, if a computer
blocks our tracking technology (for instance, by turning off
cookies), it will be counted as a unique user in a particular
month each time it visits a Web site of ours.
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A page view is a Web page that is sent to the
browser of a computer upon a request made by such computer and
received by a server in
The WebMD Health Network
. The
number of page views in
The WebMD Health
Network
is not limited by its number of unique
users. Accordingly, each unique user may
generate multiple page views.
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With respect to any given time period, aggregate page
views are the total number of page views
during such time period on all of the Web sites in
The WebMD
Health Network
. Aggregate page views do not
include page views from our private portals.
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Further, third party services that measure usage of Internet
sites may provide different usage statistics than those reported
by our internal tracking technology. These discrepancies may
occur as a result of differences in methodologies applied and
differences in measurement periods. For example, third party
services typically apply their own proprietary methods of
calculating usage, which may include surveying users and
estimating site usage based on surveys, rather than based upon
our internal tracking technology. Regardless of the measure of
usage, if usage data is prepared using a consistent methodology
between measurement periods, we believe that it provides useful
information over time.
9
The Offering
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Class A common stock offered
by us
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6,900,000 shares
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Common stock outstanding after the offering:
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Class A common stock
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6,900,000 shares
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Class B common stock
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48,100,000 shares
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Use of proceeds
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We estimate that our net proceeds from this offering will be
approximately $102.6 million ($118.5 million if the
underwriters exercise in full their option to purchase
additional shares). We intend to use these net proceeds for
working capital and general corporate purposes, including
capital expenditures and acquisitions.
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Voting rights
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Each share of our Class A common stock will entitle its
holder to one vote on all matters to be voted on by stockholders
generally. The holders of our Class B common stock
generally will have rights identical to holders of our
Class A common stock, except that each share of
Class B common stock will entitle its holder to five votes
on all matters to be voted on by stockholders generally. Holders
of our Class A common stock and Class B common stock
will generally vote together as a single class.
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Conversion rights
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Each share of Class B common stock is convertible while
held by our Parent at the option of our Parent into one share of
Class A common stock. Under certain circumstances, our
Class B common stock may be converted into our Class A
common stock at the option of the holder or automatically.
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Risk factors
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See Risk Factors and other information included in
this prospectus for a discussion of factors you should carefully
consider before deciding to invest in shares of our Class A
common stock.
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Proposed Nasdaq National Market symbol
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WBMD.
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Unless we specifically state otherwise, all information in this
prospectus:
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assumes that the underwriters do not exercise their option to
purchase additional shares;
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assumes the conversion of all outstanding shares of our common
stock into shares of Class B common stock immediately prior
to the completion of this offering; and
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excludes 7,150,000 shares of our Class A common stock
reserved for grants under our incentive compensation plans. On
the date of this prospectus, we expect to make initial grants in
respect of approximately 4,600,000 shares of our
Class A common stock, of which approximately 4,200,000 will
be in the form of options to purchase shares of our Class A
common stock with an exercise price equal to the initial public
offering price per share, and approximately 400,000 will be in
the form of restricted Class A common stock.
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10
Summary Financial Data
You should read the following summary consolidated financial
data in conjunction with Managements Discussion and
Analysis of Financial Condition and Results of Operations,
our consolidated financial statements and notes thereto and the
unaudited pro forma financial statements and related notes, all
included elsewhere in this prospectus. The Pro Forma
consolidated statement of operations data for the year ended
December 31, 2004 and for the six months ended
June 30, 2005 is adjusted to reflect our acquisitions of
MedicineNet, Inc. and HealthShare Technology, Inc., as though
those acquisitions occurred as of January 1, 2004. The pro
forma information is provided for illustrative purposes only and
is not necessarily indicative of the operating results that
would have occurred if the transactions had been consummated as
of January 1, 2004, nor is it indicative of future
operating results. The As Adjusted consolidated
balance sheet data as of June 30, 2005 is adjusted to
reflect the sale of the shares of our Class A common stock
offered hereby and the receipt of the estimated net proceeds
after deducting underwriting discounts and commissions and the
estimated offering expenses. All amounts in the following tables
are presented in thousands.
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Years Ended December 31,
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Six Months Ended June 30,
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2002
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2003
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2004
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2004
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2005
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Pro Forma
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Actual
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Actual
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Pro Forma
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Actual
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(unaudited)
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(unaudited)
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(unaudited)
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(unaudited)
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Consolidated Statements of Operations Data:
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Revenue
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$
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84,203
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$
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110,152
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$
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134,148
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$
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144,637
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$
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58,076
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$
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74,740
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$
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76,564
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Costs and expenses:
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Cost of operations
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47,888
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46,998
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52,377
|
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55,286
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24,435
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33,511
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33,969
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Sales and marketing
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49,033
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47,917
|
|
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49,315
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51,201
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23,246
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23,129
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23,348
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General and administrative
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15,690
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18,016
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20,165
|
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23,528
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10,013
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15,205
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15,975
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Depreciation and amortization
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2,486
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4,463
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5,620
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12,016
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2,515
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5,252
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6,022
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Restructuring and integration benefit
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(5,850
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)
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Other (income) expense
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(823
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)
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19
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(3
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)
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Income (loss) before income tax provision
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(24,221
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)
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(7,242
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)
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6,671
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2,587
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(2,133
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)
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(2,357
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)
|
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(2,747
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)
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Income tax provision
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|
140
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|
|
|
183
|
|
|
|
210
|
|
|
|
397
|
|
|
|
91
|
|
|
|
152
|
|
|
|
143
|
|
|
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|
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Net income (loss)
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$
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(24,361
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)
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$
|
(7,425
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)
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$
|
6,461
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|
|
$
|
2,190
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|
|
$
|
(2,224
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)
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|
$
|
(2,509
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)
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|
$
|
(2,890
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)
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June 30, 2005
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December 31,
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December 31,
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Actual
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As Adjusted(1)
|
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2003
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2004
|
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(unaudited)
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|
(unaudited)
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Consolidated Balance Sheet Data:
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Working capital (deficit)
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$
|
3,384
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$
|
9,119
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$
|
(3,437
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)
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137,144
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Total assets
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120,630
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146,496
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184,523
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325,104
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Owners net investment/Stockholders equity
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85,527
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|
|
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100,737
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|
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127,033
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|
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267,614
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|
|
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(1)
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Reflects (a) the sale of the shares of our Class A
common stock in this offering and the receipt of the estimated
net proceeds after deducting underwriting discounts and
commissions and estimated offering expenses, and (b) the
receipt of $40,000 of cash that our Parent has contributed to
our Company that will be used for general corporate purposes
including potential acquisitions and capital expenditures.
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11
RISK FACTORS
Any investment in our Class A common stock involves a
high degree of risk. This section describes circumstances or
events that could have a negative effect on our business. You
should consider carefully the following information about these
risks, together with the other information contained in this
prospectus, before you decide whether to buy our Class A
common stock. The occurrence of one or more of the circumstances
or events described below could have a material adverse effect
on our financial condition, results of operations and cash flows
or on the trading price of our Class A common stock, and
you could lose all or part of your investment. The risks and
uncertainties described below are not exhaustive, and additional
risks and uncertainties that are not currently known to us or
that we currently believe are immaterial may also adversely
affect our business and operations. Our Risk Factors are
organized into the following broad categories: Risks
Related to Our Operations and Financial Performance,
Risks Related to Our Relationships with Clients,
Risks Related to Use of the Internet and to Our
Technological Infrastructure, Risks Related to the
Legal and Regulatory Environment in Which We Operate,
Risks Related to Our Relationship With Our Parent
and Risks Related to Ownership of the Class A Common
Stock and this Offering.
Risks Related to Our Operations and Financial Performance
Our online businesses are difficult to evaluate because they
have a limited operating history
Our online businesses have a limited operating history and
participate in relatively new and rapidly evolving markets.
These businesses have undergone significant changes during their
short history as a result of changes in the services provided,
changes in market conditions, and changes in ownership and
management, and are expected to continue to change for similar
reasons. We cannot assure you that our current business strategy
will be successful in the long term.
Many companies with business plans based on providing healthcare
information through the Internet have failed to be profitable
and some have filed for bankruptcy and/or ceased operations. We
have only earned income in three of our historical fiscal
quarters and, even if demand from users exists, we cannot assure
you that our business will be profitable.
We have incurred and may continue to incur losses
Our operating results have fluctuated significantly in the past
from quarter to quarter and may continue to do so in the future.
In addition, other than for the year ended December 31,
2004, we have experienced net losses in each year since 2001,
and our net losses from 2001 to 2003 totaled approximately
$2.6 billion.
You should not rely on the results for any particular period as
an indication of our future performance. It is possible that, in
future periods, our results of operations may be below the
expectations of public market analysts and investors.
Fluctuations in our quarterly operating results or our inability
to achieve or maintain profitability may cause volatility in the
price of our Class A common stock in the public market.
The timing of our advertising and sponsorship revenues may
vary significantly, which could have adverse effects on our
operating results
Our advertising and sponsorship revenues, which accounted for
approximately 62% of our total revenues for the year ended
December 31, 2004, may vary significantly from quarter to
quarter due to a number of factors, not all of which are in our
control, and any of which may be difficult to forecast
accurately. The majority of our advertising and sponsorship
contracts are for terms of approximately four to 12 months.
We have relatively few longer term contracts. We cannot assure
you that our current customers will continue to participate in
our existing programs beyond the terms of their existing
contracts or that they will enter into any additional contracts
for new programs that we offer.
In addition, the time between the date of initial contact with a
potential advertiser or sponsor regarding a specific program and
the execution of a contract with the advertiser or sponsor for
that program may be lengthy, especially for larger contracts,
and may be subject to delays over which we have
12
little or no control, including as a result of budgetary
constraints of the advertiser or sponsor or their need for
internal approvals.
Factors that could affect the timing of our revenues from
advertisers and sponsors include:
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the timing of FDA approval for new products or for new approved
uses for existing products;
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seasonal factors relating to the prevalence of specific health
conditions and other seasonal factors that may affect the timing
of promotional campaigns for specific products; and
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the scheduling of conferences for physicians and other
healthcare professionals.
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Lengthy sales and implementation cycles for our private
online portals make it difficult to forecast our revenues from
these applications and, as a result, may have an adverse impact
on our business
The period from our initial contact with a potential client for
a private online portal and the first purchase of our solution
by the client is difficult to predict. In the past, it has
generally ranged from six to 12 months, but in some cases
has been longer. These sales may be subject to delays due to a
clients internal procedures for approving large
expenditures and other factors beyond our control. The time it
takes to implement a private online portal is also difficult to
predict and has lasted as long as six months from contract
execution to the commencement of live operation. Implementation
may be subject to delays based on the availability of the
internal resources of the client that are needed and other
factors outside of our control. As a result, we have limited
ability to forecast the timing of revenue from new clients.
This, in turn, makes it more difficult to predict our financial
performance from quarter to quarter.
During the sales cycle and the implementation period, we may
expend substantial time, effort and money preparing contract
proposals, negotiating contracts and implementing the private
online portal without receiving any related revenue. In
addition, many of the expenses related to providing private
online portals are relatively fixed in the short term, including
personnel costs and technology and infrastructure costs. Even if
our revenue is lower than expected, we may not be able to reduce
our short-term spending in response. Any shortfall in revenue
would have a direct impact on our results of operations.
As a result, we may be unable to adjust spending quickly enough
to offset any unexpected revenue shortfall or delay, in which
case our results of operations would suffer. In addition, in an
attempt to enhance our long-term competitive position, we may
from time to time make decisions regarding pricing, marketing,
services and technology that could have a near-term adverse
effect on our operating results.
If we are unable to provide content that attracts and retains
users to
The WebMD Health Network
at a level that is
attractive to advertisers and sponsors, our revenues will be
reduced
We believe that interest in our public portals for consumers,
physicians and healthcare professionals is based upon our
ability to make available health content, decision-support tools
and other services that meet the needs of our users. Our ability
to do so depends, in turn, on:
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our ability to hire and retain qualified authors, journalists
and independent writers;
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our ability to license quality content from third
parties; and
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our ability to monitor and respond to increases and decreases in
user interest in specific topics.
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We cannot assure you that we will be able to continue to develop
or acquire needed content at a reasonable cost. If we are unable
to provide content that attracts and retains users at a level
that is attractive to advertisers and sponsors, our revenues
will be reduced. In addition, our ability to deploy new
interactive tools and other features will require us to continue
to improve the technology underlying our Web sites. The required
changes may be significant and expensive, and we cannot assure
you that we will be able to execute them quickly and efficiently.
We face significant competition for our products and
services
The markets in which we operate are intensely competitive,
continually evolving and, in some cases, subject to rapid change.
13
Public Portals.
Our public portals face competition from
numerous other companies, both in attracting users and in
generating revenue from advertisers and sponsors. We compete
with online services and Web sites that provide health-related
information, including both commercial sites and not-for-profit
sites. Since there are no substantial barriers to entry into the
markets in which we participate, we expect that competitors will
continue to enter these markets. These competitors include
companies like yahoo.com and msn.com that provide general
purpose consumer online services and portals and other
high-traffic Web sites that include healthcare-related and non
healthcare-related content and services. Our competitors also
include more specialized providers of online services, tools and
applications for healthcare consumers, such as iVillage.com,
DrKoop.com, drugs.com, eMedicine.com and Realage.com. Our
competitors that provide services, tools and applications to
physicians include merkmedicus.com, eMedicine.com, uptodate.com
and mdconsult.com. We also face competition from governmental
and non-profit sites, such as NIH.com and medline.com.
Other competitors for advertising and sponsorship revenue
include:
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publishers and distributors of traditional online media,
including television and magazines targeted to consumers, as
well as print journals and other specialized media targeted to
healthcare professionals, many of which have established or may
establish their own Web sites or partner with other Web sites;
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online medical conferences, CME programs and symposia; and
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vendors of healthcare information, products and services
distributed through other means, including direct sales, mail
and fax messaging.
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Competitors for the attention of healthcare professionals and
consumers include:
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the competitors for advertisers and sponsors described above; and
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public sector, non-profit and other Web sites, including some
Web sites maintained by our clients, that provide healthcare
information without advertising or sponsorships from third
parties.
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Private Portals.
Our private portals compete with various
providers and vendors in the licensing of content and in the
sale of decision-support services and tools. Our competitors in
this market include:
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providers of decision-support tools, such as Hewitt Associates
LLP and Subimo, LLC;
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wellness and disease management vendors, including the Mayo
Foundation for Medical Education and Research and Staywell
Productions/MediMedia USA, Inc.;
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suppliers of online health management applications, including
HealthMedia, Health A-Z and Consumer Health Interactive; and
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health information services and health management offerings of
health plans and their affiliates, including those of Humana,
Aetna and United Healthcare.
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Publishing Services.
Our Publishing Services segment
products and services compete with numerous other online and
offline sources of healthcare information, including:
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traditional publishers and distributors in the medical field,
such as medical reference publications, print journals and other
specialized publications targeted to physicians, some of which
have a more complete range of titles and better access to
traditional distribution channels than we have;
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public sector, non-profit and other Web sites that provide
healthcare information; and
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online conferences, CME programs and symposia.
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Many of our competitors have greater financial, technical,
product development, marketing and other resources than we do.
These organizations may be better known than we are and have
more customers or users than we do. We cannot provide assurance
that we will be able to compete successfully against these
organizations or any alliances they have formed or may form.
We may in the future also face competition from companies that
currently carry our content, including AOL. We have entered into
a strategic alliance with AOL pursuant to an agreement that is
renewable through April 30, 2007. Included in the
accompanying consolidated statements of operations for the years
ended December 31, 2002, 2003 and 2004 and for the six
months ended June 30, 2004 and 2005 is revenue of
14
$4,159, $5,087, $7,242, $3,349 and $4,200, respectively, which
represents sales to third parties of advertising and sponsorship
on the AOL health channels, primarily sold through our sales
efforts. If we and AOL do not renew our agreement, AOL may
directly compete with our consumer Web sites for sales and
marketing revenues.
If we are unable to provide high quality healthcare content
for our Publishing Services segment that attracts and retains
users, our revenues will be reduced
Interest in our publications for physicians, such as
The
Little Blue Book
and
ACP Medicine
and
ACS Surgery:
Principles and Practice
, is based upon our ability to make
available up-to-date, high quality health content that meets the
needs of our physician users. Although we have been able to
continue to update and maintain the physician practice
information that we publish in
The Little Blue Book
, if
we are unable to continue to do so for any reason, the value of
The Little Blue Book
would diminish and interest in this
publication and advertising in this publication would be
adversely affected.
Similarly, our ability to maintain or increase the subscriptions
to
ACP Medicine
and
ACS Surgery
is based upon our
ability to make available up-to-date, high quality content which
depends on our ability to retain qualified physician authors and
writers in the disciplines covered by these publications. We
cannot assure you that we will be able to retain qualified
physician editors or authors to provide and review needed
content at a reasonable cost. If we are unable to provide
content that attracts and retains subscribers, subscriptions to
these products will be reduced. In addition, the American
College of Physicians permits WebMD to use the ACP name in the
title of
ACP Medicine
and the American College of
Surgeons permits WebMD to use the name ACS in the title of
ACS Surgery: Principles and Practice
. If we lose the
right to use the ACP or ACS name in our publications,
subscribers may find the publication less attractive and cease
to subscribe to these publications.
WebMD the Magazine
was launched in April 2005 and as a
result has a very short operating history. We cannot assure you
that
WebMD the Magazine
will be able to attract
advertisers to make this publication successful in the long-term.
Governmental and private initiatives to support the adoption
of healthcare information technology may encourage additional
companies or governmental agencies to compete with us
There are currently numerous federal, state and private
initiatives and studies seeking ways to increase the use of
information technology in healthcare as a means of improving
care and reducing costs. For example, the Department of Health
and Human Services, which we refer to as HHS, issued a report in
2004 entitled The Decade of Health Information Technology:
Delivering Consumer-centric and Information-rich Health
Care and the report was followed up by a Request for
Information and, in June 2005, several Requests for Proposals.
In addition, several bills have been introduced in 2005 in both
the Senate and the House of Representatives reflecting various
approaches to fostering the use of information technology in
healthcare. These initiatives may encourage more companies to
develop applications and services that compete with us,
especially with our private online portals. The effect that
these initiatives may have on our business is difficult to
predict and we cannot assure you that we will adequately address
the risks created by these initiatives or that we will be able
to take advantage of any resulting opportunities.
We have not been operated as an entity separate from our
Parent, and, as a result, our historical and pro forma financial
information may not be indicative of our historical financial
results or future financial performance
Our consolidated financial information included in this
prospectus assumes that, for the periods presented, we had
existed as a separate legal entity, and has been derived from
the consolidated financial statements of our Parent. Some costs
have been reflected in the consolidated financial statements
that are not necessarily indicative of the costs that we would
have incurred had we operated as an independent, stand-alone
entity for all periods presented. These costs include allocated
portions of our Parents corporate overhead, interest
expense and income taxes. Our consolidated financial information
included in this prospectus may not be indicative of our future
financial performance, because these statements do not
necessarily reflect our historical financial condition, results
of operations and cash flows as they would have been had we been
operated during the periods presented as a separate, stand-alone
entity.
15
We expect that accounting for employee stock options using
the fair value method will have a material adverse impact on our
consolidated results of operations and earnings per share
In December 2004, the FASB issued SFAS 123R, which requires
all share-based payments to employees, including grants of stock
options by us and our Parent to our employees, to be recognized
in the financial statements based on their fair values,
beginning with the fiscal year that begins after June 15,
2005. As permitted by SFAS No. 123, we currently
account for share-based payments to employees using the
intrinsic value method prescribed in APB Opinion No. 25. As
described in Note 2 to our audited consolidated financial
statements, if, instead of the intrinsic value method, we had
used the fair value recognition provisions of SFAS 123 to
calculate stock based employee compensation, instead of
reporting net income for 2004 of $6.5 million, we would
have reported a loss of $2.4 million. Although neither we
nor our Parent has yet chosen the valuation methodology it will
employ when we and it adopt SFAS No. 123R, the
adoption of SFAS No. 123Rs fair value method
will have a material adverse impact on the consolidated results
of operations and earnings per share. We cannot predict what
effect the reduction in our net income may have on our stock
price.
We will incur increased costs as a result of being a
separately traded public company
As a separately traded public company, we will incur legal,
accounting and other expenses that we did not incur as a wholly
owned subsidiary of our Parent, including costs associated with
the periodic reporting requirements applicable to a company
whose securities are registered under the Securities Exchange
Act of 1934, or the Exchange Act, recently adopted corporate
governance requirements, including requirements under the
Sarbanes-Oxley Act of 2002, and other rules implemented
relatively recently by the Securities and Exchange Commission,
or the SEC, and The Nasdaq National Market. We expect these
rules and regulations to increase substantially our legal and
financial compliance costs and to make some activities more
time-consuming and costly. We also expect that these rules and
regulations will make it more difficult and more expensive for
us to obtain directors and officers liability insurance.
Investors could lose confidence in our financial reports, and
our stock price may be adversely affected, if our or our
Parents internal controls over financial reporting are
found not to be effective by management or by an independent
registered public accounting firm or if we or our Parent make
disclosure of existing or potential significant deficiencies or
material weaknesses in those controls
Beginning with our Annual Report for the year ending
December 31, 2006, Section 404 of the Sarbanes-Oxley
Act of 2002 will require us to include an internal control
report with our Annual Report on Form 10-K. That report
must include managements assessment of the effectiveness
of our internal control over financial reporting as of the end
of the fiscal year. Additionally, our independent registered
public accounting firm will be required to issue a report on
managements assessment of our internal control over
financial reporting and a report on their evaluation of the
operating effectiveness of our internal control over financial
reporting. Our Parent is an accelerated filer and
was required to include an internal control report in its most
recent and in its future Annual Reports on Form 10-K.
We continue to evaluate our existing internal controls over
financial reporting against the standards adopted by the Public
Company Accounting Oversight Board (PCAOB). During the course of
our ongoing evaluation of the internal controls, we may identify
areas requiring improvement, and may have to design enhanced
processes and controls to address issues identified through this
review. Remedying any deficiencies, significant deficiencies or
material weaknesses that we or our independent registered public
accounting firm may identify, may require us to incur
significant costs and expend significant time and management
resources. We cannot assure you that any of the measures we
implement to remedy any such deficiencies will effectively
mitigate or remedy such deficiencies. In addition, we cannot
assure you that we will be able to complete the work necessary
for our management to issue its management report in a timely
manner, or that we will be able to complete any work required
for our management to be able to conclude that our internal
control over financial reporting is operating effectively. If we
are not able to complete the assessment under Section 404
in a timely manner, we and our independent registered public
accounting firm would be unable to conclude that our internal
control over financial reporting is effective
16
as of December 31, 2006. Investors could lose confidence in
our financial reports, and our stock price may be adversely
affected, if our internal controls over financial reporting are
found not to be effective by management or by an independent
registered public accounting firm or if we make disclosure of
existing or potential significant deficiencies or material
weaknesses in those controls.
A determination that there is a significant deficiency or
material weakness in the effectiveness of our internal controls
over financial reporting could also reduce our ability to obtain
financing or could increase the cost of any financing we obtain
and require additional expenditures to comply with applicable
requirements.
In addition, investors could lose confidence in our financial
reports, if our Parents internal controls over financial
reporting are found not to be effective by management or by an
independent registered public accounting firm or if our Parent
makes disclosure of existing or potential significant
deficiencies or material weaknesses in those controls,
particularly if the reasons are relevant or related to our
internal controls or intercompany transactions with our Parent.
Acquisitions, business combinations and other transactions
may be difficult to complete and, if completed, may have
negative consequences for our business and our
securityholders
We have been built, in part, through a series of acquisitions.
We intend to continue to seek to acquire or to engage in
business combinations with companies engaged in complementary
businesses. In addition, we may enter into joint ventures,
strategic alliances or similar arrangements with third parties.
These transactions may result in changes in the nature and scope
of our operations and changes in our financial condition. Our
success in completing these types of transactions will depend
on, among other things, our ability to locate suitable
candidates, negotiate mutually acceptable terms with them and to
obtain adequate financing. Significant competition for these
opportunities exists, which may increase the cost of and
decrease the opportunities for these types of transactions.
Financing for these transactions may come from several sources,
including:
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cash and cash equivalents on hand and marketable securities;
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proceeds from the incurrence of indebtedness; and
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proceeds from the issuance of additional Class A common
stock, preferred stock, convertible debt or other securities.
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The issuance of additional equity or debt securities could:
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cause substantial dilution of the percentage ownership of our
stockholders at the time of the issuance;
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cause substantial dilution of our earnings per share;
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subject us to the risks associated with increased leverage,
including a reduction in our ability to obtain financing or an
increase in the cost of any financing we obtain;
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subject us to restrictive covenants that could limit our
flexibility in conducting future business activities; and
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adversely affect the prevailing market price for our outstanding
securities.
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We do not intend to seek securityholder approval for any such
acquisition or security issuance unless required by applicable
law, regulation or by the terms of then existing securities.
Our business will suffer if we fail to successfully integrate
acquired businesses and technologies or to assess the risks in
particular transactions
We have in the past acquired, and may in the future acquire,
businesses, technologies, services, product lines and other
assets. The successful integration of the acquired businesses
and assets into our operations, on a cost-effective basis, can
be critical to our future performance. The amount and timing of
17
the expected benefits of any acquisition, including potential
synergies between our company and the acquired business, are
subject to significant risks and uncertainties. These risks and
uncertainties include, but are not limited to, those relating to:
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our ability to maintain relationships with the customers of the
acquired business;
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our ability to retain or replace key personnel;
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potential conflicts in sponsor or advertising relationships;
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our ability to coordinate organizations that are geographically
diverse and may have different business cultures; and
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compliance with regulatory requirements.
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We cannot guarantee that any acquired businesses will be
successfully integrated with our operations in a timely or
cost-effective manner, or at all. Failure to successfully
integrate acquired businesses or to achieve anticipated
operating synergies, revenue enhancements or cost savings could
have a material adverse effect on our business, financial
condition and results of operations.
Although our management attempts to evaluate the risks inherent
in each transaction and to value acquisition candidates
appropriately, we cannot assure you that we will properly
ascertain all such risks or that acquired businesses and assets
will perform as we expect or enhance the value of our company as
a whole. In addition, acquired companies or businesses may have
larger than expected liabilities that are not covered by the
indemnification, if any, we are able to obtain from the sellers.
We have previously incurred significant impairment and
restructuring charges
In 1999 and 2000, our Parent acquired eight companies for over
$10 billion in aggregate purchase price, primarily through
the issuance of its common stock. During 2000 and 2001, our
Parent initiated two restructuring and integration plans, with
the objective of eliminating duplication and redundancies that
resulted from prior acquisitions and to restructure certain
strategic relationships our Parent had with third parties. In
2001, we incurred a restructuring and integration charge of
$114.9 million. During 2001, our Parent identified certain
indicators of possible impairment of our long-lived assets,
primarily goodwill and other intangible assets. Our Parent
evaluated our long-lived assets for impairment by determining
identifiable cash flows to related asset groupings, and compared
the projected undiscounted cash flows for each asset grouping to
its carrying value. Once our Parent determined there was an
impairment, our Parent quantified the impairment based on
projected discounted cash flows, and recorded a charge of
$1.4 billion for the impairment of long-lived and other
assets in 2001. We cannot assure you that other unknown future
causes of possible impairment charges, such as a significant
downturn in one of our business segments or general economic
conditions, will not occur; if they do occur, they could result
in an additional assessment of our long-lived assets for
impairment which, in turn, could result in an additional
impairment charge in the future.
Our failure to attract and retain qualified executives and
employees may have a material adverse effect on our business
Our business depends largely on the skills, experience and
performance of key members of our senior management team. Roger
C. Holstein, who served as our chief executive officer since
October 2004, resigned, effective April 27, 2005, from all
his positions with our Parent and its subsidiaries. Wayne
Gattinella, who has served as President of the WebMD Health
segment of our Parent since August 2001, is our President and
CEO. We cannot assure you that the transition in leadership will
occur without disruption to our businesses.
We also depend, in part, on our ability to attract and retain
qualified writers and editors, software developers and other
technical personnel and sales and marketing personnel. We
anticipate the need to hire and retain qualified employees in
these areas from time to time. We cannot assure you that we will
be able to hire or retain a sufficient number of qualified
personnel to meet our requirements, or that we will
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be able to do so at the salary and benefit costs that are
acceptable to us. Failure to do so may have an adverse effect on
our business.
Risks Related to Our Relationships with Clients
Developments in the healthcare industry could adversely
affect our business
Most of our revenue is derived from the healthcare industry and
could be affected by changes affecting healthcare spending.
General reductions in expenditures by healthcare industry
participants could result from, among other things:
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government regulation or private initiatives that affect the
manner in which healthcare providers interact with patients,
payers or other healthcare industry participants, including
changes in pricing or means of delivery of healthcare products
and services;
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consolidation of healthcare industry participants;
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reductions in governmental funding for healthcare; and
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adverse changes in business or economic conditions affecting
healthcare payers or providers, pharmaceutical, biotechnology or
medical device companies or other healthcare industry
participants.
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We are particularly dependent on pharmaceutical, biotechnology
and medical device companies for our advertising and sponsorship
revenues. Our business will be adversely impacted if business or
economic conditions result in the reduction of purchases by our
customers if they decide not to renew their commitments or
decide to renew their commitments at lower levels. Even if
general expenditures by industry participants remain the same or
increase, developments in the healthcare industry may result in
reduced spending in some or all of the specific segments of that
market we serve or are planning to serve. For example, use of
our products and services could be affected by:
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changes in the design of health insurance plans;
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a decrease in the number of new drugs or medical devices coming
to market; and
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decreases in marketing expenditures by pharmaceutical companies
or consumer product companies, including as a result of
governmental regulation or private initiatives that discourage
or prohibit advertising or sponsorship activities by
pharmaceutical or medical device companies.
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In addition, our customers expectations regarding pending
or potential industry developments may also affect their
budgeting processes and spending plans with respect to products
and services of the types we provide.
The healthcare industry has changed significantly in recent
years and we expect that significant changes will continue to
occur. However, the timing and impact of developments in the
healthcare industry are difficult to predict. We cannot assure
you that the markets for our products and services will continue
to exist at current levels or that we will have adequate
technical, financial and marketing resources to react to changes
in those markets.
The WebMD Health Network
includes Web sites that we
supply content to, but do not own, and the termination of our
relationship with the owners of these Web sites, including AOL,
may negatively affect our results of operations
We cannot assure you that we will be able to continue to attract
a large audience of health-involved consumers and
clinically-active healthcare professionals to
The WebMD
Health Network
. Although the substantial majority of the
visitors to
The WebMD Health Network
and the page views
we generate on
The WebMD Health Network
are from Web
sites we own, some are from Web sites owned by third parties
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that carry our content and, as a result, our traffic may vary
based on the amount of traffic to Web sites of these third
parties and other factors outside our control. During the first
half of 2005,
AOL
accounted for approximately 17% of
The WebMD Health Network
s unique users and
approximately 8% of its aggregate page views and other third
party Web sites accounted for 7% of
The WebMD Health
Networks
unique users and 5% of its aggregate page
views during such period. In the event that our relationship
with AOL or other third party Web sites is terminated, the user
traffic and page views in
The WebMD Health Network
may be
negatively affected, which may negatively affect our results of
operations.
We may not be able to attract visitors to our Web sites on a
consistent basis, which could have a material adverse effect on
our results of operations
Since users of our public portals may be attracted to
The
WebMD Health Network
as a result of a specific condition or
for a specific purpose, it is difficult for us to predict the
rate at which users will return to the public portals. Further,
users of
The WebMD Health Network
have numerous other
online and offline sources of healthcare information services,
and some users may visit
The WebMD Health Network
as a
result of our existing third party relationships. If one or more
of these third parties engages in conduct that negatively
affects users of those third party Web sites, users that come to
The WebMD Health Network
through these third party Web
sites may decrease.
Because we generate revenues by, among other things, selling
sponsorships of specific pages, sections or events on
The
WebMD Health Network
for healthcare providers and consumers
and related e-newsletters, a decline in user traffic levels or a
reduction in the number of pages viewed by users could cause our
revenues to decrease and could have a material adverse effect on
our results of operations.
We may be unsuccessful in our efforts to increase advertising
and sponsorship revenue from consumer products companies
Most of our advertising and sponsorship revenues have, in the
past, come from pharmaceutical, biotechnology and medical device
companies. During the past year, we have begun to focus on
increasing sponsorship revenue from consumer products companies
that are interested in communicating health-related or
safety-related information about their products to our audience.
However, while a number of consumer products companies have
indicated an intent to increase the portion of their promotional
spending used on the Internet, we cannot assure you that these
advertisers and sponsors will find our consumer Web site to be
as effective as other Web sites or traditional media for
promoting their products and services. If we encounter
difficulties in competing with the other alternatives available
to consumer products companies, this portion of our business may
develop more slowly than we expect or may fail to develop.
Risks Related to Use of the Internet and to Our Technological
Infrastructure
Our users depend on Internet service providers, online
service providers and other Web site operators to access our
online services
Users of our Web-based services depend on Internet service
providers, online service providers and other Web site operators
for access to our Web sites. Many of these providers have
experienced significant outages in the past and could experience
outages, delays and other difficulties in the future due to
system failures unrelated to our systems. Any significant
interruptions in our services or increases in response time
could result in a loss of potential or existing users of and
advertisers and sponsors on our Web site and, if sustained or
repeated, could reduce the attractiveness of our Web-based
services.
20
We rely on bandwidth providers, data center providers, other
third parties and our own systems for key aspects of the process
of providing products and services to our users, and any failure
or interruption in the services provided by these third parties
or our own systems could harm our business
Our online services are designed to operate 24 hours a day,
seven days a week, without interruption. However, we have
experienced and expect that we will experience interruptions and
delays in services and availability from time to time. We rely
on internal systems as well as third party vendors, including
data center providers and bandwidth providers, to provide our
online services. We do not maintain redundant systems or
facilities for some of these services. In the event of a
catastrophic event at one of our data centers, we may experience
an extended period of system unavailability which could
negatively impact our relationship with users and adversely
affect our brand and our business.
To operate without interruption, both we and our service
providers must guard against:
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damage from fire, power loss and other natural disasters;
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communications failures;
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software and hardware errors, failures and crashes;
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security breaches, computer viruses and similar disruptive
problems; and
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other potential interruptions.
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Any disruption in the network access or co-location services
provided by these third party providers or any failure of or by
these third party providers or our own systems to handle current
or higher volume of use could significantly harm our business.
We exercise little control over these third party vendors, which
increases our vulnerability to problems with services they
provide.
Any errors, failures, interruptions or delays experienced in
connection with these third party technologies and information
services or our own systems could negatively impact our
relationships with users and adversely affect our brand and our
business and could expose us to liabilities to third parties.
Although we maintain insurance for our business, the coverage
under our policies may not be adequate to compensate us for all
losses that may occur. In addition, we cannot provide assurance
that we will continue to be able to obtain adequate insurance
coverage at an acceptable cost.
Implementation of changes in hardware and software platforms
used to deliver our online services may result in performance
problems and may not provide the additional functionality that
was expected
From time to time, we implement changes to the hardware and
software platforms we use for providing our online services.
During and after the implementation of those changes, a platform
may not perform as expected, which could result in interruptions
in operations, an increase in response time or an inability to
track performance metrics. Any significant interruption in our
ability to operate any of our online services could have an
adverse effect on our relationships with users and clients and,
as a result, on our financial results.
We rely on a combination of purchasing, licensing, internal
development, and acquisitions to develop our hardware and
software platforms. Our implementation of changes in these
platforms may cost more than originally expected, may take
longer than originally expected, and may require more testing
than originally anticipated. In addition, we cannot provide
assurance that changes in these platforms will provide the
additional functionality and other benefits that were originally
expected.
If the systems we use to provide online portals experience
security breaches or are otherwise perceived to be insecure, our
business could suffer
We retain and transmit confidential information, including
personal health records, in the processing centers and other
facilities we use to provide online services. It is critical
that these facilities and infrastructure remain secure and be
perceived by the marketplace as secure. A security breach could
damage our reputation or result in liability. We may be required
to expend significant capital and other
21
resources to protect against security breaches and hackers or to
alleviate problems caused by breaches. Despite the
implementation of security measures, this infrastructure or
other systems that we interface with, including the Internet and
related systems, may be vulnerable to physical break-ins,
hackers, improper employee or contractor access, computer
viruses, programming errors, attacks by third parties or similar
disruptive problems. Any compromise of our security, whether as
a result of our own systems or the systems that they interface
with, could reduce demand for our services, and could subject us
to legal claims from our clients and users, including for breach
of contract or breach of warranty.
Risks Related to the Legal and Regulatory Environment in
Which We Operate
Government regulation of the Internet could adversely affect
our business
The Internet and its associated technologies are subject to
government regulation. Our failure, or the failure of our
business partners or third party providers, to accurately
anticipate the application of laws and regulations affecting our
products and services and the manner in which we deliver them,
or any other failure to comply, could create liability for us,
result in adverse publicity and negatively affect our business.
In addition, new laws and regulations, or new interpretations of
existing laws and regulations, may be adopted with respect to
the Internet or other online services covering user privacy,
patient confidentiality, consumer protection and other issues,
including pricing, content, copyrights and patents, distribution
and characteristics and quality of products and services. We
cannot predict whether these laws or regulations will change or
how such changes will affect our business.
Government regulation of healthcare creates risks and
challenges with respect to our compliance efforts and our
business strategies
The healthcare industry is highly regulated and is subject to
changing political, legislative, regulatory and other
influences. Existing and new laws and regulations affecting the
healthcare industry could create unexpected liabilities for us,
cause us to incur additional costs and restrict our operations.
Many healthcare laws are complex and their application to
specific products and services may not be clear. In particular,
many existing healthcare laws and regulations, when enacted, did
not anticipate the healthcare information services that we
provide. However, these laws and regulations may nonetheless be
applied to our products and services. Our failure to accurately
anticipate the application of these laws and regulations, or
other failure to comply, could create liability for us, result
in adverse publicity and negatively affect our businesses. Some
of the risks we face from healthcare regulation are as follows:
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Regulation of Drug and Medical Device Advertising and
Promotion
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The WebMD Health Network
provides services involving
advertising and promotion of prescription and over-the-counter
drugs and medical devices. Any increase in regulation of these
areas by the Federal Food and Drug Administration, or the FDA,
or the Federal Trade Commission, or the FTC, could make it more
difficult for us to contract for sponsorships and advertising.
Physician groups and others have criticized the FDAs
current policies, and have called for restrictions on
advertising of prescription drugs to consumers and increased FDA
enforcement. We cannot predict what actions the FDA or industry
participants may take in response to these criticisms. It is
also possible that new laws would be enacted that impose
restrictions on such advertising. Our advertising and
sponsorship revenues could be materially reduced by additional
restrictions on the advertising of prescription drugs and
medical devices to consumers, whether imposed by law or
regulation or by policies adopted by industry members.
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If the FDA or the FTC finds that any information on our Web
sites violate FDA or FTC regulations, they may take regulatory
or judicial action against us or the advertiser or sponsor of
that information. State attorneys general may also take similar
action based on their states consumer protection statutes.
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There are federal and state laws that govern patient referrals,
physician financial relationships and inducements to healthcare
providers and patients. The federal healthcare programs
anti-kickback law prohibits any person or entity from offering,
paying, soliciting or receiving anything of value, directly or
indirectly, for the referral of patients covered by Medicare,
Medicaid and other federal healthcare programs or the leasing,
purchasing, ordering or arranging for or recommending the lease,
purchase or order of any item, good, facility or service covered
by these programs. Many states also have similar anti-kickback
laws that are not necessarily limited to items or services for
which payment is made by a federal healthcare program. These
laws are applicable to manufacturers and distributors and,
therefore, may restrict how we and some of our customers market
products to healthcare providers. Also, in 2002, the Office of
the Inspector General, or OIG, of Health and Human Services, the
federal government agency responsible for interpreting the
federal anti-kickback law, issued an advisory opinion that
concluded that the sale of advertising and sponsorships to
healthcare providers and vendors by Web-based information
services implicates the federal anti-kickback law. However, the
advisory opinion suggests that enforcement action will not
result if the fees paid represent fair market value for the
advertising/sponsorship arrangements, the fees do not vary based
on the volume or value of business generated by the advertising
and the advertising/sponsorship relationships are clearly
identified as such to users.
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The laws in this area are broadly written and it is often
difficult to determine precisely how the laws will be applied in
specific circumstances. Penalties for violating the federal
anti-kickback law include imprisonment, fines and exclusion from
participating, directly or indirectly, in Medicare, Medicaid and
other federal healthcare programs. Any determination by a state
or federal regulatory agency that any of our practices violate
any of these laws could subject us to civil or criminal
penalties and require us to change or terminate some portions of
our business and could have an adverse effect on our business.
Even an unsuccessful challenge by regulatory authorities of our
practices could result in adverse publicity and be costly for us
to respond to.
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Medical Professional Regulation
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The practice of most healthcare professions requires licensing
under applicable state law. In addition, the laws in some states
prohibit business entities from practicing medicine. If a state
determines that some portion of our business violates these
laws, it may seek to have us discontinue those portions or
subject us to penalties or licensure requirements. Any
determination that we are a healthcare provider and have acted
improperly as a healthcare provider may result in liability to
us.
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Risks related to privacy regulations are described below under
We face potential liability related to the privacy and
security of personal information we collect from consumer and
healthcare professionals through our Web sites.
We face potential liability related to the privacy and
security of personal information we collect from consumer and
healthcare professionals through our Web sites
Internet user privacy has become a major issue both in the
United States and abroad. We have privacy policies posted on our
Web sites that we believe comply with applicable laws requiring
notice to users about our information collection, use and
disclosure practices. However, whether and how existing privacy
and consumer protection laws in various jurisdictions apply to
the Internet is still uncertain and may take years to resolve.
Any legislation or regulation in the area of privacy of personal
information could affect the way we operate our Web sites and
could harm our business. Further, we cannot assure you that the
privacy policies and other statements on our Web sites or our
practices will be found sufficient to protect us from liability
or adverse publicity relating to the privacy and security of
personal information.
Under the Health Insurance Portability and Accountability Act of
1996, or HIPAA, Congress established a set of federal national
privacy standards for the protection by health plans, healthcare
clearinghouses, healthcare providers and their business
associates of individually identifiable health
23
information. We cannot assure you that we will adequately
address the risks created by these privacy and security rules
and we are unable to predict what changes to HIPAA might be made
in the future or how those changes could affect our business.
