As filed with the Securities and Exchange Commission on June 4,20, 2002
Registration No. 333-         333-89724

 
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

AMENDMENT NO. 1
TO
FORM S-1
REGISTRATION STATEMENT
UNDER
THE SECURITIES ACT OF 1933

IMPAC MEDICAL SYSTEMS, INC.
(Exact Name of Registrant as Specified in Its Charter)

Delaware
(State or other jurisdiction of
incorporation or organization)
    
7372
(Primary Standard Industrial
Classification Code Number)
    
94-3109238
(I.R.S. Employer
Identification Number)
 
100 West Evelyn Avenue, Mountain View, California 94041
(650) 623-8800
(Address, including zip code, and telephone number, including area code, of registrant’s principal executive offices)

Joseph K. Jachinowski
President and Chief Executive Officer
IMPAC Medical Systems, Inc.
100 West Evelyn Avenue
Mountain View, California 94041
(650) 623-8800
(Name, address, including zip code, and telephone number, including area code, of agent for service)
 
Copies to:
Alan Talkington
Brett E. Cooper
John M. Beer
Orrick, Herrington & Sutcliffe LLP
400 Sansome Street
San Francisco, California 94111-3143
(415) 392-1122
 
Jeffrey D. Saper
Jack Helfand
Craig N. Lang
Wilson Sonsini Goodrich & Rosati
Professional Corporation
650 Page Mill Road
Palo Alto, California 94304
(650) 493-9300

Approximate date of commencement of proposed sale 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, check the following box.  ¨
If this Form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering.  ¨                      
If this Form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering.  ¨                      
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.  ¨                      
If delivery of the prospectus is expected to be made pursuant to Rule 434, please check the following box.  ¨
 
CALCULATION OF REGISTRATION FEE

Title of Each Class of
Securities to be Registered
    
Proposed Maximum Aggregate Offering Price(1)
    
Amount of
Registration Fee(2)





Common Stock, $0.001 par value per share    $50,600,000    $4,656

(1) Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(o) under the Securities Act of 1933, as amended.
(2) Estimated pursuant to Rule 457(a) under the Securities Act of 1933, as amended, based on an estimate of the proposed maximum aggregate offering price.

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 of 1933 or until this Registration Statement shall become effective on such date as the Commission, acting pursuant to said Section 8(a), may determine.
 


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 we are not soliciting offers to buy these securities, in any state or jurisdiction where the offer or sale is not permitted.

SUBJECT TO COMPLETION, DATED JUNE 4, 2002
PROSPECTUS
LOGO
LOGO
IMPAC Medical Systems, Inc.
                     Shares
Common Stock

We are selling                  shares of our common stock. Certain selling stockholders have granted the underwriters a 30-day option to purchase up to an additional                  shares to cover over-allotments, if any. We will not receive any of the proceeds from the sale of the shares by the selling stockholders.
This is an initial public offering of our common stock. We currently expect the initial public offering price to be between $                 and $                 per share. We have applied for approval for quotation of our common stock on the Nasdaq National Market under the symbol “IMPC.”

INVESTING IN OUR COMMON STOCK INVOLVES RISKS. SEE“RISK FACTORS” BEGINNING ON PAGE 7.

Per Share
Total
Public offering price$$
Underwriting discount$$
Proceeds, before expenses, to IMPAC$$
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.

Thomas Weisel Partners LLC

SG Cowen
U.S. Bancorp Piper Jaffray
The date of this prospectus is                 , 2002


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F-1


PROSPECTUS SUMMARY
This summary highlights information contained elsewhere in this prospectus. You should read the following summary together with the more detailed information and consolidated financials and the related notes appearing elsewhere in this prospectus. This prospectus contains forward-looking statements that involve risks and uncertainties. We urge you to read the entire prospectus carefully, especially the risks of investing in our stock discussed under the heading “Risk Factors” and elsewhere in this prospectus.
IMPAC Medical Systems
We are a leading provider of information technology systems for cancer care. Our products provide integrated clinical and administrative solutions to manage the complexities of cancer care, from detection and diagnosis through treatment and follow-up. Cancer centers require specialized information technology to administer complex treatments, to integrate advanced medical devices, to provide data aggregation and to meet reporting requirements. In addition to satisfying these needs, our systems improve the delivery of cancer care by enhancing patient safety, enabling advanced therapies, streamlining process management and facilitating communications.
We sell our systems to university teaching hospitals, community and government hospitals, freestanding cancer centers and private practices. Our modular design provides cancer centers the flexibility to fulfill their initial information technology, or IT, needs and easily expand their systems over time. We install our systems in facilities that range from small departments with less than five users to national delivery networks with hundreds of users. Our products are installed in more than 1,500 facilities in 52 countries, and our customers include 32 of the top 50 U.S. cancer hospitals, as ranked by U.S. News & World Report in July 2001.
Our business has grown steadily since our inception in 1990. Our net sales increased from $10.2 million for our fiscal year ended September 30, 1997 to $33.9 million for our fiscal year ended September 30, 2001, a compound annual growth rate of 35.1%. Most recently, our net sales increased from $14.9 million for the six months ended March 31, 2001 to $20.4 million for the six months ended March 31, 2002, an increase of 37.4%.
Recent Developments
On May 31, 2002, we executed a five-year agreement to be the exclusive provider of radiation oncology IT systems and to provide administrative and electronic medical record systems to US Oncology's comprehensive cancer centers. US Oncology is the largest provider of oncology services in the United States and, as of March 2002, had 868 network physicians delivering care to patients in over 450 locations, including 77 comprehensive cancer centers and 12 Positron Emission Topography (PET) installations, across 27 states. The systems will be hosted at our application service provider, or ASP, data center and deployed over the next two years beginning in July 2002. We will also supply and support the complete computer and local and wide-area networking and, in partnership with AT&T, will address all of the wide-area telecommunications requirements. Our systems are currently installed in 24 US Oncology facilities, which are expected to be converted to the ASP model.
Industry Overview
The healthcare industry is the largest sector in the U.S. economy. The Centers for Medicare and Medicaid Services estimates that healthcare expenditures in the United States will increase from $1.3 trillion in 2000, or approximately 13% of U.S. gross domestic product, to $2.8 trillion in 2011, or approximately 17% of U.S. gross domestic product. Industry analysts expect U.S. healthcare providers to increase their annual investment in IT hardware, software and support services from $21 billion in 2001 to $32 billion in 2005.

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Cancer is the second leading cause of death in the United States after heart disease. The Centers for Medicare and Medicaid Services estimates that $757 billion was spent in the United States for physician, clinical and hospital services in 2001, and the National Institutes of Health estimates that $56 billion was spent on cancer care during the same period. The treatment of cancer requires the precise coordination of many different healthcare practitioners who employ complex treatment methodologies, some of which can be extremely harmful or even fatal to the patient if administered improperly. These treatments are often administered in multiple settings and over an extended period of time. Additionally, these processes have intensive information management and billing requirements.
Many healthcare IT systems provide basic administrative and clinical functions, but do not satisfy the specialized requirements of cancer care.
Our Solution
Our IT solution provides the following benefits:
Oncology IT Systems.    Our specialized oncology IT systems have the functionality required to address the complexities of cancer care.
Device Integration.    Our systems connect directly to medical devices, allowing us to support the electronic transfer of information from a variety of devices, thereby streamlining the planning, scheduling and delivery of advanced cancer treatments, such as Intensity Modulated Radiotherapy, or IMRT.
Administrative Integration.    Our oncology IT solutions include a fully integrated practice management system that automates time-intensive administrative tasks and is a data repository that substantiates both clinical and business actions.
Data Aggregation and Reporting.    We provide a full line of data aggregation and reporting tools that allow management of data for large population bases, compliance with regulatory reporting requirements and analysis of treatment outcomes.
Adaptable Design.    We design our systems to be flexible and comprehensive. We believe, therefore, they are adaptable to other chronic disease specialties requiring long-term episodic care as well as the needs of a general provider practice.
Our Strategy
The key elements of our strategy are:
Expand Our Oncology IT Solution.    We will continue to enhance and expand our product offerings to meet the evolving demands and complexity of oncology.
Expand Sales to Our Existing Customers.    We will continue to market new and enhanced products to our existing customer base.
Expand Our Customer Base within Oncology.    We will focus on the large portion of the cancer care market that has yet to make an investment in a specialized oncology IT solution.
Expand Our Worldwide Sales.    We will expand internationally where we believe our systems are particularly applicable to international cancer centers, which typically provide centralized, comprehensive care.
Expand into New Markets.    We will expand the marketing and sales of our products into other chronic disease specialties related to cancer, such as urology. We also plan to expand into other chronic disease specialties where there is demand for IT systems that address technical complexity and integration.

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Corporate Information
We were incorporated in California as IMPAC Medical Systems, Inc. in January 1990. Prior to the closing of this offering, we intend to reincorporate as a Delaware corporation. Our principal executive offices are located at 100 West Evelyn Avenue, Mountain View, California 94041, and our telephone number is (650) 623-8800. Our corporate website is www.impac.com. Information contained on our website does not constitute part of this prospectus. References in the prospectus to “we,” “our,” “us” and “IMPAC” refer to IMPAC Medical Systems, Inc. and our subsidiaries on a consolidated basis unless the context means otherwise.
IMPAC Medical Systems, Inc., IMPAC, the IMPAC logo and our product names are trademarks of IMPAC. All other brand names or trademarks appearing in this prospectus are the property of their respective holders.

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The Offering
Common stock offered by IMPAC                 shares
Common stock to be outstanding after this offering                 shares
Common stock to be offered by the selling stockholders in the over-allotment option                 shares
Use of proceedsWe intend to use the net proceeds from the offering for working capital and to expand our business generally. We will not receive any proceeds from the sale of common stock offered by the selling stockholders.
Proposed Nasdaq National Market symbolIMPC
Unless otherwise noted, the information in this prospectus, including the information above:
reflects a                 -for-       stock split of our common stock, which will occur before the closing of this offering;
assumes our reincorporation from California to Delaware, which will occur before the closing of this offering;
assumes 6,027,533 shares of common stock and 1,238,390 shares of redeemable convertible preferred stock outstanding at March 31, 2002;
assumes the conversion of all outstanding shares of our redeemable convertible preferred stock into 1,238,390 shares of our common stock upon the closing of this offering;
excludes 17,419 shares of common stock issued upon option exercises since March 31, 2002;
excludes 865,948 shares of common stock subject to outstanding options at March 31, 2002 issued at a weighted-average exercise price of $4.18 per share;
excludes 215,000 shares of common stock subject to options granted after March 31, 2002 at a weighted-average exercise price of $12.72 per share;
excludes an aggregate of 3,307,660 shares of common stock reserved for future issuance under our stock option plans and our 2002 employee stock purchase plan as of May 31, 2002; and
assumes no exercise of the underwriters’ over-allotment option granted by the selling stockholders.

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Summary Consolidated Financial Information
(in thousands, except per share data)
The table below sets forth summary consolidated financial information for the periods indicated. This data has been derived from our audited consolidated financial statements for the years ended September 30, 1999, 2000 and 2001 and from our unaudited consolidated financial statements for the six months ended March 31, 2001 and 2002 and as of March 31, 2002 included elsewhere in this prospectus. The statements of operations data for the years ended September 30, 1997 and 1998 were derived from our audited consolidated financial statements that do not appear in this prospectus. It is important that you read this information together with the section entitled “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and our consolidated financial statements and the notes to them included elsewhere in this prospectus.
   
Year Ended September 30,

   
Six Months Ended March 31,

 
   
1997

  
1998

  
1999

  
2000

   
2001

   
2001

   
2002

 
Consolidated Statement of Operations Data:
                                
Sales:                                
Software license and other, net  $7,396  $12,417  $15,092  $20,011   $23,566   $10,004   $13,765 
Maintenance and services   2,765   3,917   5,566   7,663    10,291    4,868    6,671 
   

  

  

  


  


  


  


Total net sales   10,161   16,334   20,658   27,674    33,857    14,872    20,436 
Gross profit   7,557   12,304   15,087   20,129    24,226    10,346    14,903 
Operating income   671   1,433   4,670   5,251    4,190    1,074    3,084 
Income before provision for income taxes   978   1,697   5,034   5,068    4,702    1,348    3,274 
Net income   590   1,103   3,071   3,075    3,017    865    2,063 
Accretion of redeemable convertible preferred stock(1)   —     —     —     (508)   (1,431)   (797)   (4,982)
   

  

  

  


  


  


  


Net income (loss) available to common stockholders  $590  $1,103  $3,071  $2,567   $1,586   $68   $(2,919)
   

  

  

  


  


  


  


Net income (loss) per common share:                                
Basic  $0.10  $0.19  $0.53  $0.43   $0.26   $0.01   $(0.48)
   

  

  

  


  


  


  


Diluted  $0.08  $0.15  $0.43  $0.40   $0.25   $0.01   $(0.48)
   

  

  

  


  


  


  


Weighted-average shares used in computing net income (loss) per common share:                                
Basic   5,730   5,803   5,837   5,907    6,017    6,015    6,026 
   

  

  

  


  


  


  


Diluted   7,184   7,240   7,219   6,387    6,457    6,515    6,026 
   

  

  

  


  


  


  


Pro forma net income per common share (unaudited)(2):                                
Basic                   $0.42        $0.28 
                    


       


Diluted                   $0.39        $0.27 
                    


       


Weighted-average shares used in computing pro forma net income per common share (unaudited)(2):                                
Basic                    7,255         7,264 
                    


       


Diluted                    7,695         7,603 
                    


       


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March 31, 2002

   
Actual

    
Pro Forma
As Adjusted(3)

Consolidated Balance Sheet Data:
          
Cash, cash equivalents and available-for-sale securities  $20,225    $ 
Working capital   9,155      
Total assets   36,691      
Capital lease obligations, less current portion   148      
Redeemable convertible preferred stock   10,921      
Total stockholders’ equity   7,405      

(1)After September 27, 2002, the holders of a majority of our redeemable convertible preferred stock can require us to redeem the preferred shares by paying in cash an amount equal to the greater of $3.23 per share or the fair market value plus all declared or accumulated but unpaid dividends within thirty days. These shares will automatically convert to common stock upon the closing of this offering. We have been accreting charges that reflect the increase in market value of the redeemable convertible preferred stock as an adjustment to net income. After this offering, no further accretion will be required. The redemption value of the redeemable convertible preferred stock was $7.4 million at September 30, 2001 and $13.6 million at March 31, 2002. These amounts will be reallocated on our balance sheet from redeemable convertible preferred stock to additional paid-in capital, less the stated par value. See Note 5 of the notes to our consolidated financial statements for a more detailed explanation.
(2)See Note 7 of the notes to consolidated financial statements for a detailed explanation of the determination of the number of shares used to compute pro forma basic and diluted net income per common share.
(3)In the “Pro Forma As Adjusted” column, we have adjusted the balance sheet data as of March 31, 2002, to reflect the conversion of redeemable convertible preferred stock into common stock upon the closing of this offering and to give effect to our receipt of the estimated net proceeds $         million from the sale of                 shares of our common stock by us under this prospectus at an assumed initial public offering price of $         per share after deducting the underwriting discounts and commissions and estimated offering costs payable by us. See “Use of Proceeds” and “Capitalization.”

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RISK FACTORS
You should carefully consider the risks and uncertainties described below and the other information in this prospectus before making an investment decision. If any of the following risks actually occur, our business, financial condition or results of operations could be materially adversely affected. In that event, the trading price of our shares could decline, and you may lose part or all of your investment.
Risks Relating to Our Business
Our operating results may fluctuate significantly and may cause our stock price to decline.
We have experienced significant variations in revenues and operating results from quarter to quarter. Our quarterly operating results may continue to fluctuate due to a number of factors, including:
the timing, size and complexity of our product sales and implementations, in each case exacerbated by the lengthy sales and implementation cycles and unpredictable buying patterns of our customers;
overall demand for healthcare information technology, particularly in the oncology market;
seasonality of our quarterly operating results, which may be impacted by the degree to which our customers have allocated and spent their yearly budgets and slower systems implementation during the holiday seasons;
market acceptance of services, products and product enhancements by us and our competitors;
product and price competition;
changes in our operating expenses;
the timing and size of future acquisitions;
personnel changes; and
the financial condition of our current and potential customers.
Because a significant percentage of our expenses will be relatively fixed, changes in the timing of sales and implementations could cause significant variations in operating results from quarter to quarter. We believe that period to period comparisons of our historical results of operations are not necessarily meaningful. You should not rely on these comparisons as indicators of our future performance.
Given the length of our sales and implementation cycles, if customers delay the purchase or implementation of our products, our future operating results would suffer.
We experience long sales and implementation cycles. How and when to implement, replace, expand or substantially modify an information system, or modify or add business processes, are major decisions for healthcare organizations. Furthermore, the solutions we provide typically require significant capital expenditures by the customer. The sales cycle for our systems ranges from six to 24 months or more from initial contact to contract execution. Our implementation cycle generally ranges from three to nine months from contract execution to completion of implementation. During the sales cycle and the implementation cycle, we will expend substantial time, effort and financial resources preparing contract proposals, negotiating the contract and implementing our systems. We may not realize any revenues to offset these expenditures, and, if we do, delays in implementation may not allow us to recognize the revenues during corresponding periods, which could harm our operating results.

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The majority of our sales have been into the radiation oncology market. If we are unable to expand outside the radiation oncology market or expand into international markets, our ability to grow will be limited.
Sales of our products into the radiation oncology market in the United States, including maintenance and services, represented approximately 83.5% of our net sales in the six months ended March 31, 2002 and 83.0% in the fiscal year ended September 30, 2001. Many of the largest radiation oncology facilities and practices in the United States have previously purchased our systems. To sustain our growth, we must expand our radiation oncology sales outside the United States and increase our sales outside of the radiation oncology market. We have expanded our product offerings domestically to address medical oncology, hospital and central registry data aggregation and reporting, and recently, laboratory information systems and urology. However, we may not be successful selling our products in international radiation oncology markets, or marketing our products in new markets.
If we are unable to integrate our products successfully with existing information systems and oncology treatment devices, or we are restricted from access to new device interfaces, customers may choose not to use our products and services.
For healthcare facilities to fully benefit from our products, our systems must integrate with the customer’s existing information systems and medical devices. This may require substantial cooperation, investment and coordination on the part of our customers. There is little uniformity in the systems and devices currently used by our customers, which complicates the integration process. If these systems are not successfully integrated, our customers could choose not to use, or to reduce their use of, our systems, which would harm our business.
Our ability to design systems that integrate applications, devices and information systems has been a key to our success in the radiation oncology market. Our competitors include manufacturers of radiation oncology equipment. If these manufacturers were to deny us access to new device interfaces, we would lose one of our key competitive advantages and our sales would be adversely impacted.
We operate in an intensely competitive market that includes companies that have greater financial, technical and marketing resources than we do, and companies who bundle their software with hardware sales at little or no additional cost, which makes it harder for us to sell our systems.
We operate in a market that is intensely competitive. Our principal oncology competitor is Varian Medical Systems, Inc. We also face competition from providers of enterprise level healthcare information systems, practice management systems, general decision support and database systems and other segment-specific software applications. In addition, although we have cooperative strategic arrangements with Siemens Medical Systems, Inc. and other companies for the sale of some of our products, these companies also compete with us on the sale of some of our products. A number of existing and potential competitors are more established than we are and have greater name recognition and financial, technical and marketing resources than we do.
Our most significant competitors also manufacture radiation oncology devices and other equipment used by healthcare providers who may be our potential customers. These particular competitors pose a competitive risk for us because they market their software with their hardware products as a bundled solution at little or no additional cost, which could enhance their ability to meet a potential customer’s needs. As a result, to make a sale, we must convince potential customers that our products are sufficiently superior to the software offered by the medical device manufacturer to justify the additional costs of purchasing our products. We also expect that competition will continue to increase, particularly if enterprise level healthcare software providers, such as Cerner Corporation and Eclipsys Corporation, choose to focus on the oncology market. As a result of increased competition, we may need to reduce the price of our products and services, and we may experience reduced gross margins or loss of market share, any one of which could significantly reduce our future revenues and operating results.

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A decline in spending for healthcare information technology and services may result in less demand for our products and services, which could adversely affect our financial results.
The purchase of our products and services involves a significant financial commitment by our customers. At the same time, the healthcare industry faces significant financial pressures that could adversely affect overall spending on healthcare information technology and services. For example, the Balanced Budget Act of 1997 significantly reduced Medicare reimbursements to hospitals, leaving them less money to invest in infrastructure. Moreover, a general economic decline or further reductions in Medicare reimbursements to hospitals could cause hospitals to reduce or eliminate information technology-related spending. If spending for healthcare information technology and services declines or increases slower than we anticipate, demand for our products and services could decline, adversely affecting the prices we may charge.
Changing customer requirements could decrease the demand for our products, which could harm our business and adversely affect our revenues.
The market for our products and services is characterized by rapidly changing technologies, evolving industry standards and new product introductions and enhancements that may render existing products obsolete or less competitive. As a result, our position in the healthcare information technology market could erode rapidly due to unforeseen changes in the features, functions or pricing of competing products. Our future success will depend in part on our ability to enhance our existing products and services and to develop and introduce new products and services to meet changing customer requirements. The process of developing products and services such as those we offer is complex and in the future is expected to become increasingly more complex and expensive as new technologies and new methods of treating cancer are introduced. If we are unable to enhance our existing products or develop new products to meet changing customer requirements, including the introduction of new cancer treatment methods with which our products are not currently compatible, demand for our products could suffer.
We depend on our relationships with distributors and oncology equipment manufacturers to market our products, and if these relationships are discontinued, or we are unable to develop new relationships, our revenues could decline.
To successfully market and sell our products both in the United States and in foreign markets, we have developed relationships with distributors and leading oncology equipment manufacturers, including Siemens Medical Systems, Inc. Sales to Siemens represented 13.4% of our net sales in the six months ended March 31, 2002, 12.7% in fiscal 2001 and 14.6% in fiscal 2000. We rely on these collaborative relationships to augment our direct sales efforts and maintain market access to potential customers, particularly in Europe and Asia, and our business strategy includes entering into additional third-party relationships in the future. Some of these manufacturers and distributors also produce or distribute products that directly compete with our core products.
We may not be able to maintain or develop these relationships with distributors and oncology equipment manufacturers, and these relationships may not continue to be successful. If any of these relationships is terminated, not renewed or otherwise unsuccessful, or if we are unable to develop additional relationships, our sales could decline, and our ability to continue to grow our business could be adversely affected. This is particularly the case for our international sales, where we rely on our distributors’ expertise regarding foreign regulatory matters and their access to actual and potential customers. In many cases, these parties have extensive relationships with our existing and potential customers and influence the decisions of these customers. In addition, if these relationships fail, we will have to devote additional resources to market our products than we would otherwise, and our efforts may not be as effective as those of the distributors and manufacturers with whom we have relationships. We are currently investing, and plan to continue to invest, significant resources to develop these relationships. Our operating results could be adversely affected if these efforts with distributors and manufacturers do not generate revenues necessary to offset these investments.

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We are subject to extensive federal, state and international regulations, which could cause us to incur significant costs.
Four of our medical device products, including two device connectivity products and two imaging products, are subject to extensive regulation by the U.S. Food and Drug Administration, or FDA, under the Federal Food, Drug and Cosmetic Act, or FDC Act, and by the Food and Drug Branch of the California Department of Health Services, or FDB, which is the California state agency that oversees compliance with FDA regulations. The FDA’s regulations govern product design and development, product testing, product labeling, product storage, premarket clearance or approval, advertising and promotion, and sales and distribution. Unanticipated changes in existing regulatory requirements or adoption of new requirements could hurt our business, financial condition and results of operations.
Numerous regulatory requirements apply to our medical device products, including the FDA’s Quality System Regulation, which requires that our manufacturing operations follow design, testing, control, documentation and other quality assurance procedures during the manufacturing process. We are also subject to FDA regulations regarding labeling, adverse event reporting, and the FDA’s prohibition against promoting products for unapproved or “off-label” uses.
We face the risk that a future inspection by the FDA or FDB could find that we are not in full regulatory compliance. Our failure to comply with any applicable FDA regulation could lead to warning letters, non-approvals, suspensions of existing approvals, civil penalties and criminal fines, product seizures and recalls, operating restrictions, injunctions and criminal prosecution. If we fail to take adequate corrective action in response to any FDA observation of noncompliance, we could face enforcement actions, including a shutdown of our manufacturing operations and a recall of our products, which would cause our product sales, operating results and business reputation to suffer.
To market and sell our products in countries outside the United States, we must obtain and maintain regulatory approvals and comply with the regulations of those countries. These regulations and the time required for regulatory review vary from country to country. Obtaining and maintaining foreign regulatory approvals is expensive and time consuming. We plan to apply for regulatory approvals in particular countries, but we may not receive the approvals in a timely way or at all in any foreign country in which we plan to market our products, and if we fail to receive such approvals, our ability to generate revenue will be harmed.
Our products could be subject to recalls even after receiving FDA approval or clearance. A recall would harm our reputation and adversely affect our operating results.
The FDA and similar governmental authorities in other countries in which we market and sell our products have the authority to require the recall of our products in the event of material deficiencies or defects in design or manufacture. A government mandated recall, or a voluntary recall by us, could occur as a result of component failures, manufacturing errors or design defects, including defects in labeling. A recall could divert management’s attention, cause us to incur significant expenses, harm our reputation with customers and negatively affect our future sales.
Regulation of additional products of ours not currently subject to regulation as medical devices by the FDA could increase our costs, delay the introduction of new products and adversely affect our revenue growth.
The FDA has increasingly regulated computer products and computer-assisted products as medical devices under the FDC Act. If the FDA chooses to regulate any more of our products as medical devices, we would likely be required to take the following actions:
seek FDA clearance by demonstrating that our product is substantially equivalent to a device already legally marketed, or obtain FDA approval by establishing the safety and effectiveness of our product;

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comply with rigorous regulations governing pre-clinical and clinical testing, manufacture, distribution, labeling and promotion of medical devices; and
comply with the FDC Act’s general controls, including establishment registration, device listing, compliance with good manufacturing practices and reporting of specified device malfunctions and other adverse device events.
We may not be able to convince the FDA to grant approval to a request for market clearance. If any of our products fails to comply with FDA requirements, we could face FDA refusal to grant pre-market clearance or approval of products, withdrawal of existing FDA clearances and approvals, fines, injunctions or civil penalties, recalls or product corrections, production suspensions and criminal prosecution. FDA regulation of additional products could increase our operating costs, delay or prevent the marketing of new or existing products and adversely affect our revenue growth.
New and potential federal regulations relating to patient confidentiality could require us to redesign our products.
State and federal laws regulate the confidentiality of patient records and the circumstances under which those records may be released. These regulations govern both the disclosure and use of confidential patient medical record information and may require the users of such information to implement specified security measures. Regulations governing electronic health data transmissions are evolving rapidly and are often unclear and difficult to apply.
Of particular importance is the Health Insurance Portability and Accountability Act of 1996, or HIPAA. This law requires the Secretary of Health and Human Services, or HHS, to adopt national standards for some types of electronic health information transactions and the data elements used in those transactions, adopt standards to ensure the integrity and confidentiality of health information, and establish a schedule for implementing national health data privacy regulations. In December 2000, HHS published its final health data privacy regulations, which will take effect in December 2002. These regulations restrict the use and disclosure of personally identifiable health information without the prior informed consent of the patient. HHS has not yet issued final rules on most of the other topics under HIPAA and has yet to issue proposed rules on some topics. The final rules, if and when issued, may differ from the proposed rules. We cannot predict the potential impact of the rules that have not yet been proposed or any other rules that might be finally adopted instead of the proposed rules. In addition, other federal and state privacy legislation may be enacted at any time.
These laws or regulations, when adopted, could restrict the ability of our customers to obtain, use or disseminate patient information. This could adversely affect demand for our products and force us to redesign our products in order to meet the requirements of any new regulations. Despite the existence of security features, these products may be vulnerable to break-ins and similar disruptive problems that could jeopardize the security of information stored in and transmitted through the computer systems of our customers. We may incur significant product development costs to modify or redesign our products to address evolving data security and privacy issues.
If our products fail to provide accurate and timely information to our customers in their treatment of patients, our customers may be able to assert claims against us that could result in substantial costs to us, harm our reputation in the industry and cause demand for our products to decline.
We provide products that assist clinical decision-making and relate to patient medical histories and treatment plans. If these products fail to provide accurate and timely information, customers may be able to assert liability claims against us. Any potential liability claims, regardless of their outcome, could result in substantial costs to us, divert management’s attention from operations and decrease market acceptance of our products. We attempt to limit by contract our liability for damages arising from negligence, errors or mistakes. Despite this