In addition to HIPAA, numerous other state and federal laws
govern the collection, dissemination, use, access to and
confidentiality of patient health information. In addition, some
states are considering new laws and regulations that further
protect the confidentiality of medical records or medical
information. In many cases, these state laws are not preempted
by the HIPAA Privacy Standard and may be subject to
interpretation by various courts and other governmental
authorities, thus creating potentially complex compliance issues
for us and our customers and strategic partners. These privacy
laws at a state or federal level, or new interpretations of
these laws, could create liability for us, could impose
additional operational requirements on our business, could
affect the manner in which we use and transmit patient
information and could increase our cost of doing business.
Changes in industry guidelines or government regulation could
adversely affect our online Medscape offerings
Our CME activities are planned and implemented in accordance
with the Essential Areas and Policies of the Accreditation
Council for Continuing Medical Education, or ACCME, which
oversees providers of CME credit, and other applicable
accreditation standards. In September 2004, ACCME revised its
standards for commercial support of CME. The revised standards
are intended to ensure, among other things, that CME activities
of ACCME-accredited providers are independent of providers of
healthcare goods and services that fund the development of CME.
ACCME required accredited providers to implement these standards
by May 2005. Implementation has required additional disclosures
to CME participants about those in a position to influence
content and other adjustments to the management and operations
of our CME programs. We believe we have modified our procedures
as appropriate to meet the revised standards. However, we cannot
be certain whether these adjustments will ensure that we meet
the new standards or predict whether ACCME may impose additional
requirements.
In the event that ACCME concludes that we have not met its
revised standards relating to CME, we would not be permitted to
offer accredited ACCME activities to physicians and healthcare
professionals, and we may be required, instead, to use third
parties to accredit such CME-related services on
Medscape
from WebMD.
In addition, any failure to maintain our status
as an accredited ACCME provider as a result of a failure to
comply with existing or new ACCME standards could discourage
potential sponsors from engaging in CME or education related
activities with us, which could have a material adverse effect
on our business.
CME activities may also be subject to government regulation by
the FDA, the OIG, or HHS, the federal agency responsible for
interpreting certain federal laws relating to healthcare, and
state regulatory agencies.
During the past several years, educational programs, including
CME, directed toward physicians have been subject to increased
scrutiny to ensure that sponsors do not influence or control the
content of the program. In response to governmental and industry
initiatives, pharmaceutical companies and medical device
companies have been developing and implementing internal
controls and procedures that promote adherence to applicable
regulations and requirements. In implementing these controls and
procedures, different clients may interpret the regulations and
requirements differently and may implement procedures or
requirements that vary from client to client. These controls and
procedures:
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may discourage pharmaceutical companies from engaging in
educational activities;
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may slow their internal approval for such programs;
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may reduce the volume of sponsored educational programs
implemented through our Medscape Web site to levels that are
lower than in the past; and
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may require us to make changes to how we offer or provide
educational programs, including CME.
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In addition, future changes to existing regulations or
accreditation standards, or to the internal compliance programs
of potential clients, may further discourage or prohibit
potential clients from engaging in educational activities with
us, or may require us to make further changes in the way we
offer or provide educational programs.
We may not be successful in protecting our intellectual
property and proprietary rights
Our intellectual property is important to our businesses. We
rely on a combination of trade secret, patent and other
intellectual property laws and confidentiality procedures and
non-disclosure contractual provisions to protect our
intellectual property. We believe that our non-patented
proprietary technologies and business processes are protected
under trade secret, contractual and other intellectual property
rights. However, those rights do not afford the statutory
exclusivity provided by patented processes. In addition, the
steps that we take to protect our intellectual property,
proprietary information and trade secrets may prove to be
inadequate and, whether or not adequate, may be expensive.
We cannot assure you that we will be able to detect potential or
actual misappropriation or infringement of our intellectual
property, proprietary information or trade secrets. Even if we
detect misappropriation or infringement by a third party, we
cannot assure you that we will be able to enforce our rights at
a reasonable cost, or at all. In addition, our rights to
intellectual property, proprietary information and trade secrets
may not prevent independent third party development and
commercialization of competing products or services.
Third parties may claim that we are infringing their
intellectual property, and we could suffer significant
litigation or licensing expenses or be prevented from providing
certain services, which may harm our business
We could be subject to claims that we are misappropriating or
infringing intellectual property or other proprietary rights of
others. These claims, even if not meritorious, could be
expensive to defend and divert managements attention from
our operations. If we become liable to third parties for
infringing these rights, we could be required to pay a
substantial damage award and to develop non-infringing
technology, obtain a license or cease selling the products or
services that use or contain the infringing intellectual
property. We may be unable to develop non-infringing products or
services or obtain a license on commercially reasonable terms,
or at all. We may also be required to indemnify our customers if
they become subject to third party claims relating to
intellectual property that we license or otherwise provide to
them, which could be costly.
We may be subject to claims brought against us as a result of
content we provide
Consumers access health-related information through our online
services, including information regarding particular medical
conditions and possible adverse reactions or side effects from
medications. If our content, or content we obtain from third
parties, contains inaccuracies, it is possible that consumers,
employees, health plan members or others may sue us for various
causes of action. Although our Web sites contain terms and
conditions, including disclaimers of liability, that are
intended to reduce or eliminate our liability, the law governing
the validity and enforceability of online agreements and other
electronic transactions is evolving. We could be subject to
claims by third parties that our online agreements with
consumers and physicians that provide the terms and conditions
for use of our public or private portals are unenforceable. A
finding by a court that these agreements are invalid and that we
are subject to liability could harm our business and require
costly changes to our business.
We have editorial procedures in place to provide quality control
of the information that we publish or provide. However, we
cannot assure you that our editorial and other quality control
procedures will be sufficient to ensure that there are no errors
or omissions in particular content. Even if potential claims do
not result in liability to us, investigating and defending
against these claims could be expensive and time consuming and
could divert managements attention away from our
operations. In addition, our business is based on establishing
the reputation of our portals as trustworthy and dependable
sources of healthcare
25
information. Allegations of impropriety or inaccuracy, even if
unfounded, could therefore harm our reputation and business.
We could be subject to breach of warranty or other claims by
clients of our online portals if the software and systems we use
to provide them contain errors or experience failures
Errors in the software and systems we use could cause serious
problems for clients of our online portals. We may fail to meet
contractual performance standards or fail to meet expectations
that our clients have for them. Clients of our online portals
may seek compensation from us or may seek to terminate their
agreements with us, withhold payments due to us, seek refunds
from us of part or all of the fees charged under those
agreements or initiate litigation or other dispute resolution
procedures. In addition, we could face breach of warranty or
other claims by clients or additional development costs. Our
software and systems are inherently complex and, despite testing
and quality control, we cannot be certain that they are error
free.
We attempt to limit, by contract, our liability to our clients
for damages arising from our negligence, errors or mistakes.
However, contractual limitations on liability may not be
enforceable in certain circumstances or may otherwise not
provide sufficient protection to us from liability for damages.
We maintain liability insurance coverage, including coverage for
errors and omissions. However, it is possible that claims could
exceed the amount of our applicable insurance coverage, if any,
or that this coverage may not continue to be available on
acceptable terms or in sufficient amounts. Even if these claims
do not result in liability to us, investigating and defending
against them could be expensive and time consuming and could
divert managements attention away from our operations. In
addition, negative publicity caused by these events may delay or
hinder market acceptance of our services, including unrelated
services.
The ongoing Department of Justice investigation of our Parent
could have an adverse impact on our company
On September 3, 2003, our Parent first learned that the
U.S. Attorney for the District of South Carolina, with the
assistance of the Federal Bureau of Investigation and the
Internal Revenue Service, was conducting an investigation of our
Parent relating to activities which may have been engaged in
before and after Medical Manager Corporation (now part of our
Parents Practice Services business segment) merged in 1999
with a predecessor of our Parent, as well as after the merged
entity became a subsidiary of our Parent in 2000. Our Parent
believes that the investigation relates principally to issues of
financial accounting improprieties relating to Medical Manager,
including activities that artificially inflated revenues and
earnings of Medical Manager. Our Parent understands that the SEC
is also conducting a formal investigation into this matter. In
2005, certain former employees of Medical Manager agreed to
plead guilty to mail fraud and tax evasion as a result of the
foregoing investigation. In the event members of our senior
management are implicated in any wrongdoing, it could have an
adverse impact on our company.
Our Parents Board of Directors has formed a Special
Committee consisting solely of independent directors to oversee
this matter, with the sole authority to direct our Parents
response to the allegations that have been raised. The Special
Committee has retained independent legal counsel to advise it.
Our Parent has retained counsel to advise it in connection with
the investigation, and such counsel reports directly to the
Special Committee.
Damages associated with the purported class action
proceedings filed against our subsidiary under the Telephone
Consumer Protection Act, if awarded, may have an adverse impact
on our company
On May 24, 2005, a lawsuit was filed by Dr. Ari Weitzner
individually, and as a purported class action, under the
Telephone Consumer Protection Act (TCPA), in the
U.S. District Court, Eastern District of New York against
National Physicians Datasource LLC, a subsidiary of our Parent
that was contributed to us. The lawsuit claims that faxes
allegedly sent by National Physicians Datasource LLC, which
publishes
The Little Blue Book
, were sent in violation of
the TCPA. The TCPA prohibits the sending of unsolicited
advertisements by fax machines to a third party without
the consent of the third
26
party. An unsolicited advertising means any material
advertising the commercial availability or quality of any
property, goods, or services. In connection with our
Little
Blue Book
business, we send faxes to physician office
practices. We cannot assure you that the plaintiff in this
proceeding will not succeed in his suit. If an award of damages
were made against our subsidiary in this proceeding, such award
could have an adverse impact our company.
Risks Related to Our Relationship With Our Parent
Our Parent controls the direction of our business. The
concentrated ownership of our common stock and certain corporate
governance arrangements will prevent you and other stockholders
from influencing significant corporate decisions
We have two classes of common stock:
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Class A common stock, which entitles the holder to one vote
per share on all matters submitted to our stockholders; and
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Class B common stock, which entitles the holder to five
votes per share on all matters submitted to our stockholders.
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Following completion of this offering, our Parent will own 100%
of our Class B common stock, which will represent
approximately 87.5% of our outstanding common stock after this
offering (or approximately 85.8% if the underwriters exercise in
full their option to purchase additional shares). These shares
collectively will represent 97.1% of the combined voting power
of our outstanding common stock (or 96.7% if the underwriters
exercise in full their option to purchase additional shares).
Given its ownership interest, our Parent will be able to control
the outcome of all matters submitted to our shareholders for
approval, including the election of directors. Accordingly,
either in its capacity as a stockholder or through its control
of our Board of Directors, our Parent will be able to control
all key decisions regarding our company, including mergers or
other business combinations and acquisitions, dispositions of
assets, future issuances of our common stock or other
securities, the incurrence of debt by us, the payment of
dividends on our common stock (including the frequency and the
amount of dividends that would be payable on our common stock, a
substantial majority of which our parent owns) and amendments to
our certificate of incorporation and bylaws. Further, as long as
our Parent and its subsidiaries (excluding our company and our
subsidiaries) continue to beneficially own shares representing
at least a majority of the votes entitled to be cast by the
holders of our outstanding voting stock, it may take actions
required to be taken at a meeting of stockholders without a
meeting or a vote and without prior notice to holders of our
Class A common stock. In addition, our Parents
controlling interest may discourage a change of control that the
holders of our Class A common stock may favor. Any of these
provisions could be used by our Parent for its own advantage to
the detriment of our other stockholders and our company. This in
turn may have an adverse affect on the market price of our
Class A common stock.
Provisions in our charter documents and Delaware law may
inhibit a takeover, which could adversely affect the value of
our Class A common stock
Our certificate of incorporation and bylaws, as well as Delaware
corporate law, contain provisions that could delay or prevent a
change of control or changes in our management and board of
directors that a holder of our Class A common stock might
consider favorable and may prevent you from receiving a takeover
premium for your shares. These provisions include, for example,
our classified board structure, the disproportionate voting
rights of the Class B common stock (relative to the
Class A common stock) and the authorization of our Board of
Directors to issue up to 50 million shares of
preferred stock without a stockholder vote. In addition, our
restated certificate of incorporation provides that after the
time our Parent and its affiliates cease to own, in the
aggregate, a majority of the combined voting power of our
outstanding capital stock stockholders may not act by written
consent and may not call special meetings. These provisions
apply even if the offer may be considered beneficial by some of
our stockholders. If a
27
change of control or change in management is delayed or
prevented, the market price of our Class A common stock
could decline.
The interests of our Parent may conflict with the interests
of our other stockholders
We cannot assure you that the interests of our Parent will
coincide with the interests of the other holders of our common
stock. For example, our Parent could cause us to make
acquisitions that increase the amount of our indebtedness or
outstanding shares of common stock or sell revenue-generating
assets. Also, after this offering, our Parent or its directors
and officers, may allocate corporate opportunities to itself or
direct them to other affiliates, which, prior to this offering,
could have been directed to us. So long as our Parent continues
to own shares of our common stock with significant voting power
our Parent will continue to be able to strongly influence or
effectively control our decisions.
Some of our directors, officers and employees may have
potential conflicts of interest as a result of having positions
with, or owning equity interests in, our Parent
Martin J. Wygod, in addition to being Chairman of the Board of
our company, is Chairman of the Board of our Parent. Some of our
other directors, officers and employees may, at the time of or
after our initial public offering, also serve as directors,
officers or employees of our Parent. In addition, some of our
directors, officers and employees own shares of our
Parents common stock. Furthermore, because our officers
and employees have participated in our Parents equity
compensation plans and because service at our company will, so
long as we are a majority-owned subsidiary of our Parent,
qualify those persons for continued participation and continued
vesting of equity awards under our Parents equity plans,
many of our officers and employees and some of our directors
hold, and may continue to hold, options to purchase our
Parents common stock and shares of our Parents
restricted stock. The following table lists the number of shares
of our Parents common stock and number of options to
purchase our Parents common stock owned, as of
September 1, 2005, by our directors, our named executive
officers and all of our directors and executive officers as a
group:
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Options to Purchase
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Shares of Parent
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Shares of Parent
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Name
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Common Stock
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Common Stock
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Wayne T. Gattinella
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29,835
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769,700
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Chief Executive Officer, President and Director
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Nan-Kirsten Forte
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22,532
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900,557
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Executive Vice President Consumer Services
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Anthony Vuolo
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64,179
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1,945,000
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Executive Vice President Finance and Chief Financial
Officer
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Martin J. Wygod
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8,554,164
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3,685,000
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Chairman of the Board
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Mark J. Adler, M.D.
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32,600
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196,000
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Director
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Neil F. Dimick
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80,000
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Director
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Jerome C. Keller
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Director
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James V. Manning
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787,800
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208,000
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Director
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Abdool Rahim Moossa, M.D.
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1,300
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Director
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Stanley S. Trotman, Jr.
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22,000
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Director
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All of our directors and executive officers as a group
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9,733,087
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9,717,303
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The ownership listed above with respect to shares of our
Parents common stock includes all shares beneficially
owned by each person listed, as of September 1, 2005, as
determined under the rules and
28
regulations of the SEC, including all such shares for which each
person listed has voting or dispositive power, but does not
include shares that can be acquired pursuant to options to
purchase common stock. The ownership listed above with respect
to options to purchase our Parent common stock includes all
options held, as of September 1, 2005, by each person
listed, both those that are exercisable now and those that may
become exercisable at some point in the future.
These arrangements and ownership interests or cash- or
equity-based awards could create, or appear to create, potential
conflicts of interest when directors or officers who own our
Parents stock or stock options or who participate in our
Parents benefit plans are faced with decisions that could
have different implications for our Parent than they do for us.
We cannot assure you, that the provisions in our amended and
restated certificate of incorporation will adequately address
potential conflicts of interest or that potential conflicts of
interest will be resolved in our favor.
We are currently wholly owned by our Parent. Prior to the
completion of this offering, no officer or director of our
Parent has any direct equity or other interest in us. Our
directors and officers will be receiving options to purchase
common stock and/or restricted share grants at the completion of
this offering.
Following this offering, we will no longer receive capital
contributions from our Parent or have access to its assets or
borrowing power. We may not be able to raise additional funds
when needed for our business or to exploit opportunities
To date, our primary sources of financing have been from our
Parent. We will receive all of the net proceeds of this
offering. Following completion of this offering, our Parent will
have no obligation to provide any additional financing to us and
we will no longer have access to the borrowing capacity, cash
flow or assets of our Parent. Our future liquidity and capital
requirements will depend upon numerous factors, some of which
are outside our control, including the future development of the
markets we participate in. We may need to raise additional funds
to support expansion, develop new or enhanced services, respond
to competitive pressures, acquire complementary businesses or
technologies or take advantage of unanticipated opportunities.
If our capital resources are not sufficient to satisfy our
liquidity needs, we may seek to sell additional equity or debt
securities or obtain other debt financing. The sale of
additional equity or convertible debt securities would result in
additional dilution to our stockholders. The sale of debt would
result in increased expenses and could result in covenants that
would restrict our operations. We have not made arrangements to
obtain additional financing. We may not be able to obtain
additional financing, if required, in amounts or on terms
acceptable to us, or at all. As discussed below, we may also be
limited for tax reasons in our ability to sell equity or
convertible debt securities.
Following this offering, we will continue to be dependent on
our Parent to provide us with many key services for our
business
We have not been operated as a stand-alone company. We have been
operated as a wholly owned subsidiary of our Parent, and many
key services required by us for the operation of our business
are currently provided to us by our Parent, which will continue
to provide those services after this offering. We will, as a
result, be dependent on our relationship with our Parent for
these important services for a period following this offering.
Prior to the completion of this offering, we will enter into
agreements with our Parent relating to certain intercompany
transactions between us and our Parent, including, among others,
a services agreement, a registration rights agreement, an
indemnity agreement, a tax sharing agreement and an intellectual
property license agreement. The terms and provisions of these
agreements may be less favorable to us than terms and provisions
that we could have obtained in arms length negotiations
with unaffiliated third parties. Under the services agreement,
our Parent will provide us with administrative services,
including services relating to payroll, accounting, tax planning
and compliance, employee benefit plans, legal matters and
information processing. We anticipate that our services
agreement with our Parent will be for a term of up to five
years. We will have the option to terminate these services, in
whole or in part, at any time we choose to do so, generally by
providing, with respect to the specified services or
29
groups of services, 60 days notice and, in some
cases, paying a termination fee of not more than $30,000 to
cover the costs of our Parent relating to the termination. If
the services agreement expires or is not renewed, or if our
Parent does not or is unable to perform its obligations under
the services agreement, we will be required to provide some or
all these services ourselves or to obtain substitute
arrangements with third parties. We may be unable to provide
some or all these services because of financial or other
constraints or be unable to timely implement substitute
arrangements on terms that are favorable to us, or at all, which
could have an adverse effect on our business, financial
condition and results of operations.
Our prior and continuing relationship with our Parent exposes
us to risks attributable to our Parents businesses
We expect to enter into an indemnity agreement with our Parent,
to be effective upon completion of this offering. Under the
terms of this agreement, our Parent is obligated to indemnify us
for losses that a party may seek to impose upon us or our
subsidiaries for liabilities relating to our Parents
business that are incurred through a breach of any agreement to
which our Parent is a party, if such losses are attributable to
our Parent or are not otherwise expressly assumed by us under
any such agreement. It is anticipated that the terms of the
indemnity agreement to be entered into with our Parent will also
provide that our Parent will indemnify us against any and all
liabilities arising from or based on the ongoing Department of
Justice investigation of our Parent and the McKesson proceedings
involving our Parent, each as described in this prospectus.
Immediately following this offering, any claims made against us
that are properly attributable to our Parent would require us to
exercise our rights under the indemnity agreement that we expect
to enter into with our Parent to obtain payment from our Parent.
We are exposed to the risk that, in these circumstances, our
Parent cannot or will not make the required payment. If this
were to occur, our business and financial performance could be
adversely affected.
We may be prevented from issuing stock to raise capital, to
effectuate acquisitions or to provide equity incentives to
members of our management and Board of Directors
Beneficial ownership of at least 80% of the total voting power
and value of our capital stock is required in order for our
Parent to continue to include us in its consolidated group for
federal income tax purposes, and beneficial ownership of at
least 80% of the total voting power of our capital stock and 80%
of each class of any non-voting capital stock that we may issue
is required in order for our Parent to effect a tax-free
split-off, spin-off or other similar transaction. As of the date
of this prospectus, our Parent does not intend or plan to
undertake a split-off or spin-off of our capital stock to our
Parents shareholders or to deconsolidate us from our
Parents consolidated group. Under the terms of the tax
sharing agreement that we anticipate entering into with our
Parent, however, we have agreed that we will not knowingly take
or fail to take any action that could reasonably be expected to
preclude our Parents ability to undertake a tax-free
split-off or spin-off. This may prevent us from issuing
additional equity securities to raise capital, to effectuate
acquisitions or to provide management or director equity
incentives.
There has been no independent appraisal of the value of the
assets included in our Parents WebMD Health segment, which
were transferred to us as a contribution to capital
There has been no independent appraisal of the assets included
in our Parents WebMD Health segment, which our Parent
transferred to us as a contribution to capital. As a result, the
contributed assets may be worth less than their historical cost
or their current book value.
If certain transactions occur with respect to our capital
stock or our Parents capital stock, we may be unable to
utilize our net operating loss carryforwards and tax credits to
reduce our income taxes
As of December 31, 2004, we had net operating loss
carryforwards of approximately $606.8 million for federal
income tax purposes and federal tax credits of approximately
$1.6 million. If certain transactions occur with respect to
our capital stock or our Parents capital stock, including
issuances, redemptions, recapitalizations, exercises of options,
conversions of convertible debt, purchases or sales by
5%-or-greater shareholders and similar transactions, that result
in a cumulative change of more than 50% of the ownership of our
capital stock, taking into account indirect changes in ownership
of our stock as a result of changes in ownership in or our
Parents capital stock, over a three-year period (including
a period
30
commencing prior to the offering), as determined under rules
prescribed by the U.S. Internal Revenue Code and applicable
Treasury regulations, an annual limitation would be imposed with
respect to our ability to utilize our net operating loss
carryforwards and federal tax credits against any taxable income
that we achieve in future periods. As of the date of this
prospectus, our Parent has indicated that it has no current
intention to sell or otherwise dispose of its Class B
common stock. However, our Parent is not subject to any
contractual obligation to retain any of its Class B common
stock, except that it has agreed not to sell or otherwise
dispose of any of our common stock for a period of 180 days
after the date of this prospectus without the prior written
consent of the representatives of the underwriters, as described
in Underwriting. Moreover, there can be no assurance
that limitations on the use of our net operating loss
carryforwards and federal tax credits will not occur as a result
of changes in the ownership of our Parents capital stock
(which changes may be beyond the control of us and our Parent).
Our Parent may use more of our net operating loss
carryforwards than we are able to use of its net operating loss
carryforwards
Due to provisions of the U.S. Internal Revenue Code and
applicable Treasury regulations relating to the manner and order
in which net operating loss carryforwards are utilized when
filing consolidated tax returns, a portion of our net operating
loss carryforwards may be required to be utilized by our Parent
before our Parent would be permitted to utilize its own net
operating loss carryforwards. Correspondingly, in some
situations, such as where our Parents net operating loss
carryforwards would be the first to expire, we may be required
to utilize a portion of our Parents net operating loss
carryforwards before we would have to utilize our own net
operating loss carryforwards. Under the tax sharing agreement
with our Parent that will become effective upon consummation of
this offering, neither we nor our Parent will be obligated to
reimburse the other for the tax savings attributable to the
utilization of the other partys net operating loss
carryforwards. Accordingly, although we may obtain a benefit if
we are required to utilize our Parents net operating loss
carryforwards, we may suffer a detriment to the extent that our
Parent is required to utilize our net operating loss
carryforwards. The amount of each of our and our Parents
net operating loss carryforwards that ultimately could be
utilized by the other party will depend on the timing and amount
of taxable income earned by us and our Parent in the future,
which we are unable to predict. Correspondingly, we are not able
to predict whether we or our Parent will be able to utilize our
respective net operating loss carryforwards before they expire
or whether there will be a net benefit to our Parent or to us.
We will be included in our Parents consolidated group
for federal income tax purposes and, as a result, may be liable
for any shortfall in our Parents federal income tax
payments
For so long as our Parent continues to own 80% of the total
voting power and value of our capital stock, we will be included
in our Parents consolidated group for federal income tax
purposes. By virtue of its controlling ownership and the tax
sharing agreement that we anticipate entering into with our
Parent, our Parent will effectively control all our tax
decisions. Moreover, notwithstanding the tax sharing agreement,
federal tax law provides that each member of a consolidated
group is jointly and severally liable for the groups
entire federal income tax obligation. Thus, to the extent our
Parent or other members of the group fail to make any federal
income tax payments required of them by law, we would be liable
for the shortfall. Similar principles generally apply for income
tax purposes in some state, local and foreign jurisdictions.
Risks Related to Ownership of the Class A Common Stock
and this Offering
The price of our Class A common stock may be subject to
wide fluctuations and may trade below the initial public
offering price
Before this offering, there has not been a public market for our
Class A common stock. The initial public offering price of
our Class A common stock will be determined by negotiations
between our Parent, us and representatives of the underwriters,
based on numerous factors, including those that we discuss under
Underwriting. This price may not be indicative of
the market price of our Class A common stock
31
after this offering. We cannot assure you that an active public
market for our Class A common stock will develop or be
sustained after this offering. The market price of our common
stock also could be subject to significant fluctuations. As a
result, you may not be able to sell your shares of our
Class A common stock quickly or at prices equal to or
greater than the price you paid in this offering.
Among the factors that could affect our Class A common
stock price are the risks described in this section and other
factors, including:
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quarterly variations in our operating results compared to market
expectations;
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changes in expectations as to our future financial performance,
including financial estimates or reports by securities analysts;
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changes in market valuations of similar companies;
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liquidity and activity in the market for our common stock;
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sales of our common stock by our Parent or other stockholders;
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strategic moves by us or our competitors, such as acquisitions
or restructurings;
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general market conditions; and
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domestic and international economic, legal and regulatory
factors unrelated to our performance.
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Stock markets in general have experienced extreme volatility
that has often been unrelated to the operating performance of a
particular company. These broad market fluctuations may
adversely affect the trading price of our common stock,
regardless of our operating performance.
Sales of substantial amounts of our common stock in the
public markets, including by our Parent, or the perception that
they might occur could reduce the price our Class A common
stock might otherwise obtain and may dilute your voting power
and your ownership interest in us
After the completion of this offering, we will have
6,900,000 outstanding shares of Class A common stock
(7,935,000 shares of Class A common stock if the
underwriters exercise in full their option to purchase
additional shares). This number is comprised of all the shares
of our Class A common stock that we are selling in this
offering, which may be resold immediately in the public market.
In addition, our Parent will own 48,100,000 shares of our
Class B common stock. It is anticipated that our directors,
executive officers and our Parent will agree, with limited
exceptions, that we and they will not directly or indirectly,
without the prior written consent of the underwriters, offer to
sell, sell or otherwise dispose of any of our common stock for a
period of 180 days after the date of this prospectus.
Subject to the selling restrictions described under Shares
Eligible for Future Sale and Underwriting, our
Parent could, from time to time, convert its Class B common
stock into Class A common stock on a one-for-one basis and
sell any or all of those shares of Class A common stock.
Further, following the consummation of this offering, pursuant
to the terms of a registration rights agreement that we expect
to enter into with our Parent, our Parent and its permitted
transferees will have the right to require us to register their
common stock under the Securities Act of 1933, or the Securities
Act, for sale into the public markets. Upon the effectiveness of
any such registration statement, all shares covered by the
registration statement will be freely transferable. On or
shortly following the date of this prospectus, we also intend to
file a registration statement on Form S-8 under the
Securities Act to register an aggregate of 7,150,000 shares
of Class A common stock reserved for issuance under our
2005 Long-Term Incentive Plan. Subject to the exercise of issued
and outstanding options, shares registered under the
registration statement on Form S-8 will be available for
sale into the public markets after the expiration of the 180-day
lock-up agreements.
We cannot predict what effect, if any, future sales of our
common stock, or the availability of common stock for future
sale, will have on the market price of our Class A common
stock. Sales of substantial amounts of our common stock in the
public market following our initial public offering, or the
perception
32
that such sales could occur, could adversely affect the market
price of our Class A common stock and may make it more
difficult for you to sell your Class A common stock at a
time and price which you deem appropriate. The sale by our
Parent of additional shares of Class A common stock in the
public market, or the perception that such sales might occur,
could reduce the price that our Class A common stock might
otherwise obtain or could impair our ability to obtain capital
through the sale of equity securities.
Our management has broad discretion as to the use of the net
proceeds from this offering and may not use those proceeds in
ways that will enhance the market value of our Class A
common stock
Our management has broad discretion as to the use of the net
proceeds that we will receive from this offering. In the event
management does not apply these funds effectively, your
investment in our common stock may diminish in value.
We do not expect to pay dividends in the foreseeable
future
We currently anticipate that we will retain all of our future
earnings, if any, to fund the operation and expansion of our
business and to use as working capital and for other general
corporate purposes. Our Board of Directors will have sole
discretion to determine the dividend amount, if any, to be paid.
Our Board of Directors will consider a number of factors,
including applicable provisions of Delaware corporate law, our
financial condition, capital requirements, funds generated from
operations, future business prospects, applicable contractual
restrictions and any other factors our Board may deem relevant.
Our Parents ownership of our Class B common stock
and the provisions of Delaware law and of our charter and
by-laws may discourage a change of control that our stockholders
may favor, which could negatively affect our stock price
Following completion of this offering, our Parent will own 100%
of our Class B common stock, which will represent
approximately 87.5% of our outstanding common stock after this
offering (or approximately 85.8% if the underwriters exercise in
full their option to purchase additional shares). These shares
collectively will represent 97.1% of the combined voting power
of our outstanding common stock (or 96.7% if the underwriters
exercise in full their option to purchase additional shares).
Given its ownership interest, our Parent will be able to control
the outcome of all matters submitted to our stockholders for
approval, including the composition of our Board of Directors,
and will be able to prevent a change in control of our company
that our stockholders may otherwise favor.
Further, provisions in our certificate of incorporation and
by-laws and in the Delaware General Corporation Law may make it
difficult and expensive for a third party to pursue a tender
offer, change in control or takeover attempt that our management
and Board of Directors oppose. Public stockholders that might
desire to participate in one of these transactions may not have
an opportunity to do so. Such anti-takeover provisions could
substantially impede the ability of public stockholders to
benefit from a change in control or to change our management and
Board of Directors.
Investors purchasing Class A common stock in this
offering will experience immediate and substantial dilution
The assumed initial public offering price of our Class A
common stock is substantially higher than the net tangible book
value per outstanding share of our common stock immediately
after this offering. As a result, you will pay a price per share
that substantially exceeds the book value of our assets after
subtracting our liabilities. Purchasers of our Class A
common stock in this offering will incur immediate and
substantial dilution of $13.36 per share in the net
tangible book value of our common stock from the assumed initial
public offering price of $16.50 per share, which is the
mid-point of the estimated range set forth on the cover of this
prospectus. If the underwriters exercise in full their option to
purchase additional shares, there would be dilution of
$13.13 per share in the net tangible book value of our
common stock, assuming the same public offering price.
33
FORWARD-LOOKING STATEMENTS
This prospectus contains both historical and forward-looking
statements. All statements other than statements of historical
fact are, or may be deemed to be, forward-looking statements.
For example, statements concerning projections, predictions,
expectations, estimates or forecasts and statements that
describe our objectives, plans or goals are or may be
forward-looking statements. These forward-looking statements
reflect managements current expectations concerning future
results and events and generally can be identified by use of
expressions such as may, will,
should, could, would,
predict, potential,
continue, expect,
anticipate, future, intend,
plan, foresee, believe,
estimate, and similar expressions, as well as
statements in future tense.
Forward-looking statements involve known and unknown risks,
uncertainties and other factors that may cause our actual
results, performance or achievements to be different from any
future results, performance and achievements expressed or
implied by these statements. General economic, business or
regulatory conditions affecting the healthcare, information
technology and Internet industries being less favorable than
expected and the other risks and uncertainties described under
the headings Risk Factors, Managements
Discussion and Analysis of Financial Condition and Results of
Operations, Business and Government
Regulation, could affect our future results, causing those
results to differ materially from those expressed in our
forward-looking statements. In addition, other unknown or
unpredictable factors could also have material adverse effects
on our future results.
The forward-looking statements included in this prospectus are
made only as of the date of this prospectus. We expressly
disclaim any intent or obligation to update any forward-looking
statements to reflect subsequent events or circumstances.
34
USE OF PROCEEDS
The net proceeds from the sale of the shares of the Class A
common stock offered by us will be approximately
$102.6 million, based on an estimated initial public
offering price of $16.50 per share (the mid-point of the
range set forth on the cover page of this prospectus), after
deducting the underwriting discounts and commissions and
estimated offering expenses payable by us.
The primary purposes of the offering are to create a public
market for our common stock and to obtain additional capital. We
will be retaining all of the net proceeds of the offering and
expect to use those proceeds for working capital and general
corporate purposes, including capital expenditures and
acquisitions. Management will have broad discretion as to the
use of the net proceeds from this offering. As described in
Managements Discussion and Analysis of Financial
Condition and Results of Operations Liquidity and
Capital Resources, we anticipate capital expenditure
requirements of approximately $40 million during 2005 and
2006. Approximately $15 million of this amount relates to
the leasehold improvements of our new corporate office, which
was completed prior to this offering, and accordingly, was
funded by our Parent. The balance represents anticipated
expenditures to enhance our Web site infrastructure. We may also
be required to make contingent consideration payments of up to
an aggregate of $25 million related to the RxList,
MedicineNet and HealthShare acquisitions achieving certain
milestones.
We currently are not a party to any definitive agreement or
other commitment with respect to future acquisitions. However,
we expect to continue to supplement our internal product
development efforts with strategic acquisitions that add new
capabilities or help us enter additional complementary markets,
and regularly engage in discussions as to potential
acquisitions. We currently are exploring the possibility of
acquiring two complementary businesses in separate transactions.
We currently anticipate that the purchase price paid for each of
these businesses would, if a transaction were consummated, be
approximately $20 million, and would be paid exclusively in
cash. However, we have not entered into any definitive
agreements or other commitments with respect to either of these
potential acquisitions, and there can be no assurances that
either of these transactions will be completed.
We believe that the net proceeds from this offering and the
additional $40 million capital contribution that our Parent
has contributed to us, together with our available cash
resources and future cash flow from operations, will provide
sufficient cash resources to fund these two potential
acquisitions, to meet the commitments described above and to
fund our currently anticipated working capital and capital
expenditure requirements for at least the next twenty four
months.
The amounts actually expended for each purpose and the timing of
such expenditures will depend on a number of factors, including
our realization of the different elements of our growth strategy
and the amount of cash generated by our operations. Pending
their use, the proceeds of the offering will be invested in
interest-bearing securities.
DIVIDEND POLICY
We have never declared or paid dividends on our common stock.
Following consummation of this offering, we do not intend to pay
any cash dividends on our common stock in the foreseeable
future. Instead, we currently anticipate that we will retain all
of our future earnings, if any, to fund the operation and
expansion of our business and to use as working capital and for
other general corporate purposes. Our Board of Directors will
have sole discretion to determine whether to pay dividends in
the future based on conditions then existing, including our
earnings, financial condition and capital requirements, the
availability of third party financing and any economic and other
conditions that our Board of Directors may deem relevant.
Pursuant to our certificate of incorporation, holders of our
Class A common stock and Class B common stock will
share equally on a per share basis in any dividend declared on
our common stock by our Board of Directors. See
Description of Capital Stock Dividend
Rights.
35
CAPITALIZATION
The following table sets forth our cash and cash equivalents and
our capitalization as of June 30, 2005:
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on an actual basis;
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on an as adjusted basis to give effect to
(1) the sale of the shares of our Class A common stock
in this offering and the receipt of the estimated net proceeds
after deducting underwriting discounts and commissions and
estimated offering expenses, (2) the receipt of $40 million
of cash that our Parent has contributed to our Company that will
be used for general corporate purposes including potential
acquisitions and capital expenditures, (3) the
reclassification of Owners net investment to
Stockholders equity, reflecting the contribution to
capital of net amounts due to our Parent, including the
additional $40 million received prior to this offering, and
(4) the conversion of our outstanding shares of common
stock into shares of our Class B common stock.
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You should read this table together with the Use of
Proceeds, Managements Discussion and Analysis
of Financial Condition and Results of Operations,
Description of Capital Stock, our consolidated
financial statements, our pro forma financial statements and the
individual financial statements of certain acquired businesses,
along with the notes thereto, included elsewhere in this
prospectus. All amounts in the following table are in thousands,
except share and per share data.
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As of June 30, 2005
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Actual
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As Adjusted
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(unaudited)
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Cash and cash equivalents(1)
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$
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1,834
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$
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144,415
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Stockholders equity(2):
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Preferred stock, 50,000,000 shares authorized (actual and
as adjusted); no shares issued and outstanding (actual and as
adjusted)
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Common stock, $.01 par value per share, 3,000 shares authorized,
100 shares issued and outstanding (actual); no shares authorized
issued and outstanding (as adjusted)
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Class A common stock, $.01 par value per share,
500,000,000 shares authorized (actual and as adjusted);
no shares issued and outstanding (actual);
6,900,000 shares issued and outstanding (as adjusted)
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69
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Class B common stock, $.01 par value per share,
150,000,000 shares authorized (actual and as adjusted);
no shares issued and outstanding (actual);
48,100,000 shares issued and outstanding (as adjusted)
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481
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Additional paid-in capital
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267,064
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Accumulated deficit
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Owners net investment
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127,033
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Total stockholders equity
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127,033
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267,614
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|
|
|
|
Total capitalization
|
|
$
|
127,033
|
|
|
$
|
267,614
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1)
|
The expenses of the offering, not including the underwriting
discounts, are estimated at approximately $5,300. Approximately
$2,000 of this amount was paid by our Parent prior to
June 30, 2005 and, accordingly, will not reduce the net
proceeds to us upon consummation of the offering.
|
|
|
|
|
|
(2)
|
Excludes 7,150,000 shares of our Class A common stock
reserved for grants under our incentive compensation plans. On
the date of this prospectus, we expect to make initial grants in
respect of approximately 4,600,000 shares of our Class A
common stock, of which approximately 4,200,000 will be in the
form of options to purchase shares of our Class A common
stock with an exercise price equal to the initial public
offering price per share, and approximately 400,000 will be in
the form of restricted Class A common stock.
|
|
|
36
DILUTION
If you invest in our Class A common stock, your interest
will be diluted to the extent of the difference between the
initial public offering price per share of our Class A
common stock and the pro forma net tangible book value per share
of our common stock after the offering. Dilution results from
the fact that the per share offering price of the common stock
is substantially in excess of the net tangible book value per
share attributable to the existing sole stockholder for the
currently outstanding stock.
Our pro forma net tangible book value at June 30, 2005, after
giving effect to our formation as a Delaware corporation, and
assuming the conversion of all outstanding shares of our common
stock into 48,100,000 shares of our Class B common
stock to be held by our Parent, and after considering the $40
million capital contribution we received from our Parent prior
to this offering, was $72.2 million, or $1.50 per
share of common stock. Pro forma net tangible book value per
share represents the amount of total tangible assets less total
liabilities, divided by the number of shares of Class B
common stock outstanding.
After giving effect to our sale of 6,900,000 shares of our
Class A common stock offered by this prospectus at an
estimated initial public offering price of $16.50 per share
(the mid-point of the range set forth on the cover of this
prospectus) and after deducting the underwriting discounts and
commissions and estimated offering expenses payable by us, our
pro forma net tangible book value as of June 30, 2005, after
giving effect to our formation as a Delaware corporation, and
assuming the conversion of all outstanding shares of our common
stock into 48,100,000 shares of our Class B common
stock, and after considering the $40 million capital
contribution we received from our Parent prior to this offering,
would have been $172.8 million, or $3.14 per share of
common stock. This represents an immediate increase in pro forma
net tangible book value of $1.64 per share to our Parent,
currently our sole stockholder, and an immediate dilution of
$13.36 per share to new investors purchasing the
Class A common stock in this offering. The following table
illustrates this per share dilution:
|
|
|
|
|
|
|
|
|
|
|
|
Assumed initial public offering price per share of Class A
common stock
|
|
|
|
|
|
$
|
16.50
|
|
|
|
Pro forma net tangible book value per share of common stock at
June 30, 2005
|
|
|
1.50
|
|
|
|
|
|
|
|
Increase in pro forma net tangible book value per share of
common attributable to new investors purchasing Class A
common stock in this offering
|
|
|
1.64
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Pro forma net tangible book value per share of common stock
after this offering
|
|
|
|
|
|
|
3.14
|
|
|
|
|
|
|
|
|
|
|
Pro forma dilution per share of common stock to new investors(1)
|
|
|
|
|
|
$
|
13.36
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1)
|
If the underwriters option to purchase additional shares
is exercised in full, the dilution per share to new investors
will be $13.13 per share.
|
The following table summarizes, on a pro forma basis as of June
30, 2005, the differences between our Parent (currently our sole
stockholder) and new investors with respect to the number of
shares of Class A common stock purchased from us, the total
consideration paid and the average price per share paid before
deducting the underwriting discounts and commissions and our
estimated offering expenses, assuming an initial public offering
price of $16.50 per share.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Average
|
|
|
|
|
Shares Acquired
|
|
|
Total Consideration
|
|
|
Price
|
|
|
|
|
|
|
|
|
|
|
per
|
|
|
|
|
Number
|
|
|
Percent
|
|
|
Amount
|
|
|
Percent
|
|
|
Share
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(Amounts in thousands, except per share amount)
|
|
|
Our Parent
|
|
|
48,100
|
|
|
|
87.5
|
|
|
$
|
167,033
|
|
|
|
59.5
|
|
|
$
|
3.47
|
|
|
Investors purchasing common stock in the offering
|
|
|
6,900
|
|
|
|
12.5
|
|
|
$
|
113,850
|
|
|
|
40.5
|
|
|
$
|
16.50
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
|
55,000
|
|
|
|
100%
|
|
|
$
|
280,883
|
|
|
|
100%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
37
SELECTED CONSOLIDATED FINANCIAL INFORMATION
We present below our selected consolidated financial data. The
selected consolidated statement of operations for each of the
years in the three-year period ended December 31, 2004 and
the selected consolidated balance sheet data as of
December 31, 2003 and 2004 have been derived from the
audited financial statements of WebMD Health Corp. included
elsewhere in this prospectus. The selected historical
consolidated statement of operations data for the year ended
December 31, 2001 and the consolidated balance sheet data
as of December 31, 2001 and 2002 have been derived from our
unaudited consolidated financial statements that are not
included in this prospectus. The consolidated statement of
operations data for the six months ended June 30, 2005 and
2004 and the consolidated balance sheet data as of June 30,
2005 have been derived from our unaudited consolidated financial
statements included elsewhere in this prospectus. Our unaudited
financial information was prepared on a basis consistent with
that used in preparing our audited consolidated financial
statements and includes all adjustments, consisting of normal
and recurring items, that we consider necessary for a fair
presentation of the financial position and results of operations
for the unaudited periods.