11


precaution, the limitations of liability set forth in our contracts may not be enforceable or may not otherwise protect us from liability for damages. We maintain general liability insurance coverage, including coverage for errors or omissions. However, this coverage may not continue to be available on acceptable terms or may not be available in sufficient amounts to cover one or more large claims against us. In addition, the insurer might refuse coverage as to any future claim.
Highly complex software products such as ours often contain undetected errors or failures when first introduced or as updates and new versions are released. It is particularly challenging for us to test our products because it is difficult to simulate the wide variety of computing environments in which our customers may deploy them. Despite extensive testing, from time to time we have discovered defects or errors in our products. Defects, errors or difficulties could cause delays in product introductions and shipments, result in increased costs and diversion of development resources, require design modifications or decrease market acceptance or customer satisfaction with our products. In addition, despite testing by us and by current and potential customers, errors may be found after commencement of commercial shipments, which may result in loss of or delay in market acceptance of our products.
If we undertake additional acquisitions, they may be disruptive to our business and could have an adverse effect on our future operations and cause the market price of our common stock to decline.
An element of our business strategy has been expansion through acquisitions. Since 1997, we have completed six acquisitions of businesses or product lines. As a result of these acquisitions, we face the following risks:
integrating the existing management, sales force, engineers and other personnel into one existing culture and business;
developing and implementing an integrated business strategy from what had been previously independent companies; and
developing compatible or complementary products and technologies from previously independent operations.
If we pursue any future acquisitions, we will also face additional risks, including the following:
the diversion of our management’s attention and the expense of identifying and pursuing suitable acquisition candidates, whether or not consummated;
the anticipated benefits from any acquisition may not be achieved;
the integration of acquired businesses requires substantial attention from management;
the diversion of the attention of management and any difficulties encountered in the transition process could hurt our business;
in future acquisitions, we could issue additional shares of our capital stock, incur additional indebtedness or pay consideration in excess of book value, which could have a dilutive effect on future net income, if any, per share; and
the potential negative effect on our financial statements from the increase in goodwill and other intangibles, the write-off of research and development costs and the high cost and expenses of completing acquisitions.
Interruptions in our power supply or telecommunications capabilities or the occurrence of an earthquake or other natural disaster could disrupt our operations and cause us to lose revenues or incur additional expenses.
Our primary facilities are located in California near known earthquake fault zones and are vulnerable to significant damage from earthquakes. We are also vulnerable to damage from other types of disasters, including

12


tornadoes, fires, floods, power loss, communications failures and similar events. If any disaster were to occur, our ability to operate our business at our facilities could be seriously impaired or destroyed. The insurance we maintain may not be adequate to cover our losses resulting from disasters or other business interruptions.
We currently do not have backup generators to be used as alternative sources of power in the event of a loss of power to our facilities. During any power outage, we would be temporarily unable to continue operations at our facilities. This would have adverse consequences for our customers who depend on us for system support and outsourcing services. Any such interruption in operations at our facilities could damage our reputation and harm our ability to obtain and retain customers, which could result in lost revenue and increased operating costs.
We have customers for whom we store and maintain critical patient and administrative data on computer servers in our ASP data center. Those customers access this data remotely through telecommunications lines. If our back-up power generators fail during any power outage or if our telecommunications lines are severed or impaired for any reason, those customers would be unable to access their critical data causing an interruption in their operations. In such event our remote access customers and their patients could seek to hold us responsible for any losses. We may also potentially lose those customers and our reputation could be harmed.
If we fail to attract, motivate and retain highly qualified technical, marketing, sales and management personnel, our ability to operate our business could be impaired.
Our success depends, in significant part, upon the continued services of our key technical, marketing, sales and management personnel and on our ability to continue to attract, motivate and retain highly qualified employees. Competition for these employees is intense. In addition, the process of recruiting personnel with the combination of skills and attributes required to operate our business can be difficult, time-consuming and expensive. The success of our business depends to a considerable degree on our senior management team. The loss of any member of that team, particularly Joseph Jachinowski, James Hoey and David Auerbach, our founders, could hurt our business.
We depend on licenses from third parties for rights to the technology used in several of our products. If we are unable to continue these relationships and maintain our rights to this technology, our business could suffer.
We depend upon licenses for some of the technology used in our products from a number of third-party vendors, including Pervasive Software Inc., Medicomp Systems, Inc., First DataBank, Inc., Crystal Decisions, Inc. and SoftVelocity, Inc. If we were unable to continue using the technology made available to us under these licenses on commercially reasonable terms or at all, we may have to discontinue, delay or reduce product shipments until we obtain equivalent replacement technology, which could hurt our business. In addition, if our vendors choose to discontinue support of the licensed technology in the future, we may not be able to modify or adapt our own products.
If we fail to protect our intellectual property, our business could be harmed.
We are dependent upon our proprietary information and technology. Our means of protecting our proprietary rights may not be adequate to prevent misappropriation. The laws of some foreign countries may not protect our proprietary rights as fully as do the laws of the United States. Also, despite the steps we have taken to protect our proprietary rights, it may be possible for unauthorized third parties to copy aspects of our products, reverse engineer our products or otherwise obtain and use information that we regard as proprietary. In some limited instances, customers can access source-code versions of our software, subject to contractual limitations on the permitted use of the source code. Although our license agreements with these customers attempt to prevent misuse of the source code, the possession of our source code by third parties increases the ease and likelihood of potential misappropriation of such software. Furthermore, others could independently develop

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technologies similar or superior to our technology or design around our proprietary rights. In addition, infringement or invalidity claims or claims for indemnification resulting from infringement claims could be asserted or prosecuted against us. Regardless of the validity of any claims, defending against these claims could result in significant costs and diversion of our resources. The assertion of infringement claims could also result in injunctions preventing us from distributing products. If any claims or actions are asserted against us, we might be required to obtain a license to the disputed intellectual property rights, which might not be available on reasonable terms or at all.
Our international sales, marketing and service activities expose us to uncertainties that could limit our growth and adversely affect our operating results.
In addition to our domestic operations, we currently conduct sales, marketing and service activities in other countries in North America, Europe and the Pacific Rim. Our international operations pose risks that include:
potential adverse tax consequences;
foreign currency fluctuations;
potentially higher operating expenses, resulting from the establishment of international offices, the hiring of additional personnel and the localization and marketing of products for particular countries;
the impact of smaller healthcare budgets in some international markets, which could result in greater pricing pressure and reduced gross margins;
uncertainties relating to product feature requirements in foreign markets;
order deposits at lower levels than historically achieved with U.S. orders;
unproven performance of new distributors;
greater difficulty in collecting accounts receivable;
the difficulty of building and managing an organization with geographically dispersed operations;
burdens and uncertainties related to foreign laws; and
lengthy sales cycles typical in overseas markets.
If we are unable to meet and overcome these challenges, our international operations may not be successful, which would limit the growth of our business.

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Risk Related to This Offering
Our common stock has not been publicly traded, and we expect that the price of our common stock will fluctuate substantially. An active trading market for our stock may not develop, and selling your stock may be difficult.
Prior to this offering, our common stock has not been traded on a public market. We cannot predict whether an active public trading market for our stock will develop following this offering, or whether such a market will be sustained. We have negotiated with the underwriters to determine the price of the shares of common stock sold in this offering, but this price will not necessarily reflect the market price of the common stock following this offering. A number of factors will influence the market price for the common stock following this offering, including:
volume and timing of orders for our products;
quarterly variations in our or our competitors’ results of operations;
changes in the availability of third-party reimbursement in the United States or other countries;
the announcement and introduction of new products or product enhancements by us or our competitors;
our ability to develop, obtain regulatory clearance for, and market new and enhanced products;
changes in governmental regulations or in the status of our regulatory approvals or applications;
product liability claims or other litigation;
changes in earnings estimates or recommendations by securities analysts; and
general market conditions and other factors that may be unrelated to our operating performance or the operating performance of our competitors.
If no trading market develops, securities analysts may decide not to provide research coverage of our company. Securities analysts may not initiate or maintain research coverage of our company and our shares, and this could further depress the market for our shares.
A large number of shares may be sold into the market following this offering, which may cause the price of our common stock to decline.
After this offering,                  shares of our common stock will be outstanding based upon shares outstanding as of May 31, 2002. The                  shares we are selling in this offering, and the                  shares being offered by the selling stockholders if the underwriters exercise their over-allotment in full, will be freely tradable, without restriction or further registration, under the federal securities laws unless purchased by our affiliates. The following table indicates approximately when the              shares of common stock not being sold in this offering, based upon shares outstanding as of May 31, 2002, will be available for sale in the public market.
Number of Shares

Percent of Total Shares Outstanding Immediately
After Offering

Date of Availability for Resale Into Public Market

359,289        %The day our common stock commences trading in the public market.
  23,103The 90th day following the day our common stock commences trading in the public market.
6,900,950The 181st day following the day our common stock commences trading in the public market, taking into account agreements these stockholders have with us and the underwriters and assuming the underwriters do not exercise their over-allotment option. However, Thomas Weisel Partners LLC can waive this restriction and allow these stockholders to sell their shares at any time.

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The table above takes into account the lock-up agreements under which stockholders holding an aggregate of 6,900,950 shares have agreed not to sell their shares of stock for 180 days after the completion of this offering. Thomas Weisel Partners LLC may waive any of these lock-up restrictions prior to the expiration of the lock-up period without prior notice. Of the shares of common stock that will be available for sale after the expiration of the lock-up period, 5,772,816 shares will be subject to volume restrictions under federal securities laws because they are held by our affiliates.
If our common stockholders sell substantial amounts of common stock in the public market, or if the market perceives that these sales may be about to occur, the market price of our common stock could fall. After the completion of this offering, the holders of 1,238,390 shares of common stock or                  shares of common stock if the underwriters exercise their over-allotment option in full, including common stock issued upon conversion of our redeemable convertible preferred stock, will continue to have rights, subject to some conditions, to require us to file registration statements covering their shares, or to include their shares in registration statements that we may file for ourselves or for other stockholders. If these holders exercise their registration rights in one of our future registration statements, their stock sales could impair our ability to raise necessary capital by depressing the price at which we could sell our common stock.
Purchasers in this offering will experience immediate and substantial dilution.
We expect the price of our shares in this offering to be substantially higher than the pro forma net tangible book value per share of our outstanding common stock after this offering. Accordingly, investors purchasing shares of common stock in this offering will pay a price per share substantially higher than the value of our assets less liabilities. Assuming the sale of                  shares of our common stock in this offering at an assumed initial public offering price of $         per share, the mid-point of the range on the cover of this prospectus, the investors in this offering will contribute         % of the total gross amount invested to date in our company, but will own only ��       % of the shares of common stock outstanding. The exercise of outstanding stock options, or the issuance of new stock, will further dilute new investors.
We have broad discretion in how we use the net proceeds of this offering, and we may not use these proceeds in a manner desired by our stockholders.
Our management could spend the proceeds from this offering in a manner that our stockholders may not desire or that does not yield a favorable return. You will not have the opportunity, as part of your investment in our common stock, to influence the manner in which the net proceeds of this offering are used. We currently intend to use the net proceeds from this offering for general corporate purposes and working capital. We may also use the net proceeds in future strategic acquisitions or investments, but currently we do not have any specific acquisitions or investments planned. Until we need to use the net proceeds of this offering, we plan to invest the net proceeds in investment grade, interest bearing securities, but these investments may not produce income or may lose value.
Our executive officers and directors own a significant percentage of our stock, and as a result, the trading price for our shares may be depressed and these stockholders can take actions that may be adverse to your interests.
Following this offering, our executive officers and directors, and entities affiliated with directors, will beneficially own approximately         % of our common stock or approximately         % if the underwriters exercise their over-allotment option in full. These stockholders, acting together, will have the ability to decide all matters requiring approval by our stockholders, including the election and removal of directors and any proposed merger, consolidation or sale of all or substantially all of our assets. In addition, they could dictate the management of our business and affairs. A significant concentration of share ownership can adversely affect the trading price for our common stock because investors often discount the value of stock in companies that have controlling stockholders. Furthermore, the concentration of ownership in our company could delay, defer or prevent a merger or consolidation, takeover or other business combination that could be favorable to you.

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Anti-takeover provisions in our charter documents and Delaware law could prevent a potential acquiror from buying our stock.
Our restated certificate of incorporation and bylaws will contain provisions that could delay or prevent a change in control of our company, including provisions that:
authorize the issuance of preferred stock that can be created and issued by the board of directors without prior stockholder approval, commonly referred to as “blank check” preferred stock, with rights senior to those of common stock;
prohibit stockholder actions by written consent; and
provide for a classified board of directors.
In addition, we will be governed by the provisions of Section 203 of Delaware General Corporation Law. These provisions may prohibit stockholders owning 15% or more of our outstanding voting stock from merging or combining with us. These and other provisions in our restated certificate of incorporation and bylaws, and under Delaware law, could discourage potential acquisition proposals, delay or prevent a change in control or management or reduce the price that investors might be willing to pay for shares of our common stock in the future.

17


INFORMATION REGARDINGFORWARD-LOOKING STATEMENTS
This prospectus contains forward-looking statements, which may be deemed to include, but are not limited to, our business strategy, timing of and plans for the introduction of new products, services and enhancements, plans for hiring additional personnel, timing of and plans for opening new offices and the adequacy of anticipated sources of cash, including the proceeds from this offering, to fund our operations. Words such as “believes,” “anticipates,” “plans,” “expects,” “intends” and similar expressions are intended to identify forward-looking statements, but are not the exclusive means of identifying such statements. You should not place undue reliance upon these forward-looking statements, which apply only as of the date of this prospectus. Actual results could differ materially from those projected in any forward-looking statements for the reasons detailed in the “Risk Factors” portion of this prospectus beginning on page seven or elsewhere in this prospectus. We assume no obligation to update any forward-looking statement after the date of this prospectus.
This prospectus contains various estimates related to the IT and healthcare markets. These estimates have been included in studies published by market research and other firms. These estimates have been produced by industry analysts based on trends to date, their knowledge of technologies and markets, and customer research, but these are forecasts only and are thus subject to inherent uncertainty.

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USE OF PROCEEDS
We expect to receive net proceeds of approximately $        million from the sale of             shares of common stock by us in this offering at an assumed initial public offering price of $         per share after deducting underwriting commissions and discounts and estimated expenses. If the underwriters’ over-allotment option is exercised, we will not receive any of the proceeds from the sale of shares by the selling stockholders.
We expect to use the net proceeds from the offering for working capital and to expand our business generally, including possible acquisitions.
The principal purposes of this offering are to obtain additional capital, to enhance our ability to acquire other businesses, products or technologies, to create a public market for our common stock, to facilitate our future access to public equity markets, to provide liquidity for our existing stockholders, to improve the effectiveness of our stock option plans in attracting and retaining key employees and to provide increased visibility of our company in a marketplace where many of our competitors are publicly held companies.
DIVIDEND POLICY
We have never declared or paid cash dividends on our capital stock. We currently intend to retain all available funds and any future earnings for use in the operation of our business and do not anticipate paying any cash dividends in the foreseeable future.

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CAPITALIZATION
The following table sets forth our capitalization at March 31, 2002 on an actual basis and on an as adjusted basis to reflect the conversion of all outstanding shares of our redeemable convertible preferred stock into shares of our common stock upon the closing of this offering and to give effect to the receipt of the estimated net proceeds from the sale of              shares of common stock offered by us in this offering at an assumed initial public offering price of $                 per share, after deducting underwriting discounts and commissions and estimated offering expenses. The information below should be read in conjunction with our consolidated financial statements and the notes to those statements appearing elsewhere in this prospectus.
   
March 31, 2002

   
Actual

  
As Adjusted

   
(unaudited)
Long-term obligations, less current portion  $147,627  $                
   

  

Series A redeemable convertible preferred stock, $0.001 par value; 1,238,390 shares authorized and outstanding, actual; no shares outstanding, as adjusted   10,920,908    
   

  

Stockholders’ equity:        
Preferred stock, $0.001 par value; no shares authorized, issued or outstanding, actual; 5,000,000 shares authorized, no shares issued or outstanding, as adjusted       
Common stock, $0.001 par value; 15,000,000 shares authorized; 6,027,533 shares outstanding, actual;                  shares outstanding, as adjusted   6,028    
Additional paid-in capital   938,124    
Accumulated other comprehensive income   11,065    
Retained earnings   6,449,437    
   

  

Total stockholders’ equity   7,404,654    
   

  

Total capitalization  $18,473,189    
   

  

The number of shares of common stock listed in the table above excludes the following:
865,948 shares of common stock subject to options issued at March 31, 2002 at a weighted-average exercise price of $4.18 per share granted under our stock option plans;
215,000 shares of common stock subject to options granted after March 31, 2002 at a weighted-average exercise price of $12.72 per share; and
3,307,660 shares of common stock reserved for future issuance under our stock option plans and our 2002 employee stock purchase plan.

20


DILUTION
At March 31, 2002, our actual net tangible book value was approximately $17.6 million, or $2.92 per share. Actual net tangible book value per share represents the amount of total actual tangible assets less total actual liabilities, divided by the shares of common stock outstanding at March 31, 2002. After giving effect to the sale of the                  shares of common stock we are offering and after deducting the underwriting discounts and commissions and estimated offering costs, our adjusted net tangible book value at March 31, 2002 would have been $         million, or $         per share. This represents an immediate increase in as adjusted net tangible book value of $         per share to existing stockholders and an immediate dilution of $         per share to new investors. The following table illustrates this per share dilution:
Assumed initial public offering price per share      $            
Net tangible book value per share at March 31, 2002  $2.92    
Increase per share attributable to new investors        
   

    
Pro forma net tangible book value per share after the offering        
       

Dilution per share to new investors      $ 
       

The following table summarizes, on a pro forma basis, at March 31, 2002, the difference between the number of shares of common stock purchased, the total consideration paid and the average price per share paid by the existing stockholders and the new investors purchasing shares of common stock in this offering:
   
Shares Purchased

  
Total Consideration

    
Average Price Per Share

   
Number

  
Percent

  
Amount

  
Percent

    
Existing stockholders  7,265,923    %  $4,944,151    %    $0.68
New investors                   
   
  
  

  
      
Total     100.0%  $   100.0%      
   
  
  

  
      
The discussion and tables above assume no exercise of any of the 865,948 stock options with a weighted-average exercise price of $4.18 per share outstanding at March 31, 2002. Assuming the exercise in full of all these options as of March 31, 2002, the number of shares purchased by existing stockholders would increase to 8,131,871, total consideration paid by them would increase to $8,563,814 and the average price per share paid by them would be increased to $1.05 per share.
If the underwriters’ over-allotment option is exercised in full, sales by the selling stockholders in this offering will reduce the number of shares of common stock held by existing stockholders to                  or approximately         % of the total number of shares of common stock outstanding upon the closing of this offering and will increase the number of shares held by new public investors to                  or approximately         % of the total number of shares of common stock outstanding after this offering. See “Principal and Selling Stockholders.”

21


SELECTED CONSOLIDATED FINANCIAL DATA
(in thousands, except per share data)
The following consolidated statements of operations data for the years ended September 30, 1999, 2000 and 2001 and consolidated balance sheet data as of September 30, 2000 and 2001 have been derived from our audited consolidated financial statements and related notes, which are included elsewhere in this prospectus. The statement of operations data for the six months ended March 31, 2001 and 2002 and the balance sheet data as of March 31, 2002 are derived from our unaudited consolidated financial statements included in this prospectus. The statements of operations data for the years ended September 30, 1997 and 1998 and the balance sheet data as of September 30, 1997, 1998 and 1999 were derived from our audited consolidated financial statements that do not appear in this prospectus. Our unaudited consolidated financial statements have been prepared by us on a basis consistent with our audited consolidated financial statements and, in management’s opinion, include all adjustments necessary, consisting only of normal recurring adjustments, for a fair presentation of this information. The consolidated statement of operations data for the six months ended March 31, 2002 and 2001 are not necessarily indicative of the results to be expected for the entire year, for any other interim period or for any future year. The consolidated selected financial data set forth below should be read in conjunction with our consolidated financial statements, the related notes and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included elsewhere in this prospectus.
   
Year Ended September 30,

   
Six Months Ended
March 31,

 
   
1997

   
1998

   
1999

   
2000

   
2001

   
2001

   
2002

 
Consolidated Statement of Operations Data:
    
Sales:                                   
Software license and other, net  $7,396   $12,417   $15,092   $20,011   $23,566   $10,004   $13,765 
Maintenance and services   2,765    3,917    5,566    7,663    10,291    4,868    6,671 
   


  


  


  


  


  


  


Net sales   10,161    16,334    20,658    27,674    33,857    14,872    20,436 
Cost of sales   2,604    4,030    5,571    7,545    9,631    4,526    5,533 
   


  


  


  


  


  


  


Gross profit   7,557    12,304    15,087    20,129    24,226    10,346    14,903 
Operating expenses:                                   
Research and development   2,130    2,798    3,369    4,495    6,276    2,816    3,735 
Sales and marketing   3,370    4,185    5,028    6,361    9,255    4,095    5,932 
General and administrative   1,386    2,378    1,368    2,343    3,633    1,675    1,931 
Write-off of purchased in-process research and development   —      348    —      308    511    511    —   
Merger related costs   —      —      —      578    —      —      —   
Amortization of goodwill and other intangible assets   —      1,162    652    793    361    175    221 
   


  


  


  


  


  


  


Total operating expenses   6,886    10,871    10,417    14,878    20,036    9,272    11,819 
Operating income   671    1,433    4,670    5,251    4,190    1,074    3,084 
Interest expense   —      (2)   —      —      (41)   (25)   (14)
Interest and other income, net   307    266    364    508    553    299    204 
Write-down of notes receivable   —      —      —      (691)   —      —      —   
   


  


  


  


  


  


  


Income before provision for income taxes   978    1,697    5,034    5,068    4,702    1,348    3,274 
Provision for income taxes   (388)   (594)   (1,963)   (1,993)   (1,685)   (483)   (1,211)
   


  


  


  


  


  


  


Net income   590    1,103    3,071    3,075    3,017    865    2,063 
Accretion of redeemable convertible preferred stock(1)   —      —      —      (508)   (1,431)   (797)   (4,982)
   


  


  


  


  


  


  


Net income (loss) available to common stockholders  $590   $1,103   $3,071   $2,567   $1,586   $68   $(2,919)
   


  


  


  


  


  


  


Net income (loss) per common share:                                   
Basic  $0.10   $0.19   $0.53   $0.43   $0.26   $0.01   $(0.48)
   


  


  


  


  


  


  


Diluted  $0.08   $0.15   $0.43   $0.40   $0.25   $0.01   $(0.48)
   


  


  


  


  


  


  


22


   
Year Ended September 30,

  
Six Months Ended
March 31,

   
1997

  
1998

  
1999

  
2000

  
2001

  
2001

  
2002

Weighted-average shares used in computing net income (loss) per common share:                       
Basic  5,730  5,803  5,837  5,907   6,017  6,015   6,026
   
  
  
  
  

  
  

Diluted  7,184  7,240  7,219  6,387   6,457  6,515   6,026
   
  
  
  
  

  
  

Pro forma net income per common share (unaudited)(2):                       
Basic              $0.42     $  0.28
               

     

Diluted              $0.39     $0.27
               

     

Weighted-average shares used in computing pro forma net income per common share (unaudited)(2):                       
Basic               7,255      7,264
               

     

Diluted               7,695      7,603
               

     

   
As of September 30,

  
As of March 31, 2002

   
1997

  
1998

  
1999

  
2000

  
2001

  
Consolidated Balance Sheet Data:
                        
Cash, cash equivalents and available-for-sale securities  $6,253  $6,825  $11,773  $12,382  $17,926  $20,225
Working capital   2,343   2,039   4,460   5,443   6,547   9,155
Total assets   10,077   14,042   19,949   26,510   32,953   36,691
Capital lease obligations, less current portion   —     —     —     236   179   148
Redeemable convertible preferred stock   4,000   4,000   4,000   4,508   5,939   10,921
Total stockholders’ equity   1,585   2,682   5,734   8,695   10,340   7,405

(1)After September 27, 2002, the holders of a majority of our redeemable convertible preferred stock can require us to redeem the preferred shares by paying in cash an amount equal to the greater of $3.23 per share or the fair market value plus all declared or accumulated but unpaid dividends within thirty days. These shares will automatically convert to common stock upon the closing of this offering. We have been accreting charges that reflect the increase in market value of the redeemable convertible preferred stock as an adjustment to net income. After this offering, no further accretion will be required. The redemption value of the redeemable convertible preferred stock was $7.4 million at September 30, 2001 and $13.6 million at March 31, 2002. These amounts will be reallocated on our balance sheet from redeemable convertible preferred stock to additional paid-in capital, less the stated par value. See Note 5 of the notes to our consolidated financial statements for a more detailed explanation.
(2)See Note 7 of the notes to consolidated financial statements for a detailed explanation of the determination of the number of shares used to compute pro forma basic and diluted net income per common share.

23


MANAGEMENT’S DISCUSSION AND ANALYSIS OF
FINANCIAL CONDITION AND RESULTS OF OPERATIONS
The following discussion should be read in conjunction with our consolidated financial statements and the related notes appearing at the end of this prospectus. Our discussion contains forward-looking statements based upon current expectations that involve risks and uncertainties, such as our plans, objectives, expectations and intentions. Actual results and the timing of events could differ materially from those anticipated in these forward-looking statements as a result of a number of factors, including those set forth under “Risk Factors” and elsewhere in this prospectus.
Overview
We are a leading provider of information technology systems for cancer care. Our products provide integrated clinical and administrative solutions to manage the complexities of cancer care, from detection and diagnosis through treatment and follow-up. We were founded in 1990, and our growth has been primarily organic, supplemented by several product and small company acquisitions.
Net Sales and Revenue Recognition
We sell our products directly throughout the world and primarily in North America, Europe and the Pacific Rim countries. In addition, we use non-exclusive distributors to augment our direct sales efforts. Sales through distributors represented 17.7% of our total net sales in fiscal 1999, 14.6% in fiscal 2000, 12.7% in fiscal 2001 and 13.4% in the six months ended March 31, 2002, all of which were sold through Siemens Medical Systems, Inc. We have recently signed agreements with other distributors, which have not yet generated sales.
We license point-of-care and registry software products. Our point-of-care products are comprised of modules that process administrative, clinical, imaging and therapy delivery information. Our registry products aggregate data on patient outcomes for regulatory and corporate reporting purposes. Currently, a majority of our point-of-care software is licensed on a perpetual basis, and a majority of our registry sales is licensed on a term basis.
The decision to implement, replace, expand or substantially modify an information system is a significant commitment for healthcare organizations. In addition, our systems typically require significant capital expenditures by the customer. Consequently, we experience long sales and implementation cycles. The sales cycle for our systems ranges from six to 24 months or more from initial contact to contract execution. Our implementation cycle generally ranges from three to nine months from contract execution to completion of implementation.
We record orders for products licensed on a perpetual basis upon the receipt of a signed purchase and license agreement, purchase order, and a substantial deposit. We record orders for products licensed on a term basis upon receipt of a signed purchase and license agreement, purchase order and a deposit typically equal to the first year’s fees. All contract deposits are held as a current liability until the customer has accepted the product as outlined in the terms and conditions set forth in the purchase and license agreement. Maintenance and support is recorded as deferred revenue upon the invoice date and held as a current liability on the balance sheet. Under the terms of the original purchase and license agreement, maintenance and support automatically renews on an annual basis unless the customer provides a written cancellation. We recognize revenue from these sales ratably over the underlying maintenance period.
For direct software sales licensed on a perpetual basis, we include one year of maintenance and support as part of the purchase price. We recognize revenue upon acceptance of the installed product at the customer site. Since the first year of maintenance and support is included in the purchase price, we defer 12% of the purchase price and recognize that portion of the revenue ratably over a twelve-month period. Standard annual fees for maintenance and support after the first year equal 12% of the then current list price unless the customer negotiates other terms or service levels. We recognize these fees ratably over the applicable twelve-month period.

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For direct software sales licensed on a term basis, the initial term lasts from three to five years with annual renewals after the initial term. The customer pays a deposit typically equal to the initial annual fee upon signing the license agreement, and we invoice the customer for subsequent annual fees 60 days before the anniversary date of the signed agreement. We recognize revenue for the annual fees under these term license agreements ratably over the applicable twelve-month period. The purchase price includes annual maintenance and support.
We recognize revenue from third-party products and related configuration and installation services sold with our licensed software upon acceptance by the customer. We recognize revenue from third-party products sold separately from our licensed software upon delivery. Third-party products represented 6.1% of our total net sales in fiscal 1999, 5.7% in fiscal 2000, 4.4% in fiscal 2001 and 4.0% in the six months ended March 31, 2002.
We recognize distributor related revenues upon the receipt of a completed purchase order and the related customer information needed to generate software registration keys, which allow us to distribute the software to the end user and satisfy our regulatory information tracking requirements. We invoice maintenance and support annually and recognize revenue ratably over the applicable twelve-month period.
Costs and Expenses
Cost of sales consists primarily of:
labor costs relating to the implementation, installation, training and application support of our point-of-care and registry software;
travel expenses incurred in the installation and training of our point-of-care software;
direct expenses related to the purchase, shipment, installation and configuration of third-party hardware and software sold with our point-of-care software;
continuing engineering expenses related to the maintenance of existing released software; and
overhead attributed to our client services personnel.
System installations require several phases of implementation in the process of accepting product delivery and have led to our development of a highly specialized client service organization. All new orders require multiple site visits from our personnel to properly install, configure and train customer personnel. Several point-of-care products are used with various third-party hardware and software products that are also sold and configured during the implementation process. After the initial implementation process, our application support staff provides phone support and any applicable system updates. A substantial percentage of engineering costs are allocated to client services due to continuing engineering efforts related to the support and enhancement of our products. Historically, cost of sales has increased at approximately the same rate as net sales. However, as newly developed products and acquired product lines are released to the customers, additional investments in client service staff could cause gross margins to fluctuate.
Research and development expenses include costs associated with the design, development and testing of our products. These costs consist primarily of:
salaries and related development personnel expenses;
software license and support fees associated with development tools;
travel expenses incurred to test products in the customer environment; and
overhead attributed to our development and test engineering personnel.
We currently expense all research and development costs as incurred. Our research and development efforts are periodically subject to significant non-recurring costs that can cause fluctuations in our quarterly research and

25


development expense trends. We expect that research and development expenses will increase in absolute dollars for the foreseeable future as we continue to invest in product development.
Sales and marketing expenses primarily consist of:
salaries, commissions and related travel expenses for personnel engaged in sales and the contracts administration process;
salaries and related product marketing, marketing communications, media services and business development personnel expenses;
expenses related to marketing programs, public relations, trade shows, advertising and related communications; and
overhead attributed to our sales and marketing personnel.
We have recently expanded our sales force, made significant investments in marketing communications and increased trade show activities to enhance market awareness of our products. We expect that sales and marketing expenses will increase in absolute dollars for the foreseeable future as we continue to expand our sales and marketing capabilities.
General and administrative expenses primarily consist of:
salaries and related administrative, finance, human resources, regulatory, information services and executive personnel expenses;
other significant expenses relate to facilities, recruiting, external accounting and legal and regulatory fees;
general corporate expenses; and
overhead attributed to our general and administrative personnel.
A significant portion of facility, infrastructure and maintenance costs are allocated as overhead to other functions based on distribution of headcount. We expect that our general and administrative expenses will increase as a public company.
Depreciation and Amortization
Our property and equipment is recorded at our cost minus accumulated depreciation and amortization. We depreciate the costs of our tangible capital assets on a straight-line basis over the estimated economic life of the asset, which is generally three to seven years. Acquisition related intangible assets have historically been amortized based upon the estimated economic life, which is generally two to five years. Leasehold improvements and equipment purchased through a capital lease are amortized over the life of the related asset or the lease term, if shorter. If we sell or retire an asset, the cost and accumulated depreciation is removed from the balance sheet and the appropriate gain or loss is recorded. We expense repair and maintenance costs as incurred.
In October 1997, we acquired two cancer registry software product lines and certain property and equipment from Elm Services, Inc. for approximately $2.0 million in cash and the assumption of $1.0 million in related liabilities. We accounted for this transaction as an asset purchase and the corresponding amortization periods ranged from immediate to five years. As of September 30, 2002, the acquisition will have been fully amortized.
In April 2000, we purchased all of the outstanding stock of MC2 Scientific Systems, Inc., or MC2, for $1.3 million in cash. We recorded the acquisition using the purchase method of accounting. The amortization of goodwill and other intangibles is being taken over a range of periods from two to five years. Upon our adoption of Statement of Financial Accounting Standards, or SFAS, No. 142 “Goodwill and Other Intangible Assets” beginning October 1, 2002, the remaining unamortized balance of goodwill and acquired workforce of $466,000 will not be amortized. Instead, we will perform an assessment for impairment at least annually by applying a fair-value based test.

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In February 2001, we purchased the intellectual property of CareCore, Inc., or CareCore, for extinguishment of notes receivable in the amount of $500,000 held by us and $40,000 in acquisition costs. We recorded the transaction using the purchase method of accounting and recorded amortization of acquired workforce over ten months. As of September 30, 2002, the acquisition will have been fully amortized.
In April 2002, we purchased all the outstanding stock of Intellidata, Inc. for $1.3 million in cash. We will record the transaction using the purchase method of accounting in accordance with SFAS No. 141 “Business Combinations.” In accordance with SFAS No. 141, amortization will not be recorded on goodwill and certain other intangible assets. Instead, we will perform an assessment for impairment at least annually by applying a fair-value based test.
Accretion of Redeemable Convertible Preferred Stock
After September 27, 2002, the holders of a majority of our redeemable convertible preferred stock can require us to redeem the preferred shares by paying in cash an amount equal to the greater of $3.23 per share or the fair market value plus all declared or accumulated but unpaid dividends within thirty days. These shares will automatically convert to common stock upon the closing of this offering. We have been accreting charges that reflect the increase in market value of the redeemable convertible preferred stock as an adjustment to net income. After this offering, no further accretion will be required. The redemption value of the redeemable convertible preferred stock was $7.4 million at September 30, 2001 and $13.6 million at March 31, 2002. These amounts will be reallocated on our balance sheet from redeemable convertible preferred stock to additional paid-in capital, less the stated par value. See Note 5 of the notes to our consolidated financial statements for a more detailed explanation.
Results of Operations
The following table sets forth certain operating data as a percentage of net sales for the periods indicated:
   
Percentage of Net Sales

 
   
Year Ended
September 30,

   
Six Months Ended March 31,

 
   
1999

   
2000

   
2001

   
2001

   
2002

 
Sales:                    
Software license and other, net  73.1%  72.3%  69.6%  67.3%  67.4%
Maintenance and services  26.9   27.7   30.4   32.7   32.6 
   

  

  

  

  

Total net sales  100.0   100.0   100.0   100.0   100.0 
Cost of sales  27.0   27.3   28.4   30.4   27.1 
   

  

  

  

  

Gross profit  73.0   72.7   71.6   69.6   72.9 
Operating expenses:                    
Research and development  16.3   16.2   18.5   18.9   18.3 
Sales and marketing  24.3   23.0   27.3   27.5   29.0 
General and administrative  6.6   8.5   10.8   11.3   9.4 
Write-off of purchased in-process research and
development
  —     1.1   1.5   3.4   —   
Merger related costs  —     2.1   —     —     —   
Amortization of goodwill and other intangible assets  3.2   2.9   1.1   1.2   1.1 
   

  

  

  

  

Total operating expenses  50.4   53.8   59.2   62.3   57.8 
   

  

  

  

  

Operating income  22.6   18.9   12.4   7.3   15.1 
Interest and other income, net  1.8   1.8   1.5   1.8   0.9 
Write-down of notes receivable  —     (2.5)  —     —     —   
Income before provision for income taxes  24.4   18.2   13.9   9.1   16.0 
Provision for income taxes  (9.5)  (7.2)  (5.0)  (3.2)  (5.9)
   

  

  

  

  

Net income  14.9%  11.0%  8.9%  5.9%  10.1%
   

  

  

  

  

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Comparison of Six Months Ended March 31, 2002 and 2001
Net Sales.    Net sales increased 37.4% from $14.9 million in the six months ended March 31, 2001 to $20.4 million for the same period in 2002. Net software related sales increased 37.6% from $10.0 million in the six months ended March 31, 2001 to $13.8 million for the same period in 2002. Sales of additional products to our existing customers in radiation oncology, such as IMRT interfaces, accounted for $1.8 million of the $3.8 million increase, sales of new imaging systems accounted for $800,000, new systems sales in radiation oncology accounted for $440,000, and new systems sales in medical oncology accounted for $398,000. Maintenance and services also increased 37.0% from $4.9 million in the six months ended March 31, 2001 to $6.7 million for the same period in 2002. Maintenance and support contracts contributed $1.6 million of the $1.8 million increase, and additional training and installation contributed $197,000.
Cost of Sales.    Cost of sales increased 22.2% from $4.5 million for the six months ended March 31, 2001 to $5.5 million for the same period in 2002. Our gross margin increased from 69.6% in the 2001 period to 72.9% in the 2002 period. The increase in gross margin was due partially to reduced telecommunication costs, completed royalty obligations for our imaging products, lower personnel costs resulting from reduced market demand, and the ability to recruit employees in our expansion office located in Henderson, Nevada.
Research and Development.    Research and development expenses increased 32.7% from $2.8 million for the six months ended March 31, 2001 to $3.7 million for the same period in 2002. As a percentage of total net sales, research and development expenses decreased from 18.9% in the 2001 period to 18.3% in the 2002 period. Additional engineering headcount and the associated personnel expenses were the primary factors for the increase in absolute dollars. The decrease as a percentage of total net sales in the 2002 period was due to increased software sales relative to research and development expenses.
Sales and Marketing.    Sales and marketing expenses increased 45.3% from $4.1 million for the six months ended March 31, 2001 to $5.9 million for the same period in 2002. As a percentage of total net sales, sales and marketing expenses increased from 27.5% in 2001 to 29.0% in 2002. A significant expansion and restructuring of our domestic sales force as well as an increase in product marketing headcount in late 2001 increased salary and related personnel expenses by $925,000, and commission expenses increased by $330,000. In addition, marketing communications expenses increased by $359,000 as we continued to focus on promotion, marketing materials and public relations.
General and Administrative.    General and administrative expenses increased 15.3% from $1.7 million for the six months ended March 31, 2001 to $1.9 million for the same period in 2002. As a percentage of total net sales, general and administrative expenses decreased from 11.3% in the 2001 period to 9.4% in the 2002 period. The increase in absolute dollars was primarily due to higher business insurance premiums, increased executive and administrative travel expenses, employee expenses and a donation to the Red Cross for the September 11th fund. The decrease as a percentage of total net sales in the 2002 period was due to increased product sales relative to general and administrative expenditures.
In-Process Research and Development.    We recorded a write-off of in-process research and development in the amount of $511,000 in the six months ended March 31, 2001 due to an analysis allocating the purchase price paid for certain intellectual property in that period.
Amortization of Goodwill and Other Intangible Assets.    Amortization expenses increased 26.3% from $175,000 in the six months ended March 31, 2001 to $221,000 for the same period 2002. Our acquisition of intellectual property from CareCore in February 2001 increased amortization expenses as it relates to acquired workforce. In compliance with SFAS No. 142 “Goodwill and Other Intangible Assets,” which we will adopt in fiscal 2003, we will cease amortization of goodwill and acquired workforce effective October 1, 2002.
Operating Income.    Operating income increased 187.2% from $1.1 million in the six months ended March 31, 2001 to $3.1 million for the same period in 2002. Operating income increased significantly due to the

28


higher rate of increase in net sales relative to the rate of increase in operating expenses. In the 2001 period, we expanded our sales and marketing capabilities and research and development efforts, which resulted in increased sales in the 2002 period. Our write-off of $511,000 of purchased in-process research and development from CareCore also contributed to lower operating income in the 2001 period as compared to the 2002 period.
Interest and Other Income, Net.    Interest and other income, net decreased 30.7% from $274,000 for the six months ended March 31, 2001 to $190,000 for the same period in 2002. The decline is related to lower interest income from investments in short and long-term marketable securities resulting from lower interest rates in the 2002 period.
Income Taxes.    Our effective tax rate was 35.8% in the six months ended March 31, 2001 compared to 37.0% for the same period in 2002. The higher tax rate was primarily due to higher operating income and the discontinuation of our foreign sales corporation tax advantage in the 2002 period.
Comparison of Years Ended September 30, 2001 and 2000
Net Sales.    Net sales increased 22.3% from $27.7 million in fiscal 2000 to $33.9 million in fiscal 2001 primarily due to increased software sales in the radiation and medical oncology markets. This increase was partially offset by the general economic slow-down, the short-term adverse business impact of our proposed merger with Varian Medical Systems, Inc. that was terminated due to antitrust objections from the U.S. Department of Justice, and the temporary effects of a major reorganization and expansion of our domestic sales force. Net software sales increased 17.8% from $20.0 million in fiscal 2000 to $23.6 million in fiscal 2001. Sales of new imaging systems accounted for $2.0 million of the $3.6 million increase, sales of radiation oncology systems accounted for $1.4 million, and sales of our medical oncology systems accounted for $359,000, and were offset by decreases in registry software sales of $153,000 and sales of third-party products of $105,000. Maintenance and services increased 34.3% from $7.7 million in fiscal 2000 to $10.3 million in fiscal 2001. Sales of maintenance and support contracts contributed $2.4 million and additional training and installation contributed $208,000 of the total increase in maintenance and services. Maintenance and services revenues were not affected by the economic slowdown, the impact of the proposed merger with Varian or the reorganization and expansion of our sales force and thus increased as a percentage of total net sales.
Cost of Sales.    Cost of sales increased 27.6% from $7.5 million in fiscal 2000 to $9.6 million in fiscal 2001. As a result, our gross margin decreased from 72.7% in fiscal 2000 to 71.6% in fiscal 2001. Labor expenses incurred during installation and training comprised a large portion of cost of sales and contributed $686,000 to the increased cost of sales. Because our revenue recognition is dependent on headcount in the client service function, we hired additional client service personnel to meet forecasted requirements for fiscal 2002. As a result, overhead allocated to client service personnel increased by $1.0 million. In addition, expenses relating to the support of our installed software, which are comprised of continuing engineering costs and telecommunication fees, increased by $495,000 in fiscal 2001.
Research and Development.    Research and development expenses increased 39.6% from $4.5 million in fiscal 2000 to $6.3 million in fiscal 2001. As a percentage of total net sales, research and development expenses increased from 16.2% in fiscal 2000 to 18.5% in fiscal 2001. The increase was primarily attributed to $1.8 million in labor and related overhead expenses for additional headcount to accelerate product development. In addition, we incurred new development license fees of $78,000 in fiscal 2001 relating to new product features under development for our electronic medical record. Subsequent to the release of these new features, future license and royalty fees will be included in cost of sales.
Sales and Marketing.    Sales and marketing expenses increased 45.5% from $6.4 million in fiscal 2000 to $9.3 million in fiscal 2001. As a percentage of total net sales, sales and marketing expenses increased from 23.0% in fiscal 2000 to 27.3% in fiscal 2001. The largest factor in the increase was $1.9 million in labor and related overhead costs related to the significant expansion and restructuring of the domestic sales force and the

29


addition of several product marketing positions. As a result of the expansion of the sales force, commissions increased by $266,000, and travel expenses increased by $269,000 compared to fiscal 2000. Marketing communications also increased by $363,000 due to increased promotions and public relations efforts.
General and Administrative Expenses.    General and administrative expenses increased 55.1% from $2.3 million in fiscal 2000 to $3.6 million in fiscal 2001. As a percentage of total net sales, general and administrative expenses increased from 8.5% in fiscal 2000 to 10.8% in fiscal 2001. The default of two sub-lease tenants on assumed rental obligations accounted for $386,000 of the $1.3 million increase in fiscal 2001, labor and related overhead expenses accounted for $496,000, higher business insurance premiums accounted for $102,000 and increased executive and administrative travel expenses accounted for $150,000.
In-Process Research and Development.    We recorded a write-off of in-process research and development in the amount of $511,000 in fiscal 2001 and $308,000 in fiscal 2000 due to an analysis allocating the purchase price paid for certain intellectual property in that period.
Merger Related Costs.    In connection with our proposed merger with Varian Medical Systems, Inc., which was terminated due to antitrust objections by the U.S. Department of Justice, we incurred $578,000 in additional legal and accounting fees in fiscal 2000.
Amortization of Goodwill and Other Intangible Assets.    Amortization expenses decreased 54.5% from $793,000 in fiscal 2000 to $361,000 in fiscal 2001. The decrease was primarily due to the expiration of amortization periods relating to acquired products in prior years.
Operating Income.    Operating income decreased 20.2% from $5.3 million in fiscal 2000 to $4.2 million in fiscal 2001. Our net sales increased 22.3% compared to fiscal 2000 while cost of sales and total operating expenses increased at 32.3% in fiscal 2001. The slower rate of increase in net sales together with our decision to develop new products and significantly expand our sales and marketing capabilities resulted in lower operating income. In addition, our write-off of $511,000 of purchased in-process research and development from CareCore contributed to lower operating income in fiscal 2001, and our $578,000 merger related costs contributed to lower operating income in fiscal 2000.
Interest and Other Income, Net.    Interest and other income, net increased 8.9% from $508,000 in fiscal 2000 to $512,000 in fiscal 2001. The rate of interest income generated from investments in short and long-term marketable securities declined due to decreasing interest rates in fiscal 2001. Also in fiscal 2000, we wrote-down our note receivable to a balance we deemed to be collectible and recorded a $691,000 charge against other income.
Income Taxes.    Our effective tax rate was 35.8% in fiscal 2001 compared to 39.3% in fiscal 2000, and we had no federal income tax loss carry forwards. The lower tax rate was primarily due to a decrease in operating income and the use of research and development credits.
Comparison of Years Ended September 30, 2000 and 1999
Net Sales.    Net sales increased 34.0% from $20.7 million in fiscal 1999 to $27.7 million in fiscal 2000 primarily due to increased software sales in the radiation and medical oncology markets. Net software sales increased 32.6% from $15.1 million in fiscal 1999 to $20.0 million in fiscal 2000. Sales of new systems in radiation oncology, due in part to the accelerated adoption of new systems for customers dealing with year 2000 compliance issues, accounted for $2.6 million of the $4.9 million increase, sales of additional product modules to our existing customers accounted for $1.1 million, sales of imaging products accounted for $305,000 and sales of our medical oncology software products accounted for $639,000. Maintenance and services also increased 37.7% from $5.6 million in fiscal 1999 to $7.7 million in fiscal 2000 primarily due to a larger installed customer base.
Cost of Sales.    Cost of sales increased 35.4% from $5.6 million in fiscal 1999 to $7.5 million in fiscal 2000. As a result, our gross margin decreased from 73.0% in fiscal 1999 to 72.7% in fiscal 2000. Our increase in

30


spending was generally in line with our net sales growth rate for fiscal 2000. However, we experienced increased salary levels as a result of strong demand for new employees and marginally higher travel expenses related to time sensitive year 2000 implementations. Labor and related overhead expenses incurred during installation and training accounted for $1.1 million of the increase. Expenses relating to the support of our installed software, which are comprised of continuing engineering costs and telecommunication fees, increased by $273,000, and travel expenses increased by $253,000 from fiscal 1999.
Research and Development.    Research and development expenses increased 33.4% from $3.4 million in fiscal 1999 to $4.5 million in fiscal 2000. As a percentage of total net sales, research and development expenses decreased from 16.3% in fiscal 1999 to 16.2% in fiscal 2000. Labor related overhead expenses accounted for $897,000 of the increase. Outside service expenses for contract engineers increased by $120,000.
Sales and Marketing.    Sales and marketing expenses increased 26.5% from $5.0 million in fiscal 1999 to $6.4 million in fiscal 2000. As a percentage of total net sales, sales and marketing expenses decreased from 24.1% in fiscal 1999 to 23.0% in fiscal 2000. Sales commissions increased by $352,000 and marketing communications expenses increased by $325,000, each due to significant growth of net sales in fiscal 2000. Due to the tight labor market in 2000, we experienced difficulty hiring new employees for product marketing. However, we did increase headcount in this area, which resulted in increased labor and related overhead expenses of $515,000.
General and Administrative.    General and administrative expenses increased 71.3% from $1.4 million in fiscal 1999 to $2.3 million in fiscal 2000. As a percentage of total net sales, general and administrative expenses increased from 6.6% in fiscal 1999 to 8.5% in fiscal 2000. The increase in fiscal 2000 was primarily due to a $286,000 estimated tax reserve, increased facility and infrastructure expenses of $284,000, higher business insurance premiums of $50,000 and increased legal and accounting professional fees of $123,000.
In-Process Research and Development.    We recorded a write-off of in-process research and development in the amount of $308,000 in fiscal 2000 due to an analysis allocating the purchase price paid for certain intellectual property in that period.
Merger Related Costs.    In connection with our proposed merger with Varian Medical Systems, Inc., which was terminated due to antitrust objections by the U.S. Department of Justice, we incurred $578,000 in additional legal and accounting fees in fiscal 2000.
Amortization of Goodwill and Other Intangible Assets.    Amortization expenses increased 21.7% from $652,000 in fiscal 1999 to $793,000 in fiscal 2000. The increase related to amortization of intangibles from the acquisition of MC2 in April 2000.
Operating Income.    Operating income increased 12.4% from $4.7 million in fiscal 1999 to $5.3 million in fiscal 2000. The primary factors causing lower operating income as a percentage of net sales in fiscal 2000 were a significant increase in general and administrative expenses associated with our move to a new facility and expansion of our staff, merger related costs and a write-off of purchased in-process research and development from MC2. In addition, our move to a new facility and improvements in operational infrastructure added marginal overhead increases to all functions in fiscal 2000.
Interest and Other Income, Net.    Interest and other income, net increased 39.2% from $364,000 in fiscal 1999 to $508,000 in fiscal 2000 related to income generated from excess cash balances invested in short and long term marketable securities.
Income Taxes.    Our effective tax rate was 39.0% in fiscal 1999 compared to 39.3% in fiscal 2000, and we had no federal income tax loss carry forwards.

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Selected Quarterly Results of Operations
The following table sets forth financial data for the six quarters ended March 31, 2002. This quarterly information is unaudited, has been prepared on the same basis as the annual financial statements and, in our opinion, reflects all adjustments, consisting only of normal recurring accruals, necessary for a fair presentation of the information for periods presented. Operating results for any quarter are not necessarily indicative of results for any future period.
   
Three Months Ended

 
   
Dec. 31 2000

   
Mar. 31 2001

   
June 30 2001

   
Sept. 30 2001

   
Dec. 31 2001

   
Mar. 31 2002

 
   
(unaudited, in thousands except per share data)
 
Consolidated Statement of Operations Data:
                              
Net sales  $6,583   $8,289   $9,138   $9,847   $8,616   $11,820 
Cost of sales   2,086    2,440    2,326    2,779    2,547    2,986 
   


  


  


  


  


  


Gross profit   4,497    5,849    6,812    7,068    6,069    8,834 
Operating expenses   4,156    5,116    5,159    5,605    5,421    6,398 
   


  


  


  


  


  


Operating income   341    733    1,653    1,463    648    2,436 
Net income   290    575    1,144    1,008    477    1,586 
Accretion of redeemable convertible preferred stock   (184)   (613)   (308)   (326)   (1,804)   (3,178)
   


  


  


  


  


  


Net income (loss) available to common stockholders  $106   $(38)  $836   $682   $(1,327)  $(1,592)
   


  


  


  


  


  


Net income (loss) per common share:                              
Basic  $0.02   $(0.01)  $0.14   $0.11   $(0.22)  $(0.26)
   


  


  


  


  


  


Diluted  $0.02   $(0.01)  $0.13   $0.11   $(0.22)    $(0.26)
   


  


  


  


  


  


Weighted-average shares used in computing net income (loss) per common share:                              
Basic   6,015    6,015    6,017    6,020    6,025    6,027 
   


  


  


  


  


  


Diluted   6,553    6,015    6,297    6,297    6,025    6,027 
   


  


  


  


  


  


Our operating results have fluctuated from quarter to quarter due to a variety of reasons. We discuss below some of the larger changes in various line items in the table above.
Net Sales.    During the first quarter ending December 31 of each fiscal year, our software license sales tend to decrease due to seasonality matters relating to our installation process. Our installation and training process for new customers is dependent on our ability to be on-site to recognize revenue. Our first fiscal quarter includes two major holiday seasons and a major industry trade show that affect nearly four weeks of the quarter, resulting in less time for us to perform the implementation necessary to recognize software revenues.
Cost of Sales.    Cost of sales tends to be higher as a percentage of total net sales in the first quarter ending December 31 of each fiscal year due to the seasonal impact of total net sales in the same quarter. A significant portion of cost of sales is fixed since our delivery and installation process is dependent on headcount.
Operating Expenses.    Operating expenses tend to be higher as a percentage of total net sales in the first quarter ending December 31 of each fiscal year due to the seasonal impact affecting recognition of revenue for our software sales in the same quarter. In addition, the most significant tradeshow that we attend occurs within the quarter ending December 31, which increases our sales and marketing expenses. In the quarter ended March 31, 2001, we wrote off a significant amount of purchased in-process research and development, which resulted in a net income margin for the quarter much lower than normal.