Our Parent managed its operations as a single business segment
from its inception in 1995 until 2001 when, as a result of a
restructuring plan, it segregated its business into multiple
segments. As a result of this restructuring plan, as of
January 1, 2001, our operations were identified and managed
as a separate segment of our Parent. The Internet operations
that were unrelated to our Parents other segments were
identified and established as the WebMD Health segment, which
now comprises our company. Our consolidated results of
operations and balance sheet data as of and for the year ended
December 31, 2000 are not available without unreasonable
effort and expense. It is impracticable to identify our results
of operations for our company for periods prior to 2001 because
our business was commingled with other operations of our Parent.
We do not believe that comparisons to financial data for the
year ended December 31, 2000 will have a material impact on
the ability to understand the financial results and condition
and related trends, because of the significant changes in our
business since 2000, including our 2001 restructuring and
related charges and the number of acquisitions in 2002, 2003,
2004 and the first quarter of 2005.
You should read the following selected consolidated financial
data in conjunction with Managements Discussion and
Analysis of Financial Condition and Results of Operations,
the consolidated financial statements and notes thereto and the
unaudited pro forma financial statements and related notes, all
included elsewhere in this prospectus.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Six Months Ended
|
|
|
|
|
Years Ended December 31,
|
|
|
June 30,
|
|
|
|
|
|
|
|
|
|
|
|
|
2001
|
|
|
2002
|
|
|
2003
|
|
|
2004
|
|
|
2004
|
|
|
2005
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(in thousands, except per share data)
|
|
|
Consolidated Statements of Operations Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue
|
|
$
|
74,626
|
|
|
$
|
84,203
|
|
|
$
|
110,152
|
|
|
$
|
134,148
|
|
|
$
|
58,076
|
|
|
$
|
74,740
|
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of operations
|
|
|
76,082
|
|
|
|
47,888
|
|
|
|
46,998
|
|
|
|
52,377
|
|
|
|
24,435
|
|
|
|
33,511
|
|
|
|
Sales and marketing
|
|
|
85,207
|
|
|
|
49,033
|
|
|
|
47,917
|
|
|
|
49,315
|
|
|
|
23,246
|
|
|
|
23,129
|
|
|
|
General and administrative
|
|
|
28,332
|
|
|
|
15,690
|
|
|
|
18,016
|
|
|
|
20,165
|
|
|
|
10,013
|
|
|
|
15,205
|
|
|
|
Depreciation and amortization
|
|
|
883,923
|
|
|
|
2,486
|
|
|
|
4,463
|
|
|
|
5,620
|
|
|
|
2,515
|
|
|
|
5,252
|
|
|
|
Impairment of long-lived and other assets
|
|
|
1,415,888
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Restructuring and integration charge (benefit)
|
|
|
114,918
|
|
|
|
(5,850
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other income
|
|
|
|
|
|
|
(823
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income tax provision
|
|
|
(2,529,724
|
)
|
|
|
(24,221
|
)
|
|
|
(7,242
|
)
|
|
|
6,671
|
|
|
|
(2,133
|
)
|
|
|
(2,357
|
)
|
|
|
Income tax provision
|
|
|
104
|
|
|
|
140
|
|
|
|
183
|
|
|
|
210
|
|
|
|
91
|
|
|
|
152
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$
|
(2,529,828
|
)
|
|
$
|
(24,361
|
)
|
|
$
|
(7,425
|
)
|
|
$
|
6,461
|
|
|
$
|
(2,224
|
)
|
|
$
|
(2,509
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Pro forma income (loss) per common share basic and
diluted(1)
|
|
$
|
(52.60
|
)
|
|
$
|
(0.51
|
)
|
|
$
|
(0.15
|
)
|
|
$
|
0.13
|
|
|
$
|
(0.05
|
)
|
|
$
|
(0.05
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Pro forma weighted-average common shares outstanding
basic and diluted(1)
|
|
|
48,100
|
|
|
|
48,100
|
|
|
|
48,100
|
|
|
|
48,100
|
|
|
|
48,100
|
|
|
|
48,100
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
38
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
As of December 31,
|
|
|
As of
|
|
|
|
|
|
|
|
June 30,
|
|
|
|
|
2001
|
|
|
2002
|
|
|
2003
|
|
|
2004
|
|
|
2005
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(in thousands)
|
|
|
Consolidated Balance Sheets Data:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cash and cash equivalents
|
|
$
|
520
|
|
|
$
|
149
|
|
|
$
|
358
|
|
|
$
|
3,456
|
|
|
$
|
1,834
|
|
|
Working capital (deficit)
|
|
|
(3,642
|
)
|
|
|
(547
|
)
|
|
|
3,384
|
|
|
|
9,119
|
|
|
|
(3,437
|
)
|
|
Total assets
|
|
|
132,522
|
|
|
|
127,529
|
|
|
|
120,630
|
|
|
|
146,496
|
|
|
|
184,523
|
|
|
Owners net investment
|
|
|
92,045
|
|
|
|
86,426
|
|
|
|
85,527
|
|
|
|
100,737
|
|
|
|
127,033
|
|
|
|
|
|
(1)
|
The computation of pro forma basic and diluted income (loss) per
share is based on an anticipated 48,100 shares outstanding
immediately prior to this offering.
|
39
MANAGEMENTS DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS
This managements discussion and analysis of financial
condition and results of operations contains forward-looking
statements that involve risks and uncertainties. Please see
Forward-Looking Statements for a discussion of the
uncertainties, risks and assumptions associated with these
statements. The results of operations for the periods reflected
herein are not necessarily indicative of results that may be
expected for future periods, and our actual results may differ
materially from those discussed in the forward-looking
statements as a result of various factors, including but not
limited to those listed under Risk Factors and
included elsewhere in this prospectus. In this managements
discussion and analysis of financial condition and results of
operations, or MD&A, dollar amounts are in thousands.
Overview
MD&A is a supplement to our consolidated financial
statements and notes thereto included elsewhere in this
prospectus to provide an understanding of our results of
operations and financial condition. Our MD&A is organized as
follows:
|
|
|
|
|
|
|
Introduction.
This section provides a general description
of our company and operating segments, key trends affecting
demand for our online services, a description of the basis of
presentation of our financial statements, a summary of the
acquisitions we completed during the current year and the last
three years, and a discussion of how seasonal factors may impact
the timing of our revenue.
|
|
|
|
|
|
Critical Accounting Policies and Estimates.
This section
discusses those accounting policies that both are considered
important to our financial condition and results of operations,
and require us to exercise subjective or complex judgments in
their application. In addition, all of our significant
accounting policies, including our critical accounting policies,
are summarized in Note 2 to the consolidated financial
statements included in this prospectus.
|
|
|
|
|
|
Transactions with Our Parent.
This section describes the
services that we receive from our Parent and the costs of these
services, as well as the fees we charge our Parent for
advertising services.
|
|
|
|
|
|
Results of Operations and Results of Operations by Operating
Segment.
These sections provide our analysis and outlook for
the significant line items on our consolidated statements of
operations, on both a company-wide and a segment-by-segment
basis.
|
|
|
|
|
|
Liquidity and Capital Resources.
This section provides an
analysis of our liquidity and cash flows, as well as a
discussion of our commitments that existed as of
December 31, 2004.
|
|
|
|
|
|
Recent Accounting Pronouncements.
This section provides a
summary of the most recent authoritative accounting standards
and guidance that have either been recently adopted by our
company or may be adopted in the future.
|
Introduction
We are a leading provider of health information services to
consumers, physicians and healthcare professionals. We have
aligned our business into two operating segments as follows:
|
|
|
|
|
|
|
Online Services.
We provide both public and private
online portals. Our public portals generate revenue primarily
through the sale of advertising and sponsorship products,
including CME services. Our sponsors and advertisers include
pharmaceutical, biotechnology, medical device and consumer
products companies. Our private portals for employers and health
plans provide information and services that enable their
employees and members to make more informed benefit, provider
and treatment decisions. We generate revenue from private
portals through the licensing of our private portals to
employers and health plans. We also distribute our online
content and services to other
|
40
|
|
|
|
|
|
|
entities and generate revenue from these arrangements through
the sale of advertising and sponsorship products and content
syndication fees.
|
|
|
|
|
|
Publishing Services.
We publish:
ACP Medicine
and
ACS Surgery: Principles of Practice
, our medical
reference textbooks;
The Little Blue Book,
a physician
directory; and
WebMD the Magazine,
a consumer publication
launched in early 2005 that we distribute free of charge to
physician office waiting rooms. We generate revenue from sales
of subscriptions to our medical reference publications, from
sales of
The Little Blue Book
directories and from
advertisements in those directories, as well as from sales of
advertisements in
WebMD the Magazine.
Our Publishing
Services segment is a complementary business to our Online
Services and extends the reach of our brand and our influence
with health-involved consumers and clinically-active physicians.
|
|
|
|
|
|
Key Trends Affecting Demand for Our Online Services
|
Demand for our online services is affected by the continuing
evolution of the Internet and by trends affecting the healthcare
industry, including changes in healthcare regulation. The key
trends that are affecting that demand and, as a result are
influencing our current strategies are:
|
|
|
|
|
|
|
Consumers, Physicians and Healthcare Professionals Are
Increasingly Turning to the Internet.
The Internet is
transforming the way health and medical information is accessed
by consumers, physicians and healthcare professionals. Over the
past several years, usage of our online services by consumers,
physicians and healthcare professionals has grown significantly.
The monthly average number of unique users for
The WebMD
Health Network
was 17.1 million in 2002,
20.4 million in 2003, 21.8 million in 2004 and
24.2 million in the first half of 2005. These users
generated aggregate page views of 1.3 billion in 2002,
1.7 billion in 2003, 2.0 billion in 2004 and
1.2 billion in the first half of 2005. While we cannot
provide assurance that usage will grow as quickly as it has
during the past several years, we intend to continue to provide
informative and timely content and interactive services and to
continue to increase awareness of our brand.
|
|
|
|
|
|
Increased Online Marketing and Education Spending for
Healthcare Products.
Pharmaceutical, biotechnology and
medical device companies spend large amounts each year marketing
their products and educating consumers and physicians about
them, only a small portion of which is currently spent for
online services. We believe that these companies are becoming
increasingly aware of the effectiveness of the Internet relative
to traditional media in providing appropriate health and
clinical information to inform consumers and physicians about
their products. We believe the increasing awareness of the value
of the Internet is likely to result in continued increases in
demand for our services from those advertisers and sponsors.
|
|
|
|
|
|
Continued Rapid Increases in Healthcare Costs.
In
response to rising healthcare costs, employers and health plans
have been changing benefit plan designs to increase consumer
out-of-pocket costs and have taken other steps to motivate their
members and employees to evaluate their healthcare decisions
more carefully in order to be more cost effective. This has led
employers and health plans to enhance wellness programs and to
take steps to provide healthcare information and education to
employees and members, including through the use of online
services of the types we provide through our private portals. We
expect the efforts to control healthcare costs to continue and
to create opportunities for additional revenue from providing
existing and new products and services through our private
portals and our public portals.
|
In addition, there are other trends that we believe may become
more important over the next several years, including the
increasing focus at various levels of government on the
potential benefits of increased use of healthcare information
technology and related services.
Our Parent managed its operations as a single segment from its
inception in 1995 until 2001 when, as a result of a
restructuring plan, it segregated its business into multiple
segments. As a result of this
41
restructuring plan, as of January 1, 2001, our operations
were identified and managed as a separate segment of our Parent.
The Internet operations that were unrelated to our Parents
other segments were identified and established as its WebMD
Health business segment (then known as Portal Services), which
now comprises our company.
Our consolidated financial statements have been derived from the
consolidated financial statements and accounting records of our
Parent, principally representing the WebMD Health segment, using
the historical results of operations, and historical basis of
assets and liabilities of the WebMD Health related businesses.
Management believes the assumptions underlying the consolidated
financial statements are reasonable. However, the consolidated
financial statements included herein may not necessarily reflect
our results of operations, financial position and cash flows in
the future or what our results of operations, financial position
and cash flows would have been had we been a stand-alone company
during the periods presented.
On March 14, 2005, we acquired HealthShare Technology,
Inc., which provides online tools that compare cost and quality
measures of hospitals for use by consumers, providers and health
plans. We refer to the acquisition of HealthShare as the
2005 Acquisition. We acquired HealthShare for a
total purchase consideration of approximately $29,883, comprised
of $29,533 in cash, net of cash acquired and $350 of estimated
acquisition costs. In connection with the preliminary allocation
of the purchase price and intangible asset valuation, we
recorded goodwill of $23,306 and an intangible asset of $10,000
related to content, with an estimated useful life of three
years. In addition, we have agreed to pay up to an additional
$5,000 during the three months ended March 31, 2006 if
HealthShare reaches certain revenue thresholds for the calendar
year 2005. The results of operations of HealthShare are included
in our Online Services segment beginning March 14, 2005,
the closing date of the acquisition.
In 2004, we acquired two companies, MedicineNet, Inc. and
RxList, LLC, which we refer to as the 2004 Acquisitions.
On December 24, 2004, we acquired MedicineNet, a health
information site for consumers, for a total purchase
consideration of approximately $17,209, comprised of $16,732 in
cash, net of cash acquired, and $477 of estimated acquisition
costs. In connection with the preliminary allocation of the
purchase price and intangible asset valuation, we recorded
goodwill of $9,104 and intangible assets of $7,200 related to
content, customer relationships and acquired technology, with
estimated useful lives ranging from two to three years. In
addition, we have agreed to pay up to an additional $15,000
during the three months ending March 31, 2006, if the
number of page views on MedicineNets Web sites exceeds
certain thresholds during the calendar year 2005. The results of
operations of MedicineNet are included in our Online Services
segment.
On October 1, 2004, we acquired RxList, a privately held
operator of an online drug directory, for a total purchase
consideration of approximately $5,455, comprised of $4,500 in
cash, $500 to be paid during 2006 and $455 of estimated
acquisition costs. In connection with the preliminary allocation
of the purchase price and intangible asset valuation, we
recorded goodwill of $4,420 and an intangible asset of $1,054
related to content, with an estimated useful life of five years.
In addition, we have agreed to pay up to an additional $2,500
during each of the three month periods ending March 31,
2006 and 2007, if the number of page views on RxLists Web
sites exceeds certain thresholds during each of the three month
periods ending December 31, 2005 and 2006, respectively.
The results of operations of RxList are included in our Online
Services segment.
In 2003, we acquired the companies that comprise
The Little
Blue Book
and we acquired the assets of Optate, Inc., which
we refer to as the 2003 Acquisitions.
On May 29, 2003, we acquired
The Little Blue Book
, a
company that maintains a database containing physician practice
information and publishes a pocket-sized reference book
containing physician practice and contact information, for a
total purchase consideration of approximately $10,061, comprised
of $9,926 in cash, net of cash acquired and $135 of acquisition
costs. In connection with the initial allocation of the
42
purchase price, we recorded goodwill of $8,545 and intangible
assets of $2,815 related to trade name, customer relationships
and acquired technology, with estimated useful lives of three to
seven years. In addition, we paid an additional purchase price
of $1,500 and $1,000 in April 2004 and 2005, respectively, as a
result of achieving certain financial milestones during 2003 and
2004, with such payments being recorded as increases to
goodwill. The results of operations of
The Little Blue
Book
are included in our Publishing Services segment.
On April 30, 2003, we acquired the assets of Optate, a
provider of online healthcare benefit decision-support tools and
solutions to its clients through online technology, for a total
purchase consideration of approximately $4,052, comprised of
$4,000 in cash and $52 of acquisition costs. In connection with
the initial allocation of the purchase price, we recorded
goodwill of $4,070 and an intangible asset of $710 related to
customer relationships, with an estimated useful life of five
years. The results of operations of Optate are included in our
Online Services segment.
On October 31, 2002, we acquired WellMed, a provider of
online healthcare decision-support and health management tools
for use by consumers, for a total purchase consideration of
approximately $19,013, comprised of $18,763 in cash, net of cash
acquired and $250 of acquisition costs. We refer to this as the
2002 Acquisition. In connection with the allocation of the
purchase price, we recorded goodwill of $18,380 and an
intangible asset of $2,700 related to acquired unpatented
technology, with an estimated useful life of three years. The
results of operations of WellMed are included in our Online
Services segment.
The timing of our revenues is affected by seasonal factors.
Advertising and sponsorship revenues within our Online Services
segment are seasonal, primarily as a result of the annual budget
approval process of the advertising and sponsorship clients of
our public portals. This portion of our revenues is usually the
lowest in the first quarter of each calendar year, and increases
during each consecutive quarter throughout the year. Our private
portal licensing revenues are historically highest in the second
half of the year as new customers are typically added during
this period in conjunction with their annual open enrollment
periods for employee benefits. Finally, the annual distribution
cycle within our Publishing Services segment results in
approximately two thirds of our revenue in this segment being
recognized in the second and third quarter of each calendar
year. The timing of revenues in relation to our expenses, much
of which does not vary directly with revenue, has an impact on
cost of operations, sales and marketing and general and
administrative expenses as a percentage of revenue in each
calendar quarter during the year.
Critical Accounting Policies and Estimates
Our discussion and analysis of our financial condition and
results of operations are based upon our consolidated financial
statements and notes to consolidated financial statements, which
were prepared in conformity with U.S. generally accepted
accounting principles. The preparation of the consolidated
financial statements requires us to make estimates and
assumptions that affect the amounts reported in the consolidated
financial statements and accompanying notes. We base our
estimates on historical experience, current business factors,
and various other assumptions that we believe are necessary to
form a basis for making judgments about the carrying values of
assets and liabilities and disclosure of contingent assets and
liabilities. We are subject to uncertainties such as the impact
of future events, economic, environmental and political factors,
and changes in our business environment; therefore, actual
results could differ from these estimates. Accordingly, the
accounting estimates used in preparation of our financial
statements will change as new events occur, as more experience
is acquired, as additional information is obtained and as our
operating environment changes. Changes in estimates are made
when circumstances warrant. Such changes in estimates and
refinements in estimation methodologies are reflected in
reported results of operations; if material, the effects of
changes in estimates are disclosed in the notes to our
consolidated financial statements.
43
We evaluate our estimates on an ongoing basis, including those
related to revenue recognition, the allowance for doubtful
accounts, the carrying value of prepaid advertising, the
carrying value of long-lived assets (including goodwill and
intangible assets), the amortization period of long-lived assets
(other than goodwill), the carrying value, capitalization and
amortization of software development costs, the provision for
income taxes and related deferred tax accounts, certain accrued
expenses and contingencies, transactions with Parent and the
value attributed to warrants issued for services.
We believe the following reflects our critical accounting
policies and our more significant judgments and estimates used
in the preparation of our consolidated financial statements:
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|
|
|
|
|
|
Revenue Recognition.
Revenues from advertising are
recognized as advertisements are delivered or as publications
are distributed. Revenues from sponsorship arrangements, content
syndication and distribution arrangements and licenses of our
healthcare management tools and private online portals are
recognized ratably over the term of the applicable agreement.
Revenue from the sponsorship of CME is recognized over the
period we deliver the minimum number of CME credit hours
required by the applicable agreements. Subscription revenue is
recognized over the subscription period. When contractual
arrangements contain multiple elements, revenue is allocated to
the elements based on their relative fair values, determined
using prices charged when elements are sold separately.
|
|
|
|
|
|
Long-Lived Assets.
Our long-lived assets consist of
property and equipment, goodwill and other intangible assets.
Goodwill and other intangible assets arise from the acquisitions
we have made. The amount assigned to intangible assets is
subjective and based on our estimates of the future benefit of
the intangible assets using accepted valuation techniques, such
as discounted cash flow and replacement cost models. Our
long-lived assets, other than goodwill, are amortized over their
estimated useful lives, which we determined based on the
consideration of several factors including the period of time
the asset is expected to remain in service. We evaluate the
carrying value and remaining useful lives of long-lived assets,
other than goodwill, whenever indicators of impairment are
present. We evaluate the carrying value of goodwill annually,
and whenever indicators of impairment are present. We use a
discounted cash flow approach to determine the fair value of
goodwill. There was no impairment of goodwill noted as a result
of our impairment testing in 2002, 2003 or 2004.
|
|
|
|
|
|
Deferred Tax Assets.
Our deferred tax assets are
comprised primarily of net operating loss carryforwards. At
December 31, 2004, we had net operating loss carryforwards
of approximately $607,000. Subject to certain limitations, these
loss carryforwards may be used to offset taxable income in
future periods, reducing the amount of taxes we might otherwise
be required to pay. Due to a lack of a history of generating
taxable income, we record a valuation allowance equal to 100% of
our net deferred tax assets. In the event that we are able to
generate taxable earnings in the future and determine it is more
likely than not that we can realize our deferred tax assets, an
adjustment to the valuation allowance would be made which may
increase income in the period that such determination is made,
and may decrease income in subsequent periods.
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|
|
|
|
|
Transactions with Our Parent.
As discussed further below,
our expenses reflect a services fee for an allocation of costs
for corporate services provided by our Parent. Our expenses also
reflect the allocation of a portion of the cost of our
Parents healthcare plans and the allocation of stock
compensation expense related to restricted stock awards and
other stock compensation. Our sales and marketing expense
reflects an allocation to our Parent for the utilization by it
of advertising services available to us from News Corporation.
We and our Parent consider the services fee and the allocation
of healthcare expenses and stock compensation, as well as the
allocation of advertising services to our Parent, to be a
reasonable estimate of the utilization of the services. If the
provisions contained in the services agreement were applied to
prior periods, such prior corporate services fees would not
differ materially. Our Parent does not intend to profit from
fees paid by us in accordance with the services agreement.
|
44
Transactions with Our Parent
Our expenses reflect a services fee for costs related to
corporate services provided by our Parent for accounting, tax,
treasury, legal, human resources, certain information technology
functions and other services. Costs allocated include
compensation related costs, insurance and audit fees, leased
property, facilities costs, professional fees, software
maintenance and telecommunication costs. The services fee is
based on our Parents incurred costs of such services
utilized by us.
A portion of the services fee is comprised of costs identified
for dedicated employees managed centrally by our Parents
corporate management for certain of its functions across all of
its segments. The portion of the fee charged for dedicated
employees includes a charge for their salaries, plus an overhead
charge for these employees calculated based on a pro rata
portion of their salaries to total salaries within the function.
Commencing September 6, 2005, some of the dedicated
employees that have been centrally managed by our Parent were
transferred to us and the services fee was reduced and our
expenses increased as a result of the transfer. The other
portion of the services fee is also comprised of an estimate of
the cost of shared services utilized by us calculated primarily
based on an allocation of total employees of both us and our
Parent or other reasonable measures of allocation.
Our expenses also reflect healthcare expenses related to the
cost of our Parents healthcare plans and stock
compensation expense related to restricted stock awards and
other stock compensation. Our sales and marketing expense
reflects an allocation to our Parent for the utilization by our
Parent of advertising services available to us from News
Corporation. We and our Parent consider the types of costs
considered as well as the allocation methodology of the services
fee, healthcare expenses, stock compensation, and the allocation
of advertising services to our Parent, to be a reasonable
estimate of the utilization of the services. Our cost and
benefit received as a stand-alone company would likely be
different than the amounts reflected in the consolidated
statements of operations. The costs we would incur as a
standalone entity would be higher due to our inability to
duplicate the efficiencies achieved by our Parent as a result of
its ability to provide certain of these services at greater
volumes in a shared service model across all of its business
segments.
The above costs and allocation methodology was used as a basis
for determining the service fee under the services agreement
that we will enter into with our Parent prior to the completion
of this offering. Under the services agreement, our Parent will
receive an amount that reasonably approximates its cost of
providing services to us exclusive of any profit margin. The
charges from our Parent to our company included in our
historical financial statements, and as reflected in the table
below, would not have been materially different had these
charges been calculated in accordance with the services
agreement that we will to enter into with our Parent. Our Parent
has agreed to make the services available to us for up to
5 years. However, we will not be required, under the
services agreement, to continue to obtain services from our
Parent. In the event we wish to receive those services from a
third party or provide them internally, we will have the option
to terminate services, in whole or in part, at any time we
choose to do so, generally by providing, with respect to the
specified services or groups of services, 60 days
notice and, in some cases, paying a termination fee not to
exceed $30, to cover costs of our Parent relating to the
termination. The terms of the services agreement will provide
that our Parent has the option to terminate the services that it
provides for us, in whole or in part, if it ceases to provide
such services for itself, upon at least 180 days
written notice to us.
In addition, on the date of this prospectus, we expect to grant
options to purchase shares of Class A common stock under
our 2005 Long-Term Incentive Plan to the following employees of
our Parent who are expected to perform services for our company:
Kevin Cameron, Chief Executive Officer 55,000
shares; Charles A. Mele, General Counsel 44,000
shares; Robyn Esposito, assistant to the Chairman of both our
company and our Parent 13,750 shares. The exercise
price of these options will be the initial public offering price
in the offering and the options will vest at the rate of 25% per
year on each of the first through fourth anniversaries of the
date of grant.
In addition to the agreements that will govern our future
relationship with our Parent, we have also entered into several
agreements pursuant to which our Parent or one or more of its
subsidiaries will be a
45
customer for some of our services, including our private portal
services. The terms of these agreements are substantially
similar to agreements we have or could have with third parties
with respect to those services. See Certain Relationships
and Related Party Transactions Business Arrangements
Between Us and Our Parent.
The consolidated statements of operations include expense
allocations for the following:
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|
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|
|
Charges from Our Company to Our Parent
|
|
|
|
|
|
|
|
Advertising Expense.
Our Parent utilizes the advertising
services available to us from News Corporation which are
included in prepaid advertising within the accompanying
consolidated balance sheets. We allocate costs to our Parent
related to the utilization of this asset by our Parent. This
charge includes a proportional allocation based on the number of
our Parents operating segments identified in each
advertisement and an allocation of cost to our Parent relating
to promotion of the WebMD brand. Our portion of the advertising
services utilized is reflected in sales and marketing expense
and is reported net of what is charged to our Parent. On
August 5, 2005, our Parent and other businesses of our
Parent began to use Emdeon as their primary brand,
instead of WebMD. Accordingly, we will no longer
allocate any advertising expense to our Parent, or other
businesses of our Parent, related to any advertising that
promotes the WebMD brand. If our Parent uses our prepaid
advertising for promotion of the Emdeon brand or other brands
used by its other businesses, we will allocate the related cost
to our Parent; however, the amount of such future usage, if any,
is currently unknown.
|
|
|
|
|
|
Charges from Our Parent to Our Company
|
|
|
|
|
|
|
|
Corporate Services.
We are charged a services fee for
costs related to corporate services provided by our Parent.
These amounts are reflected in general and administrative
expenses within the accompanying consolidated statements of
operations. As stated above, certain of our employees that had
previously been associated with our Parent will be transferred
to us. Our services fee will be reduced and our expenses will be
correspondingly increased as a result of this transfer.
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|
|
|
|
|
Healthcare Expense.
We are charged for healthcare expense
for our employees participation in our Parents
healthcare plans. Healthcare expense is charged based on the
number of total employees of our company and reflects our
Parents average cost of these benefits per employee.
Healthcare expense is reflected in the accompanying consolidated
statements of operations in the same expense caption as the
related salary costs of those employees. We expect healthcare
expense to increase or decrease in the future, consistent with
any increases or decreases in our employee base and consistent
with the cost of our Parents healthcare plans.
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|
|
|
|
|
Stock Compensation Expense.
Stock compensation expense is
related to restricted stock awards in our Parents common
stock that have been granted to certain of our employees and
stock options assumed or issued in connection with certain
acquisitions with exercise prices less than the fair market
value of our Parents common stock on the date of grant.
Stock compensation expenses are allocated on a specific employee
identification basis. Stock compensation is reflected in the
accompanying consolidated statements of operations in the same
expense caption as the related salary costs of those employees.
We expect that stock compensation expense allocated to us by our
Parent will increase significantly when we and our Parent adopt
the new share-based payment expensing rules under SFAS 123R.
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46
|
|
|
|
|
The following table summarizes the expense allocations reflected
in our consolidated financial statements:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Six Months Ended
|
|
|
|
|
Years Ended December 31,
|
|
|
June 30,
|
|
|
|
|
|
|
|
|
|
|
|
|
2002
|
|
|
2003
|
|
|
2004
|
|
|
2004
|
|
|
2005
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(unaudited)
|
|
|
Charges from our company to our Parent:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Advertising expense
|
|
$
|
5,550
|
|
|
$
|
7,807
|
|
|
$
|
4,702
|
|
|
$
|
2,744
|
|
|
$
|
1,599
|
|
|
Charges from our Parent to our company:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Corporate services specific identification
|
|
|
3,331
|
|
|
|
3,377
|
|
|
|
3,618
|
|
|
|
1,593
|
|
|
|
1,446
|
|
|
|
Corporate services shared service allocation
|
|
|
3,089
|
|
|
|
2,882
|
|
|
|
2,973
|
|
|
|
1,444
|
|
|
|
1,732
|
|
|
|
Healthcare expense
|
|
|
1,548
|
|
|
|
1,743
|
|
|
|
2,357
|
|
|
|
1,110
|
|
|
|
1,434
|
|
|
|
Stock compensation expense
|
|
|
2,665
|
|
|
|
1,597
|
|
|
|
1,749
|
|
|
|
657
|
|
|
|
569
|
|
Results of Operations
The following table sets forth our consolidated statements of
operations data and expresses that data as a percentage of
revenue for the periods presented (amounts in thousands):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Years Ended December 31,
|
|
|
Six Months Ended June 30,
|
|
|
|
|
|
|
|
|
|
|
|
|
2002
|
|
|
2003
|
|
|
2004
|
|
|
2004
|
|
|
2005
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(unaudited)
|
|
|
Revenue
|
|
$
|
84,203
|
|
|
|
100.0
|
%
|
|
$
|
110,152
|
|
|
|
100.0
|
%
|
|
$
|
134,148
|
|
|
|
100.0
|
%
|
|
$
|
58,076
|
|
|
|
100.0
|
%
|
|
$
|
74,740
|
|
|
|
100.0
|
%
|
|
Costs and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Cost of operations
|
|
|
47,888
|
|
|
|
56.9
|
|
|
|
46,998
|
|
|
|
42.7
|
|
|
|
52,377
|
|
|
|
39.0
|
|
|
|
24,435
|
|
|
|
42.1
|
|
|
|
33,511
|
|
|
|
44.8
|
|
|
|
Sales and marketing
|
|
|
49,033
|
|
|
|
58.2
|
|
|
|
47,917
|
|
|
|
43.5
|
|
|
|
49,315
|
|
|
|
36.8
|
|
|
|
23,246
|
|
|
|
40.0
|
|
|
|
23,129
|
|
|
|
30.9
|
|
|
|
General and administrative
|
|
|
15,690
|
|
|
|
18.6
|
|
|
|
18,016
|
|
|
|
16.4
|
|
|
|
20,165
|
|
|
|
15.0
|
|
|
|
10,013
|
|
|
|
17.2
|
|
|
|
15,205
|
|
|
|
20.4
|
|
|
|
Depreciation and amortization
|
|
|
2,486
|
|
|
|
3.0
|
|
|
|
4,463
|
|
|
|
4.0
|
|
|
|
5,620
|
|
|
|
4.2
|
|
|
|
2,515
|
|
|
|
4.4
|
|
|
|
5,252
|
|
|
|
7.1
|
|
|
|
Restructuring and integration benefit
|
|
|
(5,850
|
)
|
|
|
(6.9
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other income
|
|
|
(823
|
)
|
|
|
(1.0
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income tax provision
|
|
|
(24,221
|
)
|
|
|
(28.8
|
)
|
|
|
(7,242
|
)
|
|
|
(6.6
|
)
|
|
|
6,671
|
|
|
|
5.0
|
|
|
|
(2,133
|
)
|
|
|
(3.7
|
)
|
|
|
(2,357
|
)
|
|
|
(3.2
|
)
|
|
|
Income tax provision
|
|
|
140
|
|
|
|
0.1
|
|
|
|
183
|
|
|
|
0.1
|
|
|
|
210
|
|
|
|
0.2
|
|
|
|
91
|
|
|
|
0.1
|
|
|
|
152
|
|
|
|
0.2
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$
|
(24,361
|
)
|
|
|
(28.9
|
)%
|
|
$
|
(7,425
|
)
|
|
|
(6.7
|
)%
|
|
$
|
6,461
|
|
|
|
4.8
|
%
|
|
$
|
(2,224
|
)
|
|
|
(3.8
|
)%
|
|
$
|
(2,509
|
)
|
|
|
(3.4
|
)%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue is derived from our two business segments: Online
Services and Publishing Services. Our Online Services segment
derives revenue from advertising, sponsorship, including online
CME services, content syndication and distribution, and licenses
of private online portals to employers and healthcare payers.
Our Publishing Services segment derives revenue from sales of,
and advertising in, physician directories, subscriptions to
professional medical reference textbooks, broadcast fax
services, and advertisements in our consumer publication
distributed to physician waiting rooms. Included in our Online
Services revenue are revenues related to our agreements
with News Corporation and AOL:
|
|
|
|
|
|
|
We licensed our content to News Corporation for use across News
Corporations media properties for four years ending in
January 2005, for cash payments totaling $12,000 per contract
year.
|
47
|
|
|
|
|
|
|
Our company and AOL share certain revenue from advertising,
commerce and programming on the health channels of certain AOL
online sites and on a co-branded service we created for AOL. The
original term of the agreement was for three years expiring May
2004. We had the right to extend the original agreement for an
additional three-year term if certain thresholds were not
achieved during the original three-year term. These thresholds
were not achieved and we exercised our right to extend the
contract term until May 2007. Under the terms of the extension,
our revenue share is subject to a minimum annual guarantee.
Included in the accompanying consolidated statements of
operations, for the years ended December 31, 2002, 2003 and
2004 and for the six months ended June 30, 2004 and 2005 is
revenue of $4,159, $5,087, $7,242, $3,349 and $4,200,
respectively, which represents sales to third parties of
advertising and sponsorship on the AOL health channels,
primarily sold through our sales efforts. Also included in
revenue during 2004 and during the six months ended
June 30, 2005 is $3,754 and $3,048, respectively, related
to the guarantee discussed above.
|
Our customers include pharmaceutical, biotechnology, medical
device and consumer products companies, as well as employers and
health plans. In addition, our physician directories and
reference text book are sold to physicians and other healthcare
providers.
Our discussions throughout MD&A make references to certain
non-cash expenses. We consider non-cash expenses to be those
expenses that result from the issuance of our Parents
equity instruments. The following is a summary of our principal
non-cash expenses:
|
|
|
|
|
|
|
Non-cash advertising expense.
Expense related to the
usage of our prepaid advertising inventory that we received from
News Corporation in exchange for equity instruments our Parent
issued in connection with an agreement our Parent entered into
with News Corporation in 1999 and subsequently amended in 2000.
Our non-cash advertising expense related to the usage of the
prepaid advertising is included in cost of operations when we
utilize this advertising in conjunction with online advertising
and sponsorship programs, and is included in sales and marketing
expense when we utilize the asset for promotion of our brand.
The portion of the non-cash expense that is included in sales
and marketing expense is reflected net of the expense we charge
to our Parent in connection with their usage of this asset.
|
|
|
|
|
|
Non-cash distribution expense.
Expense related to the
amortization of a warrant that our Parent issued to AOL as part
of a strategic alliance our Parent entered into with Time Warner
in May 2001 under which our company became the primary provider
of healthcare content, tools and services for use on certain AOL
properties.
|
|
|
|
|
|
Non-cash stock compensation expense.
Expense related to
restricted stock awards in our Parents common stock that
have been granted to certain of our employees as well as stock
options assumed in connection with certain acquisitions in 2000
and options granted in 2000 with exercise prices less than the
fair market value of our Parents stock on the date of
grant. Non-cash stock compensation expense is reflected in the
accompanying consolidated statements of operations in the same
expense captions as the related salary costs of the respective
employees.
|
Cost of operations consists of costs related to services and
products we provide to customers and costs associated with the
operation and maintenance of our public and private portals.
These costs include editorial and production, Web site
operations and development, and costs related to the production
and distribution of our publications. These costs consist of
expenses related to compensation, non-cash stock compensation,
creating and licensing content, telecommunication, leased
properties, printing and distribution, and non-cash advertising
expenses related to the sale of offline advertising through our
media partners.
Sales and marketing expense consists primarily of advertising,
product and brand promotion, salaries and related expenses, and
non-cash stock compensation. These expenses include items
related to salaries and related expenses of account executives,
account management and marketing personnel, costs and expenses
for marketing programs, and fees for professional marketing and
advertising services. Also
48
included in sales and marketing expense are non-cash advertising
and distribution expenses related to services acquired in
exchange for equity securities of our Parent in connection with
our arrangements with News Corporation and AOL.
General and administrative expense consists primarily of
salaries, non-cash stock compensation and related expenses of
administrative, finance, legal, information technology, human
resources and executive personnel. These expenses include costs
of general insurance and costs of accounting and internal
control systems to support our operations, a services fee for
our portion of certain expenses shared across all segments of
our Parent, as well as facilities expense.
Six months ended June 30, 2005 and June 30,
2004
The following discussion is a comparison of our results of
operations on a consolidated basis for the six months ended
June 30, 2005 to the six months ended June 30, 2004.
Revenue
Our total revenues increased 28.7% to $74,740 in the six months
ended June 30, 2005 from $58,076 in the six months ended
June 30, 2004. Online Services and Publishing Services
accounted for $16,468 or 98.8% and $196 or 1.2%, of the revenue
increase, respectively. Our revenues from customers acquired
through our acquisitions in 2005 and 2004 contributed $3,872 of
the overall increase. We integrate acquisitions as quickly as
practicable and only revenue recognized during the first twelve
months following the quarter in which an acquisition closes is
considered to be revenue from acquired customers. In connection
with such acquisitions, only revenue from existing customers of
the acquired business on the date of the acquisition is
considered to be revenue from customers acquired. Our revenues
for the six months ended June 30, 2005 also reflect a
$5,000 decline in content syndication revenues relating to the
expiration of our content syndication agreement with News
Corporation in January 2005.
During the six months ended June 30, 2005 and 2004 our cost
of operations, sales, marketing, general and administrative
expenses were 96.1% and 99.3% of revenue, respectively. While
this reflects an improvement during the six months ended
June 30, 2005 compared to a year ago, it is higher compared
to the percentage during the year ended December 31, 2004,
which was 90.8%. This is primarily due to a combination of the
$3,100 of severance and recruiting charges incurred during the
quarter ended June 30, 2005, higher expenses related to our
launch of
WebMD the Magazine
as well as the seasonality
of our business. As discussed elsewhere in this MD&A, the
seasonality of our business generally results in higher revenues
in the second half of the year than the first half of the year.
We believe that our cost of operations, sales, marketing,
general and administrative expenses as a percentage of revenue
during the year ending December 31, 2005 will be comparable
to the year ended December 31, 2004, due to the inclusion,
in 2005, of the severance and recruiting charges and expenses
related to our launch of
WebMD the Magazine
.
Cost of Operations.
Cost of operations increased to
$33,511 in the six months ended June 30, 2005 from $24,435
in the six months ended June 30, 2004. Our cost of
operations represented 44.8% of revenue in the six months ended
June 30, 2005, compared to 42.1% of revenue in the six
months ended June 30, 2004. The $9,076 increase was
primarily attributable to increases in compensation related cost
due to higher staffing levels and outside personnel expense for
information technology for our Web site operations and
development, increased costs associated with creating and
licensing our content as well as severance costs of
approximately $700. Included in cost of operations were
non-cash advertising costs of $217 and $601 related to the sale
and fulfillment of online advertising for the six months ended
June 30, 2005 and June 30, 2004, respectively.
Sales and Marketing.
Sales and marketing expense
decreased to $23,129 in the six months ended June 30, 2005
from $23,246 in the six months ended June 30, 2004.
Included in sales and marketing expense were non-cash expenses
related to advertising and distribution services of $3,197 in
the six months ended June 30, 2005, a decrease from $7,433
in the six months ended June 30, 2004. This decrease was
partially due to lower advertising expense related to our
utilization of our prepaid advertising inventory as
49
well as a decline in the expense related to our distribution
arrangement with AOL which was fully amortized in May 2004. As
discussed elsewhere in this MD&A, our non-cash advertising
expense is reflected net of what is charged to our Parent
related to our Parents utilization of the prepaid
advertising. Beginning in August 2005, in connection with the
rebranding of our Parents corporate name from WebMD to
Emdeon, we will no longer allocate any advertising expense to
our Parent related to any advertising that promotes the WebMD
brand. During the six months ended June 30, 2005 we
allocated $1,599 of advertising expense to our Parent related to
their utilization of this asset.
Sales and marketing expense excluding these non-cash expenses
was $19,932 or 26.7% of revenue in the six months ended
June 30, 2005, compared to $15,813, or 27.2% of revenue in
the six months ended June 30, 2004. This increase of $4,119
is primarily due to compensation related costs due to increased
staffing and sales commissions and severance costs of
approximately $200. We expect these costs to continue to
increase as we continue to increase revenues and staffing.
General and Administrative.
General and administrative
expense increased to $15,205 in the six months ended
June 30, 2005 from $10,013 in the six months ended
June 30, 2004. General and administrative expense
represented 20.4% of revenue in the six months ended
June 30, 2005, compared to 17.2% of revenue in the six
months ended June 30, 2004. The $5,192 increase is due to
increases in personnel related expenses resulting from an
increase in the number of staff, including increases related to
acquisitions which were completed in the fourth quarter of 2004
and the first quarter of 2005, as well as a charge of
approximately $2,200 related to the resignation of our former
CEO and the recruitment of our Executive Vice President of
Product and Programming and Chief Technology Officer.
Depreciation and Amortization.
Depreciation and
amortization expense increased to $5,252 in the six months ended
June 30, 2005 from $2,515 in the six months ended
June 30, 2004. The increase was primarily due to
amortization of intangible assets relating to the 2005
Acquisition and the 2004 Acquisitions.
Income Tax Provision.
Income tax provision primarily
represents taxes from profitable operations in certain
jurisdictions in which we do not have net operating losses to
offset that income. Accordingly, we provided for taxes of $152
and $91 related to state and other jurisdictions during the six
months ended June 30, 2005 and 2004, respectively.
The following discussion is a comparison of our results of
operations on a consolidated basis for the year ended
December 31, 2004 to the year ended December 31, 2003.
Our total revenues increased 21.8% to $134,148 in 2004 from
$110,152 in 2003. Online Services and Publishing Services
accounted for $20,136 or 83.9% and $3,860 or 16.1%, of the
revenue increase, respectively. The increase in Publishing
Services revenue was primarily due to $3,564 from the full year
impact of, as well as growth within, the 2003 acquisition of
The Little Blue Book
. Our revenues from customers
acquired through our acquisitions in 2004 were not a significant
portion of our 2004 revenues because these acquisitions occurred
late in 2004. Included in our 2004 and 2003 revenues are $12,000
per year relating to our content syndication agreement with News
Corporation, which expired in January 2005.
Our company achieved a significant increase in consolidated
revenues without incurring a proportionate increase in overall
expenses. This is due to the fact that, with the exception of
certain costs in our Publishing Services segment and sales
commissions, incremental revenues generally did not require
additional cost of operations, sales, marketing and general and
administrative expenses. This resulted in an improvement in cost
of operations, sales, marketing and general and administrative
expenses as a percentage of revenue which was 90.8% during the
year ended December 31, 2004 compared to 102.6% during the
year ended December 31, 2003.
50
Cost of Operations.
Cost of operations increased to
$52,377 in 2004 from $46,998 in 2003. Our cost of operations
represented 39.0% of revenue in 2004, compared to 42.7% of
revenue in 2003. Included in cost of operations were non-cash
advertising costs of $901 and $2,757 for 2004 and 2003,
respectively, which reflects lower sales of offline advertising
in 2004. Excluding the non-cash advertising costs, cost of
operations increased to $51,476 in 2004 or 38.4% of revenue from
$44,241 in 2003 or 40.2% of revenue. The $7,235 increase was
attributable to increased spending on information technology
and, to a lesser extent, the full year impact in 2004 of
printing and distribution costs as a result of the 2003
acquisition of
The Little Blue Book.
Sales and Marketing.
Sales and marketing expense
increased to $49,315 in 2004, from $47,917 in 2003, which
represents an increase of $1,398. Included in sales and
marketing expense were non-cash expenses related to advertising
and distribution services of $11,246 in 2004, a decrease from
$16,211 in 2003. This decrease was primarily due to a decline in
the expense related to our distribution arrangement with AOL
which was fully amortized in May 2004. Sales and marketing
expense excluding these non-cash expenses was $38,069, or 28.4%
of revenue in 2004, compared to $31,706, or 28.8% of revenue in
2003. The $6,363 increase is due to compensation related costs
due to a combination of increased commissions and increased
staffing, and the full year impact in 2004 of the acquisition of
The Little Blue Book.
General and Administrative.
General and administrative
expense increased to $20,165 in 2004 from $18,016 in 2003.
General and administrative expense was 15.0% of revenue in 2004,
compared to 16.4% of revenue in 2003. The $2,149 increase is due
to increases in personnel related expenses resulting from an
increase in the number of our staff, and the full year impact in
2004 of the 2003 acquisition of
The Little Blue Book
.
Depreciation and Amortization.
Depreciation and
amortization expense increased to $5,620 in 2004 from $4,463 in
2003. The increase was primarily due to intangible assets
relating to the 2004 Acquisitions and 2003 Acquisitions.
Income Tax Provision.
Income tax provision in 2004 and
2003 primarily represents taxes from profitable operations in
certain jurisdictions in which we do not have net operating
losses to offset that income. Accordingly, we provided for taxes
of $210 and $183 related to state and other jurisdictions during
2004 and 2003, respectively.
The following discussion is a comparison of our results of
operations on a consolidated basis for the year ended
December 31, 2003 to the year ended December 31, 2002.
Our total revenues increased 30.8% to $110,152 in 2003 from
$84,203 in 2002. Online Services and Publishing Services
accounted for $20,702 or 79.8% and $5,247 or 20.2%, of the
revenue increase, respectively. The increase is primarily
related to increased sales of our Online Services products and,
to a lesser extent, Publishing Services products. Revenue from
customers acquired through the 2003 Acquisitions and 2002
Acquisition contributed $9,579 to the overall increase in
revenue for 2003. Included in 2003 and 2002 revenues are
$12,000 per year relating to our content syndication
agreement with News Corporation, which expired in January 2005.
Our company achieved a significant increase in consolidated
revenues without incurring a proportional increase in overall
expenses. This is due to the fact that, with the exception of
certain costs in our Publishing Services segment and sales
commissions, incremental revenues generally did not require
additional cost of operations, sales, marketing and general and
administrative expenses. This resulted in an improvement in cost
of operations, sales, marketing and general and administrative
expenses as a
51
percentage of revenue which was 102.6% during the year ended
December 31, 2003 compared to 133.7% during the year ended
December 31, 2002.
Cost of Operations.
Cost of operations decreased to
$46,998 in 2003 from $47,888 in 2002. Our cost of operations
represented 42.7% of revenue in 2003, compared to 56.9% of
revenue in 2002. Included in cost of operations were non-cash
advertising costs of $2,757 and $3,945 for 2003 and 2002,
respectively, which reflects lower sales of offline advertising
in 2003. Cost of operations excluding these non-cash advertising
expenses was $44,241, or 40.2% of revenues in 2003, compared to
$43,943, or 52.2% of revenues in 2002. The $298 increase is due
to the full year impact of the 2002 Acquisition and the partial
year impact of increased printing and distribution costs as a
result of the 2003 acquisition of
The Little Blue Book,
offset by the full year impact of reduced compensation
related expense as a result of the consolidation of Web site
development and operations effected during 2002.
Sales and Marketing.
Sales and marketing expense
decreased to $47,917 in 2003, compared to $49,033 in 2002.
Included in sales and marketing expense are non-cash expenses
related to advertising and distribution services of $16,211 in
2003, compared to $18,864 in 2002. During 2003, a higher
percentage of advertising expense was allocated to our Parent as
a result of changes in the mix in the type of advertising that
aired during 2003 compared to 2002. Also included in sales and
marketing expense was non-cash stock compensation of $548 in
2003 compared to $1,219 in 2002. Non-cash stock compensation
decreased from 2002 to 2003 primarily due to the vesting
schedules of options issued and assumed in connection with our
2000 acquisitions. Sales and marketing expense excluding the
non-cash expenses previously discussed was $31,158, or 28.3% of
revenue in 2003, compared to $28,950, or 34.4% of revenue in
2002. The $2,208 increase was due to a significant increase in
membership acquisition costs in 2003, primarily related to the
acquisition of a membership database, increased staffing as a
result of the full year impact of the 2002 Acquisition and the
partial year impact of the 2003 acquisition of
The Little
Blue Book,
offset by a reduction in fees for marketing and
advertising services.
General and Administrative.
General and administrative
expense increased to $18,016 in 2003 from $15,690 in 2002.
General and administrative expense was 16.4% of revenue in 2003,
compared to 18.6% of revenue in 2002. The $2,326 increase is due
to the full year impact of the 2002 Acquisition and the partial
year impact of the 2003 acquisition of
The Little Blue
Book
.
Depreciation and Amortization.
Depreciation and
amortization expense increased to $4,463 in 2003 from $2,486 in
2002. The increase was primarily due to amortization of
intangible assets relating to certain 2003 Acquisitions and a
2002 Acquisition.
Restructuring and Integration Benefit.
During 2000 and
2001, our Parent initiated a restructuring, during which many
business relationships were exited or restructured in an effort
to reduce operating losses. In connection with these activities,
we previously incurred a restructuring and integration charge of
$114,918 in 2001. During 2002, we recorded a benefit of $5,850
related to the 2000 and 2001 restructuring activity resulting
from the favorable settlements of certain of these restructured
arrangements.
Income Tax Provision.
Income tax provision in 2003 and
2002 primarily represents taxes from profitable operations in
certain states in which we do not have net operating losses to
offset that income. Accordingly, we provided for taxes of $183
and $140 related to state and other jurisdictions during 2003
and 2002, respectively.
Results of Operations by Operating Segment
We monitor the performance of our business based on income or
loss before restructuring, taxes, non-cash and other items.
Non-cash and other items include depreciation and amortization,
other income, non-cash advertising and distribution expenses and
non-cash stock compensation expense. Corporate and other
overhead functions are allocated to segments on a specifically
identifiable basis or other reasonable method of allocation. We
consider these allocations to be a reasonable reflection of the
utilization of costs incurred. We do not disaggregate assets for
internal management reporting and, therefore, such information
is not
52
presented. There are no inter-segment revenue transactions and,
therefore, revenues are only to external customers.
The following table presents the results of our operations for
each of our operating segments and a reconciliation to net
income (loss):
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Six Months Ended
|
|
|
|
|
Years Ended December 31,
|
|
|
June 30,
|
|
|
|
|
|
|
|
|
|
|
|
|
2002
|
|
|
2003
|
|
|
2004
|
|
|
2004
|
|
|
2005
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(unaudited)
|
|
|
|
|
(in thousands)
|
|
|
Revenue
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Online Services:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Advertising and sponsorship
|
|
$
|
61,611
|
|
|
$
|
71,618
|
|
|
$
|
83,828
|
|
|
$
|
35,240
|
|
|
$
|
49,443
|
|
|
|
|
Licensing
|
|
|
830
|
|
|
|
8,923
|
|
|
|
15,841
|
|
|
|
5,955
|
|
|
|
14,044
|
|
|
|
|
Content syndication and other
|
|
|
17,008
|
|
|
|
19,610
|
|
|
|
20,618
|
|
|
|
10,397
|
|
|
|
4,573
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Online Services
|
|
|
79,449
|
|
|
|
100,151
|
|
|
|
120,287
|
|
|
|
51,592
|
|
|
|
68,060
|
|
|
Publishing Services
|
|
|
4,754
|
|
|
|
10,001
|
|
|
|
13,861
|
|
|
|
6,484
|
|
|
|
6,680
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
84,203
|
|
|
$
|
110,152
|
|
|
$
|
134,148
|
|
|
$
|
58,076
|
|
|
$
|
74,740
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before restructuring, taxes, non-cash and other
items
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Online Services
|
|
$
|
(2,086
|
)
|
|
$
|
16,145
|
|
|
$
|
24,902
|
|
|
$
|
8,970
|
|
|
$
|
7,793
|
|
|
Publishing Services
|
|
|
(848
|
)
|
|
|
1,641
|
|
|
|
1,285
|
|
|
|
103
|
|
|
|
(915
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(2,934
|
)
|
|
|
17,786
|
|
|
|
26,187
|
|
|
|
9,073
|
|
|
|
6,878
|
|
|
Restructuring, taxes, non-cash and other items
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Depreciation and amortization
|
|
|
(2,486
|
)
|
|
|
(4,463
|
)
|
|
|
(5,620
|
)
|
|
|
(2,515
|
)
|
|
|
(5,252
|
)
|
|
Non-cash advertising and distribution
|
|
|
(22,809
|
)
|
|
|
(18,968
|
)
|
|
|
(12,147
|
)
|
|
|
(8,034
|
)
|
|
|
(3,414
|
)
|
|
Non-cash stock compensation
|
|
|
(2,665
|
)
|
|
|
(1,597
|
)
|
|
|
(1,749
|
)
|
|
|
(657
|
)
|
|
|
(569
|
)
|
|
Restructuring and integration benefit
|
|
|
5,850
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Other income
|
|
|
823
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income tax provision
|
|
|
(140
|
)
|
|
|
(183
|
)
|
|
|
(210
|
)
|
|
|
(91
|
)
|
|
|
(152
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income (loss)
|
|
$
|
(24,361
|
)
|
|
$
|
(7,425
|
)
|
|
$
|
6,461
|
|
|
$
|
(2,224
|
)
|
|
$
|
(2,509
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Six months ended June 30, 2005 and June 30,
2004
|
The following discussion is a comparison of the results of
operations for each of our operating segments for the six months
ended June 30, 2005 to the six months ended June 30,
2004.
Online Services.
Revenues were $68,060 for the six months
ended June 30, 2005, an increase of $16,468 or 31.9% from
the six months ended June 30, 2004. The increase was
related to increased advertising and sponsorship revenue related
to our public portals and licensing revenues from our private
online portals, offset by a $5,000 decline in revenues relating
to the expiration of our content syndication agreement with News
Corporation in January 2005. The increase was due to increases
in both the number of advertising and licensing customers as
well as the number of brands our advertising customers were
promoting. The number of our advertising and sponsorship
customers grew to approximately 180, promoting approximately 405
brands in the six months ended June 30, 2005 compared to
120 customers promoting approximately 280 brands in the
comparable period of the prior year. Additionally, the number of
our licensing customers grew to approximately 45 customers
(excluding the number of HealthShare customers) in the six
months ended June 30, 2005 from 35 customers in the
comparable period of the
53
prior year. Included in revenues during the six months ended
June 30, 2005 was $2,898 related to the March 14, 2005
acquisition of HealthShare. HealthShare had approximately
90 licensing customers as of June 30, 2005. We expect
the revenue growth rate for all of 2005 to be comparable to the
growth rate achieved in 2004. We expect to achieve this growth
in both the number of advertising and licensing customers and
the number of brands promoted on our public portals. The revenue
improvement for 2005 anticipates the reduction in revenue
resulting from the expiration of our content syndication
agreement with News Corporation in January 2005.
Income before taxes, non-cash and other items was $7,793 or
11.5% of revenue for the six months ended June 30, 2005, a
decrease of $1,177 compared to $8,970, or 17.4% of revenue
during the six months ended June 30, 2004. This decline as
a percentage of revenue was due to a charge of approximately
$3,100 related to the resignation of our former CEO and other
personnel and the recruitment of our Executive Vice President of
Product and Programming and Chief Technology Officer, higher
information technology and sales and marketing expenses as well
as the decline in content syndication revenue from News
Corporation, which did not have significant related expenses. We
expect income before taxes, non-cash and other items as a
percentage of revenue in 2005 to be lower when compared with the
results achieved in 2004, primarily due to the $3,100 of
severance and recruiting expenses discussed above.
Publishing Services.
Revenues were $6,680 for the six
months ended June 30, 2005, compared to $6,484 for the six
months ended June 30, 2004. The increase was attributable
to increased revenue from the launch of
WebMD the
Magazine
, offset by slight declines in our other offline
publications. We expect revenue to slightly increase for all of
2005 when compared to 2004. We expect that our revenue growth
for 2005 will be primarily from the launch of
WebMD the
Magazine
and to a lesser extent growth in
The Little Blue
Book
. We do not expect the same level of growth in this
segment as was achieved when comparing 2004 to 2003, because a
significant portion of the 2004 revenue growth was a result of
the full year impact of the 2003 acquisition of
The Little
Blue Book
.
Loss before taxes, non-cash and other items was $915 for the six
months ended June 30, 2005, compared to income before
taxes, non-cash and other items of $103 for the six months ended
June 30, 2004. The increased loss was due to the launch of
WebMD the Magazine
in April of 2005 as well as the
decline in advertising revenues in
The Little Blue Book
directories. We expect income before taxes, non-cash and other
items for all of 2005 to decline when compared to 2004,
primarily as a result of the 2005 launch of
WebMD the
Magazine
.
We expect taxes, non-cash and other items to increase
significantly in 2005 compared to 2004 primarily as a result of
an increase in amortization of intangibles from the 2004 and
2005 Acquisitions, an increase in depreciation expense due to
our increased capital expenditures and an increase in non-cash
stock compensation expense related to grants of restricted stock
to certain employees in connection with the initial public
offering, offset by the elimination of non-cash distribution
expenses which were fully amortized in May 2004.
The following discussion is a comparison of the results of
operations for each of our operating segments for the year ended
December 31, 2004 to the year ended December 31, 2003.
Online Services.
Revenues were $120,287 in 2004, an
increase of $20,136 or 20.1% from 2003. The increase was related
to increased advertising and sponsorship revenue related to our
public portals and licensing revenues from our private online
portals. The revenue increase is primarily due to increased
demand for our public and private portals. The number of our
advertising and sponsorship customers grew to approximately 180
promoting approximately 380 brands in the year ended
December 31, 2004 compared to approximately
160 customers promoting approximately 325 brands in the
prior year. Additionally, the number of our licensing customers
grew to approximately 40 customers in the year ended
December 31, 2004 compared to approximately 35 customers in
the prior year. Included in content syndication and other
revenues for 2004 and 2003 are $12,000 per year related to
our content syndication agreement with News Corporation which
expired in January 2005. Income before restructuring, taxes,
non-cash and other items
54
was $24,902 in 2004, an increase of $8,757 or 54.2% from 2003.
As a percentage of revenue, income before restructuring, taxes,
non-cash and other items was 20.7% in 2004, compared to 16.1% in
2003. The growth in earnings and margins is due to our ability
to deliver the increased revenues without incurring a
proportionate increase in overall expenses.
Publishing Services.
Revenues were $13,861 in 2004,
compared to $10,001 for 2003. The increase was attributable to
the full year impact of the May 2003 acquisition of
The
Little Blue Book.
Income before restructuring, taxes,
non-cash and other items was $1,285 in 2004, a decrease of $356
from 2003. Our Publishing Services segment is seasonal, where
approximately 70% of our revenues were generated during the
second and third quarter of 2004 when the majority of our
physician directories are delivered. Due to the full year impact
of
The Little Blue Book
acquisition on 2004 fixed
expenses, as a percentage of revenue, income before
restructuring, taxes, non-cash and other items declined to 9.3%
in 2004, compared to 16.4% in 2003.
The following discussion is a comparison of the results of
operations for each of our operating segments for the year ended
December 31, 2003 to the year ended December 31, 2002.
Online Services.
Revenues were $100,151 in 2003, an
increase of $20,702 or 26.1% from 2002. Revenues from customers
acquired through the 2003 Acquisitions contributed $5,853 to the
increase in revenue. The remaining increase of $14,849 for 2003
was primarily the result of increased sales related to
advertising and sponsorship on our public portals and licensing
revenues from our private online portals. The number of our
advertising and sponsorship customers grew to approximately 160,
promoting approximately 325 brands in the year ended
December 31, 2003 compared to approximately
150 customers promoting approximately 320 brands in
the prior year. Additionally, the number of our licensing
customers grew to approximately 35 customers in the year
ended December 31, 2003 compared to approximately
30 customers in the prior year. Included in content
syndication and other revenue for 2003 and 2002 is
$12,000 per year related to our content syndication
agreement with News Corporation which expired in January 2005.
Income before restructuring, taxes, non-cash and other items was
$16,145 in 2003, an increase of $18,231 from a 2002 loss of
$2,086. As a percentage of revenue, income (loss) before
restructuring, taxes, non-cash and other items was 16.1% in
2003, compared to (2.6%) in 2002. The growth in earnings and
margins is due our ability to deliver the increased revenues
without incurring a proportionate increase in variable expenses.
Publishing Services.
Revenues were $10,001 in 2003,
compared to $4,754 for 2002. Revenues from customers acquired
through the 2003 Acquisitions contributed $3,726 to the increase
in revenue. The remaining increase of $1,521 for 2003 was
attributable to advertising revenues for
The Little Blue
Book.
Income before restructuring, taxes, non-cash and other
items was $1,641 in 2003, an increase of $2,489 from a loss in
2002 of $848. As a percentage of revenue, income (loss) before
restructuring, taxes, non-cash and other items was 16.4% in
2003, compared to (17.8%) in 2002. The improvement is due
primarily to the acquisition of
The Little Blue Book.
Liquidity and Capital Resources
Our primary source of financing has been net cash amounts
received from our Parent. Our Parent will continue to finance
our operations until this offering is completed. Our Parent has
provided us an additional capital contribution of $40,000 in
cash, and we will use this additional contribution for general
corporate purposes, including potential acquisitions and capital
expenditures. We will be receiving the net proceeds of this
offering and following completion of this offering, our Parent
will have no obligation to provide any additional financing. We
plan to continue to enhance the relevance of our online services
to our audience and sponsors and will continue to invest in
acquisitions, strategic relationships, infrastructure and
product development. We intend to grow each of our existing
businesses and enter into complementary ones through both
internal investments and acquisitions.
As of June 30, 2005, we had $1,834 of cash and cash
equivalents and working capital deficit of $3,437. Our working
capital is affected by the timing of each period end in relation
to items such as
55
payments received from customers and payments made to vendors,
internal payroll and billing cycles, as well as the seasonality
within our business. Accordingly, our working capital, and its
impact on cash flow from operations, can fluctuate materially
from period to period.
Cash provided by operations during the six months ended
June 30, 2005 was $13,362 which reflected a net loss of
$2,509 adjusted for non-cash expenses of $9,235, including
depreciation and amortization, non-cash advertising and
distribution expense and non-cash stock compensation expense.
Additionally, changes in working capital generated cash flow of
$6,636 during the six months ended June 30, 2005, primarily
the result of an increase in deferred revenue. Cash provided by
operating activities was $18,138 in 2004, which was primarily
due to net income of $6,461 adjusted for $19,516 of non-cash
expenses. Operating cash flow was negatively impacted by a net
increase in working capital of $7,839, which was primarily due
to a net increase in accounts receivable of $17,125 reflecting a
significant increase in our revenues during 2004, particularly
in the second half of 2004. Partially offsetting the increase in
accounts receivable during 2004 was an increase in deferred
revenue of $4,878, and an increase in accrued expenses of $2,952
resulting from the timing of payments received from customers
and payments made to vendors in relation to period end.
Cash provided by operating activities in 2003 was $2,917 and
reflected a net loss of $7,425 adjusted for $25,028 of non-cash
items, partially offset by a net increase in working capital of
$14,686. The net increase in working capital was primarily due
to the timing of payments we made to vendors during 2003 as well
as a reduction to our deferred revenue balance reflecting the
recognition of revenue in excess of the amount of advance
payments received by customers.
Cash used in investing activities during the six months ended
June 30, 2005 was $44,819 and primarily related to the
acquisition of HealthShare in the first quarter and investments
in property and equipment associated with the build-out of our
new corporate offices in New York. Cash used in investing
activities was $26,742 in 2004, compared to cash used in
investing activities of $15,444 in 2003. Cash paid for business
acquisitions, net of cash acquired, was $22,421 in 2004 and
primarily related to the 2004 Acquisitions. The 2003
Acquisitions consumed cash of $13,926 net of cash acquired.
Investments in property and equipment were $4,321 in 2004,
compared to $1,518 in 2003.
Cash provided by financing activities for the six months ended
June 30, 2005, and during the years ended December 31,
2004 and 2003 related to net cash amounts received from our
Parent. During the six months ended June 30, 2005, the cash
received from our Parent was $29,835, which was primarily used
to fund the HealthShare acquisition.
Our principal commitments at December 31, 2004 consisted
primarily of obligations under operating leases and contingent
consideration payments of up to an aggregate of $25,000 related
to the RxList, MedicineNet and HealthShare acquisitions
achieving certain milestones. Assuming each of these required
milestones is achieved, we would expect to pay contingent
consideration of $22,500 during the three months ending
March 31, 2006 and $2,500 during the three months ending
March 31, 2007. We will not have any obligation to repay
any financing provided, prior to the completion of this
offering, by our Parent.
The following table summarizes our principal commitments as of
December 31, 2004, as well as managements estimates
of the timing of the cash flows associated with these
commitments. Managements estimates of the timing of future
cash flows are largely based on historical experience, and
accordingly, actual timing of cash flows may vary from these
estimates. The contingent consideration payments of up to an
aggregate of $25,000, have not been included in the table below
as it is impracticable to estimate the amount of any payments
related to these commitments. Additionally, the table below does
not include a commitment to spend approximately $5,900 of
advertising in connection with our arrangement with AOL during
the period from July 1, 2005 through May 2007. We have
56
previously satisfied our advertising commitment under this
arrangement by utilizing our prepaid advertising inventory and
expect to continue to do so in the future.
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Less Than
|
|
|
|
|
|
|
More Than
|
|
|
|
|
Total
|
|
|
1 Year
|
|
|
1-3 Years
|
|
|
4-5 Years
|
|
|
5 Years
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(in thousands)
|
|
|
Leases
|
|
$
|
35,389
|
|
|
$
|
2,351
|
|
|
$
|
7,034
|
|
|
$
|
6,047
|
|
|
$
|
19,957
|
|
|
Purchase obligations(1)
|
|
|
19
|
|
|
|
19
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Advertising relationship(2)
|
|
|
1,379
|
|
|
|
754
|
|
|
|
625
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total
|
|
$
|
36,787
|
|
|
$
|
3,124
|
|
|
$
|
7,659
|
|
|
$
|
6,047
|
|
|
$
|
19,957
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(1)
|
Purchase obligations include amounts committed under legally
enforceable contracts or purchase orders for goods and services
with defined terms as to price, quantity and delivery.
|
|
|
|
(2)
|
This advertising relationship represents a commitment for
advertising placements to promote our brand.
|
In addition to the commitments discussed above, we anticipate
capital expenditure requirements of approximately $40,000 during
2005 and 2006. Approximately $15,000 of this amount relates to
the leasehold improvements of our new corporate office, which
was completed prior to this offering, and accordingly, was
funded by our Parent. The balance represents anticipated
expenditures to enhance our Web site infrastructure in order to
enable us to service future growth in unique users, page views
and private portal customers, as well as to create new
sponsorship areas for our customers. We currently are exploring
the possibility of acquiring two complementary businesses in
separate transactions. We currently anticipate that the purchase
price paid for each of these businesses would, if a transaction
were consummated, be approximately $20,000, and would be paid
exclusively in cash. However, we have not entered into any
definitive agreements or other commitments with respect to
either of these potential acquisitions, and there can be no
assurance that either of these acquisitions will be completed.
We believe that the net proceeds from this offering and the
additional $40,000 capital contribution that our Parent has
contributed to us together with our available cash resources and
future cash flow from operations, will provide sufficient cash
resources to fund these two potential acquisitions, meet the
commitments described above and to fund our currently
anticipated working capital and capital expenditure requirements
for at least the next twenty four months. Our future liquidity
and capital requirements will depend upon numerous factors,
including retention of customers at current volume and revenue
levels, our existing and new application and service offerings,
competing technological and market developments, and potential
future acquisitions. In addition, our ability to generate cash
flow is subject to numerous factors beyond our control,
including general economic, regulatory and other matters
affecting us and our customers. We may need to raise additional
funds to support expansion, develop new or enhanced applications
and services, respond to competitive pressures, acquire
complementary businesses (in addition to the two potential
acquisitions referred to above) or technologies or take
advantage of unanticipated opportunities. If required, we may
raise such additional funds through public or private debt or
equity financing, strategic relationships or other arrangements.
We cannot assure you that such financing will be available on
acceptable terms, if at all, or that such financing will not be
dilutive to our stockholders. Future indebtedness may impose
various restrictions and covenants on us that could limit our
ability to respond to market conditions, to provide for
unanticipated capital investments or to take advantage of
business opportunities. Our principal commitments as of
June 30, 2005 were not materially different from our
commitments as of December 31, 2004.
Qualitative and Quantitative Disclosures About Market Risk
We have had no exposure to interest rate sensitivity or exchange
rate sensitivity. We have no investments as of December 31,
2004 and we do not conduct business in foreign currencies. We
may have future risk related to interest rate sensitivity if we
invest the net proceeds from the sale of our Class A common
stock in certain types of interest bearing obligations.
57
Recent Accounting Pronouncements
In December 2004, the Financial Accounting Standards Board
(FASB) issued SFAS No. 123, (Revised
2004): Share-Based Payment (SFAS 123R),
which replaces SFAS No. 123, Accounting for
Stock-Based Compensation, (SFAS 123) and
supersedes APB Opinion No. 25, Accounting for Stock
Issued to Employees. SFAS 123R requires all
share-based payments to employees, including grants of stock
options by us and our Parent to our employees, to be recognized
in the financial statements based on their fair values. The pro
forma disclosures previously permitted under SFAS 123 no
longer will be an alternative to financial statement
recognition. As described in Note 2 to our audited
consolidated financial statements, if, instead of the intrinsic
value method, we had used the fair value recognition provisions
of SFAS 123 to calculate stock based employee compensation,
instead of reporting net income for 2004 of $6.5 million,
we would have reported a loss of $2.4 million. We
anticipate adopting SFAS 123R in the first quarter of 2006.
Under SFAS 123R, we must determine the appropriate fair
value model to be used for valuing share-based payments, the
amortization method for compensation cost and the transition
method to be used at date of adoption. The transition methods
include prospective and retroactive adoption options. Under the
retroactive option, prior periods may be restated either as of
the beginning of the year of adoption or for all periods
presented. The prospective method requires that compensation
expense be recorded for all unvested stock options and
restricted stock at the beginning of the first quarter of
adoption of SFAS 123R. We are evaluating the requirements
of SFAS 123R and expect that the adoption of SFAS 123R
will have a material impact on the consolidated results of
operations and earnings per share. We have not yet determined
the method of adoption or the effect of adopting SFAS 123R.
58
BUSINESS
Overview
We are a leading provider of health information services to
consumers, physicians, healthcare professionals, employers and
health plans through our public and private online portals and
health-focused publications. The online healthcare information,
decision-support applications and communications services that
we provide:
|
|
|
|
|
|
|
enable consumers to obtain detailed information on a particular
disease or condition, analyze symptoms, locate physicians, store
individual healthcare information, receive periodic
e-newsletters on topics of individual interest, enroll in
interactive courses and participate in online communities with
peers and experts;
|
|
|
|
|
|
make it easier for physicians and healthcare professionals to
access clinical reference sources, stay abreast of the latest
clinical information, learn about new treatment options, earn
CME credits and communicate with peers; and
|
|
|
|
|
|
enable employers and health plans to provide their employees and
plan members with access to personalized health and benefit
information and decision-support technology that helps them make
more informed benefit, provider and treatment choices.
|
We believe that we are well positioned to meet both consumer and
physician demand for timely, reliable and comprehensive health
information. We provide online services through several branded
public portals, including
WebMD Health,
our primary
public portal for consumers, and
Medscape from WebMD,
our
public portal for physicians and healthcare professionals.
WebMD Health
and our other consumer portals provide
timely and credible healthcare and lifestyle information and
assist consumers in taking an active role in managing their
health. Our goal is to be the most trusted brand of health
information.
The WebMD Health Network
consists of the public portals
that we own, such as
www.WebMD.com
and
www.Medscape.com
, as well as third party sites through
which we provide our branded health and wellness content, tools
and services, such as the America Online service.
The WebMD
Health Network
had an average of approximately
24 million aggregate unique users per month and generated
approximately 1.2 billion aggregate page views in the first
half of 2005.
The WebMD Health Network
does not include
our private portals for employers and health plans, which are
described below. We believe that our ability to create, source,
edit and organize health-related content and interactive
services has made
The WebMD Health Network
the leading
online health destination based on the total number of unique
users and has made the WebMD brand among the most recognized in
healthcare. According to recent studies conducted by Manhattan
Research, WebMD is the information source most frequently
recommended by physicians to their patients for healthcare
information.
Our public portals generate revenue primarily through the sale
of advertising and sponsorship products. We do not charge user
fees for access to our public portals. Unlike traditional media,
The WebMD Health Network
enables sponsors to reach,
educate and inform target audiences of health-involved consumers
and clinically-active physicians. We work closely with our
sponsors to develop programs to reach specific groups of
consumers, physicians and healthcare professionals and give them
placement on the most relevant areas on our portals. Our
advertisers and sponsors consist primarily of pharmaceutical,
biotechnology and medical device companies and consumer products
companies whose products relate to health, wellness, diet,
fitness, lifestyle, safety and illness prevention.
Our private portals enable employees and health plan members to
make more informed benefit, treatment and provider decisions. We
provide a personalized user experience by integrating individual
user data (including personal health information), plan-specific
data from our employer or health plan clients and much of the
content, decision-support technology and personal communication
services that we make available through our public portals. We
generate revenue from private portals through the licensing of
our content and technology to employers, such as American
Airlines, Inc., Microsoft Corporation and PepsiCo, Inc., and to
health plans, such as Cigna and Empire Blue Cross and Blue
Shield. Our private portals do
59
not generate revenue from advertising or sponsorship and,
accordingly, we do not include users or page views for these
portals in
The WebMD Health Network
.
In addition to our online presence, we also have a Publishing
Services segment that provides complementary offline health
content. Our offline publications also increase awareness of our
brand with consumers, physicians and healthcare professionals.
These publications include
The Little Blue Book,
a
physician directory,
ACP Medicine
and
ACS Surgery:
Principles of Practice
, our medical reference textbooks, and
WebMD the Magazine,
a consumer publication launched in
early 2005 that we distribute free of charge to physician office
waiting rooms.
Industry Background
General.
The Internet has emerged as a major
communications medium, enabling millions of users to obtain and
share information and to interact and conduct business on a
real-time basis. According to industry sources, approximately
120 million American adults use the Internet on a monthly
or more frequent basis, with an estimated 90 million users
now accessing the Internet as an integral part of their every
day routine. Despite its short history, studies show that users
now devote more hours of the day to the Internet than to any
other medium. A 2004 Manhattan Research study showed that
consumers rely on the Internet as a convenient, trusted source
of healthcare information, decision-support and communication,
and that their satisfaction with general health information on
the Internet is greater than traditional sources, such as their
neighborhood library and magazines, and second only to
physicians. Rising healthcare costs and the greater financial
responsibility consumers will have for their healthcare will
increase consumers reliance on the Internet to help inform
their choices. The Internet allows consumers to have immediate
access to searchable and dynamic interactive content to check
symptoms, assess risks, understand diseases, find providers and
evaluate treatment options.
Effect on Healthcare.
The Internet has already
fundamentally changed many sectors of the economy, including the
marketing and sales of financial services, travel, and
entertainment, among others. The Internet is also changing the
healthcare industry, as more consumers and physicians use it as
a convenient source for up-to-date health information and
interactive decision-support tools. Until recently, quality
healthcare information was not easily accessible. Most consumers
relied on their physicians, conversations with family and
friends, their neighborhood library and magazines when they
needed answers to healthcare questions. Physicians relied on
other physicians, medical societies, journals and other
publications, reference textbooks, conferences, pharmaceutical
sales representatives and industry meetings to keep informed.
Now, consumers and physicians are able to easily access
information online. According to Manhattan Research, of those
consumers who seek additional information as the result of an
offline advertisement, more than half will use the Internet. A
Manhattan Research subscription study in early 2004 cites that
approximately 63% of physicians read e-journals and
approximately 46% complete online CME programs on at least a
monthly basis. The Internet has transformed how consumers and
physicians find and utilize healthcare information.
Physicians Are Turning to the Internet to Improve Clinical
Practice.
The Internet has become a primary source of
information for physicians and is growing relative to
traditional information sources, such as conferences, meetings
and offline journals. According to Manhattan Research,
approximately 97% of physicians are Internet users and physician
satisfaction with online sources of clinical information is
nearly equal to traditional offline sources. According to the
Accreditation Council for Continuing Medical Education, the
Internet has become an efficient way to educate physicians and
to promote adherence to clinical guidelines, crucial steps
towards reducing the variance in treatment patterns and raising
the quality of care.
Our Use of Market and Industry Data
This prospectus contains market and industry data and forecasts
that we obtained from third party industry publications and
research firms, including Manhattan Research, LLC, a leading
Internet
60
marketing research firm. Industry publications and studies
generally state that the information contained therein has been
obtained from sources believed to be reliable, but we cannot
assure you as to the accuracy and completeness of such
information. We have not independently verified any of the
publications or studies prepared by third parties. The
information contained in such publications or studies may prove
to be inaccurate because of the way they were prepared and other
limitations and uncertainties inherent in the data gathering
processes. As a result, you should be aware that market, ranking
and other similar information included in this prospectus, and
estimates and beliefs based on such information, may be
incorrect. Neither we nor the underwriters can guarantee the
accuracy of such information contained in this prospectus.
The following Manhattan Research reports are referenced in the
Prospectus: (1) The
2005 Consumer Technology Adoption
Market Trends
report (the
Consumer Technology
Report
); (2) The
New Online Consumer
Segmentation
report, dated July 2004, which was initiated
and paid for by us (the
Consumer Segmentation
Report
); (3) The
Taking the Pulse: Physicians
and Emerging Information Technologies
report (the
Taking the Pulse Report
); and (4) The
Growth of the Internet and Its Increasing Influence on
Consumer and Physician Health Decisions
report, dated July
2003, which was initiated and paid for by us (the
Growth of the Internet Report
). The
Consumer Segmentation Report
and the
Growth of the
Internet Report
were prepared at our request for use in
connection with our presentations to potential customers. We
refer to each of the studies initiated by Manhattan Research
without our participation as a subscription study,
since these studies are available to their clients on a
subscription basis.
The
Consumer Technology Report
was conducted in 2004 and
comprised a telephone survey of online and offline consumers
over a sample size of 4,068, with a margin of error of +/-2.8%.
The
Consumer Segmentation Report
was conducted in June
and July of 2003 and comprised an online quantitative survey
over a sample size of 411 physicians, with a margin of error of
+/-4.9%, and a sample size of 500 online consumers, with a
margin of error of +/-4.4%. The
Taking the Pulse Report
was conducted in 2004 and involved a survey of 1,201 practicing
U.S. physicians, with a margin of error of +/-2.8%. The
Growth of the Internet Report
was conducted in June and
July of 2003 and involved a telephone study of 1,505 consumers,
with a margin of error of +/-2.5%, and a telephone study of 403
practicing physicians, with a margin of error of +/-4.9%.
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Advertising and Sponsorship Trends
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General.
The U.S. market for advertising, broadly
defined, is made up of multiple, well-established channels,
principally consisting of print, television and radio media.
Total advertising expenditure for 2004 was estimated by
eMarketer in February 2005 to have been approximately
$264 billion, an increase of 7.6% compared to 2003, and is
projected by eMarketer to increase 5.4% in 2005.
Online Market.
Internet advertising continues to grow
rapidly and, as a result, online spending is growing faster than
offline spending. Total online advertising spending in the
United States was projected by eMarketer to increase
approximately 21.0% in 2005 to $11.5 billion and to rise to
about $17.6 billion in 2008. We believe this market growth
is driven by several factors, including consumers shifting their
buying and media preferences to online services and the benefits
of online advertising relative to traditional media, which
includes interactivity, rapid and measurable user feedback and
the ability to target consumers more efficiently.
Online Healthcare and Health-Related Market. The WebMD Health
Network
competes in the market for online healthcare and
health-related advertising, sponsorship and education services
targeted to consumers and physicians. According to a 2005
Jupiter Research study, online spending for healthcare related
advertising is projected to grow an average of 19.7% annually
through 2009. We believe that the two primary sources for this
spending are pharmaceutical companies and consumer products
companies whose goods or services relate to health, wellness,
diet, fitness, lifestyle, safety and prevention.
Based upon industry estimates, we believe that, in the United
States in 2004, pharmaceutical, biotechnology and medical device
companies spent approximately $12 billion on marketing and
education activities, excluding costs of product samples, and
consumer products companies spent significant amounts on media
to advertise products that relate to health, wellness, diet,
fitness, safety and prevention. We
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estimate that pharmaceutical, biotechnology and medical device
companies currently spend less than 5% of their marketing and
educational budgets on online media, but that they are becoming
increasingly aware of the benefits of using online media,
including the ability to cost-effectively reach targeted
audiences. As a result, we expect these companies online
marketing and educational budgets to continue to increase.
According to an April 2005 report sponsored by the Interactive
Advertising Bureau, pharmaceutical and other healthcare
advertisers accounted for 6% of total online advertising in
2004, an increase from 4% in 2003. We believe that we are well
positioned to benefit from the expected trend toward increased
online spending by these companies because we provide a
significant number of the major health-related advertisers and
sponsors with access to a health-focused audience. We also
provide a means by which these companies can gauge the
effectiveness of their online marketing campaigns and programs
through objective statistical reports that detail the number of
visitors to their sponsored area and the type of actions taken
by these users.
Healthcare Industry Trends.
Our business is affected by
the following trends in the healthcare industry:
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Healthcare cost-shifting by employers.
According to a
report from CMS, healthcare spending in the United States rose
to $1.7 trillion in 2003, up from $1.6 trillion in
2002, $1.4 trillion in 2001 and $1.3 trillion in 2000.
The CMS report indicated a growth rate in healthcare spending of
7.7% for 2003, compared to 9.3% for 2002, and 8.5% for 2001.
While overall healthcare costs are rising at a rapid annual
rate, employers costs of providing healthcare benefits to
their employees are increasing at an even faster rate. In
response to these cost increases, employers and health plans
have been changing benefit plan designs to increase consumer
out-of-pocket costs and taking other steps to motivate their
members and employees to evaluate their healthcare decisions
more carefully in order to be more cost-effective. This has also
led employers and health plans to enhance wellness programs and
take steps to provide healthcare information and education to
employees and members, including through online services.
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Health and wellness initiatives.
From 1999 through 2001,
studies by the Institute of Medicine, a non-profit organization
that is part of the National Academies and whose work is
conducted by committees of volunteer scientists, suggested that
the nations healthcare system should be fundamentally
redirected to focus on continuous quality improvement and
anticipating healthcare needs, rather than controlling access to
services. Since then, we believe that health plans and employers
have begun to recognize that encouraging the good health of
their members and employees not only benefits the members and
employees but also has financial benefits for the health plans
and employers. Healthier people need less care and fewer costly
services. Thus, controlling costs by keeping people healthier
and better managing chronic conditions has become a significant
focus for Americas healthcare system. As part of the
initiatives to keep members and employees healthier and to allow
them to better manage chronic conditions, health plans and
employers are offering their members and employees online access
to health and wellness information and decision-support tools.
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We believe that we are well positioned to benefit from these
trends because our private portal provides the tools and
information employees and plan members need in order to take a
more active role in their healthcare, such as helping members
make more informed decisions about healthcare provider, benefit
and treatment options. As employers continue to implement high
deductible and consumer-directed healthcare plans, we believe we
will be able to attract more employers and health plans to use
our private online portals. Additionally, we believe that as
consumers are required to bear increased financial
responsibility for their healthcare, our public portals will
benefit as consumers utilize our decision-support and personal
health information applications better manage their health
decisions.
Market and industry data and forecasts that we disclose in this
prospectus that we obtain from third-party industry publications
and research firms may prove to be inaccurate due to limitations
and uncertainties inherent in the data gathering process and
will include a margin for error. See Our Use of Market and
Industry Data.
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Our Strengths
We believe that we are able to fulfill the needs of our clients
with differentiated offerings based upon our:
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Recognized brand.
Our brand is widely recognized as a
source of health and wellness information, and
The WebMD
Health Network
provides a means for advertisers and sponsors
to reach, educate and inform large target audiences of
health-involved consumers and clinically-active physicians. In
June 2005, Consumer Health WebWatch, a joint project of Consumer
Reports WebWatch and the Health Improvement Institute, rated the
20 most-trafficked health Web sites (listing
WebMD Health
as the most-trafficked site, according to Neilsen/ NetRatings).