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Accretion of Redeemable Convertible Preferred Stock.    Each reporting period, the carrying value of the redeemable convertible preferred stock is increased by periodic accretions, using the effective interest method, so that the carrying amount will equal the redemption value at the redemption date. These increases are effected through charges against retained earnings.
We believe that quarterly revenues and operating results are likely to vary significantly in the future and that quarter to quarter comparisons of our results of operations are not necessarily meaningful and should not be relied upon as indications of future performance.
Backlog
As of March 31, 2002, we had a backlog of $27.8 million compared to a backlog of $20.0 million as of March 31, 2001. Our backlog is comprised of deferred revenues for system sales for which we have signed agreements that we expect to be implemented within the next twelve months and maintenance and support services for which we have signed agreements and expect to provide services within the next twelve months. We cannot assure you that contracts included in backlog will generate the specified revenues or that these revenues will be fully recognized within the twelve-month period.
Seasonality
Historically, we have experienced a seasonal pattern in our operating results related primarily to revenues, with our first quarter typically having the lowest revenues followed by significant revenue growth in the subsequent quarters of our fiscal year. In particular, we have experienced strong revenue growth in the fourth quarter that we believe to be related to the year end of many of our customers’ budgetary cycles. We believe the seasonality of our revenue in the first quarter is due to the impact of the holiday season and a major industry trade show on the on-site portion of the implementation process. Net income levels are typically the lowest in our first fiscal quarter with significant improvement occurring in sequential quarters.
In addition, the implementation of a significant contract previously included in backlog could generate a large increase in revenue and net income for any given quarter or fiscal year, which may prove unusual when compared to changes in revenue and net income in other periods. Furthermore, we typically experience long sales cycles for new customers, which may extend over several quarters before a sale is consummated and a customer implementation occurs. As a result, we believe that quarterly results of operations will continue to fluctuate and that quarterly results may not be indicative of future periods. The timing of revenues is influenced by a number of factors, including the timing of individual orders, customer implementations and seasonal customer buying patterns.
Liquidity and Capital Resources
We have financed our operations since inception primarily through cash from operating activities and a $4.0 million private placement of equity in 1996. Cash, cash equivalents and available-for-sale securities were $11.8 million at September 30, 1999, $12.4 million at September 30, 2000, $17.9 million at September 30, 2001 and $20.2 million at March 31, 2002.
Net cash provided by operating activities was $5.4 million in fiscal 1999, $4.0 million in fiscal 2000, $7.1 million in fiscal 2001 and $3.4 million for the six months ended March 31, 2002. For those periods, cash provided by operating activities was primarily attributable to net income after adjustment for non-cash charges related to depreciation and amortization, provision for doubtful accounts, increases in receivables, inventories and other prepaid expenses. We incurred non-cash charges related to write-offs of in-process research and development of $308,000 in fiscal 2000 and $511,000 in fiscal 2001. In fiscal 2000, we also incurred a non-cash charge of $119,000 relating to the write-down of an investment that was deemed as impaired, as well as a note receivable issued to a related party at $1.0 million that was written-down to $309,000. These increases in use of

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cash in operations were offset in part by increases in customer deposits, deferred revenue, accounts payable and other accrued liabilities.
Net cash used in investing activities was $2.6 million in fiscal 1999, $3.8 million in fiscal 2000, $2.0 million in fiscal 2001 and $1.0 million for the six months ended March 31, 2002. In fiscal 1999, cash used in investing activities was primarily due to the net purchases of $2.1 million in marketable securities. In fiscal 2000, cash used in investing activities was attributed to the purchase of $2.9 million in capital assets relating to a major facility expansion of our corporate headquarters and technology infrastructure upgrade as well as $879,000 to purchase MC2. In fiscal 2001, cash used in investing activities primarily related to the purchase of $1.4 million in capital assets relating to an expansion office located in Henderson, Nevada and $231,000 for the purchase of the intellectual property of CareCore.
Net cash provided by (used in) financing activities was $(4,000) in fiscal 1999, $352,000 in fiscal 2000, $(46,000) in fiscal 2001, and $(11,000) for the six months ended March 31, 2002. Cash provided by financing activities was due to proceeds from the issuance of common shares of $33,000 in fiscal 1999, $378,000 in fiscal 2000, $4,000 in fiscal 2001 and $38,000 for the six months ended March 31, 2002 that was offset by lease payments of $9,000 in fiscal 1999, $26,000 in fiscal 2000, $50,000 in fiscal 2001 and $28,000 for the six months ended March 31, 2002. In addition, the issuance of common stock was offset by the repurchase of common stock in the amounts of $29,000 in fiscal 1999 and $21,000 for the six months ended March 31, 2002.
In fiscal 2000, we entered a capital lease for the purchase of furniture for our corporate headquarters. This capital lease is scheduled to be fully repaid in February 2005. The interest rate for this financing is 13.54% per year and equates to an aggregate monthly payment of $7,000. As of March 31, 2002, the principal balance outstanding on the capital lease totaled $209,000. We have granted a security interest to the lenders in all furniture covered by this lease.
The following table describes our commitments to settle contractual obligations in cash not recorded on the balance sheet as of March 31, 2002.
Fiscal Year

    
Property Leases

    
Operating Leases

    
Telecommunications
Contracts

    
Total Future Obligations

2002    $975,000    $29,000    $178,000    $1,182,000
2003     1,943,000     58,000     321,000     2,322,000
2004     1,948,000     49,000     121,000     2,118,000
2005     1,948,000     23,000     —       1,971,000
2006     1,659,000     5,000     —       1,664,000
2007     709,000     —       —       709,000
In October 1996, we raised $4.0 million through the sale of redeemable convertible preferred shares. Upon the effectiveness of this offering, the redeemable convertible preferred shares will convert into our common stock and the total value of the redeemable convertible preferred stock that has been recorded in relation to the original redemption date of September 27, 2002 will be reallocated to additional paid-in capital less the stated par value.
We expect to increase capital expenditures consistent with our anticipated growth in infrastructure and personnel. We also may increase our capital expenditures as we expand our product lines or invest in new markets. We believe that the net proceeds from the common stock to be sold in the offering, together with available funds and cash generated from operations will be sufficient to meet our operating requirements, assuming no change in the operations of our business, for at least the next 18 months.

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Qualitative and Quantitative Disclosure about Market Risk
The following discusses our exposure to market risk related to changes in interest rates and foreign currency exchange rates. These exposures may change over time as business practices evolve and could have a material adverse impact on our financial results.
We have been exposed to interest rate risk as it applies to our limited use of debt instruments and interest earned on holdings of long and short-term marketable securities. Interest rates that may affect these items in the future will depend on market conditions and may differ from the rates we have experienced in the past. A 10% change in interest rates would not be material to our results of operations. We reduce the sensitivity of our results of operations to these risks by maintaining an investment portfolio, which is primarily comprised of highly rated, short-term investments. We do not hold or issue derivative, derivative commodity instruments or other financial instruments for trading purposes.
We have operated mainly in the United States and greater than 99% of our sales were made in U.S. dollars in each of the fiscal years 1999, 2000, 2001 and the six months ended March 31, 2002. Accordingly, we have not had any material exposure to foreign currency rate fluctuations. Currently, all of our international distributors denominate all transactions in U.S. dollars. However, as we sell to customers in the United Kingdom and Europe through our recently formed UK subsidiary a majority of those sales may be denominated in euros or pounds sterling. The functional currency of our new UK subsidiary is pounds sterling. Thus, exchange rate fluctuations between the euro and pounds sterling will be recognized in the statements of operations as these foreign denominated sales are remeasured by our UK subsidiary. As exchange rate fluctuations occur between pounds sterling and the U.S. dollar, these fluctuations will be recorded as cumulative translation adjustments within stockholders’ equity as a component of accumulated other comprehensive income as our UK subsidiary is translated into U.S. dollars for consolidation purposes.
Recent Accounting Pronouncements
In July 2001, the Financial Accounting Standards Board, or FASB, issued SFAS No. 141 “Business Combinations,” which establishes financial accounting and reporting for business combinations and supersedes APB Opinion No. 16, Business Combinations, and FASB Statement No. 38, Accounting for Preacquisition Contingencies of Purchased Enterprises. SFAS No. 141 requires that all business combinations be accounted for using one method, the purchase method. The provisions apply to all business combinations initiated after June 30, 2001.
In July 2001, the FASB issued SFAS No. 142 “Goodwill and Other Intangible Assets,” or SFAS No. 142, which establishes financial accounting and reporting for acquired goodwill and other intangible assets and supersedes APB Opinion No. 17, Intangible Assets. SFAS No. 142 addresses how intangible assets that are acquired individually or with a group of other assets, but not those acquired in a business combination, should be accounted for in financial statements upon their acquisition, and after they have been initially recognized in the financial statements. The provisions of SFAS No. 142 are effective for fiscal years beginning after December 15, 2001. In accordance with SFAS No. 142, beginning October 1, 2002, goodwill will not be amortized but rather, we will perform an assessment for impairment at least annually by applying a fair-value-based test. We will also reclassify the unamortized balance of acquired workforce to goodwill.
In October 2001, the FASB issued SFAS No.144 “Accounting for the Impairment or Disposal of Long-Lived Assets,” or SFAS No. 144. SFAS No. 144 addresses significant issues relating to the implementation of SFAS No. 121, “Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to Be Disposed Of,” and develops a single accounting method under which long-lived assets that are to be disposed of by sale are measured at the lower of book value or fair value less cost to sell. Additionally, SFAS No. 144 expands the scope of discontinued operations to include all components of an entity with operations that can

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be distinguished from the rest of the entity and will be eliminated from the ongoing operations of the entity in a disposal transaction. SFAS No. 144 is effective for financial statements issued for fiscal years beginning after December 15, 2001 and its provisions are to be applied prospectively. We will adopt SFAS No. 144 beginning for the fiscal year ended September 30, 2003. We do not expect the adoption of SFAS No. 144 to have a significant impact on our financial position or on our results of operations.
In April 2002, the FASB issued SFAS No. 145 “Rescission of FASB Statements No. 4, 44, and 64, Amendment of FASB Statement No. 13, and Technical Corrections,” or SFAS No. 145, which eliminates inconsistencies between the required accounting for sale-leaseback transactions and the required accounting for certain lease modifications that have economic effects that are similar to sale-leaseback transactions. SFAS No. 145 also amends other existing authoritative pronouncements to make various technical corrections, clarify meanings, or describe their applicability under changed conditions. The provisions of SFAS No. 145 are effective for fiscal years beginning after May 15, 2002 and for transactions occurring after May 15, 2002. We will adopt SFAS No. 145 for the fiscal year ending September 30, 2003. We do not expect the adoption of SFAS No. 145 to have a significant impact on our financial position or on our results of operations.
Critical Accounting Policies
Financial Reporting Release No. 60, which was recently released by the Securities and Exchange Commission, requires all companies to include a discussion of critical accounting policies or methods used in the preparation of financial statements. Note 2 of the Notes to the Consolidated Financial Statements includes a summary of the significant accounting policies and methods used in the preparation of our Consolidated Financial Statements. The following is a brief discussion of the more significant accounting policies and methods used by us.
Revenue Recognition
Statement of Position 97-2, “Software Revenue Recognition,” as amended, or SOP 97-2, generally requires revenue earned on software arrangements involving multiple elements to be allocated to each element based on vendor-specific objective evidence. For hardware transactions where no software is involved, we apply the provisions of Staff Accounting Bulletin 101 “Revenue Recognition.”
The fee for multiple-element arrangements is allocated to each element of the arrangement, such as maintenance and support, based on the relative fair values of the elements. We determine the fair value of each element in multi-element arrangements based on vendor-specific objective evidence for each element, which is based on the price charged when the same element is sold separately. If evidence of fair value of all undelivered elements exists but evidence does not exist for one or more delivered elements, then revenue is recognized using the residual method. Under the residual method, the fair value of the undelivered elements is deferred and the remaining portion of the arrangement fee is recognized as revenue.
We recognize revenue from the sale of software licenses when persuasive evidence of an arrangement exists, the product has been accepted, the fee is fixed or determinable, and collection of the resulting receivable is probable. Acceptance generally occurs when the product has been installed, training has occurred and the product is in clinical use at the customer site. For distributor related transactions, acceptance occurs with delivery of software registration keys to the distributor’s order fulfillment department. At the time of the transaction, we assess whether the fee associated with our revenue transactions is fixed or determinable and whether or not collection is probable. We assess whether the fee is fixed or determinable based on the payment terms associated with the transaction.
Fair values for the ongoing maintenance, which includes updates and support, are based upon a percentage of the current list price of the software. Fair value of services, such as training or consulting, are based upon separate sales by us of these services to other customers. We recognize revenue for maintenance services ratably

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over the contract term. Our training and consulting services are billed based on hourly rates, and we generally recognize revenue as these services are performed.
Allowance for Doubtful Accounts
Our estimate for the allowance for doubtful accounts related to trade receivables is based on two methods. The amounts calculated from each of these methods are combined to determine the total amount reserved. First, we evaluate specific accounts where we have information that the customer may have an inability to meet its financial obligations. In these cases, we use our judgment, based on the best available facts and circumstances, and record a specific reserve for that customer against amounts due to reduce the receivable to the amount that is expected to be collected. These specific reserves are reevaluated and adjusted as additional information is received that impacts the amount reserved. Second, a general reserve is established for all customers based on a percentage applied to the outstanding receivable amount. This percentage is based on historical collection and write-off experience. If circumstances change such as higher than expected defaults or an unexpected material adverse change in a major customer’s ability to meet its financial obligation to the company, our estimates of the recoverability of amounts due us could be reduced by a material amount.
Deferred Taxes
We recognize deferred tax assets and liabilities based on the differences between the financial statement carrying amounts and the tax bases of assets and liabilities. We regularly review our deferred tax assets for recoverability and establish a valuation allowance based on historical taxable income, projected future taxable income and the expected timing of the reversals of existing temporary differences. If there is a material change in the actual effective tax rates or time period within which the underlying temporary differences become taxable or deductible, we could be required to establish a valuation allowance against all or a significant portion of our deferred tax assets resulting in a substantial increase in our effective tax rate and a material adverse impact on our operating results.
Goodwill, Intangible and Other Long-Lived Assets
In June 2001, FASB issued SFAS No. 141 and SFAS No. 142. SFAS No. 141 requires the purchase method of accounting for all business combinations after June 30, 2001 and that certain acquired intangible assets in a business combination be recognized as assets separate from goodwill. We will apply SFAS No. 141 in our allocation of the purchase price of the Intellidata acquisition. Accordingly, we will identify and allocate a value to goodwill and other intangibles based on our judgment and an independent appraisal. SFAS No. 142 requires that goodwill and other intangibles determined to have an indefinite life are no longer to be amortized but are to be tested for impairment at least annually. We are planning to adopt SFAS 142 as of October 1, 2002. Historically, intangible assets are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. We will be conducting a formal valuation of remaining intangible assets within six months of adoption that will also require us to use our judgment and could require us to write down the carrying value of our goodwill and other intangible assets in future periods. Property, equipment, intangible and certain other long-lived assets are amortized over their useful lives. Useful lives are based on management’s estimates of the period that the assets will generate revenue.

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BUSINESS
We are a leading provider of information technology systems for cancer care. Our products provide integrated clinical and administrative solutions to manage the complexities of cancer care, from detection and diagnosis through treatment and follow-up. Cancer centers require specialized IT to administer complex treatments, to integrate advanced medical devices, to provide data aggregation and to meet reporting requirements. In addition to satisfying these needs, our systems also improve the delivery of cancer care by enhancing patient safety, enabling advanced therapies, streamlining process management and facilitating communications.
We sell our systems to university teaching hospitals, community and government hospitals, freestanding cancer centers and private practices. Our modular design provides cancer centers the flexibility to fulfill their initial IT needs and easily expand their system over time. We install our systems in facilities that range from small departments with less than five users to national delivery networks with hundreds of users. Our products are installed in more than 1,500 facilities in 52 countries, and our customers include 32 of the top 50 U.S. cancer hospitals as ranked by U.S. News & World Report in July 2001.
Industry Overview
Growth in Healthcare and Information Technology Spending
The healthcare industry is the largest sector in the U.S. economy. The Centers for Medicare and Medicaid Services estimates that healthcare expenditures in the United States will increase from $1.3 trillion in 2000, or approximately 13% of U.S. gross domestic product, to $2.8 trillion in 2011, or approximately 17% of U.S. gross domestic product. Industry analysts expect U.S. healthcare providers to increase their annual investment in IT hardware, software and support services from $21 billion in 2001 to $32 billion in 2005. Although the United States will likely remain the world’s largest single market, the healthcare IT markets in Western Europe and the Pacific Rim also continue to grow. Industry analysts expect healthcare providers in Western Europe to increase their annual investment in IT hardware, software and support services from $17 billion in 2001 to $27 billion in 2005, and healthcare providers in the Pacific Rim to increase their annual investment from $4 billion in 2001 to $7 billion in 2005.
Specialized Treatment of Cancer
Cancer is the second leading cause of death in the United States after heart disease, and, as of 1997, there were approximately nine million cancer survivors in the United States, either cured of the disease or living with it while undergoing long-term treatment. The Centers for Medicare and Medicaid Services estimates that $757 billion was spent in the United States for physician, clinical and hospital care services in 2001, and the National Institutes of Health estimates that $56 billion was spent on cancer care during the same period. The American Cancer Society estimates that, excluding certain skin cancers and non-invasive tumors, there will be approximately 1.3 million new cancer cases in the United States in 2002. The incidence of cancer increases significantly among people over the age of 55, according to the American Cancer Society. The U.S. Census Bureau expects the number of U.S. residents who are age 55 or older to increase from approximately 61 million in 2002 to over 85 million by 2015.
Cancer is a general term for over 100 diseases characterized by uncontrolled growth and spread of abnormal cells. Cancer may attack anywhere in the body, varies significantly in structure and behavior, and can be detected at any stage in its progression. The diagnosis and treatment of cancer requires the careful coordination of many different healthcare specialists through a long and complex process. Cancer may be detected in many ways, such as a physical exam, a routine mammogram or a standard blood test. Once cancer is detected, physicians determine the type and extent of the disease by radiological imaging studies and various diagnostic tests, such as the pathological examination of a tumor biopsy. Upon diagnosis of the patient, an oncologist, a physician specializing in the study and treatment of cancer, assumes responsibility for the patient’s cancer treatment as well as many of the responsibilities of the primary care physician. The oncologist prescribes the best course of

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treatment based on the location, type and extent of the disease, and oversees the patient’s therapy, often lasting several months or years. Upon completion of therapy, the patient’s progress is tracked for five or more years to evaluate the effectiveness of the treatment.
Oncologists are generally segmented into three disciplines: surgical oncologists specialize in the surgical removal of cancerous tumors; medical oncologists treat cancer patients with chemotherapy; and radiation oncologists treat cancer patients with radiation. Oncologists treat patients in a variety of settings, including university teaching hospitals, community and government hospitals, freestanding cancer centers and physician offices. In the United States, over 3,200 hospitals and more than 4,100 other practice locations provide cancer treatment services. These facilities offer specialized services and are equipped either to mix and administer highly toxic chemotherapy drugs or to deliver large radiation doses using sophisticated medical devices, and in many cases both.
Need for Specialized Information Technology in Cancer Care
Many healthcare IT systems provide basic administrative and clinical functions, but do not satisfy the specialized requirements of cancer care. Cancer care is an information intensive discipline that requires sophisticated and specialized information systems to manage the complex detection, diagnosis, treatment and follow-up processes. Cancer treatment is becoming increasingly complex due to the rapid introduction of new chemotherapy drugs and the evolution of sophisticated radiation therapy planning and delivery technologies. Cancer care requires specialized information technology solutions that address the following factors:
Treatment Complexity.    The complex process of ordering, scheduling, delivering treatments and monitoring cancer patients exceeds the capabilities generally available in other healthcare IT systems. Cancer can be treated in several ways, including surgery, chemotherapy or radiation therapy, and commonly is treated with a combination of these methods. There are hundreds of chemotherapy regimens, consisting of multiple drugs administered together or separately through a variety of delivery methods and in a variety of patterns. There are also numerous ways to deliver radiation, each requiring imaging, computer-aided planning and delivery devices. These complex treatment options are often administered in multiple settings and range in duration from a single day for surgery to months for radiation and possibly years for chemotherapy.
Device Connectivity.    To treat patients, cancer centers use multiple medical devices, often from different manufacturers, interfaced with a specialized IT system. Radiation oncology relies on medical devices that allow the oncologist to plan and deliver radiation treatments accurately and effectively. For example, Intensity Modulated Radiotherapy, or IMRT, is a new treatment method that is gaining widespread acceptance. IMRT requires digital image studies and complex algorithms to manipulate thousands of discrete pieces of information to deliver accurately the prescribed dose of radiation to a tumor volume while minimizing damage to surrounding tissue. It is inefficient and potentially unsafe to plan, set up, verify, deliver and record IMRT treatments without a specialized IT solution. Similarly, medical oncology relies on specialized IT systems to link medical devices, such as blood analyzers, to report critical lab information before the administration of chemotherapy.
Patient Safety.    Chemotherapy and radiation therapy offer potentially life saving treatments for cancer patients, but they can be lethal if improperly administered. Among other requirements, cumulative doses of radiation and some chemotherapy agents must be carefully calculated and tracked over the patient’s lifetime to prevent treatment-related side effects or death. In 1999, the Institute of Medicine, or IOM, published a report detailing the high rate of avoidable errors in patient care. One of the catalysts for the IOM report was the accidental overdose and death of a cancer patient receiving chemotherapy. The IOM report identified medication and pharmacy errors as significant causes of death and injury and called for the expanded use of information technology to improve patient safety. Similarly, the Leapfrog Group, a consortium of large employers whose members reportedly spend $53 billion annually on healthcare, has encouraged healthcare providers to invest in information technology to prevent avoidable medical errors, enhance patient safety and improve the quality of clinical processes.

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Reporting and Long-Term Follow-up.    Federal, state and a number of foreign regulators require healthcare providers to track incidences of cancer and long-term treatment outcomes, and report detailed data to central cancer registries on a periodic basis, allowing long-term cancer treatment results to be quantified. Healthcare providers increasingly use information management software to comply with these tracking and reporting requirements.
HIPAA.    The Healthcare Insurance Portability and Accountability Act, or HIPAA, requires the implementation of new federal regulations to establish standards for information sharing, security and patient confidentiality in healthcare organizations. We believe HIPAA will require advanced information technology to enable cancer care providers to comply with these emerging requirements.
Provider Organizations.    Cancer care provider organizations are becoming increasingly complex and decentralized. Organizations are adding geographically disparate locations to support larger numbers of physicians and multiple specialties. These changes require scalable solutions with the ability to remotely monitor, control, record and disseminate information generated at each care facility to maintain and enhance clinician productivity and quality.
Clinical Trials.    Cancer therapy is also characterized by many clinical trials conducted to validate the efficacy and safety of new cancer treatments. Clinical trials require that specific procedures be performed in a structured sequence and timeline, that precise dosage instructions be followed and that quantified patient indications be assessed, documented and reported.
Choice and Information.    Increasingly, consumers are involved in choosing their healthcare providers and their treatment options. In particular, with life-threatening diseases such as cancer, patients and their families are highly motivated to seek out and understand as many treatment alternatives as possible. Patients also want to communicate more effectively with their providers, including the possibility of self-monitoring and reporting, which may ultimately enhance the overall quality of patient care.
The IMPAC Solution
We develop specialized IT solutions that improve the delivery of cancer care by enhancing patient safety, enabling advanced therapies, streamlining process management and improving communications. Key elements of our solutions include:
Oncology IT Systems.    We provide oncology IT systems with the data and process sophistication required to address the complexities of cancer care. Sophisticated order management is a critical component of our systems because cancer specialists write complex chemotherapy and radiation therapy orders. Daily patient treatments are verified against orders and other planning and monitoring parameters to enhance overall patient safety. Our disease-specific assessments and structured-noting templates enable cancer specialists to share detailed assessments and transcriptions with referring physicians and other members of the patient’s cancer care team. Digital images, essential to cancer diagnosis and treatment, also are managed as an integral part of our systems.
Device Integration.    Our systems connect directly to medical devices used in cancer care. The quantity of detailed data required by the oncology team is impractical to enter manually into an electronic medical record. To be an effective solution, an oncology IT system must support the electronic transfer of information from a variety of medical devices with different interfaces. We are a leader in oncology device integration, connecting radiation therapy planning, imaging and treatment devices, to streamline complex treatment methods, such as IMRT. Our systems connect to laboratory devices and drug dispensing systems to expedite the chemotherapy process. Our systems’ ability to integrate many devices allows cancer centers to make medical device and IT purchasing decisions without being bound to a particular equipment manufacturer.
Administrative Integration.    Our oncology IT systems include a fully integrated practice management system that automates time-intensive administrative tasks, such as authorization, scheduling and billing, and is a data repository that substantiates both clinical and business actions. We provide the

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comprehensive tools required to run a practice efficiently and ensure that patients receive appropriate care. Our systems also integrate with all major enterprise level healthcare IT systems.
Data Aggregation and Reporting.    We provide a full line of data aggregation and reporting tools that provide customers with the ability to manage data for large population bases. These products help cancer centers meet federal, state and foreign regulatory requirements for reporting on cancer cases, and enable government entities, corporate healthcare organizations, large physician practices and pharmaceutical researchers to generate or access the data required to effectively review, analyze and improve clinical outcomes.
Adaptable Design.    We design our systems to satisfy the evolving and increasingly complex needs of multi-specialty oncology care, which has treatment characteristics similar to other chronic diseases. Our systems also support the oncologist’s role as the patient’s primary care physician during cancer treatment. We believe, therefore, our systems are adaptable to other chronic disease specialties requiring long-term episodic care as well as the needs of a general provider practice.
Our Strategy
Our objective is to enhance our leadership position in oncology IT systems, become the leading provider of healthcare IT solutions for cancer care generally, and expand into new markets for the treatment of other chronic diseases. Key elements of our strategy include:
Expand Our Oncology IT Solution.    We will continue to enhance and expand our product offerings to meet the evolving demands and complexity of oncology. We are a leading provider of oncology IT systems due to the breadth and depth of our product functionality, our experience in developing patient safety related products, the large number of medical device interfaces we support for a variety of different vendors’ equipment, the enterprise system integration capabilities our systems provide, and the flexibility we have in configuring and deploying our solutions. For example, we are enhancing our core products to take advantage of a web-based extension that will provide secure access to key clinical and administrative patient data from both desktop browsers and handheld-wireless devices, thus allowing clinicians to access critical data whenever and wherever it is needed.
Expand Sales to Our Existing Customers.    We believe there is a significant opportunity to sell additional products to our existing customers as most of these facilities have only a subset of our available products. For example, the recent emergence of IMRT as a treatment approach is a significant opportunity for us as our customers add this new capability, which requires additional IT support. Adoption of IMRT is also increasing demand for our imaging products because medical imaging is critical to the IMRT process. We also intend to expand our existing marketing relationships and establish new marketing relationships with manufacturers of devices and systems to provide complementary solutions to our customers.
Expand Our Customer Base within Oncology.    We intend to expand our existing market position within oncology by selling to the large portion of the market that has yet to make an investment in a specialized oncology IT solution. We believe our leading products, experience in device connectivity, large number of customers, strength of sales and distribution capabilities and customer service will help us attract new customers.
Expand Our Worldwide Sales.    We intend to expand internationally, particularly in Western Europe and the Pacific Rim. In 2001, less than 10% of our net sales were outside the United States, most of which were sold through our distribution relationship with Siemens Medical Systems. In January 2002, we initiated a direct marketing and sales effort in Europe with the opening of our first international sales and support office in the United Kingdom. We have also engaged additional distributors for Italy and Japan. We believe our systems are particularly applicable to international cancer centers, which typically provide centralized, comprehensive cancer care.