Three of the six sites that were rated Excellent
(the highest rating) are owned by us and included in
The
WebMD Health Network: WebMD Health, Medscape from WebMD
and
MedicneNet.com. The ratings were based on evaluations of
credibility and quality across nine different attributes,
including identity, advertising and sponsorship disclosure, ease
of use, corrections and currency, privacy, coverage, design,
accessibility and contents. The strengths of
WebMD Health
that were noted included its large amount of trustworthy
information on mainstream health topics and its coverage of
current health news and trends; the strengths of
Medscape
from WebMD
that were noted included its breadth and depth of
authoritative articles; and the strengths of MedicneNet.com that
were noted included its easy-to-read health information on a
wide range of topics, written by physicians.
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Leading online health destination.
The WebMD Health
Network
is the leading online health destination today based
on the total number of unique users. In addition,
Medscape
from WebMD
is the leading online provider of CME programs,
with approximately 67% of online participants taking at least
one of their CME courses on
Medscape from WebMD
.
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Motivated users.
The WebMD Health Network
enables
health-involved consumers and clinically-active physicians to
readily access healthcare information relevant to their specific
areas of interest.
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Highly targeted advertising and sponsorship model.
We are
able to offer advertisers and sponsors programs that deliver
their message to either our entire audience or to more targeted
audiences of consumers, physicians and other healthcare
professionals based upon the audience members specific
interests or specialties.
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Comprehensive and personalized private portal solutions.
We offer employers and health plans a platform that provides a
personalized user experience for employees and health plan
members, which includes access to individual user data, specific
health plan benefit data, relevant health-oriented content,
treatment decision-support applications, personal communication
services, and integrated third party applications and data. We
believe that our private portal services have several important
advantages over competitive offerings, including the fact that
we offer products and services both for selecting healthcare
benefits and for managing overall health status; the
organization of our services around our electronic personal
health record application and the capability of that application
to include both self-reported and imported claims and clinical
data; and the level of personalization, for content and
messaging, that our platform allows us to provide.
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Proven and experienced management team.
Our senior
managements experience in and understanding of the
healthcare industry allows us to respond quickly to developing
industry trends with new products and services that build on our
existing content, infrastructure and capabilities.
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Our Strategy
We have positioned our services to benefit from the trends
described above under Industry
Background, and the other trends affecting the Internet,
online advertising and healthcare industries described in this
prospectus. Our goal is to be the leading provider of online
health information services in each of the markets in which we
participate and to use our content, technology platform and
expertise to continue to enter additional complementary markets.
The strategies we expect to pursue include:
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Enhancing our current products and services.
We intend to
continue to invest in the resources needed to deliver health and
medical information by continuing to build our repository of
in-depth
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health content, broadening our interactive services and
increasing their functionality, improving our technology
platform and adding additional products and services. Our goal
is to continue to increase the number of consumers, physicians
and healthcare professionals using our Web sites, the amount of
time they spend there and, most importantly, the trust they have
in WebMD.
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Expanding awareness of the WebMD brand.
We plan to
promote the WebMD brand through relationships with other
well-known Internet media and healthcare companies, through
advertising and through the breadth of products and services
that we offer. We intend to achieve this by continuing to pursue
co-branding relationships with organizations we identify as
having strong brand identities and distribution channels. Also,
we recently introduced
WebMD the Magazine,
as a means of
extending our brand into offline channels and attracting
incremental advertising dollars.
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Expanding our sponsorship base.
We intend to continue to
devote significant resources to expanding the sponsorship base
of
The WebMD Health Network
, including by continuing to
hire additional sales, marketing and account management
personnel. Our sales and marketing efforts are directed to
potential new sponsors as well as to existing sponsors and are
focused on the pharmaceutical, biotechnology, medical device and
consumer products industries. We see significant opportunities
for expanding relationships with existing sponsors, both for
rollouts of new brands and products and as a result of expected
increases, for existing brands and products, in the portion of
their advertising and sponsorship budgets allocated to online
media.
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Increasing market penetration of our private portals.
We
intend to increase the market penetration of our private health
and benefits portals for employers and health plans by
demonstrating to prospective clients the return on investment
and increase in employee satisfaction on the part of our
existing clients from implementing our services. We expect
demand for these services to increase as more employers and
health plans seek to complement or replace their existing
offline benefit-related services with more efficient Web-based
decision-support tools and related online services. By
continuing to strengthen and grow our sales and marketing
functions through the addition of individuals with expertise in
health and benefits services, we believe that we will be able to
broaden our client base and expand our existing client
relationships by selling a broader range of services to these
existing clients.
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Acquiring complementary online and offline services.
We
expect to continue to supplement our internal product
development efforts with strategic acquisitions that add new
capabilities or help us enter additional complementary markets.
While we currently are not a party to any definitive agreement
or other commitment with respect to future acquisitions, we
regularly engage in discussions as to potential acquisitions.
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Capitalizing upon governmental initiatives relating to the
use of information technology in healthcare.
There are
currently numerous federal, state and private initiatives
seeking ways to increase the use of information technology in
healthcare, including the creation of portable consumer health
records. For example, the Department of Health and Human
Services, or HHS, issued a report in 2004 entitled The
Decade of Health Information Technology: Delivering
Consumer-centric and Information-rich Health Care and the
report was followed up by a Request for Information and, in June
2005, several Requests for Proposals. In addition, several bills
have been introduced in 2005 in both the Senate and the House of
Representatives reflecting various approaches to fostering the
use of information technology in healthcare. We believe that we
are well positioned to play a role in such efforts, as well as
efforts to establish the adoption of electronic medical records
among physicians and to provide channels for the exchange of
information among patients, providers and payers. While we do
not expect to realize any short term benefit as a result of
these governmental initiatives, we believe that such initiatives
will create opportunities for our company over the long term.
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Our Online Services
Our content and services have made our public portals the
leading online health destinations for consumers, physicians and
healthcare professionals.
The WebMD Health Network
consists of public portals that we own and third party
portals through which we provide our branded health and wellness
content, tools and services.
Owned Web Sites.
A substantial majority of the visitors
to
The WebMD Health Network
and of the page views
generated on
The WebMD Health Network
are from Web sites
that we own. During the first half of 2005, sites we own
accounted for approximately 76% of
The WebMD Health
Networks
unique users and approximately 88% of its
page views. The following provides a brief description of each
of our owned public portals:
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Portal Site
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Description
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www.webmd.com
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WebMD Health
, our flagship consumer portal.
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www.medicinenet.com
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A health information site for consumers that is produced and
written by practicing physicians, including an online medical
dictionary with more than 16,000 medical terms.
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www.rxlist.com
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An online drug directory with over 1,400 drug monographs, which
are comprehensive descriptions of pharmaceutical products
(including chemical name, brand names, molecular structure,
clinical pharmacology, directions and dosage, side effects, drug
interactions and precautions).
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www.medscape.com
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Our Web site for physicians and healthcare professionals.
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www.medgenmed.com
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The worlds first online-only, primary source,
peer-reviewed general medical journal.
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Other Sites.
The third party portals that we support
include
AOL Health with WebMD
, the health channels of
other AOL properties and the online
Fox News Health Channel
with WebMD
. During the first half of 2005, third party Web
sites included in
The WebMD Health Network
(such as the
AOL
and
FoxNews
sites) accounted for approximately
24% of
The WebMD Health Network
s unique users and
approximately 13% of its page views. We control and sell the
advertising on the portions of the third party Web sites that we
program.
Introduction.
Healthcare consumers increasingly seek to
educate themselves online about their healthcare related issues,
motivated in part by the continued availability of new treatment
options and in part by the larger share of healthcare
expenditures they are being asked to bear due to changes in the
benefit designs being offered by health plans and employers. The
Internet has fundamentally changed the way consumers obtain
information, enabling them to have immediate access to
searchable information and dynamic interactive content. A 2004
study by Manhattan Research indicated that general health Web
sites are the primary source for healthcare information for
online consumers. Manhattan Research also indicated that
consumer satisfaction with the Internet for healthcare
information is greater than for alternative sources such as
health magazines, television, news and advertisements.
Overview of Content and Service Offerings.
Our goal is to
provide consumers with an objective and trusted source of
information that helps them play an active role in managing
their health.
WebMD Health
and the other consumer portals
in
The WebMD Health Network
provide our users with health
and wellness related information, tools and applications in a
variety of content formats. These content offerings include
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access to health and wellness news articles and features, which
are written, edited and published by our 90-person in-house
staff, which includes professional writers, editors, designers
and board-certified physicians. Our in-house staff is
supplemented by medical advisors and authors from widely
respected academic institutions. The news stories and other
original content and reporting presented in
The WebMD Health
Network
are based on our editors selections of the
most important and relevant health events occurring on any given
day, obtained from an array of sources, including peer-reviewed
medical journals, medical conferences, federal or state
government actions and materials derived from interviews with
medical experts. We offer searchable access to the full contents
of our Web sites, including licensed content and
referenced-based content.
WebMD Health
includes the following features:
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Feature
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Description
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WebMD News Center
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Offers daily health news articles that are reviewed by our
professional staff and written by health journalists. Content
focuses on news you can use and topics for stories
reflect national news stories of interest in the popular media
that day with original perspective from health and medical
experts. The News Center also features letters and feedback from
users. Ten to 15 stories are generated per day.
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WebMD Editorial Features
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Our content asset focusing on a comprehensive look at a major
health issues that are in the news or otherwise contemporary,
with emphasis on health trends and national health issues. We
generate four to five editorial features per week.
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Our features on National Health Observances contain special
reports based upon public health initiatives, such as Breast
Cancer Awareness Month or Heart Month, as well as seasonal
holidays and other seasonal health-related issues, such as
4th of July Safety, Super Bowl Weight Gain, Back to School,
Getting Ready for Camp or College and Valentines Day
Chocolate Guide for Health.
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Feature
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Description
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General Medical Information
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Our medical library allows consumers to research current
information, some of which we license, relating to diseases and
common health conditions by providing searchable access to
easy-to-read content, including:
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selfcare articles
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drug and supplement references from leading
publications, including
First Data Bank
®
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clinical trials and research study information
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a patients guide to medical tests
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health topics A-Z, an alphabetical listing of
articles on specific health conditions and concerns
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interactive, illustrated presentations that visually
explain common health conditions and diseases
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step by step in-depth interactive condition guides
on 35 major conditions
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medical dictionary with 16,000 terms
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doctors views on important health topics
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Health and Wellness Centers
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Centralized locations for content and services for both WebMD
editorial offerings and sponsor/advertiser offerings that are
specific to prevention and wellness topics. Each topic is
showcased in its own Resource Center. There are 15
major centers, including Womens Health, Mens Health,
Nutrition, Fitness, Healthy Aging, Skin and Beauty and Dental
Health.
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Disease and Condition Centers
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Centralized locations for content and services for both WebMD
editorial offerings and sponsor/advertiser offerings that are
specific to disease and condition topics. Each topic is
showcased in its own Resource Center. Each separate
topic center is designed to guide users through all aspects of
diagnosis, description of disease, treatment options and
management, as well as staying current on the latest research.
There are 50 major centers, including Allergy, Asthma,
Cholesterol, Diabetes, Epilepsy, GI Disorders and Hypertension.
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Newly Diagnosed
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Articles and features that provide information specifically for
users affected by a condition as to which they or a loved one
have been newly diagnosed.
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Decision-Support Services.
Our decision-support services
help consumers make better-informed decisions about treatment
options, health risks and healthcare providers, and assists
consumers in their management and monitoring of specific
conditions or treatment regimens on an ongoing basis.
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Feature
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Description
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Personalized Self Assessment
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Clinical, algorithm-based self assessments for major conditions
yielding personalized risk score based upon individual
characteristics (for example, gender, age, behavioral risks,
heredity), along with customized recommendations for further
education, treatment alternatives and a doctor report to share
with the individuals physician.
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Symptom Checker
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An interface that allows users to select male or female body and
area on the body where symptoms may be occurring to lead user to
relevant educational information.
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Health-E-Tools
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Provides access to over 80 interactive calculators, quizzes and
slide shows to assess or demonstrate health topics, including a
target heart rate calculator, body mass index calculator,
pregnancy calculator and ovulation calendar.
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Find a Physician or Practice
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Allows consumers to search by physician or practice name, by
specialty sought, as well as by zip code and distance.
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Managing Healthcare & Benefits
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Offerings that educate users on issues surrounding choosing and
using health plans and managing their healthcare from a
financial and quality perspective. Other coverage topics, such
as Medicare, are addressed and resources and tools are made
available to users.
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WebMD Health Manager
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WebMD Health Manager is an online direct-to- consumer
subscription service featuring a personal health record (an
application that assists consumers in gathering, storing, and
sharing essential health data), secure message center, personal
health risk assessments for overall health as well as 15
condition- specific assessments, doctor reports, medication
summaries, health calendar with reminders and alerts, printable
health emergency card, family member health record keeping,
weight loss, fitness and smoking cessation programs, and fully
personalized e-newsletter.
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Membership; Online Communities.
We also provide
interactive communication services to our registered members.
For example, members can opt-in to receive e-newsletters on
health-related topics or specific conditions and to access
topic-specific events and online communities. Our online
communities allow our members to participate in real-time
discussions in chat rooms or on message boards, and allow
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members to share experiences and exchange information with
others who share common health conditions or concerns.
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Feature
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Description
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WebMD Live Events
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Offers scheduled live chat events, including audio and video
Webcasts, with healthcare experts and celebrity guests
discussing relevant health issues, with archives from each event
added to our searchable database.
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Member Communities
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Provides access to over 50 online support communities allowing
consumers to share experiences and exchange information with
other members with their health condition or concern. Users may
access moderated chat rooms, message boards and posted member
columns focused on chronic health conditions and relevant health
topics.
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WebMD University
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Topic-driven, interactive courses intended to help users
understand and manage specific health matters, such as diabetes,
nutrition, care giving and cancer, as well as gain insight from
other course participants.
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E-Newsletters
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Allows consumers to receive personalized e-mail newsletters on
general health-related subjects and topics targeted to their
health concerns. In 2004, we offered newsletters, clinical
alerts and e-mail reports covering approximately 30 topic areas,
which we delivered to approximately ten million registered
members.
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Ask the Experts
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A forum within which users can post their health questions for
experts. Provides over five new events each week and contains an
archive of approximately 800 transcripts.
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There are no membership fees and no general usage charges for
access to our online communities or to receive our
e-newsletters. However, we do offer a limited number of consumer
paid subscription services in the areas of diet and fertility
and paid membership in
WebMD Health Manager
.
Introduction.
The Internet has become a primary source of
information for physicians and other healthcare professionals,
and is growing relative to other sources, such as conferences,
meetings and offline journals. According to a study done by
Manhattan Research in 2003, approximately 97% of physicians are
Internet users. Approximately 63% of physicians read e-journals
and approximately 46% complete online CME programs at least on a
monthly basis. Another study by Manhattan Research completed in
July 2004 concluded that physician satisfaction with online
sources of clinical information was nearly equal to traditional
offline sources. We believe that
Medscape from WebMD,
our
Web site for physicians and other healthcare professionals,
located at
www.medscape.com,
reaches more physicians than
any other professional Web site and is well positioned to
increase usage by its existing members and to gain additional
membership and usage because it offers physicians and healthcare
professionals a broad range of current clinical information and
resources across more than 30 medical specialties. We
believe that
Medscape from WebMD
should benefit from the
general trend towards increased reliance on, and usage of, the
Internet by physicians and healthcare professionals.
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We generate revenues on
Medscape from WebMD
by selling
advertising and sponsorship programs primarily to companies that
wish to target physicians and other healthcare professionals.
Users of the professional portal do not pay any fees to us for
the right to access
Medscape
or any of its services.
Medscape from WebMD
enables physicians and other
healthcare professionals to stay abreast of the latest clinical
information through access to resources that include:
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timely medical news and coverage of professional conferences;
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CME activities; and
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full-text medical journal articles and drug and medical
literature databases.
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Content.
Original content from
Medscape from WebMD
includes daily medical news, commentary, conference
coverage, expert columns and CME activities written by authors
from widely respected academic institutions and edited and
managed by our in-house editorial staff. We regularly produce
in-depth interviews with medical experts and newsmakers, and
provide alerts on critical clinical issues, including
pharmaceutical recalls and product advisories.
Medscape from
WebMD
also provides access to wire service stories and other
news-related content, and our CME programs include original
programs and online multimedia adaptations of live events. We
develop the majority of the content for
Medscape
internally and do not rely on any vendor for a material part
of that content.
We also publish an original electronic-only journal,
Medscape
General Medicine
(
MedGenMed
), indexed in the National
Library of Medicines MEDLINE reference database.
MedGenMed,
the worlds first online-only, primary
source, peer-reviewed general medical journal, was established
in April 1999. Visitors to
www.medgenmed.com
also can
access specialty sections, such as HIV-AIDS, Gastroenterology,
Hematology-Oncology, Pulmonary Medicine, OB-Gyn and Womens
Health, Orthopedics and Sports Medicine and Psychiatry/Mental
Health.
Membership.
Users must register to access the content and
features of
Medscape from WebMD.
Registration by users
enables us to deliver targeted medical content based on our
members registration profiles. The
Medscape
site is
organized by specialty and profession, including sites for
nurses, pharmacists, medical students, and members interested in
medical policy and business of medicine topics. The registration
process enables professional members to choose a
Medscape
home page tailored to their medical specialty or interest.
We offer more than 30 specialty areas for
Medscape
users.
For example, a member registered as a cardiologist is
automatically directed to
Medscape
Cardiology rather than
a more generic home page. However, every member, regardless of
medical specialty or professional status, has access to
Medscape
s full suite of original and licensed
content through a uniform, easy-to-use interface. There are no
membership fees and no general usage charges for the site.
Members receive
MedPulse
®, our weekly e-mail
newsletter, which is published in more than 30
specialty-specific editions and highlights new information and
CME activities on the
Medscape
site. We also provide
Special Reports e-newsletters, which contain
information on specific conditions and treatments.
Continuing Medical Education (CME).
Medscape
is a
leading distributor of online CME to physicians and other
healthcare professionals, offering a wide selection of free,
regularly updated online CME activities designed to educate
healthcare professionals about important diagnostic and
therapeutic issues. Our CME programs include original programs
and online multimedia adaptations of live events. In addition,
our CME Live offerings provide real-time Webcasts of continuing
education programs on key topics and conditions. These live
Webcasts combine streaming audio and slide presentations and
allow participants to interact with faculty. In 2004, over
927,000 physicians and healthcare professional participants
earned over 827,000 CME credits at
Medscape,
an increase
of 59% and 31%, respectively, over 2003. In the first half of
2005, physicians and healthcare professionals completed
approximately 567,000 CME courses, an increase of 31% compared
to the same period in 2004. We also provide to our users a
service that automatically tracks CME credits accumulated
through our site.
We have organized the operations of our professional portals to
provide for appropriate separation of our education and
promotion programs from an editorial perspective. Our
educational activities for
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healthcare professionals are managed within Medscape, LLC, our
professional education subsidiary. Individuals who work on
educational matters within Medscape, LLC, are not involved with
promotional programs.
Our CME activities are planned and implemented in accordance
with the Essential Areas and Policies of the Accreditation
Council for Continuing Medical Education, or ACCME, which
oversees providers of CME credit, and other applicable
accreditation standards. In addition, some of our programs have
been produced in collaboration with other ACCME-accredited CME
providers.
Medscape
received provisional ACCME
accreditation as a CME provider in July 2002 and full
accreditation, for the maximum six-year period, beginning in
July 2004. Such accreditation allows
Medscape
to continue
to certify online CME activities. In September 2004, ACCME
revised its standards for commercial support of CME. The revised
standards are intended to ensure that CME activities of
ACCME-accredited providers are independent of providers of
healthcare goods and services that fund the development of CME.
ACCME required accredited providers to implement these standards
by May 2005. We believe that we have modified our procedures as
appropriate to meet the revised standards. In order for
Medscape
to renew its accreditation at the end of July
2010, it will be required to demonstrate to ACCME that it
continues to meet all of the ACCME requirements in their
essential areas, policies and standards. For more information
relating to ACCMEs new CME standards, see Risk
Factors Risks Related to the Legal and Regulatory
Environment in Which We Operate Changes in industry
guidelines or government regulation could adversely affect our
online CME offerings and Government
Regulation Regulation of Drug and Medical Device
Advertising and Promotion.
Introduction.
According to a Hewitt Associates study
(
Healthcare Expectations: Future Strategy and
Direction 2005
), large U.S. employers anticipate a
12% increase in the cost of providing healthcare coverage in
2005, which would represent an aggregate increase of
approximately 76% over the last five years for healthcare
premiums. In response to increasing healthcare costs, employers
and payers have been enhancing wellness programs, educating
employees, changing benefit plan designs to increase
deductibles, co-payments and other out-of-pocket costs and
taking other steps to motivate their members and employees to
use healthcare in a cost-effective manner. The new plan designs
include high deductible health plans that increase consumer
responsibility for healthcare costs and healthcare
decision-making. These are often referred to as
consumer-directed health plans. Consumer-directed health plans
generally combine high-deductible health insurance with a cash
account, such as a health reimbursement arrangement
(HRA) or a health savings account (HSA), containing pre-tax
funds that employees can spend on covered healthcare expenses.
The goal is to put employees in control of the first dollars
they spend on healthcare each year and give them pertinent
information about healthcare costs and quality, so that they are
able to make financially responsible and informed healthcare
purchasing decisions. In its 2005 study, Hewitt Associates
estimates that nearly one-quarter of larger U.S. employers
will be offering consumer-directed plans in 2005.
In connection with the shift to employees of a greater portion
of decision-making and responsibility for healthcare costs,
employers and health plans generally also make available health
and benefits information and decision-support tools to educate
and help their employees make informed decisions about treatment
options, health risks and healthcare providers. We believe that
our WebMD Health and Benefits Manager private portals provide
the tools and information employees and plan members need to
take a more active role in their healthcare. Our cost-effective,
online solutions complement the employers or payers
existing benefit-related services and offline educational
efforts. As part of this increase in the use of information
technology in healthcare on the part of employees and plan
members, employers and plans have recognized that the creation
of the personal health record for an employee or plan member is
an important application to centralize the employee or plan
member experience in order to achieve the objectives of improved
quality and lower cost of care. We believe that our WebMD Health
and Benefits Manager tools, including our personal health record
application, are well positioned to play a role in such efforts.
See Business Our Strategy
Capitalizing on initiatives relating to the use of technology in
71
healthcare. By making the needed information and
decision-support tools available through a convenient and
easy-to-use online service, employers and payers can help their
employees and members make choices that reduce both
administrative and benefits costs. A 2005 study commissioned by
the Blue Cross and Blue Shield Association and conducted by the
RAND Corporation concluded that Web-based treatment
decision-support tools can play an important role in assisting
in consumer treatment decisions to foster improved outcomes. For
example, RAND cited studies that showed consumers who use
decision-support tools are less likely to choose elective
surgery in favor of less invasive procedures and are more likely
to get preventive care.
For the reasons described above, we believe that the increased
shift to employees of a greater share of decision-making and
responsibility for health care costs, including increased
enrollment in high deductible consumer directed health plans and
increased use of information technology (including personal
health records) to assist employees in making informed decisions
about healthcare, will be a significant driver for the growth of
our private portals during the next several years. In addition,
as described in more detail below, we believe that there are
benefits to employers and health plans, regardless of health
plan design considerations, in making the WebMD Health and
Benefits Manager services available to their employees and
members, including reduced benefits administration costs,
communication and customer service costs, as well as more
efficient coordination of messaging through the use of
integrated employee or member profiles.
The WebMD Health and Benefits Manager.
We provide
proprietary health and benefit management services through
private online portals that we host for employers and health
plan sponsors. Our WebMD Health and Benefits Manager private
portals provide a personalized user experience by integrating
individual user data (including personal health information) and
plan-specific data from our employer or health plan client, with
much of the content, decision-support technology and personal
communication services we make available through our public
portals. Our applications are typically accessed through a
clients Web site or intranet and provide secure access for
employees and plan members. We also offer a software platform
that allows us to integrate third party applications and data.
The portal is presented to each employee or health plan member
as a personal home page, with direct access to relevant content,
tools and other resources specific to the individuals
eligibility, coverage and health profile. The WebMD Health and
Benefits Manager provides a user-friendly experience that
enables the employee or member to access and manage the
individually tailored health and benefits information and
decision-support technology in one place, with a common look and
feel, and with a single sign-on. The components of the WebMD
Health and Benefits Manager include:
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WebMD Personal Health Manager.
WebMD Personal Health
Manager includes health risk assessment tools, an electronic
personal health record and a suite of treatment decision-support
applications. These services enable employees and plan members
to understand their risks with regard to specific conditions and
store this information as well as other medical data, including
medication and treatment history, in an electronic health
record. Our services enable employees and plan members to
receive targeted information, programs or messages specific to
the individual employees or plan members needs,
based upon the information they store in their master profile.
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WebMD Benefit Manager.
WebMD Benefit Manager is a set of
benefit decision-support applications that explain and provide
comparisons of health plan benefit choices, facilitating
informed selection and use of the employees benefit
options. For example, CostCompare allows an employee to forecast
and model individual premium and out-of-pocket costs for the
different types of benefit programs the plan sponsor may offer.
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WebMD Integration Services.
WebMD offers a set of
sophisticated integration services that facilitates seamless
access from the WebMD Health and Benefits Manager to third party
Web sites. This functionality allows employers and health plans
to present their benefit programs within a single, unified
interface, enabling end-users to access third party Web sites
without leaving our secure portals. Users of our application
integration services are able to, among other things, view
medical claims at their health plan sites, re-order medication
from a pharmacy site and import
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medical, pharmacy and lab claims data. In addition, our Data
Interchange services import data from medical, pharmacy and lab
claims information into the WebMD Health and Benefits Manager.
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WebMD Provider Decision-Support.
As a result of our
acquisition of HealthShare Technology, Inc.
(HealthShare) in March 2005, our decision-support
suite now provides the capability for employees and health plan
members to compare relative cost and quality measures of
hospitals in order to select the hospital they believe is most
suited to their individual needs. These comparisons are based on
evidence-based measures, such as volume of patients treated for
particular illnesses or procedures, mortality rates, unfavorable
outcomes for specific problems, average number of days patients
stayed in hospitals and average hospital charges for procedures
or illnesses.
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WebMD Site Manager.
WebMD Site Manager is our online
service and administrative suite of applications that enables
our clients to manage many of the WebMD Health and Benefits
Manager functions locally without assistance from WebMD staff.
With Site Manager, employers and health plans are able to
analyze aggregate health data, address population health risks
more effectively and proactively implement preventive programs.
Site Managers messaging capabilities also allow employers
to streamline their communication with their employees.
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We believe that our services provide the following potential
benefits to an employer or health plan:
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reduced benefits administration, communication, and customer
service costs;
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more efficient coordination of messaging through the use of
integrated member profiles;
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increased tax savings through increased participation in
Flexible Spending Accounts;
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reduced hospital, physician and drug costs through more informed
utilization of the benefit plan;
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increased member satisfaction with the employer and the benefit
plan; and
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increased conformance with benefit plan and clinical protocols.
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In addition, we believe that our services provide the following
potential benefits to employees or plan members:
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increased tax savings through increased participation in
Flexible Spending Accounts;
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reduced benefit costs through more informed choice of benefit
plan options and more informed use of the chosen benefit plan;
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improved health outcomes through more informed choice of
providers and treatment choices; and
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improved understanding and management of health conditions
through access to support tools and educational information.
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Membership.
Membership for each of our private portals is
limited to the employees and members of the respective employer
and health plan clients. Each member must initially register on
the private portal provided to them, at which point they are
given a unique user identification name and passcode that they
must utilize to achieve a secure sign-on each time they enter
the private portal.
Relationships with Private Portal Licensees.
We generate
revenue from our private portals through licensing content and
technology to employers and to health plans. Our private portal
clients include employers, such as American Airlines, Inc.,
Microsoft Corporation and PepsiCo, Inc., and health plans, such
as Cigna and Empire Blue Cross and Blue Shield. In addition, we
recently entered into a multi-year agreement to license our
online health and benefits platform to Wellpoint, Inc., the
largest publicly traded commercial health and benefits company
in terms of membership. Under this agreement, Wellpoint will
integrate our private portal services into its member portals.
Implementation of this agreement is expected to begin at the end
of 2005.
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A typical contract for a private portal license provides for a
term of three years. The pricing of these contracts is generally
based on several factors, including the complexity involved in
installing and integrating our private portal platform, the
number of our private portal tools and applications, the
services being provided, the degree of customization of the
services involved and the anticipated number of employees or
members covered by such license. Our private portals are not
part of
The WebMD Health Network
do not involve
advertising or sponsorship by third parties and we do not
include private portal users or page views as part of
The
WebMD Health Network
traffic volume.
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Advertising and Sponsorship in The WebMD Health
Network
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The WebMD Health Network.
We believe that
The WebMD
Health Network
offers an efficient means for advertisers and
sponsors to reach a large audience of health-involved consumers,
clinically-active physicians and other healthcare professionals.
The WebMD Health Network
enables advertisers and sponsors
to reach either our entire audience or specific groups of
consumers, physicians and other healthcare professionals based
on their interests or specialties. Currently, the majority of
our advertisers and sponsors are pharmaceutical, biotechnology
or medical device firms or consumer products companies. In 2004,
approximately 180 companies purchased advertising and
sponsorships for over 380 of their brands on our network. As
described above under Industry
Background, these companies currently spend only a very
small portion of their marketing and educational budgets on
online media. However, we expect their online spending to
increase as a result of increased recognition of its potential
advantages over offline marketing and educational activities.
The WebMD Health Network
had a total of
150 advertisers and sponsors in 2002, 160 advertisers and
sponsors in 2003 and 180 advertisers and sponsors in 2004, which
represented 320 brands in 2002, 325 brands in 2003 and
380 brands in 2004.
We typically enter into contracts with advertisers and sponsors
to develop customized marketing campaigns that go beyond
traditional Internet advertising media. We work with our
advertisers and sponsors to develop marketing programs that are
appropriately customized to target health-involved consumers,
physicians or healthcare professionals. Our agreements with
customers for our public portal services are typically priced at
an aggregate price that takes into account the overall scope of
the services provided and variations based upon the amount of
content, tools and features we supply as well as the degree of
customization that we provide for the program. To a much lesser
extent, we also sell advertising on a CPM (cost per thousand
impressions) basis, where an advertiser can purchase a set
amount of impressions (an impression is a single instance of an
ad appearing on a Web page) on a cost per thousand basis.
Key benefits that
The WebMD Health Network
offers
healthcare advertisers and other sponsors include:
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our reach of over 24 million aggregate unique users per
month in the first half of 2005, which we believe is much larger
than the number of unique users of any other sponsor supported
health-oriented Web portal;
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our ability to help advertisers and sponsors reach specific
groups of consumers and physicians by specialty, product,
disease, condition or wellness topic, which typically produces a
more efficient and productive marketing campaign;
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our ability to provide advertisers and other sponsors with
objective measures of the effectiveness of their online
marketing, such as user activity levels within the sponsored
content area; and
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the broad reach of Medscapes educational related
activities, as evidenced by the 927,000 physician and healthcare
professional participants earning over 827,000 CME credits in
2004.
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The contracts that we enter into with our advertisers and
sponsors often include guarantees with respect to the number of
visitors that visit the client sponsored-area, but do not
generally include assurances with respect to the number of
clicks or actions taken through such Web sites. However, we
believe that advertisers and sponsors on our public portal are
able to gauge the effectiveness of their online
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marketing campaigns and programs through objective statistical
reports that we generate, detailing the number of visitors to
their sponsored area and the type of actions taken.
We provide healthcare advertisers and other sponsors with the
means to communicate with targeted groups of consumers and
physicians by offering placements and programs in the most
relevant locations on our portals. The following are some of the
types of placements and programs we offer to advertisers and
sponsors:
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Media Solutions.
These are traditional online advertising
solutions, such as banners, used to reach health-involved
consumers. In addition, clients can sponsor a variety of
condition-specific or specialty-specific e-newsletters, keyword
searches and specific educational programs.
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Sponsored Content Solutions.
These are customized
collections of articles, topics, and decision-support tools and
applications, sponsored by clients and distributed within WebMD
Health.
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Patient Education Centers.
Patient education centers are
sponsored destinations on
Medscape
for physicians to
access patient education materials on a particular topic or
condition.
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Our private portals do not generate revenue from advertising or
sponsorship. See Business Our Online
Services Private Portals.
Sponsored Grant-Based Programs.
We receive revenue for
the distribution of CME and other educational programs sponsored
by pharmaceutical and medical device companies, as well as
foundations and government agencies. The following are some of
the CME products for which we receive funding:
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Conference Coverage. Medscape
provides coverage of major
medical conferences.
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CME Circle.
CME Circle provides online multimedia
extensions of sponsor-supported CME activities, including
symposia, monographs and CD-ROMs, which we distribute online
through
Medscape
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CME Live.
These are original
Medscape
online
events featuring live streaming video, audio and synchronized
visual presentation by experts.
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CME Cases.
These are original CME activities presented by
healthcare professionals in a patient case format.
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Resource Centers.
Resource centers are grant-based
sponsored disease or condition-specific areas for conditions
such as congestive heart failure or breast cancer. These centers
include news, expert columns, guidelines and reference material.
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Publishing Services
Our offline publications for consumers, physicians and
healthcare professionals include:
The Little Blue Book.
In 2003, we acquired
The Little
Blue Book. The Little Blue Book
is a physician directory
published annually in 146 distinct geographic editions, and
contains practice information on an aggregate of approximately
400,000 physicians. In 2004, we sold, both directly and through
pharmaceutical company sponsorships, approximately 350,000
copies of
The Little Blue Book.
We also use the
information used to produce
The Little Blue Book
to
generate both online and offline directory and information
products. Physicians utilize
The Little Blue Book
for
local and up-to-date physician, pharmacy and hospital contact
information. Physicians are listed free of charge in their local
area edition, along with their specialties, HMO affiliations,
office addresses and telephone numbers.
Reference Publications.
We publish medical reference
publications, including the reference texts
ACP Medicine
and
ACS Surgery: Principles and Practice. ACP Medicine
and
ACS Surgery
are official publications of the
American College of Physicians and the American College of
Surgeons, respectively, although we wholly own the rights. They
are available for sale by subscription to individual physicians
and to institutions in multiple formats (print, CD-ROM and
Online).
ACP Medicine
has been a comprehensive and
regularly updated internal medicine reference for over
25 years.
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WebMD the Magazine.
We launched
WebMD the Magazine
in April 2005 with an initial distribution of 1,000,000
copies.
WebMD the Magazine
is a full size, consumer
publication delivered free of charge to approximately 85% of
physicians offices in the United States. The editorial
format of
WebMD the Magazine
is specifically designed for
the doctors waiting room. Its editorial features and
highly interactive format of assessments, quizzes and questions
are designed to inform consumers about important health and
wellness topics. Its distribution allows sponsors to extend
their advertisings reach and to deliver their message when
consumers are actively engaged in the healthcare process.
User Privacy and Trust
General.
We have adopted internal policies and practices
relating to, among other things, content standards and user
privacy, designed to foster our relationships with our users.
Some of those policies are described below. In addition, we
participate in the following external, independent verification
programs:
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URAC.
We were awarded e-Health accreditation from URAC,
an independent accrediting body that has reviewed and approved
the WebMD.com site and our private portal deployment of
WebMD
Health Personal Manager
for compliance with its more than 50
quality and ethics standards.
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TRUSTe.
We are a licensee of the TRUSTe Privacy Program.
TRUSTe is an independent, non-profit organization whose goal is
to build users trust and confidence in the Internet. In
January 2005, a panel of privacy experts, sponsored by TRUSTe,
ranked us among the ten most trusted companies in America for
privacy.
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Health on the Net Foundation.
Our WebMD.com and
MedicineNet.com sites comply with the principles of the HON Code
of Conduct established by the Health on the Net Foundation.
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Privacy Policies.
We understand how important the privacy
of personal information is to our users. Our Privacy Policies
are posted on our Web sites and tell users what information we
collect about them and about their use of our portals and our
services. Our Privacy Policies also explain the choices users
have about how their personal information is used and how we
protect that information.
Advertising and Promotion Policies.
All advertisements,
sponsorships and promotions that appear on our Web sites are
displayed in compliance with our advertising and promotions
policies. Among other things, as a matter of policy, we have
sole discretion for determining the types of advertising that we
accept, and under no circumstances would accept advertising
that, in our opinion, is not factually accurate or is not
undertaken in good taste. We also recognize and maintain a
distinct separation between advertising content that appears on
our Web site and editorial content that we publish. We take
meaningful steps to ensure that our users can easily distinguish
between sponsored content and our news reporting and other
editorial content.
Sales and Marketing
Our Sales, Marketing and Account Management Teams.
Our sales, marketing and account management personnel work with
pharmaceutical, medical device, biotechnology and consumer
products companies to place their advertisements and other
sponsored products on our public portals and in some of our
publications. These individuals work closely with clients and
potential clients to develop innovative means of bringing their
companies and their products and services to the attention of
targeted groups of consumers and healthcare professionals, and
to create channels of communication with these audiences.
Our Consumer Web sites.
We seek to attract traffic and
new members to our consumer Web sites through a variety of
methods to increase the awareness of our brand. We include a
number of third party Web sites as part of
The WebMD Health
Network
. During the first half of 2005,
AOL
accounted
for approximately 17% of
The WebMD Health Network
s
unique users and approximately 8% of its aggregate page views
and other third party Web sites accounted for 7% of
The WebMD
Health Network
s unique users and 5% of its aggregate
page views during such period. For all third party Web sites
that are
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included in
The WebMD Health Network,
we control and sell
the advertising on the portions of the sites that we program.
Under our agreement with News Corporation, which runs through
August 2010, we receive advertising services, principally on the
News Corporation television and cable properties. Approximately
$30 million of advertising services have been available for
the 12 months ending August 2005 and $12 million of
advertising will be available in each of the next five years
thereafter ending August 2010. We use this advertising for the
purpose of building brand awareness and as a complement to our
online programs.
Medscape from WebMD.
We seek to attract new members to
Medscape from WebMD
through a variety of methods,
including advertising on other Internet sites and in medical
journals, pharmaceutical and other healthcare publications and
other targeted publications. We also promote
Medscape from
WebMD
at industry conferences, trade shows and medical
meetings and by using direct mail.
Our Private Online Portals.
We market our private online
portals to employers and health plans through a dedicated sales,
marketing and account management team and through relationships
with employee benefits consultants and other companies that
assist employers in purchasing or managing employee benefits,
including Fidelity Human Resources Services Company LLC.
Our Publishing Services.
We market
The Little Blue
Book
through a team of third party marketers, as well as
WebMD Health sales persons. In addition, we also market
WebMD
the Magazine
through a team of third party marketers.
Seasonality
For a discussion of seasonality affecting our business, see
Managements Discussion and Analysis of Financial
Condition and Results of Operations
Seasonality.
Technological Infrastructure
Our Internet-based services are delivered through Web sites
designed to address the healthcare information needs of
consumers and healthcare professionals with easy-to-use
interfaces, search functions and navigation capabilities. We use
customized content management and publishing technology to
develop, edit, publish, manage, and organize the content for our
Web sites. We use ad-serving technology to store, manage and
serve online advertisements in a contextually relevant manner to
the extent possible. We also use specialized software for
delivering personalized content through the WebMD Health and
Benefits Manager and, for registered members, through our public
Web sites. We have invested and intend to continue to invest in
software and systems that allow us to meets the demands of our
users and sponsors.
Continued development of our technological infrastructure is
critical to our success. Our development teams work closely with
marketing and account management employees to create content
management capabilities, interactive tools and other
applications for use across all of our portals. The goal of our
current and planned investments is to further develop our
content and technology platform serving various end-users,
including consumers and physicians, and to create innovative
services that provide value for healthcare advertisers,
employers, payers, and other sponsors. See
Managements Discussion and Analysis of Financial
Condition and Results of Operations Liquidity and
Capital Resources.
Strategic Relationships
AOL Relationship.
In May 2001, we entered into an
agreement for a strategic alliance with the
AOL
division
of Time Warner, Inc., which we refer to as
AOL
. The
original term of the agreement was three years expiring
May 9, 2004, and we have exercised our right to extend the
original agreement for an additional three-year renewal term
ending April 30, 2007. Under the agreement, we are the
primary provider of healthcare content, tools and services on
certain
AOL
properties and we distribute a co-branded
interactive site to certain
AOL
properties. In the event
of a change of control resulting in our company
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being controlled by a competitor of
AOL
,
AOL
has
the right to terminate the agreement during the sixty
(60) day period following such change of control.
We share with
AOL
certain revenues from advertising,
commerce and programming on the health channels of the
AOL
properties and on the co-branded service created by
us for
AOL
. Annually, we receive 80% of revenues up to
$15,000; we do not share in any revenues between $15,000 and
$20,000; and we receive 60% of all revenues above $12,000.
AOL
has guaranteed that we will receive a minimum of
$12,000 during each year of the renewal term for its share of
advertising revenues.
Included in the accompanying consolidated statements of
operations, for the years ended December 31, 2002, 2003 and
2004 and for the six months ended June 30, 2004 and 2005 is
revenue of $4,159, $5,087, $7,242, $3,349 and $4,200,
respectively which represents sales to third parties of
advertising and sponsorship on the AOL health channels,
primarily sold through our sales efforts. Also included in
revenue during the period form May 2004 (inception of the
renewal term) through December 31, 2004, during the period
from May 2004 through June 30, 2004 and during the six
months ended June 30, 2005 is $3,754, $898 and $3,048,
respectively which represents the short fall from the prorated
minimum guarantee related to each contract year discussed above.
We believe that the reason for the short fall against the
guarantee is primarily due to AOL derived traffic as a
percentage of
The WebMD Health Network
traffic being less
what was contemplated when the agreement was originally entered
into in 2001.
Fidelity Human Resources Services Company LLC.
In
February 2004, we entered into a relationship with Fidelity
Human Resources Services Company LLC, or FHRS, a provider of
human resources and benefits outsourcing administration
services. Pursuant to the agreement, FHRS serves as a
distributor of our private portal services, and in connection
therewith, FHRS integrates our products with FHRSs
products to offer employer customers of FHRS an integrated
solution through FHRS NetBenefits® Web site.
FHRSs integrated solutions provide employees with
employer-provided health plan information and our personal
health management tools allow employees to access a personalized
view of their health care options so that they can make more
informed healthcare decisions.
Pursuant to the agreement, we have agreed to cooperate in
marketing and selling to clients that are purchasing FHRSs
health and welfare benefits outsourcing services. For those
clients, the NetBenefits site is marketed as the preferred
delivery mechanism for the WebMD private portal applications.