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Expand into New Markets.    The medical expertise and technical complexity required of our IT systems in the detection, diagnosis, treatment and follow-up of cancer are comparable to those required by other chronic disease specialties related to cancer. Accordingly, we are expanding the marketing and sales of our products to other practice areas, such as urology. Furthermore, we believe we can sell our products to other chronic disease specialties because our systems are designed to address the evolving and increasingly complex needs of multi-specialty oncology care, which has treatment characteristics similar to other chronic diseases.
We also intend to pursue selective acquisitions that will add incremental functionality to our oncology solution and open new market opportunities for us in medical specialties beyond oncology. For example, we recently acquired a laboratory information system that imports laboratory results into our oncology IT systems. Although we currently have no commitment, arrangement or understanding for any future acquisition, we intend to target strategic acquisitions of businesses or products that we believe will help us achieve our overall goals.
Our Products
Our oncology IT systems integrate business functions, such as scheduling and billing, with an electronic medical record, or EMR, specialized for oncology. The result is a comprehensive integrated solution that improves overall communication, efficiency and quality of care. Our modular design allows cancer centers to acquire a system to meet their initial needs and easily expand it over time. Installation sizes range from small departments with less than five users to national delivery networks with hundreds of users. Our systems are available in both single and multi-department configurations, and are designed to exchange data and images with hospital information and imaging systems to easily co-exist in a hospital environment. Our software applications can be installed on the customer’s conventional or wireless networks, or accessed through the Internet using our remote application hosting service.
IMPAC ONCOLOGY IT SOLUTION
LOGO
Electronic Medical Record
Our EMR is a computerized patient record with specialized features for chemotherapy and radiation therapy, thereby providing clinicians with a complete picture of cancer care. Major functions include:
an order entry and management system customized to process complex chemotherapy and radiation therapy regimens, as well as routine orders for laboratory tests, diagnostic images and other procedures;

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a structured noting system that reduces the need for transcription services by helping physicians document patient encounters using pre-defined, disease-based templates, which enhances the completeness and accuracy of documents and reduces the risk of improperly documenting care and thus incorrect billing;
a quantified nursing assessment tool based on pre-defined templates to facilitate the input of general and treatment-specific assessment criteria; and
a documentation management system that streamlines review, edit, approval and electronic distribution of patient records.
Device Connectivity
Our systems connect directly to the devices that are integral to the oncology treatment process, including all devices required to deliver complex radiation therapy treatments such as IMRT. Our systems connect to virtual simulation systems, radiation therapy planning systems, linear accelerators and imaging devices, thereby streamlining radiation therapy planning, setup, verification, delivery and ongoing quality assurance. Our systems are also capable of downloading lab results from a variety of devices and efficiently managing drug administration and billing through our interface with a leading chemotherapy drug dispensing system.
Medical Imaging
Our medical imaging products provide clinicians with the integrated ability to manage both the data and the images that are critical to the diagnosis, planning and delivery of high quality cancer care. Major functions include:
an image management system that imports medical images generated by a variety of imaging methods, such as computed tomography scans, or CT scans, magnetic resonance images, digitally reconstructed radiographs, computerized radiographs, simulation images and portal images, using the protocol established by the Committee on Digital Image Communications, or DICOM, or proprietary interfaces when required by the device;
a virtual simulation system that accepts CT scans to create a three-dimensional rendering upon which the radiation oncologist can outline critical anatomical areas and specify radiation therapy beam placement, which can then be sent to a radiation therapy treatment planning system for dose calculation; and
an electronic work-list that allows the physician to review and annotate medical images at their desktop as an integral part of their planning, charting and administrative activities, as well as communicate imaging requirements and treatment changes directly to the therapy staff prior to treatment delivery.
Practice Management
We provide a full-featured practice management system that is integrated with our clinical system, enabling cancer care centers to improve communication, streamline workflow, improve data reporting and minimize process inefficiencies. Major functions include:
a comprehensive admission, discharge and transfer management capability that includes the capture of demographic, insurance, referral and primary-care provider information, and automates visit management by collecting and recording information in compliance with third-party billing regulations and managed care contractual requirements;
a patient scheduling and resource management capability that allows personnel to schedule patient and resource appointments for single or multi-department organizations based on patient preferences and resource availability;
a charge management capability that facilitates authorizing and collecting of charges at the point-of-care through a variety of mechanisms, including computerized charge slips, event-driven and schedule-driven charge capture and bar-coding. Our system supports the export of charge information to our

43


billing system or service and to external billing systems and services in the format established by Health Level Seven, or HL7;
a medical billing and accounts receivables system for freestanding cancer centers and physician practices. The system supports on-demand invoicing and batch claims processing on any user-required cycle as well as electronic claims submission using the format developed by the American National Standards Institute, or ANSI, which is now required by Medicare and HIPAA; and
a report generation and editing capability allowing users to customize the comprehensive set of clinical and administrative reports provided with the system as well as generate supplemental reports.
Data Aggregation and Reporting
Federal, state and other foreign regulators require hospital-based cancer programs to collect and report cancer incidents. In addition, accreditation as a “Comprehensive Cancer Center” requires that centers also contribute data to studies conducted by the American College of Surgeons, or ACoS, in the format established by the North American Association of Central Cancer Registries. Our registry products support the collection and reporting of cancer cases in accordance with all national and ACoS requirements. Our registry products also provide the ability to create and access clinical data repositories for cancer research. For example, our National Oncology Database consists of more than 1.9 million cancer cases occurring throughout the United States from 1985 to the present and is updated monthly.
Electronic Data and Image Interchange
Our oncology IT system provides cancer centers with a solution that meets their specific requirements, and supports the exchange of information and images with hospital and payor IT systems through established communications standards. Major functions include:
an HL7-compliant interface that supports the electronic exchange of patient data, such as admission, discharge and transfer information, laboratory results, charges and transcriptions, between our systems and other healthcare information systems;
a DICOM-compliant interface that supports the exchange of images between our image-enabled products and hospital picture archiving and communication systems as well as a wide variety of image devices; and
an ANSI-compliant interface that supports the electronic submission of insurance claims to Medicare and other third-party payors.
Our Services
We also offer a range of services as part of our healthcare IT system. These services consist of the following:
Implementation, Training, Support and Upgrades.    Our client services group performs system installation and training and provides remote support and upgrades to customers who are under warranty or a support contract. Service and support activities are supplemented by comprehensive education programs, including introductory training courses for new customers and advanced seminars for existing customers to allow them to take full advantage of our product capabilities and facilitate successful product implementation.
Transition Management Services.    We offer customers assistance in the migration of their current system and data to new hardware and software systems with the goal of minimizing disruption of patient care.
Network Services.    We offer a comprehensive package of services to assess changes in network utilization and function, forecast any necessary upgrades to accommodate growth, and design any

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changes necessary to provide the customer with optimal performance and functionality. These services are offered in various forms, ranging from on-site assistance on a time-and-expense basis to complete turn-key project deliveries with guaranteed fixed price rates.
Remote Hosting Services.    We can also assume the complete processing of customers’ applications from our data center using our own equipment and personnel. This service frees an organization from the need to maintain the environment, equipment and technical staff required for systems processing, and offers support for an organization’s fault-management, configuration-management and utilization-management processes. Our data center is housed in an AT&T hosting facility that is equipped with redundant state-of-the-art security, power, environmental and communications systems.
Research and Development
We believe that our future success will depend on our ability to continue supporting new and emerging cancer treatment methods. Our engineering organization applies a mature software design control process to develop software with the high level of quality required of a medical device manufacturer, and the timeliness required of a commercial software vendor. Our software design control process was implemented to meet rigorous federal and international quality standards. We spent $3.4 million on research and development in fiscal 1999, $4.5 million in fiscal 2000 and $6.3 million in fiscal 2001.
Customers
We sell our products to university teaching hospitals, community hospitals, freestanding cancer centers, private practices and corporate and government organizations. Through our direct sales efforts and the efforts of our distribution partners, we have directly or indirectly installed our products in over 1,500 facilities in 52 countries. Increasingly, we have seen our installed base and prospects move from single center entities to multi-site entities.
The following is a representative list of our customers in each of the categories below.
University Teaching Hospitals
Shands Jacksonville, Jacksonville, FL
Loyola University Medical Center, Maywood, IL
University of Colorado Hospital, Denver, CO
Community Hospitals
St. John Macomb Hospital, Warren, MI
Palmetto Richland Memorial Hospital, Columbia, SC
MeritCare Hospital, Fargo, ND
Private Practices
Hematology and Oncology Specialists, LLC, New Orleans, LA
Hematology-Oncology Associates of Central NY P.C., Syracuse, NY
Cobb Center for Radiation Therapy, Austell, GA

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Corporate/Government Healthcare Organizations
US Oncology, Houston, TX
Defense Logistics Agency, Defense Supply Center Philadelphia, Philadelphia, PA
Princess Margaret Hospital, Toronto, Canada
Siemens Medical Systems, our largest customer, accounted for 13.4% of our net sales in the six months ended March 31, 2002, 12.7% in the year ended September 30, 2001, 14.6% in fiscal 2000 and 17.7% in fiscal 1999. Revenues from the sale of our products and services outside the United States accounted for $1.5 million, or 7.5%, of our net sales in the six months ended March 31, 2002, $2.1 million, or 6.2%, of our net sales in fiscal 2001, $2.2 million, or 7.9%, of our net sales in fiscal 2000, and $2.0 million, or 9.8%, of our net sales in fiscal 1999.
Sales and Marketing
We market and sell our products and services worldwide through a direct sales force as well as through several distributors. Management of our North American sales force is centralized and organized into five regions, each with a district manager reporting to our Vice President of Sales for North America. Sales outside of North America are managed by our Vice President of Worldwide Sales. In addition to our direct sales efforts, we have a distributor relationship with Siemens Medical Systems, which markets and sells our products on a non-exclusive basis, primarily in Western Europe and North America. We also have non-exclusive distributor relationships in Italy and Japan for the marketing and sales of our products.
We market our products to individuals who either make or influence the decision to purchase an oncology IT solution, including oncologists, nurses, physicists, therapists, IT staff, registrars and oncology administrators. As healthcare personnel, our customers are required to remain active in the associations that administer their professional certification, attending their meetings, subscribing to their publications and maintaining membership in their national and regional organizations. Therefore, we deliver our message to our potential customers by exhibiting and presenting at trade shows and meetings, by advertising and placing articles in trade publications and by direct mailings to association members. Our marketing plan also includes users’ meetings, symposiums, advisory groups, customer profiles and user publications to promote our customers’ expanded use of our systems.
Competition
We believe the principal factors affecting the market for our products and services include product functionality, integration, configuration options, open standards, customer service, company reputation, equipment and software bundling and price. The market for our products and services is intensely competitive and characterized by rapidly changing technology, evolving user needs and frequent product introductions. Our principal oncology IT competitor is Varian Medical Systems. Potential future threats include enterprise level healthcare software companies, such as Cerner Corporation and Eclipsys Corporation. In addition, although we have cooperative strategic arrangements with Siemens Medical Systems and other companies for the sale of some of our products, these companies also compete with us on the sale of other products. Other competitors include segment specific providers of practice management, specialized electronic medical record, decision support and imaging systems.
Several of our competitors are better established, benefit from greater name recognition, and have significantly more financial, technical and marketing resources than we do. We also anticipate that competition will further increase in the healthcare information technology sector as a result of continued consolidation in both the information technology and healthcare industries.

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Government Regulations
Four of our specific products, including two device connectivity products and two imaging products, are statutorily defined as “medical devices” and, therefore, are subject to regulation and oversight by the U.S. Food and Drug Administration, or FDA, the California Department of Health Services Food and Drug Branch, or FDB, and similar foreign regulatory authorities.
FDA Premarket Clearance and Approval Requirements
Premarket Approval.    Before we can introduce a new product categorized as a medical device into the U.S. market, we must obtain FDA clearance or approval through either premarket notification under Section 510(k) or premarket approval under Section 515 of the Federal Food, Drug, and Cosmetic Act, unless the product is otherwise exempt from these requirements. The FDA classifies medical devices into three risk-based levels and applies increasing levels of regulation. Devices deemed to pose relatively less risk are placed in either Class I or II, requiring the manufacturer to submit a premarket notification requesting permission for commercial distribution. The FDA may require results of clinical trials in support of a 510(k) submission and generally requires clinical trial results for a premarket approval application. The FDA has classified our four medical device products as Class II devices, all of which have been granted 510(k) clearance by the FDA.
Resubmission for Substantial Changes.    After a device receives 510(k) clearance, any modification made to the device requires a determination as to whether the modification significantly affects its safety or effectiveness. If the modification could significantly affect the device’s safety and effectiveness, then the modification requires a new 510(k) clearance or, in some instances, could require a premarket approval for the modification. The FDA requires each manufacturer to make this determination, but the FDA can review any manufacturer’s decision and the agency may retroactively require the manufacturer to seek 510(k) clearance or premarket approval. The FDA also can require the manufacturer to cease marketing the modified device or recall the modified device, or both, until 510(k) clearance or premarket approval is obtained. We have made minor modifications to our products and, using the guidelines established by the FDA, have determined that two of the modifications did require us to file new 510(k) submissions. We made new 510(k) submissions which were cleared by the FDA. If the FDA disagrees with our other determinations not to submit, we may not be able to sell one or more of our products until the FDA has cleared new 510(k) submissions for these modifications. We continuously evaluate our products for any required resubmission.
Pervasive and Continuing Food and Drug Administration Regulation.    Numerous FDA regulatory requirements apply to our products categorized as medical devices. These requirements include:
quality system regulation which requires manufacturers to create, implement and follow numerous elaborate design, development, testing, control, documentation and other quality assurance procedures;
medical device reporting regulations, which require that manufacturers report some types of adverse and other events involving their products; and
a general prohibition against promoting products for unapproved uses.
Class II devices may also be subject to special controls applied to them, such as performance standards, post-market surveillance, patient registries and FDA guidelines that may not apply to Class I devices. Our products are currently subject to FDA guidelines for 510(k) cleared devices and are not subject to any other form of special controls, such as a requirement to conduct a screening in a laboratory within a medical facility. We believe we are in compliance with the applicable FDA guidelines, but we could be required to change our compliance activities or be subject to other special controls if the FDA changes its existing regulations or adopts new requirements.
We are subject to inspection and market surveillance by the FDA to determine compliance with regulatory requirements. If the FDA finds that we have failed to adequately comply, the agency can institute a wide variety

47


of enforcement actions, ranging from a public warning letter to more severe sanctions such as withdrawal of regulatory clearances, recalls or seizures, fines or criminal prosecution.
The FDA also has the authority to require repair, replacement or refund of the cost of any medical device manufactured or distributed by us. Our failure to comply with applicable requirements could lead to an enforcement action that may have an adverse effect on our financial condition and results of operations. To date, our FDA inspections have not resulted in any required action or penalty.
Other Federal and State Regulations
We are also required to obtain a manufacturing license from the FDB before we begin manufacturing our products, and are subject to FDB audits to ensure that we are compliant with all FDA regulations.
As a participant in the healthcare industry, we are subject to extensive and frequently changing regulations under many other laws administered by governmental entities at the federal, state and local levels. Our healthcare service provider customers are also subject to a wide variety of laws and regulations that could affect the nature and scope of their relationships with us.
There is substantial state and federal regulation of the confidentiality of patient medical records and the circumstances under which such records may be disclosed to or processed by us as a consequence of our contacts with various health providers, such as HIPAA. Although compliance with these laws and regulations is presently the principal responsibility of the hospital, physician or other healthcare provider, regulations governing patient confidentiality rights are rapidly evolving. Additional legislation governing the dissemination of medical record information also has been proposed and may be adopted at the state level. The administrative simplification provisions of HIPAA require the promulgation of regulations that will set standards for electronic transactions, code sets, data security, unique identification numbers, and privacy of individually identifiable health information, which could materially impact our business. During the past several years, the healthcare industry also has been subject to increasing levels of governmental regulation of, among other things, reimbursement rates and certain capital expenditures. We are unable to predict what, if any, changes will occur as a result of such regulation.
Foreign Regulations
European Union Regulation.    The primary regulatory environment in Europe is that of the European Union, which consists of 15 member countries encompassing most of the major countries in Europe. The European Union has adopted numerous directives and standards regulating the design, manufacturing, clinical trials, labeling and adverse event reporting for medical devices. Devices that comply with the requirements of a relevant directive will be entitled to bear a CE Marking to indicate that the device conforms to the essential requirements of the applicable directive, and accordingly, can be commercially distributed throughout the European Union. We hold a certificate to ISO 9001, EN46001, ISO 13485, EN601-1-4, which demonstrates satisfaction of the European Union standards for medical product manufacturers. This certificate is a prerequisite to applying the CE Marking to our products. The CE Marking is required on all medical products sold and used in the European Union. It is also recognized by many countries outside the European Union, such as Australia. The CE Marking indicates that a product was designed, released, produced, sold and serviced using a system that complies with the EU Council Directive 93/42/ECC for medical devices. Our four medical devices are currently eligible to bear the CE Marking.
Canadian Regulation.    The Canadian Health Department has granted us licenses to distribute our four medical devices throughout Canada.
Other Foreign Regulation.    Our products may also be regulated by other foreign governmental agencies. Some countries grant reciprocity for our U.S. and European clearances. We plan to seek approval to sell our products in additional countries.

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Intellectual Property and Proprietary Technology
Our success depends on our proprietary information and technology. We rely on a combination of copyright, trademark and trade secret laws, license agreements, nondisclosure and noncompete agreements and technical measures to establish and protect our rights in our proprietary technology. Our software license agreements grant our customers a nonexclusive, nontransferable, limited license to use our products and contain terms and conditions prohibiting the unauthorized reproduction or transfer of our products. We retain all title and rights of ownership in our software products. In addition, we enter into agreements with our employees, third-party consultants and contractors that prohibit the disclosure or use of our confidential information and require the assignment to us of any new ideas, developments, discoveries or inventions related to our business. We also require other third parties to enter into nondisclosure agreements that limit use of, access to and distribution of our proprietary information.
These protections, however, may not be adequate to prevent misappropriation of our proprietary rights. In addition, U.S. law provides only limited protection of proprietary rights and the laws of some foreign countries may offer less protection than the laws of the United States. Unauthorized third parties may copy aspects of our products, reverse engineer our products or otherwise obtain and use information that we regard as proprietary. Subject to certain contractual limitations, a few of our customers can access source-code versions of our software. Although our agreements with such customers attempt to prevent misuse of the source code, the possession of our source code by third parties increases the ease and likelihood of potential misappropriation of such software. There can be no assurance that others will not independently develop technologies similar or superior to our technology or design around our proprietary rights.
We also rely on a variety of technologies that are licensed from third parties to perform key functions. These third-party licenses may not be available to us on commercially reasonable terms in the future. The loss of or inability to maintain any of these licenses could delay the introduction of software enhancements and other features until equivalent technology can be licensed or developed. Any such delay could materially adversely affect our ability to attract and retain customers.
We do not believe our software products or our other proprietary rights infringe on the property rights of third parties. However, we cannot guarantee that third parties will not assert infringement claims against us with respect to current or future software products or that any such assertion may not result in costly litigation or require us to enter into royalty arrangements.
Employees
As of March 31, 2002, we had a total of 211 full-time employees, 66 of whom were engaged in research and development, 106 of whom were engaged in sales, marketing and customer support and 39 of whom were engaged in administration and finance. None of our employees is subject to a collective bargaining agreement. We believe that our relations with our employees are good.
Facilities
Our principal executive offices occupy approximately 35,000 square feet in Mountain View, California under a lease that expires in 2007. We also lease additional facilities aggregating approximately 27,500 square feet in Nevada, Massachusetts and the UK. We intend to expand our sales, marketing and technology operations and, therefore, may require additional facilities in the future, which we believe can be obtained on commercially reasonable terms when needed.
Legal Proceedings
We are not currently a party to any material legal proceedings.

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MANAGEMENT
Executive Officers and Directors
Our executive officers and directors as of May 31, 2002 are as follows:
Name

Age

Position(s)

Joseph K. Jachinowski46
President, Chief Executive Officer and Chairman of
the Board of Directors
James P. Hoey43Executive Vice President, Chief Operations Officer and Director
David A. Auerbach42Executive Vice President, Treasurer, Secretary and Director
Kendra A. Borrego33Chief Financial Officer
Gregory M. Avis(1)(2)43Director
Robert J. Becker, M.D.(1)(2)80Director
Christopher M. Rose, M.D., F.A.C.R.(1)(2)53Director

(1)
Member of Audit Committee
(2)Member of Compensation Committee
Joseph K. Jachinowski co-founded IMPAC in January 1990 and has served as President, Chief Executive Officer and Chairman of the Board since that time. Prior to co-founding IMPAC, Mr. Jachinowski held multiple management positions at Varian Medical Systems, Inc. from 1983 to 1990. Mr. Jachinowski holds an M.S. degree in Electrical Engineering from Washington State University and a B.S. degree in Electrical Engineering from Ohio University.
James P. Hoey co-founded IMPAC in January 1990 and has served as Executive Vice President and a director since that time. Mr. Hoey has also served as Chief Operations Officer since August 1999. Prior to co-founding IMPAC, Mr. Hoey served as Manager of Radiation Product Marketing for Varian Medical Systems, Inc. from 1988 to 1990. Mr. Hoey holds an M.B.A. degree from Santa Clara University and a B.A. degree in Biomedical Engineering and in Business Administrative Sciences from Yale University.
David A. Auerbach co-founded IMPAC in January 1990 and has served as Executive Vice President, Treasurer, Secretary and a director since that time. From January 1990 to February 2000, Mr. Auerbach also served as IMPAC’s Chief Financial Officer. Mr. Auerbach has also served as President of IMPAC Global Systems, Inc., a wholly-owned subsidiary of IMPAC, since October 2001 and as President of IMPAC Global Systems UK Limited, a wholly-owned subsidiary of IMPAC, since January 2002. Mr. Auerbach also served as President of CareCore, Inc., a healthcare information technology company, from July 1999 to March 2001. Prior to co-founding IMPAC, Mr. Auerbach served as Manager of Research and Development for Project Management for Varian Medical Systems, Inc. from 1987 to 1990. Mr. Auerbach holds an M.S. degree in Mechanical Engineering from Stanford University and a B.S. degree in Mechanical/Biomedical Engineering from Carnegie Mellon University.
Kendra A. Borregojoined IMPAC in August 1992 and has served as Chief Financial Officer since March 2000. Ms. Borrego served as IMPAC’s Director of Finance from August 1999 to February 2000 and as Controller from August 1992 to July 1999. Ms. Borrego holds an M.B.A. degree from San Jose State University and a B.S. degree in Business from the University of Nevada.
Gregory M. Avishas been a director of IMPAC since February 1998. Mr. Avis is a Managing Partner of Summit Partners, L.P., a private equity and investment firm, where he has been employed since the firm’s founding in 1984. Currently, Mr. Avis also serves as a director of Ditech Communications Corporation, a telecommunications equipment company, MCK Communications, Inc., a manufacturer of remote voice and data

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access equipment, and Powerwave Technologies, a developer and manufacturer of radio frequency power amplifiers for wireless communications applications. Mr. Avis holds an M.B.A. degree from Harvard Business School and a B.A. degree in Political Economy from Williams College.
Robert J. Becker, M.D.has been a director of IMPAC since June 1996. Dr. Becker has served as the President of Becker Consulting Corporation, a healthcare consulting firm, since 1990. Prior to founding Becker Consulting, Dr. Becker founded HealthCare Compare Corporation, a company specializing in healthcare utilization review (now First Health Group Corporation, a health benefits company) and served as Chairman from 1982 to 1990. Currently, Dr. Becker also serves as a director of APS Healthcare, Inc., a managed behavioral healthcare organization. Dr. Becker holds an M.D. degree from the Medical College of Wisconsin.
Christopher M. Rose, M.D., F.A.C.R.has been a director of IMPAC since June 1996. Dr. Rose has served as Secretary and a Principal of the Valley Radiotherapy Associates Medical Group, Inc., one of the largest providers of radiation therapy services in the United States, Associate Director of the Department of Radiation Oncology at Providence Saint Joseph Medical Center in Burbank, California, and as Technical Director, Radiation Oncology, for the Providence Health System, Los Angeles Service Area, since 1983. Dr. Rose also serves as Councilor of the American College of Radiology and is a past Chairman of the Board of the American Society of Therapeutic Radiation and Oncology. Dr. Rose holds an M.D. degree from Harvard Medical School and an S.B. degree in Biology from the Massachusetts Institute of Technology.
Board Composition
Our board of directors currently consists of six members. In accordance with the terms of our restated certificate of incorporation to be filed prior to this offering in connection with our reincorporation in Delaware, the board of directors will be divided into three classes, each serving staggered three-year terms: Class I, whose initial term will expire at the annual meeting of stockholders held in 2003; Class II, whose initial term will expire at the annual meeting of stockholders in 2004; and Class III, whose initial term will expire at the annual meeting of stockholders in 2005. As a result, only one class of directors will be elected at each annual meeting of our stockholders, with the other classes continuing for the remainder of their respective terms. David A. Auerbach and Robert J. Becker have been designated as Class I directors; James P. Hoey and Christopher M. Rose have been designated as Class II directors; and Joseph K. Jachinowski and Gregory M. Avis have been designated as Class III directors. These provisions in our restated certificate of incorporation may have the effect of delaying or preventing changes in our control or management. The executive officers serve at the discretion of the board of directors. Except for Joseph K. Jachinowski and James P. Hoey, who are brothers-in-law, there are no family relationships among any of our directors or executive officers. Suzanne Hoey Jachinowski, who is our Vice President of Marketing, is the sister of James P. Hoey and wife of Joseph K. Jachinowski.
Board Compensation
Except for reimbursement for reasonable travel expenses relating to attendance at board meetings, employee directors are not compensated for their services as directors. After this offering, directors who are non-employees will receive compensation for their services as directors in the form of a stock option grant each year to purchase 5,000 shares of our common stock plus $500 per board meeting attended. Non-employee directors who first join our board after the date of this prospectus will receive an initial stock option grant to purchase 25,000 shares of our common stock when they join the board. All directors are eligible to participate in our 2002 stock plan and, beginning in 2002, directors who are our employees will also be eligible to participate in our 2002 employee stock purchase plan. See “—Benefit Plans.”
Board Committees
In August 1996, the board established the Compensation Committee. The Compensation Committee recommends compensation for our management personnel to the board and administers our stock plans. Prior to

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this offering, the Compensation Committee consisted of Joseph K. Jachinowski, James P. Hoey, David A. Auerbach and Christopher M. Rose. Mr. Jachinowski, Mr. Hoey and Mr. Auerbach are our employees. After this offering, the Compensation Committee will consist of Gregory M. Avis, Robert J. Becker and Christopher M. Rose.
In February 1998, the board established the Audit Committee. The Audit Committee reviews our annual audit of our financial statements and meets with our independent accountants to review our internal controls and financial management practices. The Audit Committee currently consists of Gregory M. Avis, Robert J. Becker and Christopher M. Rose.
Compensation Committee Interlocks and Insider Participation
After this offering, the members of the Compensation Committee of our board of directors will be Gregory M. Avis, Robert J. Becker and Christopher M. Rose. None of these individuals has at any time been an officer or employee of ours or any of our subsidiaries.
Executive Compensation
The following table provides summary information concerning the compensation paid during the fiscal year ended September 30, 2001 to the Chief Executive Officer and each of the other three most highly compensated executive officers, each of whose aggregate compensation exceeded $100,000.
Summary Compensation Table
        
   
Annual Compensation(1)

  
All Other Compensation

 
Name and Principal Position

  
Salary

  
Bonus

  
Joseph K. Jachinowski  $291,251  $100,000  $49,273(2)
President, Chief Executive Officer and Chairman             
James P. Hoey   291,251   105,426   47,160(3)
Executive Vice President and Chief Operations Officer             
David A. Auerbach   272,250   108,538   55,930(4)
Executive Vice President, Treasurer and Secretary             
Kendra A. Borrego   114,834   35,000   6,117(5)
Chief Financial Officer             

(1)Excludes certain perquisites and other benefits that did not exceed 10% of any officer’s total salary and bonus.
(2)Includes $8,370 of company contributions to our 401(k) plan and a bonus payment of $40,903 to cover term life, variable universal life and disability insurance premiums.
(3)Includes $8,128 of company contributions to our 401(k) plan and a bonus payment of $39,032 to cover term life, variable universal life and disability insurance premiums.
(4)Includes $17,107 of company contributions to our 401(k) plan and a bonus payment of $38,823 to cover term life, variable universal life and disability insurance premiums.
(5)Represents $6,117 of company contributions to our 401(k) plan.
Option Grants
There were no stock options granted to our executive officers during the fiscal year ended September 30, 2001. In May 2002, we granted Kendra A. Borrego an option to purchase 20,000 shares of our common stock at an exercise price of $13.00 per share.