However, a client always retains the right to contract directly
with us, and we are permitted to provide our services directly
to a client if a client so requests. Under our agreement with
FHRS, FHRS has retained the right to terminate the distribution
of the WebMD private portal tools to any customer under the
agreement at any time.
The initial term of the agreement runs through August 31,
2007, and FHRS has the right to renew the agreement for
additional terms of one year after the initial term (not to
exceed four (4) one-year renewal terms). FHRS has agreed to
certain minimum levels of employees to be covered under the
agreement. FHRS is an affiliate of FMR, Corp, which reported
beneficial ownership of approximately 10.8% of the stock of our
Parent at December 31, 2004.
Competition
The markets we participate in are intensely competitive,
continually evolving and, in some cases, subject to rapid
change. Some of our competitors have greater financial,
technical, marketing and other resources than we do and some are
better known than we are. We cannot provide assurance that we
will be able to compete successfully against these
organizations. We also compete, in some cases, with joint
ventures or other alliances formed by two or more of our
competitors or by our competitors with other third parties.
Since there are no substantial barriers to entry into the
markets in which we participate, we expect that additional
competitors will continue to enter these markets.
Public Portals.
Our public portals face competition from
numerous other companies, both in attracting users and in
generating revenue from advertisers and sponsors. We compete
with online services and Web sites that provide health-related
information, including both commercial sites and not-for-profit
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sites. These competitors include Web sites like yahoo.com,
msn.com and About.com that provide general purpose consumer
online services and portals and other high-traffic Web sites
that include healthcare-related and non-healthcare-related
content and services. Our competitors also include more
specialized providers of online services, tools and applications
for healthcare consumers, such as iVillage.com, DrKoop.com,
drugs.com, eMedicine.com and Realage.com. Our competitors that
provide services, tools and applications to physicians include
merkmedicus.com, eMedicine.com, uptodate.com and mdconsult.com.
We also face competition from governmental and non-profit sites,
such as NIH.com and medline.com.
Other competitors for advertising and sponsorship revenue
include:
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publishers and distributors of traditional offline media,
including television and magazines targeted to consumers, as
well as print journals and other specialized media targeted to
healthcare professionals, many of which have established or may
establish their own Web sites or partner with other Web sites;
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offline medical conferences, CME programs and symposia; and
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vendors of healthcare information, products and services
distributed through other means, including direct sales, mail
and fax messaging.
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We may in the future also face competition from companies such
as AOL, that currently carry our content. We have entered into a
strategic alliance with AOL pursuant to an agreement ending
May 8, 2007. Included in the accompanying consolidated
statements of operations for the years ended December 31,
2002, 2003 and 2004 and for the six months ended June 30,
2004 and 2005 is revenue of $4,159, $5,087, $7,242, $3,349 and
$4,200, respectively, which represents sales to third parties of
advertising and sponsorship on the AOL health channels,
primarily sold through our sales efforts. If we and AOL do not
renew our agreement, AOL may directly compete with our consumer
Web sites for sales and marketing revenues.
Competitors for the attention of healthcare professionals and
consumers include:
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the competitors for advertisers and sponsors described above;
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public sector, non-profit and other Web sites that provide
healthcare information without advertising or sponsorships from
third parties.
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Private Portals.
Our private portals compete with various
providers and vendors in the licensing of content and in the
sale of decision-support services and tools. Our competitors in
this market include:
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providers of decision-support tools, such as Hewitt Associates
LLP and Subimo, LLC;
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wellness and disease management vendors, including Mayo
Foundation for Medical Education and Research and Staywell
Productions/ MediMedia USA, Inc.;
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suppliers of online health management applications, including
HealthMedia, Health A-Z and Consumer Health Interactive; and
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health information services and health management offerings of
health plans and their affiliates, including those of Humana,
Aetna and United Healthcare.
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Company History
Introduction.
During 1999 and 2000, our Parent
significantly expanded its operations through acquisitions,
including the acquisitions of WebMD, Inc., Greenberg News
Networks, Inc. (also known as Medcast) and OnHealth Network
Company. Prior to 2001, our company was operated as a part of
our Parent and our results of operations were commingled with
the other operations of our Parent. As a result of a
restructuring plan commenced by our Parent in September 2000,
our operations were identified and managed as a separate segment
of our Parent for reporting periods beginning on January 1,
2001. Beginning January 1, 2001, our Parents business
consisted of four reporting segments: (1) Emdeon
79
Business Services (then referred to as Transaction Services),
(2) Emdeon Practice Services (then referred to as Physician
Services), (3) WebMD Health (then referred to as Portal
Services) and (4) Porex (then referred to as Plastic
Technologies). In early 2001, the primary source of revenue for
our Parents WebMD Health segment was from a small number
of significant sponsorship and advertising relationships with
pharmaceutical, biotechnology and medical device companies. We
have expanded our sponsorship base and our sponsors and
advertisers now include a significant number of pharmaceutical,
biotechnology and medical device companies as well as numerous
consumer products companies, none of which contributed more than
10% of our revenue in 2004.
Since 2001, our business has evolved and entered additional
markets as a result of acquisitions and internal investment as
follows:
Professional Portals.
In 2001, we acquired
Medscape,
the leading source of online clinical
information for physicians. Since our acquisition of
Medscape,
we have emerged as the leading commercial
portal for healthcare professionals and the leading provider of
online CME for physicians. Our acquisition of
Medscape
also increased our ability to originate healthcare content
for physicians. In late 2003, we purchased the membership
database and other assets of Physicians Online, LLC, another
leading medical information portal for physicians, and, in early
2004, we combined its membership and resources with
Medscape.
Consumer Portals.
We have completed several acquisitions
that strengthened our public portal offerings for consumers. In
the fourth quarter of 2004, we acquired the businesses of
RxList.com
and
MedicineNet.com.
RxList is an
online drug directory for consumers and healthcare professionals
with over 1,400 drug monographs, and MedicineNet is a health
information Web site for consumers produced and written by
practicing physicians.
Private Portals.
In 2002, we acquired WellMed, Inc. and
began to provide employers and health plans with a suite of
online healthcare information services for use by their
employees and plan members. In 2003, we acquired the assets of
Optate, Inc., which provided healthcare benefit decision-support
tools. Recently, we have further strengthened this area of our
business with the March 2005 acquisition of HealthShare
Technology, Inc., a leading provider of online decision-support
tools that enable consumers, payers and hospitals to compare
costs and quality measures of hospitals.
Publishing Services.
In 2000, we began to publish
ACP
Medicine
and
ACS Surgery: Principles of Practice
(formerly known as
Scientific American Medicine
©
and
Scientific American Surgery
), official and
well-established medical reference publications of the American
College of Physicians and the American College of Surgeons,
which are relied upon by physicians as important clinical
reference sources. We further extended our product offerings
with the 2003 acquisition of
The Little Blue Book,
a
company that publishes a pocket sized reference book containing
physician practice and contact information.
The Little Blue
Book
is published annually in 146 distinct geographic
editions, and contains practice information on an aggregate of
approximately 400,000 physicians. Most recently, we launched
WebMD the Magazine,
a consumer publication that we
distribute to patients free of charge in physician waiting rooms
across the country.
Employees
As of December 31, 2004, we had approximately 550
employees. Following this offering, we will continue to be
dependent on our Parent to provide us with many key services for
our business pursuant to a services agreement that we expect to
enter into with our parent upon the completion of this offering.
Our current employees are not represented by a labor union and
are not the subject of a collective bargaining agreement. We
believe our employee relations to be good.
Facilities
We lease office space in New York, New York for our headquarters
and our editorial and marketing operations and in Atlanta,
Georgia and Portland, Oregon for related operations. We believe
that the offices
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and other facilities described are, in general, in good
operating condition and adequate for our current operations and
that additional leased space can be obtained if needed.
Intellectual Property
We rely upon a combination of patent, trade secret, copyright
and trademark laws, license agreements, confidentiality
procedures, employee and client nondisclosure agreements and
technical measures to protect the intellectual property used in
our business.
We use trademarks, trade names and service marks for healthcare
information services and technology solutions, including
WebMD®, WebMD Health®,
Medscape
®, CME
Circle® The Little Blue
Book
tm
MedicineNet®, RxList® and Select Quality Care®.
We also use other registered and unregistered trademarks and
service marks for our various products and services. In addition
to our trademark registrations and applications, we have
registered the domain names that either are or may be relevant
to conducting our business names, including
www.webmd.com, my.webmd.com and
medscape.com. We also rely on a variety of
intellectual property rights that we license from third parties,
including our Internet server software, healthcare content used
on our Web sites. In addition, the American College of
Physicians permits WebMD to use the ACP name in the title of
ACP Medicine
and the American College of Surgeons permits
WebMD to use the name ACS in the title of
ACS Surgery:
Principles and Practice
. Our right to use the name ACP
expires in January 2009 and our right to use the name ACS
expires in August 2008. All rights to the trademarks, trade
names and service marks we use are either already held by the
subsidiaries comprising our Parents WebMD Health segment
or will be contributed to us by our Parent prior to the
completion of this offering. Our Parent will retain the right to
use the WebMD® and related trademarks for a temporary
period to allow our Parent to transition to its new name. See
Certain Relationships and Related Party
Transactions Intellectual Property License
Agreement.
Legal Proceedings
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Merrill Lynch Fundamental Growth Fund, Inc.
et al. v. McKesson HBOC, Inc., et al.
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Our Parent was named as a defendant in the action
Merrill
Lynch Fundamental Growth Fund, Inc., et al. v.
McKesson HBOC, Inc., et al.
, Case No. 405792, in
the San Francisco Superior Court. The original complaint in
this matter alleged that McKesson HBOC (now known as McKesson
Corp.), HBO and Company (which we refer to as HBOC), certain
officers and directors of those firms, Arthur Andersen LLP, and
Bear Stearns & Co. engaged in a number of practices
whereby HBOC and later McKesson HBOC improperly recognized
revenues. When these practices were discovered, McKesson HBOC
eliminated more than $327 million in revenues that HBOC had
recognized over the prior three years. The plaintiffs claim to
have lost more than $150 million as a result of the decline
in McKesson HBOCs share value after the accounting
practices came to light in April 1999.
On September 26, 2003, the plaintiffs filed a fourth
amended complaint, naming our Parent and two other defendants,
General Electric Capital Corporation, Inc. and Computer
Associates International, Inc., for the first time. The
complaint alleged that our Parent aided and abetted alleged
fraud by certain defendants and conspired with those defendants
in relation to HBOCs and McKesson HBOCs alleged
improper recognition of approximately $14 million in
revenue on two software transactions. The plaintiffs also
alleged that our Parent made certain negligent
misrepresentations with respect to these transactions.
The plaintiffs alleged that our Parent, through its
participation in certain transactions with HBOC and McKesson
HBOC, learned that officers of HBOC and/or McKesson HBOC, HBOC
and McKesson HBOC were breaching duties owed to McKesson HBOC
shareholders by making material misstatements and suppressing or
omitting facts with respect to HBOCs and McKesson
HBOCs financial results for the periods ending
December 31, 1998 and March 31, 1999 and that our
Parent aided and abetted and conspired with these defendants.
The complaint was based on alleged conduct by WebMD, Inc., a
Georgia corporation that was then a separate private company and
will be one of our subsidiaries. One of the HBOC officers
allegedly involved became an officer of WebMD, Inc. on
December 1, 1998, after having served as HBOCs
representative on the Board of Directors of WebMD, Inc. and was
dismissed by
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WebMD, Inc. after the accounting fraud at HBOC was disclosed.
The other HBOC officer allegedly involved served as HBOCs
representative on the Board of Directors of WebMD, Inc. and
ceased to be a director of WebMD, Inc. upon dismissal by
McKesson HBOC. Plaintiffs seek unspecified damages against our
Parent. The complaint alleges numerous instances of improper
accounting by HBOC unrelated to the transactions between WebMD,
Inc. and HBOC and/or McKesson HBOC.
On December 16, 2003, our Parent filed a demurrer, seeking
dismissal of the plaintiffs two claims against it. On
July 22, 2004, the Court sustained that demurrer, finding
that the plaintiffs claims were time barred. On
October 8, 2004, the Court dismissed plaintiffs
Fourth Amended Complaint with prejudice as to California, but
without prejudice with respect to filing in another
jurisdiction. On November 17, 2004, plaintiffs filed a
notice of appeal of the Courts order in favor of our
Parent. On November 30, 2004, our Parent filed a
cross-appeal for the purpose of challenging the form of the
order. Those appeals are in the process of being briefed.
In March 2004, McKesson Corp. filed cross-complaints against
General Electric Capital Corporation, Inc., Computer Associates
International, Inc., and our Parent for declaratory relief and
indemnification, alleging that each of these cross-defendants is
obligated to indemnify McKesson if McKesson is compelled to pay
any sum as the result of any damages, judgment or other awards
recovered by the plaintiffs against McKesson. McKesson sought
judicial determinations of the comparative fault of McKesson and
each cross-defendant for damages claimed by the plaintiffs, if
any such damages are found to exist, and declarations of the
amount that each cross-defendant is obligated to indemnify
McKesson if McKesson is compelled to pay any sum as the result
of any damages, judgment or other awards recovered by the
plaintiffs against McKesson. The plaintiffs complaint and
McKessons cross-complaints against General Electric and
Computer Associates have since been dismissed.
On June 8, 2004, our Parent filed a demurrer, seeking
dismissal of McKessons claims. On September 10, 2004,
the Court sustained the demurrer to McKessons claims
against our Parent. On December 7, 2004, the Court
dismissed McKessons cross-complaint with prejudice and
ordered entry of judgment in favor of our Parent. On
January 27, 2005, McKesson filed a notice of appeal of the
Courts order in favor of our Parent. That appeal has not
yet been briefed.
On August 12, 2004, the original plaintiffs in the
California lawsuit, Merrill Lynch Fundamental Growth Fund, Inc.
and Merrill Lynch Global Value Fund, Inc., filed a separate
lawsuit in Superior Court in New Jersey, Middlesex County,
alleging substantially the same issues and claims against our
Parent as they did in the California lawsuit. In response to our
Parents motion to dismiss, plaintiffs filed a First
Amended Complaint on January 4, 2005, dropping claims
against our Parent, but asserting the same claims against WebMD,
Inc., the company that engaged in the two software transactions.
On February 4, 2005, the New Jersey court dismissed our
Parent from the action without prejudice, and stayed the New
Jersey action until the California action is resolved, subject
to our Parents entering into a tolling agreement with
plaintiffs, which our Parent has done.
Our Parent intends to vigorously defend against the
plaintiffs and McKessons claims against our Parent
and WebMD, Inc.
The terms of the indemnity agreement to be entered into with our
Parent will provide that our Parent will indemnify us against
any and all liabilities arising from or based on this proceeding.
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Department of Justice and SEC Investigations of Our
Parent
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On September 3, 2003, our Parent first learned that the
U.S. Attorney for the District of South Carolina, with the
assistance of the Federal Bureau of Investigation and the
Internal Revenue Service, was conducting an investigation of our
Parent relating to activities which may have been engaged in
before and after Medical Manager Corporation (now part of our
Parents Emdeon Practice Services business segment) merged
in 1999 with a predecessor of our Parent, as well as after the
merged entity became a subsidiary of our Parent in 2000. Our
Parent believes that the investigation relates principally to
issues of financial accounting improprieties relating to Medical
Manager, including activities that artificially inflated
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revenues and earnings of Medical Manager. Our Parent understands
that the SEC is also conducting a formal investigation into this
matter. In 2005, certain former employees of Medical Manager
agreed to plead guilty to mail fraud and tax evasion as a result
of the foregoing investigation.
While our Parent is not sure of the investigations exact
scope, it does not believe that the investigation relates to the
business of our company. However, documents filed by the
U.S. Attorney in connection with the plea agreements
entered into by the former Medical Manager employees state that
these employees engaged in their fraudulent conduct in
concert with senior management, and at the direction
of senior Medical Manager officers. In its statement, the
U.S. Attorney stated that the senior management and
officers referred to in the Court documents were members of
senior management of the Medical Manager subsidiary during the
relevant time period. Based on the information it has
obtained to date, our Parent does not believe that any member of
its senior management whose duties were not primarily related to
the operations of Medical Manager engaged in the alleged
improprieties. Our Parent understands, however, that in light of
the nature of the allegations involved, the
U.S. Attorneys Office has been investigating all
levels of our Parents management. Some members of our
senior management are also serving or have served as members of
senior management of our Parent. In the event members of senior
management were to be implicated in any wrongdoing, it could
have an adverse impact on our company.
Our Parent has been cooperating and intends to continue to
cooperate fully with the U.S. Attorneys Office. Our
Parents Board of Directors has formed a Special Committee
consisting solely of independent directors to oversee this
matter, with the sole authority to direct our Parents
response to the allegations that have been raised. The Special
Committee has retained independent legal counsel to advise it.
Our Parent has retained counsel to advise it in connection with
the investigation, and such counsel reports directly to the
Special Committee.
The terms of an indemnity agreement to be entered into with our
Parent will provide that our Parent will indemnify us against
any and all liabilities arising from or based on this
investigation.
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Ari Weitzner, M.D., P.C. et al. v. National Physicians
Datasource LLC
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On May 24, 2005, a lawsuit was filed by Dr. Ari Weitzner
individually, and as a purported class action, under the
Telephone Consumer Protection Act (TCPA), in the U.S. District
Court, Eastern District of New York against National Physicians
Datasource LLC, a subsidiary of our Parent that was contributed
to us. The lawsuit claims that faxes allegedly sent by National
Physicians Datasource LLC, which publishes
The Little Blue
Book
, were sent in violation of the TCPA. We intend to
vigorously defend this claim.
In the normal course of business, we are involved in various
other claims and legal proceedings. While the ultimate
resolution of these matters, and those discussed above, has yet
to be determined, we do not believe that their outcome will have
a material adverse effect on our consolidated financial
position, results of operations or liquidity.
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GOVERNMENT REGULATION
Introduction
General.
This section of the prospectus contains a
description of laws and regulations applicable to us, either
directly or through their effect on our healthcare industry
customers. The healthcare industry is highly regulated and is
subject to changing political, regulatory and other influences.
These factors affect the purchasing practices and operations of
healthcare organizations as well as the behavior and attitudes
of consumers.
Federal and state legislatures and agencies periodically
consider programs to reform or revise the U.S. healthcare
system. These programs may contain proposals to increase
governmental involvement in healthcare, lower reimbursement
rates or otherwise change the environment in which healthcare
industry participants operate. We are unable to predict future
proposals with any certainty or to predict the effect they would
have on our businesses.
Existing and new laws and regulations affecting the healthcare,
information technology and Internet industries could create
unexpected liabilities for us, cause us to incur additional
costs and could restrict our operations. Many of the laws that
affect us, and particularly those applying to healthcare, are
very complex and may be subject to varying interpretations by
courts and other governmental authorities. Our failure, or the
failure of our business partners, to accurately anticipate the
application of these laws and regulations, or other failure to
comply, could create liability for us, result in adverse
publicity and negatively affect our businesses.
Healthcare Regulation.
Most of our revenue is either from
the healthcare industry or could be affected by changes
affecting healthcare spending. The healthcare industry is highly
regulated and is subject to changing political, regulatory and
other influences. These factors affect the purchasing practices
and operations of healthcare organizations as well as the
behavior and attitudes of consumers. Federal and state
legislatures and agencies periodically consider programs to
reform or revise aspects of the United States healthcare system.
These programs may contain proposals to increase governmental
involvement in healthcare, lower reimbursement rates or
otherwise change the environment in which healthcare industry
participants operate. Healthcare industry participants may
respond by reducing their investments or postponing investment
decisions, including investments in our products and services.
We are unable to predict future proposals with any certainty or
to predict the effect they would have on our businesses.
Many healthcare laws are complex and their application to
specific products and services may not be clear. In particular,
many existing healthcare laws and regulations, when enacted, did
not anticipate the healthcare information services and
technology solutions that we provide. However, these laws and
regulations may nonetheless be applied to our products and
services.
Other Regulation.
This section of the prospectus also
contains a description of other laws and regulations, including
general consumer protection laws and Internet-related laws that
affect some of our businesses. Laws and regulations have been
adopted, and may be adopted in the future, that address
Internet-related issues, including online content, privacy,
online marketing, unsolicited commercial e-mail, taxation,
pricing, and quality of products and services. Some of these
laws and regulations, particularly those that relate
specifically to the Internet, were adopted relatively recently
and their scope and application may still be subject to
uncertainties. Interpretations of these laws, as well as any new
or revised law or regulation, could decrease demand for our
services, increase our cost of doing business, or otherwise
cause our business to suffer.
Regulation of Drug and Medical Device Advertising and
Promotion
The FDA and the FTC regulate the form, content and dissemination
of labeling, advertising and promotional materials prepared by,
or for, pharmaceutical or medical device companies, including
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direct-to-consumer prescription drug and medical device
advertising. The FTC regulates over-the-counter drug advertising
and, in some cases, medical device advertising, as well as
general product or service advertising. Generally, based on FDA
requirements, regulated companies must limit advertising and
promotional materials to discussions of FDA-approved uses and
claims. In limited circumstances, regulated companies may
disseminate non-promotional scientific information regarding
product uses or claims not yet approved by the FDA.
Information that promotes the use of pharmaceutical products or
medical devices that is put on our Web sites is subject to the
full array of the FDA and FTC requirements and enforcement
actions and information regarding other products and services is
subject to FTC requirements. Areas of our Web sites that could
be the primary focus of the FDA and FTC include pages and
programs that discuss use of an FDA-regulated product or that
the regulators believe may lack editorial independence from the
influence of sponsoring pharmaceutical or medical device
companies. Television broadcast advertisements by us may also be
subject to FTC regulation and FDA regulation depending on the
content. The FDA and the FTC place the principal burden of
compliance with advertising and promotional regulations on
advertisers and sponsors to make truthful, substantiated claims.
If the FDA or the FTC finds that any information on our Web site
violates FDA or FTC regulations, they may take regulatory or
judicial action against us or the advertiser or sponsor of that
information. State attorneys general may also take similar
action based on their states consumer protection statutes.
Drug Advertising.
The Federal Food, Drug, and Cosmetic
Act, or FDC Act, requires that prescription drugs (including
biological products) be approved for a specific medical
indication by the FDA prior to marketing. It is a violation of
the FDC Act and of FDA regulations to market, advertise or
otherwise commercialize such products prior to approval. The FDA
does allow for preapproval exchange of scientific information,
provided it is nonpromotional in nature and does not draw
conclusions regarding the ultimate safety or effectiveness of
the unapproved drug. Upon approval, the FDAs regulatory
authority extends to the labeling and advertising of
prescription drugs offered in interstate commerce. Such products
may only be promoted and advertised for approved indications. In
addition, the labeling and advertising can be neither false nor
misleading, and must present all material information, including
risk information, in a balanced manner. Labeling and advertising
that violate these legal standards are subject to FDA
enforcement action.
The FDA regulates the safety, efficacy, and labeling of
over-the-counter drugs, or OTC drugs, under the FDC Act either
through specific product approvals or through regulations that
define approved claims for specific categories of such products.
The FTC regulates the advertising of OTC drugs under the section
of the Federal Trade Commission Act that prohibits unfair or
deceptive trade practices. Together, the FDA and FTC regulatory
framework requires that OTC drugs be formulated and labeled in
accordance with FDA approvals or regulations and promoted in a
manner that is truthful, adequately substantiated, and
consistent with the labeled uses. OTC drugs that do not meet
these requirements are subject to FDA or FTC enforcement action
depending on the nature of the violation. In addition, state
attorneys general can also bring enforcement actions for alleged
unfair or deceptive advertising.
There are significant administrative, civil and criminal
sanctions available to the FDA for violations of the FDC Act or
FDA regulations as they relate to labeling and advertising.
Administrative sanctions may include a written request that
violative advertising or promotion cease and/or that corrective
action be taken, such as requiring a company to provide to
healthcare providers and/or consumers information to correct
misinformation previously conveyed. In addition, the FDA may use
publicity, such as press releases, to warn the public about
false and misleading information concerning a drug or medical
device product. More serious civil sanctions include seizures
and injunctions. Such measures could prevent a company from
introducing or maintaining its product in the marketplace.
Criminal penalties for severe violations can result in a prison
term and/or substantial fines. State attorneys general have
similar investigative tools and sanctions available to them as
well. The National Association of Attorneys General has formed a
Prescription Drug Task Force that has been active in addressing
issues related to prescription drugs.
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Any increase in FDA regulation of the Internet or other media
for direct-to-consumer advertisements of prescription drugs
could make it more difficult for us to obtain advertising and
sponsorship revenue. In the last 15 years, the FDA has
gradually relaxed its formerly restrictive policies on
direct-to-consumer advertising of prescription drugs. Companies
can now advertise prescription drugs for serious conditions to
consumers in any medium if they comply with FDA requirements.
However, physician groups and others have criticized the
FDAs current policies, and have called for restrictions on
advertising of prescription drugs to consumers and increased FDA
enforcement. These critics point to both public health concerns
and to the laws of many other countries that make
direct-to-consumer advertising of prescription drugs a criminal
offense. Scrutiny of direct-to-consumer advertising increased
after Vioxx® was withdrawn from the market due to potential
safety concerns in September 2004. Critics have proposed
postponing direct-to-consumer advertising for a new drug until
the drug has been safely marketed commercially for one or two
years. In response to these criticisms, the FDA or the FTC may
alter its present policies on the direct-to-consumer advertising
of prescription drugs or medical devices in a way that would
materially reduce our advertising and sponsorship revenues. In
early 2004, the FDA issued three draft guidance documents
intended to improve communication of: (1) risk information
in direct-to-consumer print advertisements, (2) disease
awareness information, and (3) risk information in
direct-to-consumer advertising of restricted medical devices.
These draft guidance documents, if finalized, would alter the
FDAs enforcement policies in some respects.
Physician Education Programs.
Activities and information
provided in the context of a medical or scientific educational
program, including continuing medical education or
CME, are not regulated by the FDA if they are
non-promotional. The FDA does, however, evaluate such activities
to determine whether they are independent of the promotional
influence of the drug or medical device sponsor or whether they
are promotional activities subject to the FDAs advertising
and labeling requirements. In order to determine whether a
companys activities are sufficiently independent, the FDA
looks at a number of factors related to the planning, content,
speakers and audience selection of such activities. To the
extent that the FDA concludes that such activities are not
independent from a manufacturer, such content must fully comply
with the FDAs requirements. If the FDA or other regulatory
agency finds that an educational program violates the applicable
requirements, they may take regulatory or judicial action
against the sponsor or us.
During the past several years, educational programs, including
CME, directed toward physicians have been subject to increased
scrutiny to ensure that sponsors do not influence or control the
content of the program. In response to governmental and industry
initiatives, pharmaceutical companies have been developing and
implementing internal controls and procedures that promote
adherence to applicable regulations and requirements. In
implementing these controls and procedures, different clients
may interpret the regulations and requirements differently and
may implement procedures or requirements that vary from client
to client. These controls and procedures:
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may discourage pharmaceutical companies from engaging in
educational activities;
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may slow their internal approval for such programs;
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may reduce the volume of sponsored educational programs
implemented through our Medscape Web site to levels that are
lower than in the past; and
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may require us to make changes to how we offer or provide
educational programs, including CME.
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In addition, future changes to existing regulations or
accreditation standards, or to the internal compliance programs
of potential clients, may further discourage or prohibit
potential clients from engaging in educational activities with
us, or may require us to make further changes in the way we
offer or provide educational programs.
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Medical Professional Regulation
The practice of most healthcare professions requires licensing
under applicable state law. In addition, the laws in some states
prohibit business entities from practicing medicine, which is
referred to as the prohibition against the corporate practice of
medicine. We do not believe that we engage in the practice of
medicine and we have attempted to structure our Web site,
strategic relationships and other operations to avoid violating
these state licensing and professional practice laws. We do not
believe we provide professional medical advice, diagnosis or
treatment. We employ and contract with physicians who provide
only medical information to consumers, and we have no intention
to provide medical care or advice. A state, however, may
determine that some portion of our business violates these laws
and may seek to have us discontinue those portions or subject us
to penalties or licensure requirements. Any determination that
we are a healthcare provider and acted improperly as a
healthcare provider may result in liability to us. Many states
regulate the ability of medical professionals to advertise or
maintain referral services. We do not represent that a
physicians use of our Web site will comply with these or
other state laws regulating professional practice. It is
possible a state or a court may determine we are responsible for
any non-compliance with these laws, which could affect our
ability to offer this service to our customers.
Anti-Kickback Laws
There are federal and state laws that govern patient referrals,
physician financial relationships and inducements to healthcare
providers and patients. The federal healthcare programs
anti-kickback law prohibits any person or entity from offering,
paying, soliciting or receiving anything of value, directly or
indirectly, for the referral of patients covered by Medicare,
Medicaid and other federal healthcare programs or the leasing,
purchasing, ordering or arranging for or recommending the lease,
purchase or order of any item, good, facility or service covered
by these programs. Many states also have similar anti-kickback
laws that are not necessarily limited to items or services for
which payment is made by a federal healthcare program. These
laws are applicable to manufacturers and distributors and,
therefore, may restrict how we and some of our customers market
products to healthcare providers. Also, in 2002, the Office of
the Inspector General, or OIG, of HHS, the federal government
agency responsible for interpreting the federal anti-kickback
law, issued an advisory opinion that concluded that the sale of
advertising and sponsorships to healthcare providers and vendors
by Web-based information services implicates the federal
anti-kickback law. However, the advisory opinion suggests that
enforcement action will not result if the fees paid represent
fair market value for the advertising/sponsorship arrangements,
the fees do not vary based on the volume or value of business
generated by the advertising and the advertising/sponsorship
relationships are clearly identified as such to users. We
carefully review our practices with regulatory experts in an
effort to ensure that we comply with all applicable laws.
However, the laws in this area are both broad and vague and it
is often difficult or impossible to determine precisely how the
laws will be applied, particularly to new services. Penalties
for violating the federal anti-kickback law include
imprisonment, fines and exclusion from participating, directly
or indirectly, in Medicare, Medicaid and other federal
healthcare programs. Any determination by a state or federal
regulatory agency that any of our practices violate any of these
laws could subject us to civil or criminal penalties and require
us to change or terminate some portions of our business and
could have an adverse effect on our business. Even an
unsuccessful challenge by regulatory authorities of our
practices could cause us adverse publicity and be costly for us
to respond to.
Privacy Standards and Security Standards Under Health
Insurance Portability and Accountability Act of 1996
Under HIPAA, Congress mandated a package of interlocking
administrative simplification rules to establish standards and
requirements for the electronic transmission of certain health
information. Two of these rules affect our business:
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the Standards for Privacy of Individually Identifiable Health
Information, published December 28, 2000, which we refer to
as the Privacy Standards; and
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the Health Insurance Reform: Security Standards, published
February 20, 2003, which we refer to as the Security
Standards.
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These rules provide for civil and criminal liability for breach.
Privacy Standards.
The Privacy Standards establish a set
of basic national privacy standards for the protection by health
plans, healthcare clearinghouses, healthcare providers and their
business associates of individually identifiable health
information. This rule became effective on April 14, 2001
and the compliance date for most entities was April 14,
2003. The Privacy Standards apply, through our contractual
relationships, to the portions of our business that manage
employee or plan member health information for employers or
health plans. The Privacy Standards provide for civil and
criminal liability for their breach and require us, our
customers and our partners to use health information in a highly
restricted manner, to establish policies and procedures to
safeguard the information, to obtain individual authorizations
for some activities, and to provide certain access rights to
individuals. We cannot assure you that we will adequately
address the risks created by the Privacy Standards or that we
will be able to take advantage of any resulting opportunities.
In addition, we are unable to predict what changes to the
Privacy Standards might be made in the future or how those
changes could affect our business.
Security Standards.
On February 20, 2003, HHS
published the final Security Standards. The Security Standards
establish detailed requirements for safeguarding patient
information that is electronically transmitted or electronically
stored. The rule establishes 42 implementation specifications,
20 of which are required, meaning they must be
implemented as specified in the rule. Twenty-two are
addressable. Complying with addressable
implementation specifications requires a business to assess
whether they constitute a reasonable and appropriate safeguard
for the particular business; if not, an alternative approach
must be designed and implemented to achieve the particular
standard. The Security Standards apply, through our contractual
relationships, to the portions of our business that manage
employee or plan member health information for employers or
health plans. Most participants in the healthcare industry were
required to be in compliance with the Security Standards by
April 21, 2005. Some of the Security Standards are
technical in nature, while others may be addressed through
policies and procedures for using information systems. We
believe that our infrastructure and processes are in compliance
with our contractual obligations related to the Security
Standards. However, we are unable to predict what changes might
be made to the Security Standards or how those changes might
help or hinder our business. The effect of the Security
Standards on our business is difficult to predict and we cannot
assure you that we will adequately address the risks created by
the Security Standards and their implementation or that we will
be able to take advantage of any resulting opportunities.
Other Restrictions Regarding Confidentiality and Privacy of
Patient Information
In addition to HIPAA, numerous other state and federal laws
govern the collection, dissemination, use, access to and
confidentiality of patient health information. In addition, some
states are considering new laws and regulations that further
protect the confidentiality of medical records or medical
information. In many cases, these state laws are not preempted
by the HIPAA Privacy Standard and may be subject to
interpretation by various courts and other governmental
authorities, thus creating potentially complex compliance issues
for us and our customers and strategic partners. These privacy
laws at a state or federal level, or new interpretations of
these laws, could create liability for us, could impose
additional operational requirements on our business, could
affect the manner in which we use and transmit patient
information and could increase our cost of doing business. In
addition, parties may also have contractual rights that provide
additional limits on our collection, dissemination, use, access
to and confidentiality of patient health information. Claims of
violations of privacy rights or contractual breaches, even if we
are not found liable, could be expensive and time-consuming to
defend and could result in adverse publicity that could harm our
business.
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International Data Regulation
Our public portals are not directed to non-U.S. users. Nearly
all of the users of our private portals are U.S. employees
or plan members. As a result, we do not believe that we
currently conduct our business in a manner that subjects us to
international data regulation in any material respect. However,
other countries also have, or are developing, their own laws
governing the collection, use, storage and dissemination of
personal information or patient data. These laws could create
liability for us, impose additional operational requirements or
restrictions on our business, affect the manner in which we use
or transmit data and increase our cost of doing business.
Consumer Protection Regulation
General.
Advertising and promotional activities presented
to visitors on our Web sites are subject to federal and state
consumer protection laws which regulate unfair and deceptive
practices. We are also subject to various other federal and
state consumer protection laws, including the ones described
below.
CAN-SPAM Act.
Effective January 1, 2004, the
Controlling the Assault of Non-Solicited Pornography and
Marketing Act of 2003, or the CAN-SPAM Act, became effective.
The CAN-SPAM Act regulates commercial emails and provides a
right on the part of the recipient to request the sender to stop
sending messages, and establishes penalties for the sending of
email messages which are intended to deceive the recipient as to
source or content. Under the CAN-SPAM Act, senders of commercial
emails (and other persons who initiate those emails) are
required to make sure that those emails do not contain false or
misleading transmission information. Commercial emails are
required to include a valid return email address and other
subject heading information so that the sender and the Internet
location from which the message has been sent are accurately
identified. Recipients must be furnished with an electronic
method of informing the sender of the recipients decision
to not receive further commercial emails. In addition, the email
must include a postal address of the sender and notice that the
email is an advertisement. The CAN-SPAM Act may apply to the
e-newsletters that our public portals distribute to members and
to some of our other commercial email communications. However,
there may be additional FTC regulations indicating that our
e-newsletters are outside the scope of CAN-SPAM Act. At this
time, we are applying the CAN-SPAM requirements to these email
communications, and believe that our email practices comply with
the requirements of the CAN-SPAM Act.
Regulation of Advertisements Sent by Fax.
The Telephone
Consumer Protection Act (TCPA) prohibits the sending of
unsolicited advertisements by telephone facsimile
(fax) machines to a third party without the consent of the third
party. An unsolicited advertising means any material
advertising the commercial availability or quality of any
property, goods, or services. In connection with our
Little
Blue Book
business, we send faxes to physician office
practices. In 2004, the FCC issued a new interpretation of a
section of the TCPA that would have affected advertisements sent
to the fax machines of third parties with whom a business
relationship exists by requiring a signed written consent from
the third party before sending an unsolicited advertisement to
that third party. On July 9, 2005, President Bush signed
into law the Junk Fax Protection Act (Act), which includes the
right of a business to send unsolicited advertisements by fax to
third parties with whom it has a business relationship without
requiring a signed written consent. We intend to comply with the
FCC regulations and the Act.
COPPA.
The Childrens Online Privacy Protection Act,
or COPPA, applies to operators of commercial Web sites and
online services directed to U.S. children under the age of
13 that collect personal information from children, and
operators of general audience sites with actual knowledge that
they are collecting information from U.S. children under
the age of 13. Our sites are not directed at children and our
general audience site, WebMD Health, states that no one under
the applicable age is entitled to use the site. In addition, we
employ a kick-out procedure whereby anyone identifying
themselves as being under the age of 13 during the registration
process is not allowed to register for the sites member
only services, such as message boards and live chat events.
COPPA, however, is a relatively new law, can be applied broadly
and is subject to interpretation by courts and other governmental
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authorities. The failure to accurately anticipate the
application or interpretation of this law could create liability
for us, result in adverse publicity and negatively affect our
business.
Regulation of Contests and Sweepstakes.
We conduct
contests and sweepstakes in some of our marketing channels. The
federal Deceptive Mail Prevention and Enforcement Act and some
state prize, gift or sweepstakes statutes may apply to these
promotions. We believe that we are in compliance with any
applicable law or regulation when we run these promotions.
Other Consumer Protection Regulation.
The FTC and many
state attorneys general are applying federal and state consumer
protection laws to require that the online collection, use and
dissemination of data, and the presentation of Web site content,
comply with certain standards for notice, choice, security and
access. Courts may also adopt these developing standards. In
many cases, the specific limitations imposed by these standards
are subject to interpretation by courts and other governmental
authorities. We believe that we are in compliance with these
consumer protection standards, but a determination by a state or
federal agency or court that any of our practices do not meet
these standards could result in liability and adversely affect
our business. New interpretations of these standards could also
require us to incur additional costs and restrict our business
operations.
In addition, several foreign governments have regulations
dealing with the collection and use of personal information
obtained from their citizens. Those governments may attempt to
apply such laws extraterritorially or through treaties or other
arrangements with U.S. governmental entities. We might
unintentionally violate such laws, such laws may be modified and
new laws may be enacted in the future. Any such developments (or
developments stemming from enactment or modification of other
laws) or the failure to accurately anticipate the application or
interpretation of these laws could create liability to us,
result in adverse publicity and negatively affect our businesses.
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MANAGEMENT
Directors and Executive Officers
We expect that the following persons will be our executive
officers and directors at the time of this offering:
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Name
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Age
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Position
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Wayne T. Gattinella
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Chief Executive Officer, President and Director
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David Gang
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Executive Vice President Product and Programming and
Chief Technology Officer
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Anthony Vuolo
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Executive Vice President Finance and Chief Financial
Officer
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Nan-Kirsten Forte
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Executive Vice President Consumer Services
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Steven Zatz, M.D.
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Executive Vice President Professional Services
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Craig Froude
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Executive Vice President Health Services
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Douglas W. Wamsley
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Executive Vice President, General Counsel and Secretary
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Martin J. Wygod
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Chairman of the Board
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Mark J. Adler, M.D.
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Director
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Neil F. Dimick
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Director
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Jerome C. Keller
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Director
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James V. Manning
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Director
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Abdool Rahim Moossa, M.D.
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Director
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Stanley S. Trotman, Jr.
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Director
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Wayne T. Gattinella
has served as President since August
2001 and as Chief Executive Officer since April 2005 of our
Parents WebMD Health segment. Since May 2005, he has also
served as Director and Co-CEO and President of our company and,
since July 13, 2005, has served as our sole CEO. Before
joining our Parent, Mr. Gattinella was Executive Vice
President and Chief Marketing Officer for PeoplePC, an Internet
service provider, from April 2000 to August 2001. From February
1998 to March 2000, Mr. Gattinella was President of North
America for MemberWorks, Inc., a marketing services company.
David Gang
served from the time he joined our company in
May 2005 until July 2005, as our Co-CEO and Chief Operating
Officer and, since July 13, 2005, has served as our
Executive Vice President Product and Programming and
Chief Technology Officer. He has also served in the same
positions of our Parents WebMD Health segment for the same
periods. Prior to joining our company, Mr. Gang served in
various capacities of senior management at America Online, Inc.,
or AOL, a subsidiary of Time Warner Corporation, and its
predecessors for more than five years, having first joined AOL
in 1995. Mr. Gang served for more than five years in senior
management positions at AOL. From 2001 to 2003, Mr. Gang
was President of AOL Enterprise, a joint venture with Sun
Microsystems, Inc. and from 2003 to 2005 he served as Executive
Vice President, AOL Products, in which capacity he was
responsible for creating and implementing all AOL products
shared across various platforms including narrowband, broadband,
wireless and voice and the launch of AOL 9.0 Optimized, the
latest version of AOL.
Anthony Vuolo
has, since May 2005, served as our
Executive Vice President and Chief Financial Officer.
Mr. Vuolo has been Executive Vice President, Business
Development of our Parent since May 2003. Mr. Vuolo has
served in several executive positions at our Parent and its
predecessors since 1994. From September 2000 to May 2003,
Mr. Vuolo was Executive Vice President and Chief Financial
Officer of our Parent. From March 1999 until its merger with our
Parent in September 2000, Mr. Vuolo was
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Senior Vice President Business Development and
Treasurer of Synetic, Inc., which changed its name to Medical
Manager in July 1999 when it acquired the company of that name.
Prior to that, he was Executive Vice President
Finance and Administration and Chief Financial Officer of
Synetic from March 1998 until March 1999. We expect that
Mr. Vuolo will continue to provide services to our Parent,
following completion of the offering, that are unrelated to us
in connection with corporate transactions by our Parent,
including acquisitions and financings. While the nature and
amount of these services will vary based on the nature and
timing of potential transactions, Mr. Vuolos primary
responsibilities following the offering will be those related to
us, and our Parent does not intend to request services from
Mr. Vuolo that would interfere with those responsibilities
Nan-Kirsten Forte
was appointed to the position of
Executive Vice President, Consumer Services of our company in
July 2005. For more than five years Ms. Forte has been an
Executive Vice President of WebMD, Inc., a subsidiary included
in our Parents WebMD Health segment focusing on our
consumer portals. From 1997 until its merger with our Parent in
November 1999, Ms. Forte was President Programming and
Product Development of Medcast, Greenberg News Networks. Prior
to Medcast, Ms. Forte was President of Health of iVillage
where she launched iVillages first health channel, called
Better Health. Ms. Forte has been a member of
the American Medical Writers Association and the American
Medical Illustrators Association.