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Option Exercises and Holdings
The following table provides summary information concerning the shares of common stock acquired in fiscal 2001,the value realized upon exercise of stock options in fiscal 2001, and the year-end number and value of unexercised options with respect to each of our executive officers as of September 30, 2001. The value was calculated by determining the difference between the fair market value of underlying securities and the exercise price. The fair market value of our common stock at September 30, 2001 was assumed to be $6.00 per share.
Aggregated Option Exercises in Last Fiscal Year and Fiscal Year-End Option Values
Name

  
Shares Acquired on Exercise

  
Value Realized ($)

  
Number of Securities
Underlying Unexercised
Options at FY-End

  
Value of Unexercised
in-the-Money
Options at FY-End

      
Exercisable

    
Unexercisable

  
Exercisable

  
Unexercisable

Joseph K. Jachinowski  —    $—    —      —    $—    $—  
James P. Hoey  —     —    —      —     —     —  
David A. Auerbach  —     —    —      —     —     —  
Kendra A. Borrego  13,500   56,850  12,831    13,669   20,792   17,213
Benefit Plans
1993 Stock Option Plan.    Our 1993 stock option plan was adopted by our board of directors in October 1993, approved by our stockholders in October 1993, and became effective in November 1993. The 1993 stock option plan provides for the discretionary grant to employees, including officers and employee directors, of incentive stock options within the meaning of Section 422 of the Internal Revenue Code, as amended, and for the discretionary grant to employees, directors and consultants of nonstatutory stock options and stock purchase rights. Originally, 630,000 shares of common stock were reserved for issuance under the 1993 stock option plan. In February 1998, the board approved an amendment to the 1993 stock option plan, which was approved by our stockholders in June 1998, to increase the number of shares of common stock reserved for issuance under the plan to 687,285 shares. As of March 31, 2002, options to purchase an aggregate of 242,118 shares of our common stock were outstanding under our 1993 stock option plan. Our board of directors has determined that no further options will be granted under the 1993 stock option plan after this offering. Unless terminated sooner, the 1993 stock option plan will terminate automatically ten years from its effective date.
1998 Stock Plan.    Our 1998 stock plan was adopted by our board of directors in October 1998, approved by our stockholders in November 1998, and became effective in November 1998. The 1998 stock plan provides for the discretionary grant to employees, including officers and employee directors, of incentive stock options within the meaning of Section 422 of the Internal Revenue Code, and for the discretionary grant to employees, directors and consultants of nonstatutory stock options and stock purchase rights. Originally, 300,000 shares of common stock were reserved for issuance under the 1998 stock plan. In March 2000, our board of directors and stockholders approved an amendment to the 1998 stock plan to increase the number of shares of common stock reserved for issuance under the plan to 800,000 shares. As of March 31, 2002, options to purchase an aggregate of 623,830 shares of our common stock were outstanding under our 1998 stock plan. Our board of directors has determined that no further options or stock purchase rights will be granted under the 1998 stock plan after this offering. Unless terminated sooner, the 1998 stock plan will terminate automatically ten years from its effective date.
2002 Stock Plan.    Our 2002 stock plan was adopted by our board of directors in May 2002 and will be submitted to our stockholders for approval prior to the closing of this offering. The 2002 stock plan will become effective when the underwriting agreement for this offering is signed. At that time, all outstanding options under our 1993 stock option plan and all outstanding options and stock purchase rights under our 1998 stock plan will be administered under the 2002 stock plan but will continue to be governed by their existing terms. Unless

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terminated sooner, the 2002 stock plan will terminate automatically ten years from the date it was adopted by our board of directors.
The 2002 stock plan provides for the discretionary grant to employees, including officers and employee directors, of incentive stock options within the meaning of Section 422 of the Internal Revenue Code, and for the discretionary grant to employees, directors and consultants of nonstatutory stock options and stock purchase rights. The 2002 stock plan also provides for the periodic automatic grant of nonstatutory stock options to non-employee directors.
The total number of shares of common stock reserved for issuance under the 2002 stock plan equals 2,500,000 shares of common stock plus the number of shares that remain reserved for issuance under the 1993 stock option plan and the 1998 stock plan as of the date the 2002 stock plan becomes effective. The number of shares reserved for issuance under the 2002 stock plan will be increased on the first day of each of our fiscal years by the lesser of (a) 3.0% of the outstanding common stock on the last day of the immediately preceding fiscal year and (b) such lesser amount as the board may determine.
The maximum number of option shares each optionee may be granted during a fiscal year is 1,000,000 shares. In connection with an optionee’s initial service with us, however, such optionee may be granted options for up to a total of 1,500,000 shares during the optionee’s initial year of service. Restricted stock grants are limited to 500,000 shares per person in any fiscal year. In connection with an employee’s initial service with us, however, such employee may receive restricted stock grants for up to 1,000,000 shares during the employee’s initial year of service.
The 2002 stock plan may be administered by the board of directors or a committee of the board of directors, which committee shall, in the case of options intended to qualify as “performance-based compensation” within the meaning of Section 162 (m) of the Internal Revenue Code, consist of two or more “outside directors” within the meaning of Section 162(m) of the Internal Revenue Code. The administrator has the power to determine the terms and conditions of the options granted, including whether and to whom to grant options, the exercise price of the options, the number of shares subject to each option, the term and exercise schedule of each option and the form of consideration payable upon the exercise of each option. The board of directors has the authority to amend, suspend or terminate the 2002 stock plan, provided that no such action adversely affects any option previously granted under the 2002 stock plan.
The 2002 stock plan provides for the automatic grant of nonstatutory stock options to non-employee directors. Non-employee directors who first join our board after the date of this prospectus will receive an initial grant when they join the board. In addition, all non-employee directors will receive a grant of an option to purchase shares at fair market value on the grant date at each subsequent annual meeting of stockholders, provided they will continue to serve after such annual meeting. Non-employee director options will have a term of ten years but will expire within 90 days of the directors termination of service. Initial stock option grants to our non-employee directors vest from the date of grant, provided the director continues to serve as a director on the vesting date, with 25% vesting one year from the date of grant and the remaining options vesting on a monthly basis for four years following the date of grant. All subsequent stock option grants to non-employee directors will be fully vested upon grant.
Options and stock purchase rights granted under our 2002 stock plan are generally not transferable, and may be exercised or purchased during the lifetime of the optionee or the holder of the stock purchase right only by the optionee or the holder of the stock purchase right. Options granted under the 2002 stock plan must generally be exercised within three months of the optionee’s separation of service, or within twelve months of the optionee’s termination by death or disability, but in no event later than the expiration of the option’s term. The administrator may permit options granted under the 2002 stock plan to be exercised immediately after the grant date, but to the extent the shares subject to the options are not vested as of the date of exercise, we retain a right to repurchase any shares that remain unvested at the time of the optionee’s termination of employment by paying an amount equal to the exercise price times the number of unvested shares. Options granted under the 2002 stock plan

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generally vest at the rate of 1/4th of the total number of shares subject to the options on the twelve month anniversary of the date of grant and 1/48th of the total number of shares subject to the options vest each month thereafter. In the case of stock purchase rights, unless the administrator determines otherwise, the restricted stock purchase agreement shall grant us a repurchase option exercisable upon the voluntary or involuntary termination of the purchaser’s service for any reason, including death or disability. The purchase price for shares repurchased pursuant to the restricted stock purchase agreement shall be the original price paid by the purchaser and may be paid by cancellation of any indebtedness of the purchaser to us. The repurchase option shall lapse at a rate determined by the administrator, which is generally equal to 25% per year.
The exercise price of all incentive stock options granted under the 2002 stock plan and all nonstatutory stock options granted automatically to non-employee directors must be at least equal to the fair market value of the common stock on the date of grant. The exercise price of all other nonstatutory stock options and stock purchase rights granted under the 2002 stock plan shall be determined by the administrator, but with respect to nonstatutory stock options intended to qualify as “performance-based compensation” within the meaning of Section 162(m) of the Internal Revenue Code, the exercise price must be at least equal to the fair market value of our common stock on the date of grant. With respect to any optionee who owns stock possessing more than 10% of the voting power of all classes of our outstanding capital stock, the exercise price of any incentive stock option must equal at least 110% of the fair market value on the date of grant and the term of any incentive stock option must not exceed five years. The term of all other options granted under the 2002 stock plan may not exceed ten years.
The 2002 stock plan provides that in the event that we are acquired by another corporation, or sell substantially all of our assets, each option and stock purchase right may be assumed or an equivalent option substituted for by the successor corporation. If the outstanding options and stock purchase rights are not assumed or substituted for by the successor corporation, the administrator may decide that holders of options granted under the 2002 stock plan will fully vest in and have the right to exercise the option as to all of the optioned stock or that the option will be cancelled with or without consideration.
2002 Employee Stock Purchase Plan.    Our 2002 employee stock purchase plan was adopted by our board of directors in May 2002, and will be submitted to our stockholders for approval prior to the closing of this offering. A total of 750,000 shares of our common stock has been reserved for issuance under the 2002 purchase plan. The number of shares reserved for issuance under the 2002 purchase plan will be increased on the first day of each of our fiscal years by the lesser of (a) 3.0% of the outstanding common stock on the last day of the immediately preceding fiscal year and (b) such lesser amount as the board may determine.
Under the 2002 purchase plan, which is intended to qualify under Section 423 of the Internal Revenue Code, our board of directors may determine the duration and frequency of stock purchase periods. Initially, the plan will operate using semi-annual offering periods.
Our employees and employees of our participating subsidiaries are eligible to participate. However, employees may not be granted an option to purchase stock under the 2002 purchase plan if they immediately after grant, own stock possessing 5% or more of the total combined voting power or value of all classes of our capital stock.
The 2002 purchase plan permits participants to purchase our common stock through payroll deductions of up to 10% of their total compensation, including bonuses and commissions.
Amounts deducted and accumulated by the participant are used to purchase shares of common stock at the end of each purchase period. The price of stock purchased under the 2002 purchase plan is generally 85% of the lower of the fair market value of the common stock either at the beginning of the offering period or at the end of the purchase period.

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Participants may end their participation at any time during an offering period, and they will be paid their payroll deductions to date. Participation ends automatically upon termination of employment with us.
Rights granted under the 2002 purchase plan are not transferable by a participant other than upon death. Each outstanding option under the 2002 purchase plan will be subject to the acquisition agreement in the event we merge with or into another corporation or sell substantially all of our assets.
Our board of directors has the authority to amend or terminate the 2002 purchase plan. The board of directors may terminate an offering period on any exercise date if the board determines that the termination of the 2002 purchase plan is in our best interests and our stockholders. Notwithstanding anything to the contrary, the board of directors may in its sole discretion amend the 2002 purchase plan to the extent necessary and desirable to avoid unfavorable financial accounting consequences by altering the purchase price for any offering period, shortening any offering period or allocating remaining shares among the participants. Unless earlier terminated by our board of directors, the 2002 purchase plan will terminate automatically December 31, 2012.

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CERTAIN TRANSACTIONS
Since October 1, 1998,we have not engaged in any transaction or series of similar transactions in which the amount involved exceeded or exceeds $60,000 and in which any of our directors or executive officers, any holder of more than 5% of any class of our voting securities or any member of the immediate family of any of the foregoing persons had or will have a direct or indirect material interest, other than the transactions described below.
Insider Transactions
In November 1999, we entered into a convertible note purchase agreement in the amount of $1,000,000 with CareCore, Inc., a Delaware corporation engaged in the healthcare information technology industry. Directors of CareCore included David A. Auerbach, Joseph K. Jachinowski and James P. Hoey, who are also directors and officers of IMPAC. These individuals were also stockholders of CareCore, and together held 54% of its outstanding capital stock. Under the terms of the agreement, the note was due and payable to us upon demand at any time after November 2000. The note, which bore interest at 5.57%, was convertible at our option, in whole or in part, into shares of the preferred stock series to be issued in CareCore’s next round of equity financing. In connection with the note, we also received a warrant to purchase a number of shares of the preferred stock issued in CareCore’s next equity financing equal to the quotient obtained by dividing 20% of the original note principal amount, by the price of the shares of preferred stock sold in such equity financing. In the event such equity financing did not occur by May 31, 2002, the warrant was to be exercisable for shares of common stock at $0.50 per share. In December 2000, we purchased the outstanding convertible notes from CareCore held by David A. Auerbach, Joseph K. Jachinowski, James P. Hoey and Robert J. Becker, each a director of IMPAC, at $0.30 on each $1.00 for a total consideration of $161,000. In February 2001, we acquired certain intangible assets of CareCore in exchange for the cancellation of the convertible notes described above and transaction costs of approximately $40,000.
In January 1999, we granted Suzanne Hoey Jachinowski, our Vice President of Marketing, the wife of Joseph K. Jachinowski, our President and Chief Executive Officer, and the sister of James P. Hoey, our Executive Vice President and Chief Operations Officer, options to purchase 7,000 shares of our common stock at an exercise price of $3.23 per share. In January 2000, we granted Ms. Jachinowski options to purchase 15,000 shares of our common stock at an exercise price of $5.00 per share. In May 2002, we granted Ms. Jachinowski options to purchase 10,000 shares of our common stock at an exercise price of $13.00 per share.
In January 1999, we granted Robert L. Shaw, our Vice President of Worldwide Sales and one of our principal stockholders, options to purchase 50,000 shares of our common stock at an exercise price of $3.23 per share.
In January 1999, we granted Robert J. Becker, one of our directors, options to purchase 5,000 shares of our common stock at an exercise price of $3.23 per share. In January 2000, we granted Dr. Becker options to purchase 5,000 shares of our common stock at an exercise price of $5.00 per share. In July 2001, we granted Dr. Becker options to purchase 5,000 shares of our common stock at an exercise price of $6.00 per share. In April 2002, we granted Dr. Becker options to purchase 5,000 shares of our common stock at an exercise price of $7.00 per share.
In January 1999, we granted Christopher M. Rose, one of our directors, options to purchase 5,000 shares of our common stock at an exercise price of $3.23 per share. In January 2000, we granted Dr. Rose options to purchase 5,000 shares of our common stock at an exercise price of $5.00 per share. In July 2001, we granted Dr. Rose options to purchase 5,000 shares of our common stock at an exercise price of $6.00 per share. In April 2002, we granted Dr. Rose options to purchase 5,000 shares of our common stock at an exercise price of $7.00 per share.
Agreements with Management
We have entered into indemnification agreements with our officers and directors containing provisions that may require us, among other things, to indemnify our officers and directors against certain liabilities that may arise by reason of their status or service as officers or directors and to advance their expenses incurred as a result of any proceeding against them as to which they could be indemnified. See “Description of Capital Stock—Indemnification Provisions.”

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PRINCIPAL AND SELLING STOCKHOLDERS
The following table sets forth information regarding the beneficial ownership of our common stock as of April 30, 2002, assuming conversion of all outstanding shares of redeemable convertible preferred stock by:
each of our directors and executive officers;
all directors and executive officers as a group;
each person who is known by us to own beneficially more than 5% of our outstanding shares of common stock; and
each of the selling stockholders.
Except as otherwise noted, the address of each person listed in the table is c/o IMPAC Medical Systems, Inc., 100 West Evelyn Avenue, Mountain View, California 94041. The table includes all shares of common stock issuable within 60 days of April 30, 2002 upon the exercise of options beneficially owned by the indicated stockholders on that date. Beneficial ownership is determined in accordance with the rules of the Securities and Exchange Commission and includes voting and investment power over such shares. To our knowledge, except under applicable community property laws or as otherwise indicated, the persons named in the table have sole voting and sole investment control regarding all shares beneficially owned. The applicable percentage of ownership for each stockholder is based on 7,268,735 shares of common stock outstanding as of April 30, 2002, assuming conversion of all outstanding shares of redeemable convertible preferred stock, together with applicable options for that stockholder. Shares of common stock issuable upon exercise of options beneficially owned were deemed outstanding for the purpose of computing the percentage ownership of the person holding these options and other rights, but are not deemed outstanding for computing the percentage ownership of any other person.
   
Shares Beneficially Owned Prior to Offering

    
Number of Shares Offered in Underwriters’ Over-Allotment Option

    
Shares Beneficially Owned After Offering(1)

   
Number

    
Percent

        
Number

    
Percent

Joseph K. Jachinowski(2)  1,108,041    15.1               
James P. Hoey(3)  1,668,134    23.0               
David A. Auerbach(4)  1,668,134    23.0               
Kendra A. Borrego(5)  31,499    *               
Gregory M. Avis(6)  1,215,170    16.7               
Robert J. Becker, M.D.  81,439    1.1               
Christopher M. Rose, M.D., F.A.C.R.(7)  81,439    1.1               
Summit Partners, L.P.(8)  1,215,170    16.7               
Robert L. Shaw(9)  502,708    6.9               
Diane L. Reynolds(10)  668,134    9.2               
All directors and executive officers as a group (7 persons)(11)  5,853,856    79.6               

   *Less than one percent of the outstanding shares of common stock.
  (1)Assumes full exercise of the underwriters’ over-allotment option.
  (2)Includes 53,041 shares issuable upon the exercise of outstanding stock options held by Mr. Jachinowski’s wife, Suzanne Hoey Jachinowski, which are exercisable within 60 days of April 30, 2002, 51,000 shares owned by Mr. Jachinowski’s wife, and 9,714 shares held in trust for Mr. Jachinowski’s children. Mr. Jachinowski disclaims beneficial ownership of all of these shares.
  (3)Includes 41,142 shares held in trust for Mr. Hoey’s children.
  (4)Includes 42,570 shares held in trust for Mr. Auerbach’s children.
  (5)Includes 17,999 shares issuable upon the exercise of outstanding stock options, which are exercisable within 60 days of April 30, 2002.

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  (6)Includes 1,154,412 shares held by Summit Ventures IV, L.P. and 60,758 shares held by Summit Investors III, L.P. Mr. Avis is a managing partner of Summit Partners, L.P., the general partner of Summit Ventures IV, L.P. and Summit Investors III, L.P. Mr. Avis disclaims beneficial ownership of such shares in which he has no pecuniary interest. See Note 9.
  (7)Includes 10,000 shares issuable upon the exercise of outstanding stock options, which are exercisable within 60 days of April 30, 2002.
  (8)The address of Summit Partners, L.P. is 499 Hamilton Avenue, Suite 200, Palo Alto, CA 94301. Gregory M. Avis, a director of IMPAC, is a managing partner of Summit Partners, L.P., shares voting and dispositive power with respect to the shares held by Summit Partners, and disclaims beneficial ownership of such shares in which he has no pecuniary interest. See Note 6.
  (9)Includes 42,708 shares issuable upon the exercise of outstanding stock options, which are exercisable within 60 days of April 30, 2002. Mr. Shaw is our Vice President of Worldwide Sales.
(10)The address of Diane L. Reynolds is 259 Elliott Drive, Menlo Park, CA 94025.
(11)Includes 86,040 shares issuable upon the exercise of outstanding stock options, which are exercisable within 60 days of April 30, 2002.
We will pay all costs and expenses of this offering, other than the underwriting discount relating to shares sold by the selling stockholders, the fees and disbursements of separate legal counsel and other advisors to the selling stockholders and stock transfer and other taxes attributable to the sale of shares by the selling stockholders, which will be paid by the selling stockholders.

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DESCRIPTION OF CAPITAL STOCK
Upon the completion of this offering, we will be authorized to issue 60,000,000 shares of common stock, $0.001 par value per share, and 5,000,000 shares of undesignated preferred stock, $0.001 par value per share.
Common Stock
At March 31, 2002, there were 6,027,533 shares of common stock outstanding, held of record by 56 stockholders. Options to purchase 865,948 shares of common stock were also outstanding. In addition, there were 1,238,390 shares of redeemable convertible preferred stock outstanding at March 31, 2002, held of record by three stockholders, which will be converted into 1,238,390 shares of common stock upon the closing of this offering. There will be              shares of common stock outstanding (assuming no exercise of outstanding options under our stock option plans after                         , 2002) after giving effect to the sale of the shares offered hereby.
The holders of common stock are entitled to one vote for each share held of record on all matters submitted to a vote of the stockholders. Subject to preferences that may be applicable to any outstanding preferred stock, holders of common stock are entitled to receive ratably such dividends as may be declared by the board of directors out of funds legally available for that purpose. See “Dividend Policy.” In the event of our liquidation, dissolution or winding up, the holders of common stock are entitled to share ratably in all assets remaining after payment of liabilities, subject to the prior distribution rights of any outstanding preferred stock. The common stock has no preemptive or conversion rights or other subscription rights. The outstanding shares of common stock are, and the shares of common stock to be issued upon completion of this offering will be, fully paid and non-assessable.
Preferred Stock
Effective upon the closing of this offering, all outstanding shares of redeemable convertible preferred stock will be converted into common stock. Upon the closing of this offering, the board of directors will have the authority, without further action by the stockholders, to issue up to 5,000,000 shares of preferred stock, $0.001 par value, in one or more series. The board of directors will also have the authority to designate the rights, preferences, privileges and restrictions of each such series, including dividend rights, dividend rates, conversion rights, voting rights, terms of redemption, redemption prices, liquidation preferences and the number of shares constituting any series.
The issuance of preferred stock may have the effect of delaying, deferring or preventing a change in control of IMPAC without further action by the stockholders. The issuance of preferred stock with voting and conversion rights may also adversely affect the voting power of the holders of common stock. In certain circumstances, an issuance of preferred stock could have the effect of decreasing the market price of the common stock. As of the closing of the offering, no shares of preferred stock will be outstanding. We currently have no plans to issue any shares of preferred stock.
Registration Rights
The holders of 1,238,390 shares of common stock or their transferees are entitled to certain rights with respect to the registration of such shares under the Securities Act. These rights are provided under the terms of an investor rights agreement between us and the holders of these securities. The holders of a majority of these securities may require us to register at least 20% of such securities, or a lesser percentage if the aggregate offering price, net of discounts and commissions, would exceed $5,000,000, for public resale on two occasions starting six months after the date of this prospectus. In addition, if we register any of our common stock either for our own account or for the account of other security holders, the holders of these securities are entitled to include their shares of common stock in that registration, subject to the ability of the underwriters to limit the number of shares included in the offering. The holders of at least 20% of these securities then outstanding may also require

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us, not more than twice in any twelve-month period, to register all or a portion of these securities on Form S-3 when the use of that form becomes available to us, provided that the proposed aggregate selling price, net of any underwriters’ discounts or commissions, is at least $500,000. We will be responsible for paying all registration expenses except for expenses incurred in connection with registrations requested on Form S-3. The holders selling their shares will be responsible for paying the registration expenses incurred for registrations on Form S-3 and all selling expenses. These rights will terminate five years after the closing of this offering or, if earlier, the date on which the holders of these securities may sell all of these securities under Rule 144 during any three-month period.
Delaware Anti-Takeover Law and Charter and Bylaw Provisions
Provisions of Delaware law and our charter documents could make acquiring us and removing our incumbent officers and directors more difficult. These provisions are expected to discourage certain types of coercive takeover practices and inadequate takeover bids and to encourage persons seeking to acquire control of our company to negotiate with us first. We believe that the benefits of increased protection of our ability to negotiate with the proponent of an unfriendly or unsolicited proposal to acquire or restructure our company outweigh the disadvantages of discouraging such proposals because, among other things, negotiation of such proposals could result in an improvement of their terms.
Section 203.    We will be subject to the provisions of Section 203 of the Delaware law. In general, the statute prohibits a publicly held Delaware corporation from engaging in a “business combination” with an “interested stockholder” for a period of three years after the date that the person became an interested stockholder unless, subject to exceptions, the business combination or the transaction in which the person became an interested stockholder is approved in a prescribed manner. Generally, a “business combination” includes a merger, asset or stock sale, or other transaction resulting in a financial benefit to the stockholder. Generally, an “interested stockholder” is a person who, together with affiliates and associates, owns, or within three years prior, did own, 15% or more of the corporation’s voting stock. These provisions may have the effect of delaying, deferring or preventing a change in control of our company without further action by the stockholders.
Special Stockholder Meetings.    Our restated bylaws will provide that special meetings of the stockholders for any purpose or purposes, unless required by law, may only be called by a majority of the entire board, the chairman of the board, or the president. This limitation on the ability to call a special meeting could make it more difficult for stockholders to initiate actions that are opposed by the board. These actions could include the removal of an incumbent director or the election of a stockholder nominee as a director. They could also include the implementation of a rule requiring stockholder ratification of specific defensive strategies that have been adopted by the board with respect to unsolicited takeover bids. In addition, the limited ability to call a special meeting of stockholders may make it more difficult to change the existing board and management.
Classified Board of Directors.    Our board will be divided into three classes of directors serving staggered three-year terms. As a result, approximately one-third of the board of directors will be elected each year. These provisions are likely to increase the time required for stockholders to change the composition of our board of directors. For example, in general at least two annual meetings will be necessary for stockholders to effect a change in the majority of our board of directors. Subject to the rights of the holders of any outstanding series of preferred stock, our restated certificate of incorporation will authorize only the board of directors to fill vacancies, including newly created directorships. Our restated certificate of incorporation also will provide that directors may be removed by stockholders only for cause and only by affirmative vote of holders of two-thirds of the outstanding shares of voting stock.
Supermajority Vote to Amend Charter and Bylaws.    Our restated certificate of incorporation and restated bylaws each will provide that our bylaws may only be amended by a two-thirds vote of the outstanding shares. In addition, our restated certificate of incorporation will provide that its provisions related to bylaw amendments, staggered board and indemnification may only be amended by a two-thirds vote of the outstanding shares.

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No Stockholder Action by Written Consent.    Our restated certificate of incorporation will provide that stockholder action can be taken only at an annual or special meeting of stockholders and may not be taken by written consent. The bylaws provide that special meetings of stockholders can be called only by the board of directors, the chairman of the board and the president. Moreover, the business permitted to be conducted at any special meeting of stockholders is limited to the business brought before the meeting by the board of directors, the chairman of the board, if any, and the president.
Advance Notice Procedures.    Our bylaws will provide for an advance notice procedure for the nomination, other than by or at the direction of our board of directors, of candidates for election as directors as well as for other stockholder proposals to be considered at annual meetings of stockholders.
Indemnification Provisions
As permitted by Delaware law, our restated certificate of incorporation will eliminate the personal liability of our officers and directors for monetary damages for breach or alleged breach of their fiduciary duties as officers or directors, other than in cases of fraud or other willful misconduct. In addition, our bylaws provide that we are required to indemnify our officers and directors even when indemnification would otherwise be discretionary, and we are required to advance expenses to our officers and directors as incurred in connection with proceedings against them for which they may be indemnified. We have entered into indemnification agreements with our officers and directors containing provisions that are, in some respects, broader than the specific indemnification provisions contained in Delaware law. The indemnification agreements require us to indemnify our officers and directors against liabilities that may arise by reason of their status or service as officers and directors and to advance their expenses incurred as a result of any proceeding against them as to which they could be indemnified.
At present, we are not aware of any pending or threatened litigation or proceeding involving any of our directors, officers, employees or agents in which indemnification would be required or permitted. We are not aware of any threatened litigation or proceeding that might result in a claim for indemnification. We believe that our charter provisions and indemnification agreements are necessary to attract and retain qualified persons as directors and officers.
Transfer Agent and Registrar
The transfer agent and registrar for our common stock is EquiServe Trust Company, N.A.

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SHARES ELIGIBLE FOR FUTURE SALE
Prior to this offering, there has been no public market for our common stock. Future sales of substantial amounts of our common stock in the public market could reduce prevailing market prices. Sales of substantial amounts of our common stock in the public market after any restrictions on sale lapse could adversely affect the prevailing market price of the common stock and impair our ability to raise equity in the future.
Upon the closing of this offering, we will have                  outstanding shares of common stock based upon shares outstanding at May 31, 2002. Of these shares, assuming no exercise of the underwriters’ over-allotment option, the                  shares sold in this offering will be freely transferable without restriction or further registration under the Securities Act, except for any shares purchased by an affiliate of us. The remaining              shares of common stock held by existing stockholders are restricted securities. Restricted securities may be sold in the public market only if registered or if they qualify for exemption from registration described below under Rule 144, 144(k) or 701 promulgated under the Securities Act.
As a result of contractual restrictions described below and the provisions of Rules 144, 144(k) and 701, the restricted shares will be available for sale in the public market as follows:
359,289 shares will be eligible for sale immediately following this offering,
23,103 shares will be eligible for sale beginning 90 days after the date of this prospectus, and
6,900,950 shares will be eligible for sale upon the expiration of the lock-up agreements, described below, beginning 180 days after the date of this prospectus and when permitted under Rule 144, 144(k) or 701 promulgated under the Securities Act.
Lock-Up Agreements
Holders of approximately 95% of the outstanding shares of our common stock, including all of our directors and executive officers, have entered into lock-up agreements in connection with this offering. These lock-up agreements generally provide that these holders will not offer, sell, contract to sell, grant any option to purchase or otherwise dispose of our common stock or any securities exercisable for or convertible into our common stock owned by them for a period of 180 days after the date of this prospectus without the prior written consent of Thomas Weisel Partners LLC. Notwithstanding possible earlier eligibility for sale under the provisions of Rules 144, 144(k) and 701, shares subject to lock-up agreements may not be sold until these agreements expire or are waived by Thomas Weisel Partners LLC.
Rule 144
In general, under Rule 144 as currently in effect, after the expiration of the lock-up agreements, a person who has beneficially owned restricted securities for at least one year would be entitled to sell within any three- month period a number of shares that does not exceed the greater of:
1% of the number of shares of common stock then outstanding, which will equal approximately                  shares immediately after this offering, and
the average reported weekly trading volume of our common stock during the four calendar weeks preceding the sale by such person.
Sales under Rule 144 are also subject to requirements with respect to manner of sale, notice and the availability of current public information about us.
Rule 144(k)
Under Rule 144(k), a person who is not deemed to have been our affiliate at any time during the three months preceding a sale, and who has beneficially owned the shares proposed to be sold for at least two years, may sell these shares without complying with the manner of sale, public information, volume limitation or notice requirements of Rule 144.

63


Rule 701
Rule 701 permits our employees, officers, directors or consultants who purchased shares pursuant to a written compensatory plan or contract to resell such shares in reliance upon Rule 144, but without compliance with certain restrictions. Rule 701 provides that affiliates may sell their Rule 701 shares under Rule 144, 90 days after effectiveness of this registration statement without complying with the holding period requirement and that non-affiliates may sell such shares in reliance on Rule 144, 90 days after effectiveness of this registration statement without complying with the holding period, public information, volume limitation or notice requirements of Rule 144.
Registration Rights
Upon the closing of this offering, the holders of approximately 1,238,390 shares of common stock, or their transferees, will be entitled to rights with respect to the registration of their shares under the Securities Act. Registration of their shares under the Securities Act would result in these shares becoming freely tradeable without restriction under the Securities Act, except for shares purchased by affiliates, immediately upon the effectiveness of such registration.
Stock Options
We intend to file a registration statement on Form S-8 under the Securities Act after the closing of this offering to register shares to be issued pursuant to our 1993 stock option plan, 1998 stock plan and 2002 stock plan and our 2002 employee stock purchase plan. As a result, shares of our common stock obtained through the exercise of any options or rights granted under these plans will also be freely tradable in the public market. However, shares held by affiliates will still be subject to the volume limitation, manner of sale, notice and public information requirements of Rule 144, unless otherwise resalable under Rule 701.

64


UNDERWRITING
Subject to the terms and conditions set forth in an agreement among the underwriters and us, each of the underwriters named below, through their representatives, Thomas Weisel Partners LLC, SG Cowen Securities Corporation and U.S. Bancorp Piper Jaffray Inc., has severally agreed to purchase from us the aggregate number of shares of common stock set forth opposite its name below:
Name

Number
of Shares

Thomas Weisel Partners LLC
SG Cowen Securities Corporation
U.S. Bancorp Piper Jaffray Inc.

Total

The underwriting agreement provides that the obligations of the several underwriters are subject to various conditions. The nature of the underwriters’ obligations commits them to purchase and pay for all of the shares of common stock listed above if any are purchased.
Thomas Weisel Partners LLC expects to deliver the shares of common stock to purchasers on                , 2002.
Over-Allotment Option
The selling stockholders have granted a 30-day over-allotment option to the underwriters to purchase up to a total of                  additional shares of our common stock at the initial public offering price, less the underwriting discount payable by the selling stockholders, as set forth on the cover page of this prospectus. If the underwriters exercise this option in whole or in part, then each of the underwriters will be separately committed, subject to conditions described in the underwriting agreement, to purchase the additional shares of our common stock in proportion to their respective commitments set forth in the table above.
Determination of Offering Price
Prior to this offering, there has been no public market for our common stock. The initial public offering price will be determined through negotiations between us and the representatives. In addition to prevailing market conditions, the factors to be considered in determining the initial public offering price will include:
the valuation multiples of publicly-traded companies that the representatives believe are comparable to us,
our financial information,
our history and prospects and the outlook for our industry,
an assessment of our management, our past and present operations, and the prospects for, and timing of, our future revenues,
the present state of our development and the progress of our business plan, and
the above factors in relation to market values and various valuation measures of other companies engaged in activities similar to ours.
An active or orderly trading market may never develop for our common stock, and our common stock may not trade in the public markets subsequent to this offering at or above the initial offering price.

65


Commissions and Discounts
The underwriters propose to offer the shares of common stock directly to the public at the public offering price set forth on the cover page of this prospectus, and at this price less a concession not in excess of $                 per share of common stock to other dealers specified in a master agreement among underwriters who are members of the National Association of Securities Dealers, Inc. The underwriters may allow, and the other dealers specified may reallow, concessions, not in excess of $                per share of common stock to these other dealers. After this offering, the offering price, concessions and other selling terms may be changed by the underwriters. Our common stock is offered subject to receipt and acceptance by the underwriters and to other conditions, including the right to reject orders in whole or in part.
The following table summarizes the compensation to be paid to the underwriters by us and the proceeds to us and the selling stockholders before estimated expenses payable by us of $                :
Total

Per Share

With
Over-Allotment

Without
Over-Allotment

Public offering price$$$
Underwriting discount
Proceeds, before expenses, to us
Proceeds, before expenses, to selling stockholders
Indemnification of the Underwriters
We and the the selling stockholders will indemnify the underwriters against some civil liabilities, including liabilities under the Securities Act and liabilities arising from breaches of our representations and warranties contained in the underwriting agreement. If the selling stockholders and us are unable to provide this indemnification, the selling stockholders and us will contribute to payments the underwriters may be required to make in respect of those liabilities.
Reserved Shares
The underwriters, at our request, have reserved for sale at the initial public offering price up to              shares of common stock to be sold in this offering for sale to our employees and other persons designated by us. The number of shares available for sale to the general public will be reduced to the extent that any reserved shares are purchased. Any reserved shares not purchased in this manner will be offered by the underwriters to the public on the same basis as the other shares offered in this offering.
No Sales of Similar Securities
Holders of approximately 95% of the outstanding shares of our common stock, including all of our directors and executive officers, have agreed, subject to specified exceptions, not to offer, pledge, sell, contract to sell, sell any option or contract to purchase, purchase any option or contract to sell, grant any option, right or warrant to purchase, lend or otherwise transfer or dispose of directly or indirectly, any shares of common stock or enter into any swap or other arrangement that transfers to another, in whole or in part, any of the economic consequences of ownership of our common stock or any securities convertible into or exchangeable for shares of our common stock without the prior written consent of Thomas Weisel Partners LLC for a period of 180 days after the date of this prospectus.
We have agreed that for a period of 180 days after the date of this prospectus we will not, without the prior written consent of Thomas Weisel Partners LLC, offer, sell, or otherwise dispose of any shares of common stock, except for the shares of common stock offered in this offering, the shares of common stock issuable upon exercise of outstanding options on the date of this prospectus, and grants of options to purchase shares of common stock under the plans disclosed in this prospectus.

66


Nasdaq National Market Listing
We have applied to have our common stock approved for quotation on the Nasdaq National Market under the symbol “IMPC.”
Discretionary Accounts
The underwriters do not expect sales of shares of our common stock offered by this prospectus to any accounts over which they exercise discretionary authority to exceed 5% of the shares offered.
Short Sales, Stabilizing Transactions and Penalty Bids
In order to facilitate this offering, persons participating in this offering may engage in transactions that stabilize, maintain or otherwise affect the price of our common stock during and after this offering. Specifically, the underwriters may engage in the following activities in accordance with the rules of the Securities and Exchange Commission.
Short Sales.    Short sales involve the sale by the underwriters of a greater number of shares than they are required to purchase in the offering. “Covered” short sales are sales made in an amount not greater than the underwriters’ option to purchase additional shares from the issuer in the offering. The underwriters may close out any covered short position by either exercising their option to purchase shares or purchasing shares in the open market. In determining the source of shares to close out the covered short position, the underwriters will consider, among other things, the price of shares available for purchase in the open market as compared to the price at which they may purchase shares through the over-allotment option. “Naked” short sales are any sales in excess of such over-allotment option. The underwriters must close out any naked short position by purchasing shares in the open market. A naked short position is more likely to be created if the underwriters are concerned that there may be downward pressure on the price of the common stock in the open market after pricing that could adversely affect investors who purchase in the offering.
Stabilizing Transactions.    The underwriters may make bids for or purchases of the shares for the purpose of pegging, fixing or maintaining the price of the shares, so long as stabilizing bids do not exceed a specified maximum.
Penalty Bids.    If the underwriters purchase shares in the open market in a stabilizing transaction or syndicate covering transaction, they may reclaim a selling concession from the underwriters and selling group members who sold those shares as part of this offering. Stabilization and syndicate covering transactions may cause the price of the shares to be higher than it would be in the absence of these transactions. The imposition of a penalty bid might also have an effect on the price of the shares if it discourages resales of the shares.
Any of these activities may have the effect of preventing or retarding a decline in the market price of our common stock. They may also cause the price of our common stock to be higher than the price that would otherwise exist in the open market in the absence of these activities. The transactions above may occur on the Nasdaq National Market or otherwise. Neither we nor the underwriters make any representation or prediction as to the effect that the transactions described above may have on the price of our common stock. If these transactions are commenced, they may be discontinued without notice at any time.

67


LEGAL MATTERS
The validity of the common stock being offered by us will be passed upon by Orrick, Herrington & Sutcliffe LLP, San Francisco, California. Certain legal matters in connection with this offering will be passed upon for the underwriters by Wilson Sonsini Goodrich & Rosati, Professional Corporation, Palo Alto, California.
EXPERTS
The consolidated financial statements of IMPAC Medical Systems, Inc. as of September 30, 2000 and 2001 and for each of the three years in the period ended September 30, 2001 included in this prospectus have been so included in reliance on the report of PricewaterhouseCoopers LLP, independent accountants, given on the authority of said firm as experts in auditing and accounting.
WHERE YOU CAN FIND MORE INFORMATION
We have filed with the Securities and Exchange Commission a registration statement on Form S-1 under the Securities Act for the common stock offered by this prospectus. This prospectus does not contain all of the information contained in the registration statement and the exhibits and schedules. For further information regarding us and the common stock offered by this prospectus, we refer you to the registration statement and to the exhibits and schedules. Statements made in this prospectus concerning the contents of any document referred to herein are not necessarily complete. With respect to each such document filed as an exhibit to the registration statement, we refer you to the exhibit for a more complete description of the matter involved. The registration statement and the exhibits and schedules may be inspected without charge at the public reference facilities maintained by the Securities and Exchange Commission at 450 Fifth Street, N.W., Washington, D.C. 20549. You may obtain information on the operation of the public reference facilities by calling the Securities and Exchange Commission at 1-800-SEC-0330. Copies of all or any part of the registration statement may be obtained from the Securities and Exchange Commission’s offices upon payment of fees prescribed by the Securities and Exchange Commission. The Securities and Exchange Commission maintains a website that contains reports, proxy and information statements and other information regarding registrants that file electronically with the Securities and Exchange Commission. The address of the site is http://www.sec.gov.
This offering will subject us to the full informational requirements of the Securities Exchange act of 1934. We will fulfill our obligations to comply with such disclosure requirements by filing periodic reports and other information with the Securities and Exchange Commission. Such reports will be available for inspection and copying at the Securities and Exchange Commission’s public reference rooms or its website, as noted above.

68


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
INDEX TO CONSOLIDATED FINANCIAL STATEMENTS
Page

F-2
F-3
F-4
F-5
F-6
F-7

F-1


REPORT OF INDEPENDENT ACCOUNTANTS
To the Board of Directors and Stockholders of
IMPAC Medical Systems, Inc. and Subsidiaries
The reincorporation described in Note 13 to the consolidated financial statements has not been consummated at June 3, 2002. When it has been consummated, we will be in a position to furnish the following report:
“In our opinion, the accompanying consolidated balance sheets and the related consolidated statements of operations, of stockholders’ equity and of cash flows present fairly, in all material respects, the financial position of IMPAC Medical Systems, Inc. and its subsidiaries (the “Company”) at September 30, 2000 and 2001, and the results of their operations and their cash flows for each of the three years in the period ended September 30, 2001, in conformity with accounting principles generally accepted in the United States of America. These financial statements are the responsibility of the Company’s management; our responsibility is to express an opinion on these financial statements based on our audits. We conducted our audits of these statements in accordance with auditing standards generally accepted in the United States of America, which require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.”
/s/    PricewaterhouseCoopers LLP
San Jose, California
November 2, 2001, except for Note 13,
as to which the date is June     , 2002

F-2


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
CONSOLIDATED BALANCE SHEETS
   
Pro Forma March 31,
2002
(see Note 2)

   
September 30,

  
March 31,
2002

  
   
2000

   
2001

    
          
(unaudited)
Assets
                 
Current assets:                 
Cash and cash equivalents  $7,374,901   $12,455,564  $14,785,925    
Available-for-sale securities   2,168,611    536,569   1,204,394    
Accounts receivable, net of allowance for doubtful accounts of $383,927 in 2000, $250,914 in 2001 and 2002 (unaudited)   6,112,042    6,850,405   7,930,878    
Inventories   30,341    34,915   34,668    
Related party notes receivable, net of allowance for doubtful accounts of $690,904 in 2000, none in 2001 and 2002 (unaudited)   309,096    —     —      
Deferred income taxes   866,562    1,000,672   949,523    
Income tax refund receivable   149,527    404,108   403,182    
Prepaid expenses and other current assets   1,503,049    1,759,835   2,064,214    
   


  

  

    
Total current assets   18,514,129    23,042,068   27,372,784    
Available-for-sale securities, non-current   2,838,014    4,933,318   4,234,613    
Investment   36,000    36,000   —      
Property and equipment, net   3,239,082    3,444,029   3,305,222    
Deferred income taxes   704,077    688,404   688,404    
Goodwill and other intangible assets, net of accumulated amortization of $3,264,583 in 2000, $3,625,582 in 2001 and $3,846,148 in 2002 (unaudited)   806,552    474,512   753,946    
Other assets   372,323    334,401   335,861    
   


  

  

    
Total assets  $26,510,177   $32,952,732  $36,690,830    
   


  

  

    
Liabilities, Redeemable Convertible Preferred
                 
Stock and Stockholders’ Equity
                 
Current liabilities:                 
Customer deposits  $6,013,795   $7,016,631  $7,655,532    
Accounts payable   513,910    721,634   745,648    
Accrued liabilities   2,000,129    2,416,495   1,903,333    
Income taxes payable   —      165,587   466,008    
Deferred revenue   4,492,499    6,117,644   7,386,232    
Capital lease obligations, current portion   50,329    57,143   60,888    
   


  

  

    
Total current liabilities   13,070,662    16,495,134   18,217,641    
Capital lease obligations, less current portion   236,180    179,037   147,627    
   


  

  

    
Total liabilities   13,306,842    16,674,171   18,365,268    
   


  

  

    
Commitments (Note 4)                 
Redeemable convertible preferred stock, par value: $0.001 per share                 
Authorized: 1,238,390 shares                 
Issued and outstanding: 1,238,390 shares in 2000, 2001 and 2002 (unaudited) and none pro forma (unaudited) (Liquidation preference: $1,999,838 in 2000, 2001 and 2002 (unaudited))   4,508,280    5,939,061   10,920,908  $—  
   


  

  

  

Stockholders’ equity:                 
Common stock, par value: $0.001 per share                 
Authorized: 15,000,000 shares                 
Issued and outstanding: 6,014,849 shares in 2000, 6,020,433 shares in 2001 and 6,027,533 shares in 2002 (unaudited) and 7,265,923 shares pro forma (unaudited)   6,015    6,021   6,028   7,266
Additional paid-in capital   900,557    904,480   938,124   11,857,794
Accumulated other comprehensive income (loss)   (11,285)   43,480   11,065   11,065
Retained earnings   7,799,768    9,385,519   6,449,437   6,449,437
   


  

  

  

Total stockholders’ equity   8,695,055    10,339,500   7,404,654  $18,325,562
   


  

  

  

Total liabilities, redeemable convertible preferred stock and stockholders’ equity  $26,510,177   $32,952,732  $36,690,830    
   


  

  

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

F-3


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF OPERATIONS
   
Years Ended September 30,

   
Six Months Ended March 31,

 
   
1999

   
2000

   
2001

   
2001

   
2002

 
               
(unaudited)
 
Sales:                         
Software license and other, net  $15,092,563   $20,010,385   $23,565,175   $10,003,784   $13,765,117 
Maintenance and services   5,565,512    7,663,443    10,291,404    4,868,211    6,671,302 
   


  


  


  


  


Total net sales   20,658,075    27,673,828    33,856,579    14,871,995    20,436,419 
Cost of sales   5,571,282    7,544,981    9,630,526    4,526,082    5,533,048 
   


  


  


  


  


Gross profit   15,086,793    20,128,847    24,226,053    10,345,913    14,903,371 
   


  


  


  


  


Operating expenses:                         
Research and development   3,369,456    4,495,384    6,276,681    2,815,726    3,735,266 
Sales and marketing   5,027,717    6,361,374    9,254,995    4,095,036    5,931,512 
General and administrative   1,368,156    2,341,563    3,632,795    1,675,016    1,931,181 
Write-off of purchased in-process research and development   —      307,675    510,846    510,846    —   
Merger related costs   —      578,228    —      —      —   
Amortization of goodwill and other intangible assets   651,698    793,200    360,999    175,273    220,566 
   


  


  


  


  


Total operating expenses   10,417,027    14,877,424    20,036,316    9,271,897    11,818,525 
   


  


  


  


  


Operating income   4,669,766    5,251,423    4,189,737    1,074,016    3,084,846 
Interest expense   —      —      (40,771)   (24,704)   (14,348)
Interest and other income, net   364,656    507,630    552,583    298,208    203,701 
Write-down of notes receivable   —      (690,904)   —      —      —   
   


  


  


  


  


Income before provision for income taxes   5,034,422    5,068,149    4,701,549    1,347,520    3,274,199 
Provision for income taxes   (1,963,337)   (1,993,251)   (1,685,017)   (482,946)   (1,211,454)
   


  


  


  


  


Net income   3,071,085    3,074,898    3,016,532    864,574    2,062,745 
Accretion of redeemable convertible preferred
stock
   —      (508,281)   (1,430,781)   (796,564)   (4,981,847)
   


  


  


  


  


Net income (loss) available to common stockholders  $3,071,085   $2,566,617   $1,585,751   $68,010   $(2,919,102)
   


  


  


  


  


Net income (loss) per common share:                         
Basic  $0.53   $0.43   $0.26   $0.01   $(0.48)
   


  


  


  


  


Diluted  $0.43   $0.40   $0.25   $0.01   $(0.48)
   


  


  


  


  


Weighted-average shares used in computing net income (loss) per common share:                         
Basic   5,837,087    5,906,657    6,016,972    6,015,140    6,025,639 
   


  


  


  


  


Diluted   7,219,487    6,386,607    6,456,638    6,515,393    6,025,639 
   


  


  


  


  


Pro forma net income per common share (unaudited) (see Note 7):                         
Basic            $0.42        $0.28 
             


       


Diluted            $0.39        $0.27 
             


       


Weighted-average shares used in computing pro forma net income per common share (unaudited) (see Note 7):                         
Basic             7,255,362         7,264,029 
             


       


Diluted             7,695,028         7,603,271 
             


       


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

F-4


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF STOCKHOLDERS’ EQUITY
FOR THE YEARS ENDED SEPTEMBER 30, 1999, 2000 AND 2001
AND THE SIX MONTHS ENDED MARCH 31, 2002
  
Common Stock

  
Additional Paid-In Capital

   
Accumulated Other Comprehensive Income (Loss)

  
Retained Earnings

  
Total

 
  
Shares

  
Amount

      
Balances, October 1, 1998 5,833,906  $5,834  $501,423   $(4,326) $2,179,076  $2,682,007 
Issuance of common stock through exercise of options 24,100   24   33,456    —     —     33,480 
Repurchase and retirement of common stock (9,000)  (9)  (12,051)   —     (17,010)  (29,070)
Changes in unrealized loss on available-for-sale securities —     —     —      (23,268)  —     (23,268)
Net income —     —     —      —     3,071,085   3,071,085 
  

 


 


  


 


 


Balances, September 30, 1999 5,849,006   5,849   522,828    (27,594)  5,233,151   5,734,234 
Issuance of common stock through exercise of options 165,843   166   377,729    —     —     377,895 
Changes in unrealized gain (loss) on available-for-sale securities —     —     —      16,309   —     16,309 
Accretion to redemption value of redeemable convertible preferred stock —     —     —      —     (508,281)  (508,281)
Net income —     —     —      —     3,074,898   3,074,898 
  

 


 


  


 


 


Balances, September 30, 2000 6,014,849   6,015   900,557    (11,285)  7,799,768   8,695,055 
Issuance of common stock through exercise of options 5,584   6   3,923    —     —     3,929 
Changes in unrealized loss on available-for-sale securities —     —     —      54,765   —     54,765 
Accretion to redemption value of redeemable convertible preferred stock —     —     —      —     (1,430,781)  (1,430,781)
Net income —     —     —      —     3,016,532   3,016,532 
  

 


 


  


 


 


Balances, September 30, 2001 6,020,433   6,021   904,480    43,480   9,385,519   10,339,500 
Issuance of common stock through exercise of options (unaudited) 10,100   10   37,661    —     —     37,671 
Repurchase of common stock (unaudited) (3,000)  (3)  (4,017)   —     (16,980)  (21,000)
Changes in unrealized gain (loss) on available-for-sale securities (unaudited) —     —     —      (32,415)  —     (32,415)
Accretion to redemption value of redeemable convertible preferred stock (unaudited) —     —     —      —     (4,981,847)  (4,981,847)
Net income (unaudited) —     —     —      —     2,062,745   2,062,745 
  

 


 


  


 


 


Balances, March 31, 2002 (unaudited) 6,027,533  $6,028  $938,124   $11,065  $6,449,437  $7,404,654 
  

 


 


  


 


 


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

F-5


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
CONSOLIDATED STATEMENTS OF CASH FLOWS
   
Years Ended September 30,

   
Six Months Ended March 31,

 
   
1999

   
2000

   
2001

   
2001

   
2002

 
               
(unaudited)
 
Cash flows from operating activities:                         
Net income  $3,071,085   $3,074,898   $3,016,532   $864,574   $2,062,745 
Adjustments to reconcile net income to net cash provided by operating activities:                         
Depreciation and amortization of property and equipment   478,537    652,868    1,142,484    502,304    698,683 
Amortization of goodwill and other intangible assets   651,698    793,200    360,999    175,273    220,566 
Write-off of purchased in-process research and development   —      307,675    510,846    510,846    —   
Write-down of investment   —      119,000    —      —      —   
Write-down of related party notes receivable   —      690,904    —      —      —   
Provision for doubtful accounts   58,899    (79,671)   (133,013)   (133,013)   —   
Deferred income taxes   (498,068)   (264,350)   (118,437)   —      51,149 
Loss on disposal of property and equipment   17,992    5,341    23,089    6,751    —   
Gain from sale of investment   —      —      —      —      (8,332)
Changes in assets and liabilities, net of effects of acquisitions:                         
Accounts receivable   (1,041,889)   (2,328,382)   (605,350)   (474,977)   (1,080,473)
Inventories   (4,669)   (12,008)   (4,574)   —      247 
Related party notes receivable   —      (1,000,000)   —      —      —   
Prepaid expenses and other current assets   (111,857)   (627,899)   (256,786)   (101,545)   (304,379)
Other assets   (81,947)   (10,256)   37,922    54,070    (1,460)
Customer deposits   1,112,272    1,081,720    1,002,836    165,107    638,901 
Accounts payable   194,983    103,590    207,724    (55,432)   24,014 
Accrued liabilities   379,301    943,665    416,366    (866,552)   (513,162)
Income tax payable/refund receivable   417,565    (524,041)   (88,994)   (486,684)   301,347 
Deferred revenue   802,418    1,029,193    1,625,145    1,290,397    1,268,588 
   


  


  


  


  


Net cash provided by operating activities   5,446,320    3,955,447    7,136,789    1,451,119    3,358,434 
   


  


  


  


  


Cash flows from investing activities:                         
Acquisition of property and equipment   (344,340)   (2,855,730)   (1,370,522)   (503,427)   (559,876)
Proceeds from disposal of property and equipment   —      19,937    —      —      —   
Purchase of intellectual property   (150,000)   —      —      —      —   
Payments for MC2 acquisition, net of cash acquired
of $1,956
   —      (878,876)   —      —      (500,000)
Payments for CareCore acquisition   —      —      (230,707)   (230,707)   —   
Proceeds from sale of investment   —      —      —      —      44,332 
Purchase of available-for-sale securities   (28,527,757)   (13,208,627)   (15,105,769)   (9,443,148)   (4,303,225)
Sales and maturities of available-for-sale securities   26,400,484    13,165,070    14,697,272    9,060,300    4,301,690 
   


  


  


  


  


Net cash used in investing activities   (2,621,613)   (3,758,226)   (2,009,726)   (1,116,982)   (1,017,079)
   


  


  


  


  


Cash flows from financing activities:                         
Principal payments on capital leases   (8,886)   (26,158)   (50,329)   (24,366)   (27,665)
Proceeds from exercise of stock options   33,480    377,895    3,929    2,329    37,671 
Repurchase of common stock   (29,070)   —      —      —      (21,000)
   


  


  


  


  


Net cash provided by (used in) financing activities   (4,476)   351,737    (46,400)   (22,037)   (10,994)
   


  


  


  


  


Net increase in cash and cash equivalents   2,820,231    548,958    5,080,663    312,100    2,330,361 
Cash and cash equivalents at beginning of period   4,005,712    6,825,943    7,374,901    7,374,901    12,455,564 
   


  


  


  


  


Cash and cash equivalents at end of period  $6,825,943   $7,374,901   $12,455,564   $7,687,001   $14,785,925 
   


  


  


  


  


Supplemental information:                         
Acquisition of property and equipment under capital leases  $—     $312,667   $—     $—     $—   
   


  


  


  


  


Accretion to redemption value of redeemable convertible preferred stock  $—     $508,281   $1,430,781   $796,564   $4,981,847 
   


  


  


  


  


Cash paid during the year for:                         
Income taxes  $2,039,182   $2,800,276   $1,923,911   $974,275   $865,042 
   


  


  


  


  


Interest  $—     $—     $40,771   $24,704   $14,348 
   


  


  


  


  


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

F-6


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
Note 1—Formation and Business of the Company:
IMPAC Medical Systems, Inc. and Subsidiary (the “Company”) was incorporated in the state of California on January 17, 1990. The Company is a leading provider of information technology solutions for cancer care. The Company’s products provide integrated clinical and administrative solutions to manage complexities of cancer care, from detection and diagnosis through treatment and follow-up. In addition, a portion of the same products are indirectly distributed through a licensing arrangement with a large equipment manufacturer. Revenues are derived from the licensing of the Company’s software products, related software support agreements, training programs and sales of third party hardware and software.
Note 2—Summary of Significant Accounting Policies:
Basis of consolidation
The Company’s consolidated financial statements include the accounts of its wholly owned subsidiary IMPAC International, Inc., a U.S. Virgin Islands Foreign Sales Corporation. In October 2001, the Company established IMPAC Global Systems, Inc., a wholly owned subsidiary incorporated in the state of Delaware. All intercompany balances and transactions have been eliminated.
Unaudited interim results
The accompanying consolidated balance sheet as of March 31, 2002, the consolidated statements of operations and of cash flows for the six months ended March 31, 2001 and 2002, and the consolidated statement of stockholders’ equity for the six months ended March 31, 2002 are unaudited. The unaudited interim financial statements have been prepared on the same basis as the annual financial statements and, in the opinion of management, reflect all adjustments, which include only normal recurring adjustments, necessary to present fairly the Company’s financial position and results of operations and cash flows for the six months ended March 31, 2001 and 2002. The financial data and other information disclosed in these notes to the financial statements related to the six-month periods are unaudited. The results for the six months ended March 31, 2002 are not necessarily indicative of the results to be expected for the year ending September 30, 2002 or for any other interim period or for any future year.
Unaudited pro forma stockholders’ equity
If the offering contemplated by this prospectus is consummated, all of the redeemable convertible preferred stock outstanding will convert automatically upon the closing date of an initial public offering of the Company’s common stock into 1,238,390 shares of common stock based on the shares of redeemable convertible preferred stock outstanding at March 31, 2002. Unaudited pro forma stockholders’ equity, as adjusted for the assumed conversion of the preferred stock, is set forth on the balance sheet.
Use of estimates
The preparation of financial statements in conformity with accounting principles generally accepted in the United States of America requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates and assumptions.