Steven Zatz, M.D.
was appointed to the position of
Executive Vice President, Professional Services of our company
in July 2005. Since October 2000, Mr. Zatz has been an
Executive Vice President of WebMD, Inc., a subsidiary included
in our Parents WebMD Health segment and of our Parent,
focusing on our physician portals. Dr. Zatz was Senior Vice
President, Medical Director of CareInsite, Inc. from June 1999
until its acquisition by our Parent in September 2000. Prior to
joining CareInsite, Dr. Zatz was senior vice president of
RR Donnelly Financial in charge of its healthcare business from
October 1998 to May 1999. From August 1995 to May 1998,
Dr. Zatz was President of Physicians Online, an
online portal for physicians.
Craig Froude
was appointed to the position of Executive
Vice President Health Services of the Company in
July 2005. Since October 2002, Mr. Froude has served as
Senior Vice President and General Manager of WebMD Healthcare
Services Group, a part of our Parents WebMD Health
segment. From December 1996 until its acquisition by our Parent
in October 2002, Mr. Froude served as the CEO and Chairman
of WellMed.
Douglas W. Wamsley
has, since May 2005, served as our
Executive Vice President, General Counsel and Secretary. In
addition, Mr. Wamsley has served as Senior Vice
President Legal of our Parents WebMD Health
segment from September 2001 to the present. Prior to joining our
company, Mr. Wamsley served as Executive Vice President and
General Counsel of Medical Logistics, Inc. from February 2000
through July 2001. Prior to joining Medical Logistics,
Mr. Wamsley served in various legal positions with
Merck-Managed Care LLC (now known as Medco-Health Solutions)
from December 1986 through January 2001.
Martin J. Wygod
has, since May 2005, served as our
Chairman of the Board. In addition, he has served as our
Parents Chairman of the Board since March 2001 and as a
director of our Parent since September 2000. From October 2000
until May 2003, he also served as our Parents Chief
Executive Officer. From September 2000 until October 2000,
Mr. Wygod served as Co-CEO of our Parent. For more than
five years prior to its merger with our Parent in September
2000, Mr. Wygod was Chairman of the Board and a director of
Synetic, Inc., which changed its name to Medical Manager in July
1999 when it acquired the company of that name. He also served
as Chairman of the Board of CareInsite, Inc. from 1999 until its
acquisition by our Parent in September 2000. He is also engaged
in the business of racing, boarding and breeding thoroughbred
horses, and is President of River Edge Farm, Inc. It is expected
that Mr. Wygod will continue to serve as Chairman of the
Board of our Parent following this offering. As Chairman of the
Board of our Parent and of our company, Mr. Wygod will
continue to focus on the overall strategy, strategic
relationships and transactions intended to create long-term
value for our Parents and our stockholders.
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Mark J. Adler, M.D.
will begin serving as a member of our
Board prior to the completion of this offering. He has been a
director of our Parent since September 2000. He served as a
Director of CareInsite, Inc. from 1999 until its acquisition by
our company in September 2000. Dr. Adler is an oncologist
and has been Medical Director of the San Diego Cancer Center
since he founded it in 1991 and is a director of the San Diego
Cancer Research Institute. He has been the Chief Executive
Officer of the internal medicine and oncology group of Medical
Group of North County, which is based in San Diego, California,
for more than five years. He also serves on the Scientific
Advisor Board of Red Abbey Venture Partners, a private
investment firm.
Neil F. Dimick
will begin serving as a member of our
Board prior to the completion of this offering. He has been a
director of Parent since December 2002. Mr. Dimick served
as Executive Vice President and Chief Financial Officer of
AmerisourceBergen Corporation, a wholesale distributor of
pharmaceuticals, from 2001 to 2002 and as Senior Executive Vice
President and Chief Financial Officer and as a director of
Bergen Brunswig Corporation, a wholesale distributor of
pharmaceuticals, for more than five years prior to its merger in
2001 with AmeriSource Health Corporation to form
AmerisourceBergen. He also serves as a member of the Boards of
Directors of the following companies: Alliance Imaging Inc., a
provider of outsourced diagnostic imaging services to hospitals
and other healthcare companies; Thoratec Corporation, a
developer of products to treat cardiovascular disease; and
Global Resources Professionals, an international professional
services firm that provides outsourced services to companies on
a project basis.
Jerome C. Keller
will begin serving as a member of our
Board prior to the completion of this offering. Since 1997, he
has served as Senior Vice President, Sales and Marketing at
Martek Biosciences Corporation, a company that develops and
sells microalgae products. He served as Vice President of Sales
for Merck & Co. Inc from 1986 to 1993 and was responsible
for overseeing all domestic sales and distribution activities
and expanding the Merck sales force extensively. He has been
active in innovation and research and developments of products
related to infant nutrition and development.
James V. Manning
will begin serving as a member of our
Board prior to the completion of this offering. He has been a
Director of our Parent since September 2000. He served as a
Director of CareInsite, Inc. from 1999 until its acquisition by
our company in September 2000. From 1989 until its merger with
our company in September 2000, Mr. Manning was a member of
the Board of Directors of Synetic, Inc., which changed its name
to Medical Manager in July 1999 when it acquired the company of
that name. In addition, he was Vice Chairman of the Board of
Synetic from March 1998 to July 1999 and was its Chief Executive
Officer from January 1995 to March 1998.
Abdool Rahim Moossa, M.D.
will begin serving as a
member of our Board prior to the completion of this offering. He
currently serves as the Professor of Surgery and Emeritus
Chairman, Associate Dean and Special Counsel to the Vice
Chancellor for Health Sciences, Director of Tertiary and
Quaternary Referral Services for the University of California,
San Diego, or UCSD. Prior to that he served as Professor and
Chairman, department of Surgery, UCSD from 1983 to 2003. He also
serves as a director for U.S. Medical Instruments, Inc., a
technology-based medical device manufacturer, and the Foundation
for Surgical Education.
Stanley S. Trotman, Jr.
will begin serving as a member of
our Board prior to the completion of this offering. He retired
in 2001 from UBS Financial Services, Inc. after it acquired, in
2000, PaineWebber Incorporated, an investment banking firm where
he had been a Managing Director with the Health Care Group since
1995. He serves as a member of the Board of Directors of
American Shared Hospital Services, a public company that
provides radiosurgery services to medical centers for use in
brain surgery. He also serves as a director of the following
privately-held firms: OnCure Medical Corp., which manages and
operates outpatient radiation therapy cancer treatment centers;
and Ascend Health Care Corp., which provides services to acute
psychiatric patients.
Corporate Governance
Since our Parent holds over 50% of the combined voting power of
our common stock, we are eligible for certain exceptions to the
corporate governance rules of The Nasdaq National Market for
controlled
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corporations, including the rules relating to the independence
of our Board. However, it is currently not our intention to
avail ourselves of those exceptions. In general, we intend to
implement corporate governance structures similar to those used
by our Parent, which is not a controlled corporation. These
structures are described in this section of the Prospectus. We
also intend to adopt a Code of Business Conduct similar to our
Parents.
Wayne T. Gattinella, our CEO and President, and Martin J. Wygod
are currently the only members of the Board of Directors of our
company. Prior to the completion of this offering, we expect
that our Board will appoint Mark J. Adler, M.D., Neil F.
Dimick, Jerome C. Keller, James V. Manning, Abdool Rahim
Moossa, M.D. and Stanley S. Trotman, Jr. as
additional members of our Board, a majority of whom will be
independent directors under applicable SEC rules and The Nasdaq
National Market listing standards.
Our directors will be divided into three classes serving
staggered three-year terms. Each director class will be as equal
in number as possible, and each class will hold office until the
applicable annual stockholders meeting for election of
directors following the most recent election of such class. Any
additional directorships resulting from an increase in the
number of directors will be distributed among the classes so
that, as nearly as possible, each class will consist of an equal
number of directors. The classification of our Board may have
the effect of delaying or preventing changes in control or
management of our company.
Committees of the
Board
In connection with this offering, our Board will form standing
committees similar to the equivalent standing committees of the
Board of our Parent, as described below, and will adopt written
charters for each such committee, other than the Executive
Committee, that are generally similar to the charter for the
equivalent standing committee of the Board of our Parent. In
addition, as described below, we intend to have a standing Board
committee consisting of independent directors who are not
members of our Parents Board with authority to review
transactions between us and our Parent to the extent such
committee determines to be appropriate. After this offering, our
Board may designate new committees, as it deems appropriate, to
assist with its responsibilities.
We expect that prior to the completion of this offering, our
Board will form an Executive Committee consisting of directors
that will have the power to exercise, to the fullest extent
permitted by law, the powers of the full Board.
Our Board will form an Audit Committee comprising three
directors. Each member of the Audit Committee will be
financially literate at the time such member is appointed, and
the composition of the Audit Committee will satisfy the
independence requirements of The Nasdaq National Market and the
SEC, without relying on any of the exceptions available to
controlled companies. To facilitate any needed coordination of
activities between the Audit Committees of our Company and that
of our Parent, James V. Manning, Chairman of our
Parents Audit Committee, will serve as the Chairman of our
Audit
94
Committee. The Board of Directors of our Parent has determined
that Mr. Manning qualifies as an audit committee
financial expert within the meaning of applicable SEC
regulations implementing Section 407 of the Sarbanes-Oxley
Act of 2002, based on his training and experience as a certified
public accountant, including as a partner of a major accounting
firm, and based on his service as a senior executive and chief
financial officer of public companies. Neil F. Dimick and
Stanley S. Trotman, Jr. will also serve as members of
our Audit Committee.
We anticipate that the Audit Committee will operate under a
written charter to be adopted by our Board, generally similar to
the charter of the Audit Committee of our Parents Board,
which will set forth the responsibilities and powers delegated
by our Board to the Audit Committee. We expect that the Audit
Committee will have the responsibility for, among other things:
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retaining and overseeing the registered public accounting firm
that serves as independent auditor and evaluating their
performance and independence;
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reviewing the annual audit plan with our management and
registered public accounting firm;
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pre-approving any permitted non-audit services provided by our
registered public accounting firm;
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approving the fees to be paid to our registered public
accounting firm;
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reviewing the adequacy and effectiveness of our internal
controls with our management, internal auditors and registered
public accounting firm;
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reviewing and discussing the annual audited financial statements
and the interim unaudited financial statements with our
management and registered public accounting firm;
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approving our internal audit plan and reviewing reports of our
internal auditors;
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determining whether to approve related party transactions
outside of the responsibilities of the Related Parties
Committee; and
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overseeing the administration of our Code of Business Conduct.
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Our Board will form a Compensation Committee consisting of three
independent directors. Each member of our Compensation Committee
will also be (i) a non-employee director within the meaning
of Section 16 of the Exchange Act and (ii) an outside
director within the meaning of Section 162(m) of the
Internal Revenue Code and an independent director under
applicable Nasdaq National Market listing standards. To
facilitate any needed coordination of activities between the
Compensation Committees of our Company and that of our Parent,
Mark J. Adler, M.D., Chairman of the Compensation Committee of
our Parent, will also serve as the Chairman of our Compensation
Committee. Abdool Rahim Moosa, M.D. and Stanley S.
Trotman, Jr. will also serve as members of our Compensation
Committee.
We expect that the Compensation Committee will operate under a
written charter to be adopted by our Board, generally similar to
the charter of the Compensation Committee of our Parents
Board, which will set forth the responsibilities and powers
delegated by our Board to the Compensation Committee. We
anticipate that the responsibilities of the Compensation
Committee will generally include:
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oversight of our executive compensation program and our
incentive and equity compensation plans;
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determination of compensation levels for grants of incentive and
equity-based awards to our executive officers; and
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review of and making recommendations regarding other matters
relating to our compensation practices.
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95
We anticipate that our Board will designate a Nominating
Committee, consisting of three directors, with each director in
such committee being an independent director under applicable
Nasdaq National Market listing standards. To facilitate any
needed coordination of activities between our Nominating
Committee and that of our Parent, Neil F. Dimick, Chairman of
the Nominating Committee of our Parent, will also serve as the
Chairman of our Nominating Committee. Abdool Rahim Moosa, M.D.
and Stanley S. Trotman, Jr. will also serve as members
of our Nominating Committee.
It is expected that the Nominating Committee will operate under
a written charter to be adopted by our Board, generally similar
to the charter of the Nominating Committee of our Parents
Board, which will set forth the responsibilities and powers
delegated by our Board to the Nominating Committee. We expect
the responsibilities of the Nominating Committee to generally
include:
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identifying individuals qualified to become members of our Board;
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recommending to our Board the director nominees for each annual
meeting of stockholders; and
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recommending to our Board candidates for filling vacancies that
may occur between annual meetings.
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We expect that the Nominating Committee will adopt similar
procedures to those used by the Nominating Committee of our
Parents Board, which has not adopted specific objective
requirements for Board service and, instead, considers various
factors in determining whether to recommend potential new
members, or the continued service of existing members. Those
factors would generally include:
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the amount and type of the potential nominees managerial
and policy-making experience in complex organizations and
whether any such experience is particularly relevant to us;
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any specialized skills or experience that the potential nominee
has and whether such skills or experience are particularly
relevant to us;
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in the case of non-employee directors, whether the potential
nominee has sufficient time to devote to service on the board
and the nature of any conflicts of interest or potential
conflicts of interest arising from the nominees existing
relationships;
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in the case of non-employee directors, whether the nominee would
be an independent director and would be considered a
financial expert or financially literate
under applicable listing standards of The Nasdaq National Market
and applicable law;
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in the case of potential new members, whether the nominee
assists in achieving a mix of board members that represents a
diversity of background and experience, including with respect
to age, gender, race, areas of expertise and skills; and
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in the case of existing members, the nominees
contributions as a member of the Board during his or her prior
service.
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Governance & Compliance Committee
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Our Board will form a Governance & Compliance
Committee, consisting of three directors, each of whom will be
an independent director under applicable Nasdaq National Market
listing standards. We anticipate that the Governance &
Compliance Committee will operate under a written charter to be
adopted by our Board, generally similar to the charter of the
Governance & Compliance Committee of our Parents
Board, which will set forth the responsibilities and powers
delegated by our Board to the Governance & Compliance
Committee. We expect that, pursuant to that Charter the
membership of the Governance & Compliance Committee
will consist of the Chairpersons of the Nominating, Audit and
Compensation Committees and that the Chairperson of the
Nominating Committee will serve as the Chairperson of the
Governance & Compliance Committee, unless otherwise
determined by the Governance & Compliance Committee.
Accordingly, we expect that the membership of our
Governance &
96
Compliance Committee will initially be identical to the
membership of Parents Governance & Compliance
Committee and consist of Messrs. Dimick and Manning and
Dr. Adler, with Mr. Dimick serving as its Chairman. We
expect the responsibilities of the Governance &
Compliance Committee will generally include:
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evaluating and making recommendations to our Board regarding
matters relating to our governance;
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assisting our Board in coordinating the activities of our
Boards other standing committees, including with respect
to our compliance programs and provide additional oversight of
those compliance programs; and
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providing oversight of senior executive recruitment and
management development.
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Related Parties Committee
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Our Board will form a Related Parties Committee, consisting of
at least two directors, each of whom will be an independent
director under applicable Nasdaq National Market listing
standards and will not be, or ever have been, a member of the
Board of Directors of our Parent. Abdool Rahim Moosa, M.D. and
Stanley S. Trotman, Jr. will serve as members of our Related
Parties Committee. The responsibilities of the Related Parties
Committee will include developing and implementing procedures
for approval of transactions between us and our Parent.
Our company was formed in May 2005 to be the holding
company for our Parents WebMD Health segment and to
conduct this offering. The following table presents information
concerning compensation for services paid by our Parent and/or
its other subsidiaries to our current Chief Executive Officer
and the other persons currently expected to be our executive
officers who received the most compensation from our Parent
and/or its subsidiaries during the year ended December 31,
2004. In addition, the table includes the same information for
the one person who formerly served as Chief Executive Officer of
our Parents WebMD Health segment during 2004. The
individuals listed in the table are referred to in this
prospectus as our named executive officers.
Summary Compensation Table
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Long-Term
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Compensation Awards
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Securities
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Annual Compensation
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Parent
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Underlying
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Restricted Stock
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Parent Options
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Name & Principal Position
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Year
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Salary ($)
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Bonus ($)
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Award(s) ($)(1)
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SARs (#)
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Wayne T. Gattinella
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2004
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450,000
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300,000
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322,125
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(2)
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250,000
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Chief Executive Officer (commencing
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2003
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450,000
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125,000
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April 2005), President and Director
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2002
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410,000
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165,000
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Nan-Kirsten Forte
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2004
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351,346
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140,000
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214,750
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(3)
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200,000
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Executive Vice President Consumer
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2003
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Services
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2002
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Anthony Vuolo
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2004
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450,000
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260,000
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322,125
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(2)
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250,000
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Executive Vice President Finance and
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2003
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450,000
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Chief Financial Officer
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2002
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450,000
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200,000
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Martin J. Wygod
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2004
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1,260,000
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402,000
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Chairman of the Board
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2003
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1,308,900
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2002
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1,400,000
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475,000
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Roger C. Holstein(4)
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2004
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915,000
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402,000
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715,547
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(5)
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Former Chief Executive
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2003
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861,538
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500,000
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Officer
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2002
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480,000
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450,000
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1,000,000
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97
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(1)
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Holders of restricted shares of our Parents common stock
(which we refer to as Restricted Parent Stock) have voting power
and the right to receive dividends, if any are declared on our
Parents common stock, with respect to shares of Restricted
Parent Stock, but their ability to sell shares of Restricted
Parent Stock is subject to vesting requirements based on
continued employment, as described in the footnotes below. The
dollar value of Restricted Parent Stock listed in this column is
calculated by multiplying the number of shares granted by the
closing market price on the date of each grant, as described in
the footnotes below.
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(2)
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The dollar value listed in the table is based on $8.59 per
share, the closing market price of our Parents common
stock on March 17, 2004, the date of grant of
37,500 shares of Restricted Parent Stock, of which
(a) 12,500 shares vested on March 17, 2005,
(b) 12,500 shares will vest on March 17, 2006 and
(c) 12,500 shares will vest on March 17, 2007,
subject to the terms of the plans and award agreements. As of
December 31, 2004, the aggregate value of the
37,500 shares of Restricted Parent Stock, all of which were
unvested at that date, was $306,000, based on the closing market
price of $8.16 per share of our Parents common stock
on that date.
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(3)
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The dollar value listed in the table is based on $8.59 per
share, the closing market price of our Parents common
stock on March 17, 2004, the date of grant of
25,000 shares of Restricted Parent Stock, of which
(a) 8,333 shares vested on March 17, 2005,
(b) 8,333 shares will vest on March 17, 2006 and
(c) 8,334 shares will vest on March 17, 2007,
subject to the terms of the plans and award agreements. As of
December 31, 2004, the aggregate value of the
25,000 shares of Restricted Parent Stock, all of which were
unvested at that date, was $204,000, based on the closing market
price of $8.16 per share of our Parents common stock on
that date.
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(4)
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Mr. Holstein was Chief Executive Officer of our
Parents WebMD Health segment from October 2004 until his
resignation in April 2005.
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(5)
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The dollar value listed in the table is based on $8.59 per
share, the closing market price of our Parents common
stock on March 17, 2004, the date of grant of
83,300 shares of Restricted Parent Stock, of which
(a) 27,766 shares vested on March 17, 2005,
(b) 27,767 shares would have vested on March 17,
2006 and (c) 27,767 shares would have vested on
March 17, 2007. As of December 31, 2004, the aggregate
value of the 83,300 shares of Restricted Parent Stock, all
of which were unvested at that date, was $679,728, based on the
closing market price of $8.16 per share of our
Parents common stock on that date. On April 27, 2005,
the date of Mr. Holsteins resignation from our
Parent, all unvested restricted stock held by Mr. Holstein
was forfeited.
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In accordance with SEC rules, the above table does not include
certain perquisites and other benefits received by the named
executive officers which do not exceed the lesser of $50,000 and
10% of any officers salary and bonus disclosed in this
table. In each of the years covered in the above table, none of
the named executive officers received more than $15,000 in
perquisites or other benefits and most of such benefits
consisted of automobile allowances.
The following table presents information concerning the options
to purchase our Parents common stock granted during the
fiscal year ended December 31, 2004 to the named executive
officers for services rendered to our Parent and its
subsidiaries. Such options and other equity awards will continue
to be governed by the terms and conditions of our Parents
equity plans under which they were granted.
Parent Option Grants in 2004
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Individual Grants
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Number of
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Percent of Total
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Securities
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Parent Options
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Underlying
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Granted to
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Exercise or
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Parent Options
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Employees in
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Base Price
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Expiration
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Grant Date Present
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Name
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Granted (#)
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2004(1)
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($/Share)
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Date
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Value ($)(2)
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Wayne T. Gattinella
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250,000
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(3)
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1.3
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8.59
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3/17/2014
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1,163,025
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Nan-Kirsten Forte
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200,000
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(3)
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1.0
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8.59
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3/17/2014
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930,420
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Anthony Vuolo
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250,000
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(3)
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1.3
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8.59
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3/17/2014
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1,163,025
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Martin J. Wygod
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Roger C. Holstein
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(1)
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Based upon the total number of options that our Parent granted
to its and its subsidiaries employees during 2004.
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(2)
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The estimated grant date present value reflected in the above
table was determined using the Black-Scholes model and the
following data and assumptions: (a) the applicable option
exercise prices, (b) the exercise of options within
3 years of the date that they become exercisable,
(c) a risk-free interest rate of 1.9% per annum,
(d) volatility of 0.6 for our Parents common
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98
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stock and (e) that no
dividends are paid on our Parents common stock. The
ultimate values of the options will depend on the future market
price of our Parents common stock, which cannot be
forecast with reasonable accuracy. The actual value, if any, an
optionee will realize upon exercise of an option will depend on
the excess of the market value of our Parents common stock
over the exercise price on the date the option is exercised. We
cannot predict whether the value realized by an optionee will be
at or near the value estimated by the Black-Scholes model or any
other model applied to value the options.
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(3)
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These options vest and become
exercisable with respect to 1/3 of the shares on each of
September 17, 2005, September 17, 2006 and
September 17, 2007.
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The following table presents information with respect to the
named executive officers concerning exercises of options to
purchase our Parents common stock during 2004 and
exercisable and unexercisable options to purchase our
Parents common stock that they held as of
December 31, 2004.
Aggregated Parent Option Exercises in Last Fiscal Year and
Fiscal Year-End Parent Option Values
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Number of Securities
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Underlying Unexercised
|
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Value of Unexercised
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Parent Options at
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In-the-Money Parent Options at
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Parent Shares
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Value
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December 31, 2004
|
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December 31, 2004(2)
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Acquired on
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Realized
|
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Name
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Exercise (#)
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($)(1)
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|
Exercisable
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Unexercisable
|
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|
Exercisable ($)
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Unexercisable ($)
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Wayne T. Gattinella
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|
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|
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450,000
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|
|
|
400,000
|
|
|
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1,507,000
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502,500
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Nan-Kirsten Forte
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25,000
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126,000
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795,557
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200,000
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591,250
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Anthony Vuolo
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312,500
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1,438,125
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2,015,500
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269,500
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2,365,000
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Martin J. Wygod
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1,044,000
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(3)
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3,382,560
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3,685,000
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Roger C. Holstein
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3,234,000
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1,000,000
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3,345,000
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1,470,000
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(1)
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The value realized is calculated based on the amount by which
the aggregate market price, on the date of exercise, of the
Parent shares received exceeded the aggregate exercise price
paid, regardless of whether such shares were sold or retained by
the option holder on that date.
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(2)
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The value of unexercised in-the-money Parent options is
calculated based on the closing market price per share of our
Parents common stock as of December 31, 2004, which
was $8.16, net of the applicable option exercise price per share.
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(3)
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Mr. Wygod has retained, through the date of this
prospectus, ownership of the shares acquired on exercise.
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Compensation Arrangements
with Named Executive Officers
The following summaries of the compensation arrangements with
our named executive officers are qualified in their entirety by
reference to the arrangements themselves, copies of which are
filed as exhibits to this registration statement.
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Arrangements with Wayne T. Gattinella
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We are a party to an employment agreement with Wayne Gattinella,
who serves as our CEO and President. The following is a
description of Mr. Gattinellas employment agreement:
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Mr. Gattinella currently receives an annual base salary of
$560,000 and will be eligible to earn a bonus of up to 100% of
his base salary. Achievement of 50% of that bonus will be based
upon our attainment of corporate financial and strategic goals
to be established by our Compensation Committee, with the
financial goals generally related to revenue and/or other
measures of operating results. Achievement of the remaining 50%
will be based on performance goals that have not yet been
established. However, our Compensation Committee will have the
discretion to adjust goals or to approve bonuses even if the
stated goals are not attained, if it believes that the
performance of Mr. Gattinella so warrants.
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In connection with this initial public offering, we have
recommended to our Compensation Committee that, on the date of
this prospectus, Mr. Gattinella be granted
100,000 shares of our restricted Class A common stock
and nonqualified options to purchase 400,000 shares of
our Class A common stock, such numbers subject to
adjustment, up or down, to the extent our
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capitalization is more or less than 100,000,000 shares.
Based on a capitalization of 55,000,000 shares, these
numbers will be reduced to 55,000 and 220,000, respectively. The
per share exercise price of the options would be the initial
public offering price. The restricted stock and options would
vest in equal installments over four years upon each anniversary
of the grant date.
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In the event of a change of control (as described
below), the unvested portion of the options to purchase our
Class A common stock would continue to vest until the later
of (1) two years from the date of grant and (2) the
next scheduled vesting date following the change of control. The
continued vesting applies only if Mr. Gattinella remains
employed until six months following such change of control or is
terminated by our successor without cause (as
described below) or he resigns for good reason (as
described below) during such six-month period.
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In the event of the termination of Mr. Gattinellas
employment, prior to April 30, 2009, by us without
cause or by Mr. Gattinella for good
reason he would be entitled to continue to receive his
base salary for one year from the date of termination, to
receive any unpaid bonus for the year preceding the year in
which the termination occurs, and to receive healthcare coverage
until the earlier of one year following his termination and the
date upon which he receives comparable coverage under another
plan. In the event that a termination of
Mr. Gattinellas employment by us without
cause or by Mr. Gattinella for good
reason occurs before the fourth anniversary of the grant
of the options to purchase our Class A common stock, 25% of
such options would continue to vest through the next vesting
date following the date of termination.
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For purposes of the employment agreement: (a) a
change of control would occur when: (i) a
person, entity or group acquires more than 50% of the voting
power of our company, (ii) there is a reorganization,
merger or consolidation or sale involving all or substantially
all of our companys assets, or (iii) there is a
complete liquidation or dissolution of our company;
(b) cause includes a (i) continued willful
failure to perform duties after 30 days written notice,
(ii) willful misconduct or violence or threat of violence
that would harm our company, (iii) a material breach of our
companys policies, the employment agreement, or the Trade
Secret and Proprietary Information Agreement (as described
below), that remains unremedied after 30 days written
notice, or (iv) conviction of a felony in respect of a
dishonest or fraudulent act or other crime of moral turpitude;
and (c) good reason includes any of the
following conditions or events remaining in effect after
30 days written notice: (i) a reduction in base
salary, (ii) a material reduction in authority, or
(iii) any material breach of the employment agreement by
our company.
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Mr. Gattinella is also a party to a related Trade Secret
and Proprietary Information Agreement that contains
confidentiality obligations that survive indefinitely. The
agreement also includes non-solicitation provisions that
prohibit Mr. Gattinella from hiring our employees or
soliciting any of our clients or customers that he had a
relationship with during the time he was employed by us, and
non-competition provisions that prohibit Mr. Gattinella
from being involved in a business that competes with our
business. The non-solicitation and non-competition obligations
end on the first anniversary of the date his employment has
ceased. The agreement is governed by the laws of the State of
New York.
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Arrangements with Anthony Vuolo
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Anthony Vuolo, who serves as our Executive Vice President, Chief
Financial Officer, was a party to an employment agreement with
our Parent. Mr. Vuolos employment agreement has been
amended and restated, effective as of the effectiveness of this
initial public offering, and assumed by us. The following is a
description of Mr. Vuolos amended and restated
employment agreement:
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Mr. Vuolo currently receives an annual base salary of
$450,000 and will be eligible to earn a bonus of up to 100% of
his base salary. Achievement of 50% of that bonus will be based
upon our attainment of corporate financial and strategic goals
to be established by our Compensation Committee in consultation
with Mr. Vuolo. Achievement of the remaining 50% will be
determined
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in the discretion of our Compensation Committee, or in the
discretion of our Parents Compensation Committee with
respect to services rendered by Mr. Vuolo to our Parent.
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In connection with this initial public offering, we have
recommended to our Compensation Committee that, on the date of
this prospectus, Mr. Vuolo be granted 80,000 restricted
shares of our Class A common stock, and nonqualified
options to purchase 320,000 shares of our Class A
common stock, such numbers subject to adjustment, up or down, to
the extent our capitalization is more or less than
100,000,000 shares. Based on a capitalization of
55,000,000 shares, these numbers will be reduced to 44,000
and 176,000, respectively. The per share exercise price of the
options would be the initial public offering price. Subject to
Mr. Vuolos continued employment with us, the
restricted stock and options would vest in equal installments
over four years, beginning on the first anniversary of the grant
date.
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In the event of the termination of Mr. Vuolos
employment due to his death or disability, by us without
cause (as described below), or by Mr. Vuolo for
good reason (as described below), or as a result of
our failure to renew his employment agreement, he would be
entitled to: (i) continuation of his base salary for a
period of eighteen months following the date of termination;
(ii) any unpaid bonus for the year preceding the year in
which the termination of employment occurs, as well as payment
for bonuses for the eighteen-month period following the date of
termination calculated using the bonus paid for the year prior
to the year of termination; and (iii) continued
participation in our welfare benefit plans for thirty-six months
or if earlier, until he is eligible for comparable benefits. In
addition, all vested options to purchase our Parents stock
granted to Mr. Vuolo (other than the option granted
March 17, 2004) would remain exercisable as if he remained
in our Parents employ through the original expiration date
specified in each applicable stock option agreement. Further,
25% of the stock options granted in connection with this initial
public offering would continue to vest through the next vesting
date following the date of termination; provided that if the
event triggering good reason is a change in
control (as described below) then this option would be
treated as set forth below. Mr. Vuolos receipt of
these severance benefits is subject to his continued compliance
with applicable restrictive covenants.
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The employment agreement also provides that in the event of a
change in control of our company prior to the second anniversary
of the date of grant of the stock option granted in connection
with this initial public offering, as long as Mr. Vuolo
remains employed for at least 6 months after the change in
control (or is terminated without cause or resigns for good
reason), then such option will continue to vest through the
second anniversary of the date of grant of the stock option
(
i.e.
, 50% vested) whether or not Mr. Vuolo remains
employed by us on the vesting date(s). In the event of a change
in control of our company on or after the second anniversary,
but prior to the fourth anniversary, of the date of grant of the
stock option granted in connection with this initial public
offering, as long as Mr. Vuolo remains employed for at
least 6 months after the change in control (or is
terminated without cause or resigns for good reason), then such
option will vest through the next vesting date, whether or not
Mr. Vuolo remains employed by us on such vesting date.
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The employment agreement provides that in the event of a
transaction whereby we are no longer a subsidiary of our Parent
and as a result Mr. Vuolo is no longer providing services
to our Parent, then all options to purchase our Parents
stock granted to Mr. Vuolo will be treated as if his
employment was terminated without cause.
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For purposes of the employment agreement: (a) a
change in control would occur when: (i) any
person, entity, or group acquires at least 50% of the voting
power of us or our Parent, (ii) there is a sale or all or
substantially all of our or our Parents assets in a
transaction where our current Parents stockholders do not
receive a majority of the voting power or equity interest in the
acquiring entity or its controlling affiliates or (iii) a
complete liquidation or dissolution of us or our Parent occurs;
(b) cause includes (i) a material breach
of his employment agreement that remains unremedied after
30 days written notice, or (ii) conviction of a
felony; and (c) good reason includes (i) a
material reduction in his title or responsibilities,
(ii) the requirement to
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report to anyone other than our CEO, (iii) a reduction in
his base salary or material fringe benefits, (iv) a
material breach by us of his employment agreement,
(v) relocation of his place of work outside Manhattan, New
York, unless it is within 25 miles of his current
residence, or (vi) the date that is six months following a
change in control of us or our Parent (so long as we
are a subsidiary of our Parent at the time of a Parent
change in control and that Mr. Vuolo remains
employed by our successor or our Parents successor, or is
terminated without cause or resigns for good reason, during such
six-month period).
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The employment agreement contains confidentiality obligations
that survive indefinitely and non-solicitation and
non-competition obligations that end on the second anniversary
of the date employment has ceased. The employment agreement is
governed by the laws of the State of New York.
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The employment agreement contains a tax gross-up provision
relating to any excise tax that Mr. Vuolo incurs by reason
of his receipt of any payment that constitutes an excess
parachute payment as defined in Section 280G of the
Internal Revenue Code. Any excess parachute and related gross-up
payments made to Mr. Vuolo will not be deductible for
federal income tax purposes.
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Arrangements with Nan-Kirsten Forte
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Nan-Kirsten Forte, who serves as our Executive Vice
President Consumer Services, was a party to an
employment agreement with our Parent. In July, 2005, we entered
into an employment agreement with Ms. Forte that amends and
supersedes her agreement with our Parent effective as of the
effective date of this offering. The following is a description
of Ms. Fortes employment agreement with us, as
amended:
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Ms. Forte receives an annual base salary of $352,500 and is
entitled to receive an annual bonus with a target of 35% of base
salary to be determined by our Compensation Committee.
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In connection with this initial public offering, we have
recommended to our Compensation Committee that Ms. Forte be
granted 50,000 restricted shares of our Class A common
stock, and nonqualified options to purchase 200,000 shares
of our Class A common stock, such numbers subject to
adjustment, up or down, to the extent our capitalization is more
or less than 100,000,000 shares. Based on a capitalization
of 55,000,000 shares, these numbers will be reduced to
27,500 and 110,000, respectively. The per share exercise price
of the options would be the initial public offering price.
Subject to Ms. Fortes continued employment with us,
the restricted stock and options would vest in equal
installments over four years, beginning on the first anniversary
of the grant date.
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In the event of the termination of Ms. Fortes
employment by us without cause or by Ms. Forte
for good reason (as those terms are defined in
Ms. Fortes employment agreement, which are generally
comparable to the definitions of these terms in
Mr. Gattinellas employment agreement) prior to the
fourth anniversary of the effective date of the agreement, then
she would be entitled to continue to receive her base salary for
one year following her termination, to receive any unpaid bonus
for the year preceding the year in which the termination occurs,
and to receive health coverage until the earlier of one year
following her termination and the date upon which she receives
comparable coverage under another plan. In addition, 25% of the
stock options granted in connection with this initial public
offering would continue to vest through the next vesting date
following the date of termination. Ms. Fortes receipt
of these severance benefits is subject to her execution of a
release of claims against us and continued compliance with
applicable restrictive covenants.
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In connection with Ms. Fortes entering into the
amended employment agreement, she has entered into a related
agreement that contains confidentiality obligations that survive
indefinitely. The agreement also includes non-solicitation
provisions that prohibit her from hiring our employees or
soliciting any of our clients or customers with whom she had a
relationship during the time she was
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employed by us, and non-competition provisions that prohibit her
from being involved in a business that competes with our
business. The non-solicitation and non-competition obligations
end on the first anniversary of the date her employment ceases.
The agreement is governed by the laws of the State of New York.
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Arrangements with Martin J. Wygod
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On August 3, 2005, our Parent amended and restated its
original employment agreement, dated October 8, 2001, with
Martin J. Wygod. Under the amended agreement,
Mr. Wygod will continue to serve as the Chairman of the
Board of our Parent and will also serve as the Chairman of the
Board of our company. In these positions, Mr. Wygod focuses
on the overall strategy, strategic relationships and
transactions intended to create long-term value for
stockholders. The following is a description of
Mr. Wygods amended employment agreement:
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The agreement provides for an employment period through
August 3, 2010.
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Under the agreement, Mr. Wygod will continue to receive an
annual base salary of $1.26 million; provided that, in the
event that this initial public offering of our company is
consummated, his base salary will be reduced to $975,000 per
year.
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In connection with this initial public offering, we have
recommended to our Compensation Committee that Mr. Wygod be
granted 100,000 shares of our restricted Class A
common stock and a nonqualified option to purchase
400,000 shares of our Class A common stock on the date
of this prospectus, such numbers to be adjusted up or down, to
the extent the capitalization of our company is more or less
than 100,000,000 shares. Based on a capitalization of
55,000,000 shares, these numbers will be reduced to 55,000
and 220,000, respectively. The per share exercise price of the
options would be the initial public offering price. Our
companys options would vest in equal installments over
four years upon each anniversary of the grant date and the
restrictions on our restricted stock would lapse in equal
installments over four years on each anniversary of the grant
date.
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In the event that Mr. Wygods employment with our
Parent is terminated by our Parent without cause (as
described below) or by Mr. Wygod for good
reason (as described below), Mr. Wygod would become a
consultant for our Parent and would be entitled to receive his
salary, at the rate then in effect, and continuation of benefits
until the later of (i) two years following such termination
or (ii) August 3, 2010. In addition, all options, or
other forms of equity compensation, granted to Mr. Wygod by
our Parent or any of our Parents affiliates (which would
include our company) that have not vested prior to the date of
termination would become vested as of the date of termination
and, assuming there has not been a change in control
(as described below) of our Parent or a change in
control (as described below) of our company, would
continue to be exercisable as long as he remains a consultant
for our Parent (or longer if the plan or agreement expressly
provides). In the event that Mr. Wygods employment is
terminated due to death or disability, he or his estate would
receive the same benefits as described above.
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The employment agreement provides that in the event there is a
change in control (as described below) of our
Parent, all outstanding options and other forms of equity
compensation (including equity compensation granted by us) would
become immediately vested on the date of the change in control
of our Parent and, if following the change in control,
Mr. Wygods employment with our Parent terminates for
any reason other than cause, they would continue to be
exercisable until the tenth anniversary of the applicable date
of grant. A change in control of our Parent is also
an event that constitutes good reason for purposes
of a termination of employment with our Parent by
Mr. Wygod. In the event there is a change in
control of our company, any portion of
Mr. Wygods equity that relates to our company will
fully vest and become exercisable on the date of such event, and
if following such event, Mr. Wygods engagement with
us is terminated for any reason other than cause, such equity
will remain outstanding until the expiration of its original
term.
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For purposes of the employment agreement:
(a) cause would include a final court
adjudication that Mr. Wygod (i) committed fraud or a
felony directed against our Parent or our company relating to
his employment, or (ii) materially breached any of the
material terms of the employment agreement; (b) good
reason, for the purposes of a termination of
Mr. Wygods engagement with our Parent, would include
the following conditions or events: (i) a material
reduction in title or responsibility that remains in effect for
30 days after written notice, (ii) a final court
adjudication that our Parent materially breached any material
provision of the employment agreement, (iii) failure to
serve on our Parents Board or the Executive Committee of
our Parents Board, or (iv) the occurrence of a
change in control of our Parent; and (c) a
change in control of our company would occur when:
(i) a person, entity or group acquires more than 50% of the
voting power of our voting securities, (ii) our current
directors (or directors elected by, or on the recommendation of,
our current directors) cease to constitute at least a majority
of our Board, (iii) there is consummated a merger or
consolidation of our company with any other corporation, other
than a merger or consolidation (x) where our voting
securities continue to represent more than 50% of the voting
securities of the surviving entity or (y) effected to
implement a recapitalization where no person becomes the
beneficial owner of more than 50% of the combined voting power
of our voting securities, (iv) there is a sale or
disposition of all or substantially all of our assets to another
entity that is not at least 50% controlled by our stockholders,
or (v) we adopt a plan of complete liquidation. For
purposes of the definition of change in control, as
applied to our company, no public offering, split-off or other
divestiture of us by our Parent will constitute a change in
control of our company. The terms of the change in
control definition applicable to our Parent are
substantially the same as the terms of the change in
control definition applicable to our company.
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In the event Mr. Wygod terminates his engagement with us
for good reason (as described in the following
sentence) any portion of his equity that relates to our company
will fully vest and become exercisable on the date his
engagement terminates and will remain exercisable for the period
beginning on such date and ending on the later of two years
following such termination or August 3, 2010. For the
purposes of a termination of Mr. Wygods engagement
with our company by him for good reason, good
reason is defined as a material reduction in
Mr. Wygods title or responsibilities as Chairman of
the Board of our company.
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In the event that Mr. Wygods employment with our
Parent is terminated for any reason, but he remains Chairman of
the Board of our company, we will have no obligation to pay a
salary to Mr. Wygod.
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The employment agreement contains confidentiality obligations
that survive indefinitely and non-solicitation and
non-competition obligations that continue until the second
anniversary of the date his employment has ceased.
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The employment agreement contains a tax gross-up provision
relating to any excise tax that Mr. Wygod incurs by reason
of his receipt of any payment that constitutes an excess
parachute payment as defined in Section 280G of the
Internal Revenue Code. Any excess parachute payments and related
tax gross-up payments made to Mr. Wygod will not be
deductible for federal income tax purposes.
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Letter Agreement with Roger C. Holstein
Roger C. Holstein resigned, effective April 27, 2005, from
all his positions with our Parent and its subsidiaries. In
connection with the resignation, Mr. Holstein and our
Parent entered into a letter agreement, dated as of
April 27, 2005. Under the letter agreement, and subject to
its terms and conditions:
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Mr. Holstein will continue to receive his annual base
salary of $660,000 until October 27, 2007, provided that
the base salary for the first six months will be paid to
Mr. Holstein in a lump sum at the end of such six-month
period in accordance with the requirements of Section 409A
of the Internal Revenue Code, except to the extent any future
guidance issued by the Internal Revenue Service under
Section 409A does not subject such payments to
Section 409A.
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Mr. Holstein will generally continue to participate in our
Parents welfare benefit plans until the earlier of
October 27, 2007 and the date upon which he receives
comparable coverage with a subsequent employer.
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The options to purchase our Parents common stock granted
to Mr. Holstein will remain outstanding and continue to
vest, and will otherwise be treated as if Mr. Holstein
remained employed by our Parent through April 27, 2007.
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The letter agreement contains confidentiality obligations that
survive indefinitely and non-solicitation and non-competition
obligations that end on April 27, 2007.
Employment
Agreement with David Gang
We are party to an employment agreement, amended as of
July 13, 2005, with David Gang, who serves as our Executive
Vice President Product and Programming and Chief
Technology Officer. The following is a description of Mr.