F-7


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Fair value of financial instruments
Carrying amounts of certain of the Company’s financial instruments, including cash and cash equivalents, investments, accounts receivable, accounts payable, accrued expenses and other liabilities, approximate fair value due to their short maturities. Estimated fair value for marketable securities, which are separately disclosed elsewhere, are based on quoted market prices for the same or similar instruments.
Cash and cash equivalents
Cash equivalents comprise highly liquid investments purchased with original maturities of three months or less. The majority of the Company’s cash and cash equivalents are invested in deposits with two major banks in the United States of America. The Company has not experienced any losses on its deposits.
Available-for-sale securities
The Company has classified its investments as “available-for-sale.” Such investments are recorded at fair market value with unrealized gains and losses on such securities reported as a separate component of stockholders’ equity. Realized gains and losses on sales of all such securities are reported in earnings and computed using the specific identification cost method.
Investment
This investment comprises a nonmarketable investment in a private company and is carried at cost. As of September 30, 2000 and 2001, the Company’s equity interest in the private company was less than 20% and the Company did not exert significant influence over the entity. In February 2002, the Company sold this investment for proceeds of $44,332 (unaudited).
Inventories
Inventories are stated at the lower of cost (determined on a first-in, first-out basis) or market. As of September 30, 2000 and 2001 and March 31, 2002 (unaudited), inventory is entirely comprised of finished goods.
Depreciation and amortization
Property and equipment are stated at cost less accumulated depreciation and amortization. Depreciation is provided using the straight-line method over the estimated useful lives of the respective assets, generally three to seven years. Amortization of leasehold improvements and equipment held under capital leases are provided on a straight-line basis over the life of the related asset or, if shorter, the lease term. Upon sale or retirement of assets the costs and related accumulated depreciation or amortization are removed from the balance sheet, and the resulting gain or loss is reflected in operations. Repair and maintenance costs are charged to expense as incurred.
Goodwill and other intangible assets
Goodwill and other intangible assets, including customer lists and acquired workforce, are stated at cost and are amortized on a straight-line basis over their estimated useful lives of generally two to five years.

F-8


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Impairment of long-lived assets
The Company reviews long-lived assets for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset might not be recoverable. When such an event occurs, management determines whether there has been an impairment by comparing the anticipated undiscounted future net cash flows to the related asset’s carrying value. If an asset is considered impaired the asset is written down to fair value, which is determined based either on discounted cash flows or appraised value, depending on the nature of the asset.
Redeemable convertible preferred stock
The carrying value of redeemable convertible preferred stock is increased by periodic accretions, using the effective interest method, so that the carrying amount will equal the redemption value at the redemption date. These increases are effected through charges against retained earnings.
Comprehensive income (loss)
Comprehensive income (loss) generally represents all changes in stockholders’ equity except those resulting from investments or contributions by stockholders. The Company’s unrealized gains and losses on its available-for-sale securities represents the only components of comprehensive income (loss) excluded from the reported net income. As these components are not significant, individually or in aggregate, no separate statement of comprehensive income (loss) has been presented.
Revenue recognition
The Company’s revenue is derived primarily from two sources: (i) software license revenue, derived primarily from product sales to distributors and end users, and (ii) maintenance and services revenue, derived primarily from providing support, education and consulting services to end users.
The Company accounts for sales of software and maintenance revenue under the provisions of Statement of Position 97-2, (“SOP 97-2”), “Software Revenue Recognition,” as amended. SOP 97-2, generally requires revenue earned on software arrangements involving multiple elements to be allocated to each element based on vendor-specific objective evidence. For hardware transactions where no software is involved, the Company applies the provisions of Staff Accounting Bulletin 101 “Revenue Recognition.” Hardware transactions represented 6.1% of the Company’s total net sales in fiscal 1999, 5.7% in fiscal 2000, 4.4% in fiscal 2001 and 4.0% (unaudited) in the six months ended March 31, 2002.
The fee for multiple-element arrangements is allocated to each element of the arrangement, such as maintenance and support services, based on the relative fair values of the elements. The Company determines the fair value of each element in multi-element arrangements based on vendor-specific objective evidence for each element which is based on the price charged when the same element is sold separately. If evidence of fair value of all undelivered elements exists but evidence does not exist for one or more delivered elements, then revenue is recognized using the residual method. Under the residual method, the fair value of the undelivered elements is deferred and the remaining portion of the arrangement fee is recognized as revenue.
The Company recognizes revenue from the sale of software licenses when persuasive evidence of an arrangement exists, the product has been accepted, the fee is fixed or determinable, and collection of the resulting receivable is probable. Acceptance generally occurs when the product has been installed, training has occurred and the product is in clinical use at the customer site. For distributor related transactions, acceptance occurs with delivery of software registration keys to the distributor’s order fulfillment department. At the time of the transaction, the Company assesses whether the fee associated with the revenue transactions is fixed or

F-9


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

determinable and whether or not collection is probable. The Company assesses whether the fee is fixed or determinable based on the payment terms associated with the transaction.
Fair values for the ongoing maintenance, which includes updates and support, are based upon a percentage of the current list price of the software. Fair value of services, such as training or consulting, are based upon separate sales by us of these services to other customers. The Company recognizes revenue for maintenance services ratably over the contract term. Training and consulting services are billed based on hourly rates, and are generally recognized as revenue as these services are performed.
Research and development costs
Research and development costs are expensed as incurred. Pursuant to Statement of Financial Accounting Standards (“SFAS”) No. 86, “Accounting for the Costs of Computer Software to be Sold, Leased or Otherwise Marketed,” development costs related to software products are expensed as incurred until “technological feasibility” of the product has been established. No software development costs have been capitalized because costs incurred subsequent to establishment of technological feasibility have not been significant.
Advertising costs
Advertising costs, included in sales and marketing expenses, are expensed as incurred. Advertising costs for the years ended September 30, 1999, 2000 and 2001 were $181,095, $254,833 and $292,493, respectively.
Income taxes
The Company accounts for income taxes under the liability method. Under this method, deferred tax liabilities and assets are determined based on the difference between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to affect taxable income. Valuation allowances are established when necessary to reduce deferred tax assets to the amounts expected to be realized.
Accounting for stock-based compensation
The Company uses the intrinsic value method of Accounting Principles Board Opinion No. 25 (“APB No. 25”), “Accounting for Stock Issued to Employees,” in accounting for its employee stock options, and presents disclosure of pro forma information required under SFAS No. 123, “Accounting for Stock-Based Compensation.”
Concentration of credit risk and other risks and uncertainties
Certain of the Company’s products require approval from the Food and Drug Administration and foreign regulatory agencies prior to commercialized sale and are subject to continued regulations once approved. There can be no assurance that the Company’s new products or new versions of previous products will receive any of these required approvals. If the Company was denied such approvals or such approvals were delayed, it could have a materially adverse impact on the Company.
During the fiscal years ended 1999, 2000 and 2001, one customer accounted for approximately 18%, 15% and 13% of total net sales, respectively. No customer accounted for more than 10% of total accounts receivable at September 30, 2001 and 2000.

F-10


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The Company maintains allowances for potential credit losses and such losses have been within the Company’s expectations.
Segments
The Company operates in one segment, using one measurement of profitability to manage its business. As of September 30, 2000 and 2001, all long-lived assets are maintained in the United States of America. During the years ended September 30, 1999, 2000 and 2001, sales to international customers accounted for 10%, 8% and 6% of total net sales, respectively.
Net income (loss) per common share
Basic net income (loss) per common share is computed by dividing net income (loss) available to common stockholders by the weighted-average number of vested common shares outstanding for the period. Diluted net income (loss) per common share is computed giving effect to all potential dilutive common stock, including options and redeemable convertible preferred stock.
A reconciliation of the numerator and denominator used in the basic and diluted net income (loss) per share follows.
   
Years Ended September 30,

   
Six Months Ended
March 31,

 
   
1999

  
2000

   
2001

   
2001

   
2002

 
              
(unaudited)
 
Numerator:                        
Net income  $3,071,085  $3,074,898   $3,016,532   $864,574   $2,062,745 
Accretion of redeemable convertible preferred stock   —     (508,281)   (1,430,781)   (796,564)   (4,981,847)
   

  


  


  


  


Net income (loss) available to common stockholders  $3,071,085  $2,566,617   $1,585,751   $68,010   $(2,919,102)
   

  


  


  


  


Denominator:                        
Weighted-average shares used in computing basic net income (loss) per common share   5,837,087   5,906,657    6,016,972    6,015,140    6,025,639 
Dilutive effect of options to purchase shares   144,010   479,950    439,666    500,253     
Dilutive effect of redeemable convertible preferred stock   1,238,390                
   

  


  


  


  


Weighted-average shares used in computing diluted net income (loss) per common share   7,219,487   6,386,607    6,456,638    6,515,393    6,025,639 
   

  


  


  


  


F-11


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The following outstanding options and redeemable convertible preferred stock were excluded from the computation of diluted net income (loss) per share as they had an antidilutive effect:
   
Years Ended September 30,

  
Six Months Ended March 31,

   
1999

  
2000

  
2001

  
2001

  
2002

            
(unaudited)
Options to purchase common stock  —    1,967  6,247  6,495  345,242
Redeemable convertible preferred stock  —    1,238,390  1,238,390  1,238,390  1,238,390
Recent accounting pronouncements
In July 2001, the Financial Accounting Standards Board (“FASB”) issued SFAS No. 141 “Business Combinations,” which establishes financial accounting and reporting for business combinations and supersedes APB Opinion No. 16, Business Combinations, and FASB Statement No. 38, Accounting for Preacquisition Contingencies of Purchased Enterprises. SFAS No. 141 requires that all business combinations be accounted for using one method, the purchase method. The provisions apply to all business combinations initiated after June 30, 2001.
In July 2001, the FASB issued SFAS No. 142 “Goodwill and Other Intangible Assets,” which establishes financial accounting and reporting for acquired goodwill and other intangible assets and supersedes APB Opinion No. 17, Intangible Assets. SFAS No. 142 addresses how intangible assets that are acquired individually or with a group of other assets (but not those acquired in a business combination) should be accounted for in financial statements upon their acquisition, and after they have been initially recognized in the financial statements. The provisions of SFAS No. 142 are effective for fiscal years beginning after December 15, 2001. In accordance with SFAS No. 142, beginning October 1, 2002, goodwill will not be systematically amortized but rather, the Company will perform an assessment for impairment at least annually by applying a fair-value-based test. The Company will also reclassify the unamortized balance of acquired workforce to goodwill.
In October 2001, the FASB issued SFAS No.144, “Accounting for the Impairment or Disposal of Long-Lived Assets.” SFAS No. 144 addresses significant issues relating to the implementation of SFAS No. 121, “Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to Be Disposed Of,” and develops a single accounting method under which long-lived assets that are to be disposed of by sale are measured at the lower of book value or fair value less cost to sell. Additionally, SFAS No. 144 expands the scope of discontinued operations to include all components of an entity with operations that (1) can be distinguished from the rest of the entity and (2) will be eliminated from the ongoing operations of the entity in a disposal transaction. SFAS No. 144 is effective for financial statements issued for fiscal years beginning after December 15, 2001 and its provisions are to be applied prospectively. The Company will adopt SFAS No. 144 for the fiscal year ended September 30, 2003. This adoption is not expected to have a material impact on the Company’s financial statements and related disclosures.
In April 2002, the FASB issued SFAS No. 145 “Rescission of FASB Statement No. 4, 44, and 64, Amendment of FASB Statement No. 13, and Technical Corrections” which eliminates inconsistencies between the required accounting for sale-leaseback transactions and the required accounting for certain lease modifications that have economic effects that are similar to sale-leaseback transactions. SFAS No. 145 also amends other existing authoritative pronouncements to make various technical corrections, clarify meanings, or describe their applicability under changed conditions. The provisions of SFAS No. 145 are effective for fiscal years beginning after May 15, 2002 and for transactions occurring after May 15, 2002. The Company will adopt

F-12


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

SFAS No. 145 for the fiscal year ended September 30, 2003. This adoption is not expected to have a material impact on the Company’s financial statements and related disclosures.
Note 3—Balance Sheet Detail:
Available-for-sale securities
Available-for-sale securities at September 30, 2000 are summarized as follows:
   
Fair Market Value

  
Amortized Cost Basis

  
Unrealized Gain (Loss)

 
Municipal bonds  $879,723  $888,799  $(9,076)
Commercial paper   839,595   837,286   2,309 
Asset backed securities   752,775   752,322   453 
Corporate bonds   746,016   754,746   (8,730)
Taxable floating rate notes   516,304   514,230   2,074 
Collateralized mortgage obligations   372,212   370,527   1,685 
Tax exempt floating rate notes   900,000   900,000   —   
   

  

  


   $5,006,625  $5,017,910  $(11,285)
   

  

  


Available-for-sale securities at September 30, 2001 are summarized as follows:
   
Fair Market Value

  
Amortized Cost Basis

  
Unrealized Gain

Municipal bonds  $663,139  $661,148  $1,991
Commercial paper   399,560   399,124   436
Asset backed securities   1,196,890   1,169,740   27,150
Corporate bonds   226,788   221,988   4,800
Taxable floating rate notes   600,000   600,000   —  
Collateralized mortgage obligations   483,510   474,407   9,103
Tax exempt floating rate notes   1,900,000   1,900,000   —  
   

  

  

   $5,469,887  $5,426,407  $43,480
   

  

  

Realized gains (losses) on the sale of available-for-sale securities for the years ended September 30, 2001 and 2000 were not material.
Maturities of available-for-sale securities at September 30, 2001 are summarized as follows:
   
Maturity in 1 Year or Less

  
Maturity in 1 to
5 Years

  
Maturity
in 5 to
10 Years

  
Maturity in Greater Than 10 Years

Municipal bonds  $85,134  $478,005  $100,000  $—  
Corporate bonds   51,875   174,913   —     —  
Commercial paper   399,560   —     —     —  
Asset backed securities   —     582,110   87,601   527,178
Collateralized mortgage obligations   —     32,722   142,346   308,443
Tax exempt floating rate notes   —     —     500,000   1,400,000
Taxable floating rate notes   —     —     —     600,000
   

  

  

  

   $536,569  $1,267,750  $829,947  $2,835,621
   

  

  

  

F-13


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Prepaid expenses and other current assets
   
September 30,

   
2000

  
2001

Prepaid commissions  $671,385  $982,703
Prepaid marketing expenses   74,480   151,414
Prepaid software installation expenses   409,094   241,421
Other   348,090   384,297
   

  

   $1,503,049  $1,759,835
   

  

Property and equipment, net
   
September 30,

 
   
2000

   
2001

 
Computer hardware  $2,613,674   $3,318,442 
Computer software   556,542    732,757 
Furniture and fixtures   1,229,454    1,314,167 
Leasehold improvements   893,036    829,403 
   


  


    5,292,706    6,194,769 
Less: Accumulated depreciation and amortization   (2,053,624)   (2,750,740)
   


  


   $3,239,082   $3,444,029 
   


  


Equipment acquired under capital leases are included in property and equipment with a cost of $346,448 and accumulated amortization of $69,923 and $108,830 as of September 30, 2000 and 2001, respectively.
Accrued liabilities
   
September 30,

   
2000

  
2001

Accrued compensation  $265,418  $847,647
Accrued vacation   443,178   607,559
Accrued 401(k) payable   85,146   77,473
Accrued commissions   320,029   551,588
Accrued payroll taxes   338,151   323,638
Other accrued liabilities   548,207   8,590
   

  

   $2,000,129  $2,416,495
   

  

Note 4—Commitments:
Operating leases
The Company leases its facilities and premises under noncancelable operating leases, which expire between October 2001 and March 2007. The leases in Mountain View, California and in Bulfinch, Massachusetts have an option to extend the leases for an additional five years. Under these agreements, the Company is responsible for certain maintenance costs, taxes and insurance expenses. The Company also leases premises in Urbana, Maryland on a month to month basis.

F-14


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

In addition, the Company leases three automobiles and office equipment under operating leases with expiration dates through February 2005, each having purchase options at the end of the lease term. At September 30, 2001, aggregate future minimum payments under noncancelable operating leases are as follows:
2002  $1,972,279
2003   1,957,533
2004   1,953,481
2005   1,937,437
2006   1,643,014
Thereafter   709,208
   

   $10,172,952
   

Rent expense, including the facility lease and equipment rental, was $518,512, $973,911 and $2,190,200 for the years ended September 30, 1999, 2000 and 2001, respectively. In 2000 and 2001, rent expense is net of $308,730 and $327,568, respectively, of rental income related to the sublease of premises in Mountain View, California. The sublease agreement expired in June 2001.
Capital lease obligations
During 2000, the Company acquired office furniture under a capital lease. Payments, comprising both principal and interest, are due in sixty equal monthly installments through March 2005.
As of September 30, 2001, aggregate future minimum lease payments are as follows:
2002  $84,026 
2003   84,026 
2004   84,026 
2005   42,013 
   


Minimum payments   294,091 
Less: Amount representing interest   (57,911)
   


Principal amount of minimum payments   236,180 
Less: Current portion   (57,143)
   


   $179,037 
   


Royalties and software development agreement
The Company has contracted with third parties to supply data used in conjunction with the Company’s products. These contracts provide for payment of royalties ranging from 1.0% to 5.0% of future net sales from certain products.
Legal proceedings
From time to time the Company may become involved in legal proceedings arising from the ordinary course of business. Management is not currently aware of any matters that will have a material adverse effect on the financial position, results of operations or cash flows of the Company.

F-15


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Note 5—Redeemable Convertible Preferred Stock:
Under the Company’s Certificate of Incorporation, the Company’s redeemable convertible preferred stock is issuable in series and must be approved by the stockholders of the Company. The first and only series of the redeemable convertible preferred stock is designated “Series A preferred stock” and consists of 1,238,390 shares.
As of September 30, 1999, 2000 and 2001, and March 31, 2002 (unaudited), the redeemable convertible preferred stock comprises:
   
Number of Shares Authorized

  
Number of Shares Issued and Outstanding

  
Proceeds, Net of Issuance Costs

  
Liquidation Preference

Series A  1,238,390  1,238,390  $3,999,999  $1,999,838
   
  
  

  

The rights, privileges and preferences of the redeemable convertible preferred stock are as follows:
Dividends
The holders of Series A redeemable convertible preferred stock are entitled to receive, in any fiscal year, when and as declared by the Board of Directors, out of any assets legally available, dividends at the same rate and at the same time as is paid on the common shares.
The right to such dividends on the Series A redeemable convertible preferred stock is not cumulative, and no right shall accrue to holders of the Series A redeemable convertible preferred stock by reason of the fact that dividends on such shares are not declared in any prior year, nor will any undeclared or unpaid dividend bear or accrue interest. As of March 31, 2002, no dividends have been declared.
Liquidation
In the event of any liquidation, dissolution, or winding up of the Company, either voluntary of involuntary, the holders of the then outstanding Series A redeemable convertible preferred stock are entitled to receive, prior and in preference to any distribution of any of the assets or surplus funds of the Company to the holders of the common stock, the amount of $1.615 per Series A redeemable convertible preferred stock, plus all declared but unpaid dividends. If upon occurrence of such event the assets and funds thus distributed among the holders of the Series A redeemable convertible preferred stock shall be insufficient to permit the payment to such holders of the full preferential amount, then the entire assets and funds of the Company legally available for distribution will be allocated among the holders of the then outstanding Series A redeemable convertible preferred stock, pro-rata, according to the number of outstanding shares held by each holder.
The merger or consolidation of the Company into another entity or any transaction in which more than 50% of the voting power of the Company is disposed of or the sale, transfer or disposition of substantially all of the property or business of the Company is deemed a liquidation, dissolution or winding of the Company.
Redemption
Upon delivery to the Company after September 27, 2002, of a written request signed by the holders of a majority of the then outstanding Series A redeemable convertible preferred stock voting together as a single class, the Company will be required to redeem the shares specified in the redemption request by paying in cash a

F-16


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

sum equal to the higher of (i) $3.23 per share of Series A redeemable convertible preferred stock or (ii) the fair value of each share, plus all declared or accumulated but unpaid dividends on such shares within thirty days. The redemption value of the redeemable convertible preferred stock at September 30, 2001 and March 31, 2002 was approximately $7,430,000 and $13,622,000 (unaudited), respectively.
Conversion
The Series A redeemable convertible preferred stock are convertible, at the option of the holders, into such number of common shares, as is determined by dividing the original issuance price for each Series A redeemable convertible preferred stock by the conversion price (as defined and subject to certain adjustments set forth in the Company’s Certificate of Incorporation). Conversion is automatic upon closing of a firm commitment underwritten public offering of the Company’s common shares at a price of not less than $6.46 per share and an aggregate offering proceeds of not less than $15,000,000, net of underwriting and commissions.
Voting
The holder of each share of Series A redeemable convertible preferred stock is entitled to the number of votes equal to the number of whole common shares of the Company into which such holder’s Series A redeemable convertible preferred stock could be converted into on the record date for the vote on written consent of the stockholders; will have voting rights and powers of common shares, and will vote as a single class with the holders of common shares, except in certain circumstances set forth in the Company’s Certificate of Incorporation and as required by law.
Note 6—Stockholders’ Equity:
Common stock
Each share of common stock has the right to one vote. The holders of common stock are also entitled to receive dividends whenever funds are legally available and when declared by the Board of Directors, subject to the prior rights of holders of all classes of stock outstanding having priority rights as to dividends. No dividends have been declared or paid as of March 31, 2002.
During fiscal 1999 and the six months ended March 31, 2002, the Company repurchased and retired 9,000 and 3,000 (unaudited) shares of common stock at a total cost of $29,070 and $21,000 (unaudited), respectively. The Company made no repurchases or retirements during fiscal 2000 and 2001.
Stock Option Plans
The Company has reserved shares of common stock for issuance under the 1993 Stock Option Plan and the 1998 Stock Plan (the “Plans”). Under the Plans, the Board of Directors may grant either the right to purchase shares or options to purchase common shares of the Company at prices not less than the fair market value at the date of grant for qualified options and 85% of the fair market value for non-qualified options and purchase rights. If an individual owns stock representing more than 10% of the outstanding shares, the price of each share shall be at least 110% of the fair market value, as determined by the Board of Directors. Options granted under the Plans are exercisable as determined by the Board of Directors, and generally expire ten years from date of grant.
The Company has the right of first refusal to repurchase common shares issued under the Plans at fair market value. The right of first refusal terminates upon the earlier of the effective date of a merger involving the Company in which the stockholders of the Company own less than 50% of the equity securities of the surviving corporation or the effective date of a sale of all, or substantially all, of the assets of the Company.

F-17


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

As of September 30, 2001 and March 31, 2002, 270,160 and 272,660 (unaudited) shares are available for future grant under the Plans.
Option activity under the Plans are as follows:
   
Options Outstanding

   
Number of Shares

   
Exercise Price

  
Total

   
Weighted Average Exercise Price

Balances, October 1, 1998  445,285   $0.32–$3.23   $   946,708   $2.13
Options granted  197,500   $3.23   637,925   $3.23
Options exercised  (24,100)  $0.32–$3.23   (33,480)  $1.39
Options canceled/expired  (21,063)  $3.23   (68,033)  $3.23
   

     


   
Balances, September 30, 1999  597,622   $0.32–$3.23   1,483,120   $2.48
Options granted  279,000   $5.00–$16.85   1,489,800   $5.34
Options exercised  (165,843)  $0.32–$5.00   (377,895)  $2.28
Options canceled/expired  (20,397)  $3.23–$5.00   (69,422)  $3.40
   

     


   
Balances, September 30, 2000  690,382   $0.32–$16.85   2,525,603   $3.66
Options granted  202,500   $6.00   1,215,000   $6.00
Options exercised  (5,584)  $0.32–$5.00   (3,929)  $0.70
Options canceled/expired  (8,750)  $1.34–$16.85   (62,020)  $7.09
   

     


   
Balances, September 30, 2001  878,548   $0.32–$16.85   3,674,654   $4.18
Options exercised (unaudited)  (10,100)  $0.70–$6.00   (37,671)  $3.73
Options canceled (unaudited)  (2,500)  $6.00   (15,000)  $6.00
   

     


   
Balances, March 31, 2002 (unaudited)  865,948   $0.32–$16.85   $3,621,983   $4.18
   

     


   
The options outstanding and exercisable by exercise price at September 30, 2001 are as follows:
Options Outstanding

   
Exercise Price

    
Number
Outstanding

    
Weighted Average Remaining
Contractual Life (in Years)

  
Options
Exercisable

$  0.32    60,000    2.62  60,000
$  0.70    4,000    0.73  4,000
$  1.34    37,334    1.22  37,334
$  3.23    314,714    6.46  238,676
$  5.00    254,000    8.30  103,498
$  6.00    202,500    9.42  
$16.85    6,000    8.76  1,749
     
       
     878,548       445,257
     
       

F-18


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The options outstanding and exercisable by exercise price at March 31, 2002 (unaudited) are as follows:
Options Outstanding

  
Options
Exercisable

Exercise Price

    
Number
Outstanding

    
Weighted Average Remaining Contractual Life (in Years)

  
$  0.32    60,000    2.12  60,000
$  0.70    2,000    0.23  2,000
$  1.34    35,134    0.75  35,134
$  3.23    313,964    5.96  268,957
$  5.00    254,000    7.80  135,248
$  6.00    194,850    8.91  46,304
$16.85    6,000    8.26  2,499
     
       
     865,948       550,142
     
       
The Company has adopted the disclosure-only provisions of SFAS No. 123. The Company calculated the fair value of each option on the date of grant using the minimum value method as prescribed by SFAS No. 123 with the following assumptions:
Years Ended September 30,

Six Months Ended March 31, 2001

1999

2000

2001

(unaudited)
Risk-free interest rate4.66%–5.18%6.03%–6.68%5.19%–5.42%5.19%
Expected average life5 years  4 years  4 years  4 years  
Expected dividends—    —    —    —    
No options were granted during the six months ended March 31, 2002 (unaudited).
The risk-free interest rate was calculated in accordance with the grant date and the expected life of the options equal to the vesting period for the fiscal years ended 2001 and 2000.
As the determination of fair value of all options granted after such time the Company becomes a public company will include an expected volatility factor in addition to the factors described in the preceding table, the following results may not be representative of future periods.

F-19


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Had compensation costs been determined based upon the fair value at the grant date, consistent with the methodology prescribed under SFAS No. 123, the Company’s pro forma net income (loss) available to common stockholders and pro forma net income (loss) per common share, basic and diluted, would have been as follows:
   
Years Ended September 30,

  
Six Months Ended March 31,

 
   
1999

  
2000

  
2001

  
2001

   
2002

 
            
(unaudited)
 
Net income (loss) available to common stockholders:                      
As reported  $3,071,085  $2,566,617  $1,585,751  $68,010   $(2,919,102)
   

  

  

  


  


Pro forma  $3,001,967  $2,436,868  $1,424,771  $(5,747)  $(3,005,324)
   

  

  

  


  


Net income (loss) per common share:                      
Basic:                      
As reported  $0.53  $0.43  $0.26  $0.01   $(0.48)
   

  

  

  


  


Pro forma  $0.51  $0.41  $0.24  $—     $(0.50)
   

  

  

  


  


Diluted:                      
As reported  $0.43  $0.40  $0.25  $0.01   $(0.48)
   

  

  

  


  


Pro forma  $0.42  $0.38  $0.22  $—     $(0.50)
   

  

  

  


  


The weighted-average grant date fair value per share of options granted during the years ended September 30, 1999, 2000 and 2001 was $0.69, $1.20 and $1.11, respectively. No options were granted during the six months ended March 31, 2002 (unaudited).

F-20


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Note 7—Unaudited Pro Forma Net Income Per Common Share:
Pro forma basic and diluted net income per common share have been computed to give effect to redeemable convertible preferred stock that will convert to common stock upon the closing of the Company’s initial public offering (using the as-converted method) for the year ended September 30, 2001 and the six months ended March 31, 2002. A reconciliation of the numerator and denominator used in the calculation of pro forma basic and diluted net income per common share follows:
   
Year Ended September 30, 2001

  
Six Months Ended March 31, 2002

 
   
(unaudited)
 
Pro forma net income per common share, basic and diluted:         
Net income (loss) available to common stockholders  $1,585,751  $(2,919,102)
Accretion of redeemable convertible preferred stock   1,430,781   4,981,847 
   

  


Net income  $3,016,532  $2,062,745 
   

  


Weighted-average shares outstanding used in computing basic net
income (loss) per common share
   6,016,972   6,025,639 
Adjustments to reflect the effect of the assumed conversion of the preferred stock from the date of issuance   1,238,390   1,238,