Gangs amended employment agreement:
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Mr. Gang will receive an annual base salary of $450,000 and
will be eligible to earn a bonus of up to 100% of his base
salary. Achievement of 50% of that bonus will be based upon our
attainment of corporate financial and strategic goals to be
established by our Compensation Committee, with the financial
goals generally related to revenue and/or other measures of
operating results. Achievement of the remaining 50% will be
based on performance goals that have not yet been established.
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Mr. Gang has received a signing bonus of $500,000 and will
be entitled to a reimbursement of relocation expenses.
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Mr. Gang was granted, on the first day of his employment,
options to purchase 400,000 shares of our
Parents common stock. The exercise price is the closing
price of the common stock of our Parent on such date. The
options will vest in equal annual installments over four years
upon each anniversary of the grant date. In the event we cease
to be a subsidiary of our Parent, the unvested portion of the
options would terminate while the vested portion would remain
outstanding in accordance with its terms. If such an event
occurs within the first twelve months from the grant date, the
unvested portion would continue to vest through the first
scheduled vesting date.
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Mr. Gang also received 100,000 shares of restricted
common stock of our Parent on the first day of his employment.
The restricted stock will vest in equal annual installments over
four years upon each anniversary of the grant date. In the event
we cease to be a subsidiary of our Parent, the restricted stock
not yet vested at that time would be forfeited.
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In connection with this initial public offering, we have
recommended to our Compensation Committee that, on the date of
this prospectus, Mr. Gang be granted 80,000 shares of
our restricted Class A common stock and nonqualified
options to purchase 320,000 shares of our Class A
common stock, such numbers subject to adjustment, up or down, to
the extent our capitalization is more or less than
100,000,000 shares. Based on a capitalization of 55,000,000
shares, these numbers will be reduced to 44,000 and 176,000,
respectively. The per share exercise price of the options would
be the initial public offering price. The restricted stock and
options would vest in equal installments over four years upon
each anniversary of the grant date.
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In the event of a change of control of our company,
which has the same definition as in the employment agreement
with Mr. Gattinella, the unvested portion of the options to
purchase our Class A common stock would continue to vest
until the later of (1) two years from the date of grant and
(2) the next scheduled vesting date following the change of
control. The continued vesting applies only if Mr. Gang
remains employed until six months following such change of
control or is terminated by our successor without
cause, which has the same definition as in the
employment agreement with Mr. Gattinella, or he resigns for
good reason, which has the same definition as in the
employment agreement with Mr. Gattinella, during such
six-month period.
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In the event of the termination of Mr. Gangs
employment, prior to the fourth anniversary of the start date,
by us without cause or by Mr. Gang for
good reason he would be entitled to continue to
receive his base salary for one year from the date of
termination, to receive any unpaid bonus for the
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year preceding the year in which the termination occurs and, to
receive health coverage until the earlier of one year following
his termination and the date upon which he receives comparable
coverage under another plan. In the event that a termination of
Mr. Gangs employment by us without cause
or by Mr. Gang for good reason occurs before
the fourth anniversary of Mr. Gangs start date, 25%
of the options to purchase our Class A common stock
described above would continue to vest through the next vesting
date following the date of termination.
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In connection with Mr. Gangs employment with us, he
has entered into a related agreement that contains
confidentiality obligations that survive indefinitely. The
agreement also includes non-solicitation provisions that
prohibit Mr. Gang from hiring our employees or soliciting
any of our clients or customers that he had a relationship with
during the time he was employed by us, and non-competition
provisions that prohibit Mr. Gang from being involved in a
business that competes with our business. The non-solicitation
and non-competition obligations end on the first anniversary of
the date employment has ceased. The agreement is governed by the
laws of the State of New York.
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2005 Long-Term Incentive Plan
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Our Board has adopted and our Parent, as sole stockholder, has
approved, our 2005 Long-Term Incentive Plan. Set forth below is
a summary of the principal features of the 2005 Long-Term
Incentive Plan, which is subject in its entirety to the text of
the Plan.
This offering will not affect the options and other equity
awards granted to our officers, employees and directors under
our Parents equity plans that are currently outstanding.
General
The purpose of the 2005 Long-Term Incentive Plan is to promote
our success by linking the personal interests of our or our
Parents employees, officers, directors and consultants to
those of our stockholders, and to provide participants with an
incentive for outstanding performance. The 2005 Long-Term
Incentive Plan authorizes the grant of awards in any of the
following forms:
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options to purchase shares of our Class A common stock,
which may be incentive stock options or non-qualified stock
options;
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stock appreciation rights;
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performance shares;
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restricted stock;
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dividend equivalents;
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other stock-based awards;
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any other right or interest relating to our Class A common
stock; or
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cash.
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Share
Limits
An aggregate of 7,150,000 shares of our Class A common
stock are available for issuance under the 2005 Long-Term
Incentive Plan.
The maximum number of shares of our Class A common stock
with respect to one or more options, stock appreciation rights
or combination of options and stock appreciation rights that may
be granted during any one calendar year under the 2005 Long-Term
Incentive Plan to any one person is 412,500 (all of which, may
be granted as Incentive Stock Options), except that that limit
may be increased by 412,500 for awards made in connection with a
persons initial hiring.
The maximum fair market value of any awards (determined as of
the date of the grant), other than options and stock
appreciation rights, that may be received by a participant, less
any consideration paid by the participant for such award, during
any one calendar year under the 2005 Long-Term Incentive Plan is
$5,000,000. The maximum number of shares of our Class A
common stock that may be subject to one or
106
more performance shares (or used to provide a basis of
measurement for one to determine the value of a performance
share) granted in any one calendar year to any one person is
412,500.
The 2005 Long-Term Incentive Plan will be administered by our
Compensation Committee. The Compensation Committee has the
authority to:
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designate participants,
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determine the type or types of awards to be granted to each
participant and the number, terms and conditions of awards,
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establish, adopt or revise any rules and regulations as it may
deem advisable to administer the 2005 Long-Term Incentive
Plan, and
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make all other decisions and determinations that may be required
under the 2005 Long-Term Incentive Plan.
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Subject to certain limitations, the Compensation Committee is
permitted to delegate to one or more directors or executive
officers its authority under the Long-Term Incentive Plan.
The Compensation Committee is authorized under the 2005
Long-Term Incentive Plan to grant options, which may be
incentive stock options or non-qualified stock options. All
options will be evidenced by a written award agreement between
us and the participant, which will include any provisions
specified by the Compensation Committee. The exercise price of
an option may not be less than the fair market value of our
Class A common stock on the date of grant. The terms of an
incentive stock option must meet the requirements of
Section 422 of the Internal Revenue Code.
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Stock Appreciation Rights
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The Compensation Committee may also grant stock appreciation
rights. Upon the exercise of a stock appreciation right, the
holder will have the right to receive the excess, if any, of the
fair market value of one share of our Class A common stock
on the date of exercise, over the grant price of the stock
appreciation right as determined by the Compensation Committee,
which will not be less than the fair market value of one share
of our Class A common stock on the date of grant. All
awards of stock appreciation rights will be evidenced by an
award agreement reflecting the terms, methods of exercise,
methods of settlement, form of consideration payable in
settlement, and any other terms and conditions of the stock
appreciation right, as determined by the Compensation Committee
at the time of grant.
The Compensation Committee may make awards of restricted
Class A common stock to participants, which will be subject
to restrictions on transferability and other restrictions as the
Compensation Committee may impose, including, without
limitation, restrictions on the right to vote restricted stock
or the right to receive dividends, if any, on the restricted
stock. These awards may be subject to forfeiture upon
termination of employment or upon a failure to satisfy
performance goals during the applicable restriction period.
The Compensation Committee may grant performance shares to
participants on terms and conditions as may be selected by the
Compensation Committee. The Compensation Committee will have the
discretion to determine the number of performance shares granted
to each participant and to set performance goals and other terms
or conditions to payment of the performance shares in its
discretion which, depending on the extent to which they are met,
will determine the number and value of performance shares that
will be paid to the participant.
107
The Compensation Committee is authorized to grant dividend
equivalents to participants subject to terms and conditions as
may be selected by the Compensation Committee. Dividend
equivalents will entitle the participant to receive payments
equal to dividends (in cash, shares of our Class A common
stock or other property) with respect to all or a portion of the
number of shares of our Class A common stock subject to an
award.
The Compensation Committee may, subject to limitations under
applicable law, grant other awards that are payable in, or
valued relative to, shares of our Class A common stock as
will be deemed by the Compensation Committee to be consistent
with the purposes of the 2005 Long-Term Incentive Plan,
including without limitation shares of Class A common stock
awarded purely as a bonus and not subject to any restrictions or
conditions. The Compensation Committee will determine the terms
and conditions of any other stock-based awards.
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Annual Awards to Non-Employee Directors
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The 2005 Long-Term Incentive Plan provides for an automatic
grant on January 1 of each year of options to purchase
13,200 shares of our Class A common stock to each
member of our Board on that date who is not an employee of ours
or of our Parent. These options will have an exercise price
equal to the fair market value of our Class A common stock
on the date of grant and will vest as to 25% of the underlying
shares on each of the first through fourth anniversaries of the
date of grant (full vesting on the fourth anniversary of the
date of the grant). These options will expire ten years after
the date of grant (unless previously exercised) or earlier in
the event the optionee ceases to serve as a director.
In order to preserve full deductibility under
Section 162(m) of the Internal Revenue Code, the
Compensation Committee may determine that any award will be
determined solely on the basis of:
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the achievement by us or one of our subsidiaries of a specified
target return, or target growth in return, on equity or assets;
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total stockholder return, described as our stock price
appreciation plus reinvested dividends, relative to a defined
comparison group or target over a specific performance period;
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our stock price;
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the achievement by us or a business unit, or one of our
subsidiaries, of a specified target, or target growth in,
revenues, net income, earnings per share, EBIT or EBITDA; or
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any combination of the above.
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If an award is made on this basis, the Compensation Committee
must establish goals prior to the beginning of the period for
which the performance goal relates, or by a later date as may be
permitted under applicable tax regulations, and the Compensation
Committee may for any reason reduce, but not increase, any
award, notwithstanding the achievement of a specified goal. Any
payment of an award granted with performance goals will be
conditioned on the written certification of the Compensation
Committee in each case that the performance goals and any other
material conditions were satisfied.
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Limitation on Transfer and Beneficiaries
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No award under the 2005 Long-Term Incentive Plan will be
assignable or transferable other than by will or the laws of
descent and distribution or, except in the case of an incentive
stock option, pursuant to a qualified domestic relations order.
However, the Compensation Committee may permit other transfers
if it deems appropriate.
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Acceleration upon Certain Events
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Unless otherwise set forth in the applicable award agreement,
upon the participants death or termination of employment
as a result of disability, all outstanding options, stock
appreciation rights, and other awards in the nature of rights
that may be exercised will become fully exercisable and all
restrictions on outstanding awards will lapse. Any options or
stock appreciation rights will thereafter continue or lapse in
accordance with the other provisions of the 2005 Long-Term
Incentive Plan and the award agreement. In addition, the
Compensation Committee may at any time in its discretion declare
any or all awards to be fully or partially vested and
exercisable, provided that the Compensation Committee will not
have the authority to accelerate or postpone the timing of
payment or settlement with respect to awards subject to
Section 409A of the Internal Revenue Code in a manner that
would cause the awards to be subject to certain related interest
and penalty provisions. The Compensation Committee may
discriminate among participants or among awards in exercising
such discretion.
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Termination and Amendment
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The Compensation Committee has the right at any time to amend or
terminate the 2005 Long-Term Incentive Plan, but it may
condition any amendment on the approval of our stockholders if
such approval will be necessary or advisable under tax,
securities, stock exchange or other applicable laws, policies or
regulations. The Compensation Committee has the right to amend
or terminate any outstanding award without approval of the
participant, but an amendment or termination may not, without
the participants consent, reduce or diminish the value of
the award determined as if it had been exercised, vested, cashed
in or otherwise settled on the date of the amendment or
termination, and the original term of any option may not be
extended. The Compensation Committee has broad authority to
amend the 2005 Long-Term Incentive Plan or any outstanding award
without the approval of the participants to the extent necessary
to comply with applicable tax laws, securities laws, accounting
rules or other applicable laws, or to ensure that an award is
not subject to interest and penalties under Section 409A of
the Internal Revenue Code. If any provision of the 2005
Long-Term Incentive Plan or any award agreement contravenes any
regulation or U.S. Department of Treasury guidance
promulgated under Section 409A of the Internal Revenue Code
that could cause an award to be subject to interest and
penalties, such provision will be modified to maintain the
original intent of the provision without violating
Section 409A. Furthermore, any discretionary authority that
the Compensation Committee may have pursuant to the 2005
Long-Term Incentive Plan will not be applicable to an award that
is subject to Section 409A to the extent such discretionary
authority will contravene Section 409A.
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Federal Income Tax Information
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The following discussion is a summary of the federal income tax
consequences relating to the grant and exercise of awards under
the 2005 Long-Term Incentive Plan and the subsequent sale of
common stock that will be acquired under this Plan. The tax
effect of exercising awards may vary depending upon the
particular circumstances, and the income tax laws and
regulations change frequently.
Nonqualified Stock Options.
There will be no federal
income tax consequences to a participant or to us upon the grant
of a nonqualified stock option. When the participant exercises a
nonqualified option, however, he will realize ordinary income in
an amount equal to the excess of the fair market value of the
option shares that he receives upon exercise of the option at
the time of exercise over the exercise price, and we will be
allowed a corresponding deduction, subject to any applicable
limitations under Section 162(m) of the Internal Revenue
Code. Any gain that a participant realizes when the participant
later sells or disposes of the option shares will be short-term
or long-term capital gain, depending on how long the participant
held the shares.
Incentive Stock Options.
There typically will be no
federal income tax consequences to a participant or to us upon
the grant or exercise of an incentive stock option. If the
participant holds the option shares for the required holding
period of at least two years after the date the option was
granted or one year after exercise of the option, the difference
between the exercise price and the amount realized upon sale or
109
disposition of the option shares will be long-term capital gain
or loss, and we will not be entitled to a federal income tax
deduction. If the participant disposes of the option shares in a
sale, exchange, or other disqualifying disposition before the
required holding period ends, he will realize taxable ordinary
income in an amount equal to the excess of the fair market value
of the option shares at the time of exercise over the exercise
price, and we will be allowed a federal income tax deduction
equal to such amount, subject to any applicable limitations
under Section 162(m) of the Internal Revenue Code. While
the exercise of an incentive stock option does not result in
current taxable income, the excess of the fair market value of
the option shares at the time of exercise over the exercise
price will be an item of adjustment for purposes of determining
the participants alternative minimum tax.
Stock Appreciation Rights.
The participant will not
recognize income, and we will not be allowed a tax deduction, at
the time a stock appreciation right is granted. When the
participant exercises the stock appreciation right, the fair
market value of any shares of common stock received will be
taxable as ordinary income, and we will be allowed a federal
income tax deduction equal to such amount, subject to any
applicable limitations under Section 162(m) of the Internal
Revenue Code.
Restricted Stock.
Unless a participant makes an election
to accelerate recognition of the income to the date of grant as
described below, the participant will not recognize income, and
we will not be allowed a tax deduction, at the time a restricted
stock award is granted. When the restrictions lapse, the
participant will recognize ordinary income equal to the fair
market value of the common stock as of that date, less any
amount he paid for the stock, and we will be allowed a
corresponding tax deduction at that time, subject to any
applicable limitations under Section 162(m) of the Internal
Revenue Code. If the participant files an election under
Section 83(b) of the Internal Revenue Code within
30 days after the date of grant of the restricted stock, he
will recognize ordinary income as of the date of grant equal to
the fair market value of the stock as of that date, less any
amount a participant paid for the stock, and we will be allowed
a corresponding tax deduction at that time, subject to any
applicable limitations under Section 162(m) of the Internal
Revenue Code. Any future appreciation in the stock will be
taxable to the participant at capital gains rates. However, if
the stock is later forfeited, such participant will not be able
to recover the tax previously paid pursuant to his
Section 83(b) election.
Performance Shares.
A participant will not recognize
income, and we will not be allowed a tax deduction, at the time
performance shares are granted. When the participant receives
payment under the performance shares, the amount of cash and the
fair market value of any shares of stock received will be
ordinary income to the participant, and we will be allowed a
corresponding tax deduction at that time, subject to any
applicable limitations under Section 162(m) of the Internal
Revenue Code.
Impact of Recent Tax Law Changes.
Recently adopted,
Section 409A of the Internal Revenue Code has implications
that affect traditional deferred compensation plans, as well as
certain equity-based awards, such as certain stock options,
restricted stock units and stock appreciation rights.
Section 409A requires compliance with specific rules
regarding the timing of exercise or settlement of equity-based
awards and, unless explicitly set forth in a plan document or
award agreement, no acceleration of payment is permitted. The
U.S. Department of Treasury has provided preliminary
guidance with respect to Section 409A and more definitive
guidance is anticipated in the near future. Individuals who hold
equity awards are subject to the following penalties if the
terms of such awards do not comply with the requirements of
Section 409A: (i) appreciation is includible in the
participants gross income for tax purposes once the awards
are no longer subject to a substantial risk of
forfeiture (e.g., upon vesting), (ii) the participant
is required to pay interest at the tax underpayment rate plus
one percentage point commencing on the date these awards are no
longer subject to a substantial risk of forfeiture, and
(iii) the participant incurs a 20% penalty tax on the
amount required to be included in income. As set forth above,
the 2005 Long-Term Incentive Plan and the awards granted
thereunder are intended to conform with the requirements of
Section 409A.
The named executive officers have been granted options to
purchase shares of our Parents common stock pursuant to
our Parents stock option plans. See
Management Executive Compensation. Our
Parents option plans are administered by our Parents
Compensation Committee, and contain terms and
110
conditions, which are substantially similar to the terms of our
2005 Long-Term Incentive Plan. Subject to the terms and
conditions of our Parents stock option plans, our
Parents options will continue to vest and remain
outstanding so long as the respective named executive officer
remains in the employ of our company and so long as our company
remains a subsidiary of our Parent for the purpose of the
applicable plan.
On the date of this prospectus, we expect to grant approximately
400,000 restricted shares of our Class A common stock
and options to purchase approximately 4,087,250 shares of
our Class A common stock to our employees and directors
under our 2005 Long-Term Incentive Plan, including the grants to
individuals listed in the table below. The exercise price of
these options will be the initial public offering price in the
offering. These options and restricted shares will vest at the
rate of 25% per year on each of the first through
fourth anniversaries of the date of grant.
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Name
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Number of Options
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Number of Restricted Shares
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Wayne T. Gattinella
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220,000
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55,000
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Nan Kristen-Forte
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110,000
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27,500
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Anthony Vuolo
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176,000
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44,000
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Martin J. Wygod
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220,000
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55,000
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Mark J. Adler, M.D.
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13,200
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4,400
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Neil F. Dimick
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13,200
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4,400
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Jerome C. Keller
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13,200
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4,400
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James Manning
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13,200
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4,400
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Abdool Rahim Moossa, M.D.
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13,200
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4,400
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Stanley S. Trotman, Jr.
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13,200
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4,400
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All current executive officers as a group
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1,188,000
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297,000
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All current directors who are not executive officers, as a group
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79,200
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26,400
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All employees, including current officers, but excluding
directors and executive officers, as a group
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2,820,050
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76,600
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In addition, as set forth below under the heading
Compensation of Non-Employee Directors, on the date
of this prospectus, we will grant each non employee director
shares of our Class A common stock under our 2005 Long-Term
Incentive Plan with a value equal to their annual board and
committee retainers (calculated based upon the initial public
offering price).
In addition, on the date of this prospectus, we expect to grant
options to purchase shares of Class A common stock under
our 2005 Long-Term Incentive Plan to the following employees of
our Parent who are expected to perform services for our company:
Kevin Cameron, Chief Executive Officer
55,000 shares; Charles A. Mele, General
Counsel 44,000 shares; Robyn Esposito,
assistant to the Chairman of both our company and our
Parent 13,750 shares. The exercise price of
these options will be the initial public offering price in the
offering and the options will vest at the rate of 25% per year
on each of the first through fourth anniversaries of the date of
grant.
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Compensation of Non-Employee Directors
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Compensation of our non-employee directors will be determined,
from time to time, by our Boards Compensation Committee.
Our non-employee directors will each receive an annual retainer
of $30,000. The following additional annual retainers will also
be paid to non-employee directors for service on standing
committees:
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Audit Committee $15,000;
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Compensation and Nominating Committees $5,000;
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Governance & Compliance
Committee $10,000; and
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Related Parties Committee $10,000.
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The following additional annual retainers will also be paid to
the chairpersons of each standing committee for their services
as chairperson in the form of Class A common stock:
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Compensation Committee, Nominating Committee
$2,500; and
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Audit Committee, Governance & Compliance Committee and
Related Parties Committee $10,000.
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All such retainers will be paid in the form of Class A
common stock. Our non-employee directors will not receive per
meeting fees for service on the Board or any of our Boards
standing committees, but they are entitled to reimbursement for
all reasonable out-of-pocket expenses incurred in connection
with their attendance at Board and Board committee meetings.
Our non-employee directors are eligible to receive options to
purchase our common stock under our 2005 Long-Term Incentive
Plan. On the date of this prospectus, we expect to make an
initial grant to our non-employee directors of stock options to
purchase 13,200 shares of our Class A common stock at
the initial public offering price per share and 4,400 shares of
restricted Class A common stock. These options and
restricted shares of Class A common stock will vest at the
rate of 25% per year on each of the first through fourth
anniversaries of the date of grant. All non-employee directors
will also receive 13,200 stock options pursuant to automatic
annual grants of stock options under our 2005 Long-Term
Incentive Plan on each January 1st through 2015. In addition, on
the date of this prospectus, pursuant to our 2005 Long-Term
Incentive Plan, we will grant each non-employee director, shares
of our Class A common stock with a value equal to their
annual board and committee retainers (calculated based on the
initial public offering price).
Stock Ownership of Directors
and Executive Officers
All of our common stock is currently owned by our Parent, and
thus none of our executive officers or directors currently own
shares of our common stock. The following table sets forth the
common stock and options to purchase common stock of our Parent
held by our directors, the named executive officers and all our
directors and executive officers as a group, as of
September 1, 2005. Except as otherwise noted, the
individual director or executive officer (including his or her
family members) had sole voting and investment power with
respect to the common stock of our Parent.
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Amount and Nature of
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Beneficial
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Name
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Ownership(1)(2)
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Percentage Owned(1)
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Wayne T. Gattinella
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632,868
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(3)
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*
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Nan-Kirsten Forte
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789,755
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(4)
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*
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Anthony Vuolo
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1,842,512
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(5)
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*
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Martin J. Wygod
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12,327,395
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(6)
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3.5
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%
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Mark J. Adler, M.D.
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184,433
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(7)
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*
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Neil F. Dimick
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36,667
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(8)
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*
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Jerome C. Keller
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*
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James V. Manning
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1,022,880
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(9)
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*
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Abdool Rahim Moossa, M.D.
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1,300
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*
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Stanley S. Trotman, Jr.
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22,000
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(10)
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*
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Roger C. Holstein
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2,693,775
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(11)
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*
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All directors and executive officers as a group
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18,256,952
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5.2
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(1)
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Beneficial ownership is determined in accordance with the rules
of the SEC and generally includes voting or investment power
with respect to securities. Shares of common stock subject to
options that are exercisable or will become exercisable within
60 days of September 1, 2005 into shares of the common
stock of our Parent are deemed to be outstanding and to be
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beneficially owned by the person
holding the options for the purpose of computing the percentage
ownership of the person, but are not treated as outstanding for
the purpose of computing the percentage ownership of any other
person.
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(2)
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The amounts set forth above include
236 shares allocated to each of Messrs. Gattinella, Vuolo,
Wygod and Holstein and to Ms. Forte pursuant to the WebMD
Corporation Performance Incentive Plan, a retirement plan
intended to be qualified under Section 401(a) of the
Internal Revenue Code (which we refer to in this table as PIP
Shares). The amount set forth above for All executive
officers and directors as a group includes an aggregate of
1,416 PIP Shares. Performance Incentive Plan participants do not
have dispositive power with respect to PIP Shares (including
vested PIP Shares) until the shares are distributed in
accordance with the terms of the Plan. Participants will forfeit
all rights with respect to unvested PIP Shares if they leave our
Parent for any reason other than death or disability. Generally,
one-third of the number of PIP Shares allocated to each
participant vests on each December 31 following the
allocation. Messrs. Gattinella and Vuolo and Ms. Forte
are beneficial owners of shares of common stock of our Parent
subject to vesting requirements based on continued employment by
our Parent (which we refer to as Restricted Stock) in the
respective amounts stated in the footnotes below. Holders of
Restricted Stock have voting power, but not dispositive power,
with respect to unvested shares of Restricted Stock.
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(3)
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Represents 4,599 shares held
by Mr. Gattinella, 236 PIP Shares, 25,000 shares of
Restricted Stock and 603,033 shares of common stock subject
to options of our Parent that are exercisable or will become
exercisable within 60 days of September 1, 2005.
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(4)
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Represents 5,629 shares held
by Ms. Forte, 236 PIP Shares, 16,667 shares of Restricted
Stock and 767,223 shares of common stock subject to options
of our Parent that are exercisable or will become exercisable
within 60 days of September 1, 2005.
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(5)
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Represents 36,747 shares held
by Mr. Vuolo, 586 shares held by Mr. Vuolos
spouse, 1,610 shares allocated to Mr. Vuolos
account under a 401(k) Plan, 236 PIP Shares, 25,000 shares
of Restricted Stock and 1,778,333 shares of common stock
subject to options of our Parent that are exercisable or will
become exercisable within 60 days of September 1, 2005.
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(6)
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Represents 8,384,996 shares
held by Mr. Wygod, 236 PIP Shares, 7,600 shares held
by Mr. Wygods spouse, 161,332 shares held by
SYNC, Inc., which is controlled by Mr. Wygod,
71,247 shares held by Synetic Foundation, Inc. (d/b/a WebMD
Charitable Fund), a charitable foundation of which
Messrs. Wygod and Manning are trustees and share voting and
dispositive power, 16,984 shares held by the Rose
Foundation, a private charitable foundation of which
Mr. Wygod is a trustee and has voting and dispositive power
and 3,685,000 shares of common stock subject to options of
our Parent that are exercisable or will become exercisable
within 60 days of September 1, 2005.
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(7)
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Represents 10,000 shares held
by Dr. Adler, 22,000 shares held by the Adler Family
Trust, 600 shares held by Dr. Adlers son and
151,833 shares of common stock subject to options of our
Parent that are exercisable or will become exercisable within
60 days of September 1, 2005.
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(8)
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Represents shares of common stock
subject to options of our Parent that are exercisable or will
become exercisable within 60 days of September 1, 2005.
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(9)
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Represents 787,800 shares held
by Mr. Manning, 71,247 shares held by Synetic Foundation,
Inc. (d/b/a WebMD Charitable Fund), a charitable foundation of
which Messrs. Manning and Wygod are trustees and share
voting and dispositive power, and 163,833 shares of common
stock subject to options of our Parent that are exercisable or
will become exercisable within 60 days of September 1,
2005.
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(10)
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Represents shares of common stock held by The Stanley S.
Trotman, Jr. Irrevocable Trust.
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(11)
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The amount in the table above includes 59,775 shares owned
by Mr. Holstein as of his resignation date of
April 27, 2005 and represents 58,582 shares held by
Mr. Holstein, 957 shares allocated to
Mr. Holsteins account under a 401(k) Plan and 236 PIP
Shares. The amount in the table also includes
2,634,000 shares of common stock subject to options of our
Parent that are exercisable or will become exercisable within
60 days of September 1, 2005.
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113
CERTAIN RELATIONSHIPS AND RELATED PARTY TRANSACTIONS
Our Relationship with Our Parent
Our Parents business is comprised of four segments. WebMD
Health will continue to be a segment of our Parent following
this offering and will be included in our Parents
consolidated financial statements. Our Parents Porex
segment develops, manufactures and distributes proprietary
porous plastic products and components used in healthcare,
industrial and consumer applications. Porex is an international
business with manufacturing operations in North America, Europe
and Asia and customers in more than 65 countries. Porex
revenue from continuing operations was $77.1 million in
2004 and $71.9 million in 2003. The remaining segments
provide technology solutions and related services to healthcare
industry participants in the United States as follows:
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Our Parents Emdeon Practice Services segment develops and
markets information technology systems for healthcare providers.
Its systems and services are used by physician offices to
automate their scheduling, billing and other administrative
tasks, to transmit transactions electronically, to maintain
electronic medical records and to automate documentation of
patient encounters. Emdeon Practice Services revenue was
$296.1 million in 2004 and $302.6 million in 2003.
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Our Parents Emdeon Business Services segment provides
healthcare reimbursement cycle management services for
healthcare providers and transaction-related administrative
services for healthcare payers, together with related technology
solutions. Emdeon Business Services transmits transactions
electronically between healthcare payers and providers and
provides healthcare payers with transaction processing
technology, decision support and data warehousing solutions,
consulting services and outsourcing services. Its services for
payers include conversion of paper claims to electronic ones and
related document management services, as well as print-and-mail
services for the distribution of checks, remittance advice and
explanation of benefits. It also provides automated patient
billing services to healthcare providers, including statement
printing and mailing services. Emdeon Business Services revenue
was $686.6 million in 2004 and $505.7 million in 2003.
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Our Parent as Our Controlling Stockholder
Immediately prior to this offering, our Parent will be our sole
stockholder. Upon completion of this offering, our Parent will
continue to own approximately 87.5% (or approximately 85.8% if
the underwriters exercise in full their option to purchase
additional shares of Class A common stock) of the
outstanding shares of our common stock. These shares will
represent approximately 97.1% of the total voting power of our
common stock (or approximately 96.7% if the underwriters
exercise in full their option to purchase additional shares of
Class A common stock). For as long as our Parent continues
to control more than 50% of the combined voting power of our
common stock, our Parent will be able to direct the election of
all the members of our Board of Directors and exercise a
controlling influence over our business and affairs, including
any determinations with respect to mergers or other business
combinations involving our company, the acquisition or
disposition of assets by our company, the incurrence of
indebtedness by our company, the issuance of any additional
common stock or other equity securities, and the payment of
dividends with respect to our common stock. Similarly, our
Parent will have the power to determine matters submitted to a
vote of our stockholders without the consent of our other
stockholders, will have the power to prevent a change in control
of our company and will have the power to take other actions
that might be favorable to our Parent.
As of the date of this prospectus, our Parent has indicated that
it has no current intention to sell or otherwise dispose of its
Class B common stock. However, our Parent is not subject to
any contractual obligation to retain its controlling interest,
except that our Parent has agreed not to sell or otherwise
dispose of any of our Class B common stock for a period of
180 days after the date of this prospectus without the
prior written consent of the representatives of the
underwriters. See Underwriting. As a result, we
cannot assure you as to the period of time during which our
Parent will maintain its ownership of the Class B common
stock owned by it following this offering.
114
Agreements Between Us and Our Parent
In the ordinary course of our business, our Parent has provided
us with various services, including payroll, accounting, human
resources, business development, legal, tax, executive services
and information processing and other similar services.
This section describes the material provisions of agreements
that we will enter into with our Parent relating to this
offering and that will govern our relationship with our Parent
after this offering, including:
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the services agreement;
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the registration rights agreement;
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the tax sharing agreement;
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the indemnity agreement; and
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the intellectual property license agreement.
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The description of the agreements is not complete and, with
respect to each material agreement, is qualified by reference to
the terms of the agreement, each of which will be filed as an
exhibit to the registration statement of which this prospectus
is a part. We encourage you to read the full text of these
material agreements. The prices and other terms of these
agreements may be less favorable to us than those we could have
obtained in arms-length negotiations with unaffiliated
third parties for similar services or under similar agreements.
These agreements have not yet been finalized, and their
descriptions may change as a result.
We will enter into a services agreement with our Parent to be
effective upon the completion of this offering, pursuant to
which our Parent will provide us with certain administrative
services, including services relating to payroll, accounting,
tax planning and compliance, employee benefit plans, legal
matters and information processing. Under the services
agreement, our Parent will receive an amount that reasonably
approximates its cost of providing services to us. Our Parent
has agreed to make the services available to us for a term of up
to 5 years. However, we will not be required, under the
services agreement, to continue to obtain services from our
Parent. In the event we wish to receive those services from a
third party or provide them internally, we will have the option
to terminate services, in whole or in part, at any time we
choose to do so, generally by providing, with respect to the
specified services or groups of services, 60 days
notice and, in some cases, paying a termination fee of not more
than $30,000 to cover costs of our Parent relating to the
termination. Our Parent has the option to terminate the services
that it provides to us, in whole or in part, if it ceases to
provide such services for itself, upon at least
180 days written notice to us. For the financial
terms of the services agreement, see Managements
Discussion and Analysis of Financial Condition and Results of
Operations Transactions with Our Parent.
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Registration Rights Agreement
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We will enter into a registration rights agreement to be
effective upon the completion of this offering with our Parent,
which will require us upon the request of our Parent to use our
reasonable best efforts to register under the applicable federal
and state securities laws any of the shares of our equity
securities of or owned by our Parent for sale in accordance with
our Parents intended method of disposition, and will take
such other actions as may be necessary to permit the sale in
other jurisdictions, subject to specified limitations. Our
Parent will also have the right to include the shares of our
equity securities it beneficially owns in other registrations of
these equity securities we initiate. We will pay all expenses
incurred in connection with each registration, excluding
underwriters discounts, if any. Subject to specified
limitations, the registration rights will be assignable by our
Parent and its assigns. The registration rights agreement will
contain indemnification and contribution provisions that are
customary in transactions similar to those contemplated by this
prospectus.
115
We will enter into a tax sharing agreement with our Parent that
will become effective upon consummation of this offering. The
tax sharing agreement will govern the respective rights,
responsibilities, and obligations of our Parent and us with
respect to tax liabilities and benefits, tax attributes, tax
contests and other matters regarding taxes and related tax
returns. The tax sharing agreement will not require our Parent
or us to reimburse the other party to the extent of any net tax
savings realized by the consolidated group, as a result of the
groups utilization of our or our Parents attributes,
including net operating losses, during the period of
consolidation. In addition, although as of the date of this
prospectus our Parent does not intend or plan to undertake a
split-off, spin-off or other similar transaction, we have agreed
in the tax sharing agreement that we will not knowingly take or
fail to take any action that could reasonably be expected to
preclude our Parents ability to undertake a split-off or
spin-off on a tax-free basis. We also have agreed that, in the
event our Parent decides to undertake a split-off or spin-off of
our capital stock to our Parents shareholders, we will
enter into a new tax sharing agreement with our Parent that will
set forth our respective rights, responsibilities and
obligations with respect to any such split-off or spin-off.
Beneficial ownership of at least 80% of the total voting power
and value of our capital stock is required in order for our
Parent to continue to include us in its consolidated group for
federal income tax purposes. It is the present intention of our
Parent to continue to file a single consolidated federal income
tax return with its eligible subsidiaries. Each member of the
consolidated group for federal income tax purposes will be
jointly and severally liable for the federal income tax
liability of each other member of the consolidated group.
Accordingly, although the tax sharing agreement will allocate
tax liabilities between us and our Parent during the period in
which we are included in the consolidated group of our Parent,
we could be liable for the federal income tax liability of any
other member of the consolidated group in the event any such
liability is incurred and not discharged by such other member.
The tax sharing agreement will provide, however, that our Parent
will indemnify us to the extent that, as a result of being a
member of the consolidated group of our Parent, we become liable
for the federal income tax liability of any other member of the
consolidated group, other than our subsidiaries.
Correspondingly, the tax sharing agreement will require us to
indemnify our Parent and the other members of the consolidated
group with respect to our federal income tax liability. Similar
principles generally will apply for income tax purposes in some
state, local and foreign jurisdictions.
We will enter into an indemnity agreement with our Parent to be
effective upon the completion of this offering, under which we
and our Parent will agree to indemnify each other with respect
to some matters. We will agree to indemnify our Parent against
liabilities arising from or based on:
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the operations of our business;
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any material untrue statements or omissions in this prospectus
other than material untrue statements or omissions contained in
or pertaining to information relating solely to our
Parent; and
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guarantees or undertakings made by our Parent to third parties
in respect of our liabilities or obligations or those of our
subsidiaries.
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Our Parent will agree to indemnify us against liabilities
arising from or based on:
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the operations of the business of our Parent;
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any material untrue statements or omissions in this prospectus
other than material untrue statements or omissions contained in
or pertaining to information relating solely to us; and
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the matters described under Business Legal
Proceedings Merrill Lynch Fundamental Growth Fund. et al.
v.
McKesson HBOC, Inc., et al. and
Business Legal Proceedings
Department of Justice and SEC Investigations of Our Parent.
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The agreement will contain provisions governing notice and
indemnification procedures.
116
In addition, the services agreement, the registration rights
agreement, the tax matters agreement and the intellectual
property license agreement referred to above will provide for
indemnification between us and our Parent relating to the
substance of such agreements.
Intellectual Property License Agreement
The intellectual property license agreement governs certain
rights, responsibilities, and obligations of our Parent and us
with respect to the name WebMD and the related
intellectual property that our Parent is currently using. Under
the intellectual property license agreement, we will agree to
license certain of our trademarks, trade names and service marks
back to our Parent for an initial period of 12 months to
allow our Parent to transition to its new name. Except as
provided in the intellectual property license agreement, our
Parent will be transferring any right it may have to the name
WebMD and the related intellectual property to our
company prior to the completion of this offering.
In addition, we may enter into agreements governing other
aspects of our relationship with our Parent.
Business Arrangements Between Us and Our Parent
In addition to the above agreements which relate to our
relationship with our Parent after this offering, we may, from
time to time and in the ordinary course of our business, enter
into agreements with our Parent or one or more of its
subsidiaries pursuant to which our Parent or such subsidiaries
will continue to be a customer for some of our services,
including our private portal services.
For example, we currently have a license agreement with our
Parent, under which our Parent has licensed our private portal
health and benefits management services for use by its employees
and the employees of its other subsidiaries for a period of
three years, through June 30, 2008. The fees payable by our
Parent to us for this license are approximately $250,000
annually.
In addition, through our
The Little Blue Book
subsidiaries, for an annual license fee of $250,000, we provide
a license to a subsidiary of our Parent of certain
physician-related information, such as names, addresses and
hospital and HMO affiliation, for use by our Parents
subsidiary in communicating with physicians. This license
agreement is automatically renewed for successive one-year terms
unless either party elects not to renew by providing a 30-day
notice.
Other Related Party Transactions
Our Parent was reimbursed approximately $236,000 during 2004 and
approximately $230,000 during 2003 by Martin J. Wygod, who we
expect will serve as our Chairman of the Board, and by a
corporation that he controls, for personal use of certain of our
Parents staff and office facilities and for the personal
portion of certain travel expenses.
Mark J. Adler, M.D., who will begin serving as a member of
our Board prior to the completion of this offering, is a partner
in a group medical practice that is a customer of Emdeon
Practice Services. The practice purchases products and services
on terms generally available, in the ordinary course of
business, to similar customers. During 2004, the aggregate
amount payable to Emdeon Practice Services by this practice was
approximately $19,000. During 2003, the aggregate amount payable
to Emdeon Practice Services by this practice was approximately
$73,000.
117
In addition, on the date of this prospectus, we expect to grant
options to purchase shares of Class A common stock under
our 2005 Long-Term Incentive Plan to the following employees of
our Parent who are expected to perform services for our company.
The exercise price of these options will be the initial public
offering price in the offering and the options will vest at the
rate of 25% per year on each of the first through fourth
anniversaries of the date of grant.
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Number of Shares
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of Class A
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Common Stock
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Name
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Title
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Underlying Options
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Kevin Cameron
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Chief Executive Officer of our Parent
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55,000
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Charles A. Mele
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General Counsel of our Parent
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44,000
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Robyn Esposito
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Assistant to the Chairman of both our company and our Parent
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13,750
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Affiliates of FMR Corp. provide services to our Parent in
connection with certain of our Parents 401(k) plans.
During 2004, the aggregate amount payable by our Parent for
these services was approximately $43,800. During 2003, the
aggregate amount payable by our Parent for these services was
approximately $64,500. In 2004, we entered into an agreement
with Fidelity Human Resources Services Company LLC (FHRS), an
affiliate of FMR Corp. FHRS provides benefits and human
resources administration, workforce effectiveness, payroll
solutions and stockplan services to employers. The agreement
provides for FHRS to integrate our employer product, Health and
Benefits Manager, into the services FHRS provides to its
clients. In addition, our Health and Benefits Manager has been
rolled out to the Fidelity employee base. We recorded
approximately $817,000 in revenue in 2004 related to the FHRS
agreement.
PRINCIPAL SHAREHOLDERS
All of our common stock outstanding prior to the completion of
this offering is beneficially owned by our Parent. Upon
completion of this offering, our Parent will beneficially own
100% of our issued and outstanding Class B common stock.
These shares will represent approximately 97.1% of the total
voting power of our common stock (or approximately 96.7% if the
underwriters exercise in full their option to purchase
additional shares of Class A common stock). After
completion of this offering, our Parent will be able, acting
alone, to elect our entire Board of Directors and to approve any
action requiring stockholder approval. Except for our Parent, we
are not aware of any person or group that will beneficially own
more than 5% of our outstanding shares of common stock following
this offering. None of our executive officers, directors or
director nominees currently owns any shares of our common stock.
118
DESCRIPTION OF CAPITAL STOCK
General
The following is a description of the material terms of our
capital stock and the provisions of our amended and restated
certificate of incorporation and amended and restated bylaws,
each of which will be in effect prior to the completion of this
offering. The following description is only a summary and is
qualified by reference to (1) our amended and restated
certificate of incorporation and amended and restated bylaws to
be in effect upon the closing of this offering, forms of which
are included as exhibits to the registration statement of which
this prospectus is a part, and (2) applicable law.
Our authorized capital stock will consist of
700 million shares of capital stock, of which:
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500 million shares will be designated as Class A
common stock, par value $.01 per share;
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150 million shares will be designated as Class B
common stock, par value $.01 per share; and
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50 million shares will be shares of our preferred
stock.
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Common Stock
Of the 650 million shares of common stock,
500 million will be designated as Class A common
stock, and 6,900,000 shares, or about 2.9% of the equity
voting power of our company, are being offered in connection
with this offering, assuming that the underwriters do not
exercise their option to purchase additional shares. Of the
150 million shares of common stock to be designated as
Class B common stock, 48,100,000 shares, or about
97.1% of the equity voting power of our company, will be
outstanding and held by our Parent upon consummation of this
offering, assuming the underwriters do not exercise their option
to purchase additional shares. Each of the Class A common
stock and the Class B common stock constitutes a separate
class of common stock under the General Corporation Law of the
State of Delaware.
Holders of Class A common stock and holders of Class B
common stock will generally have identical rights, except: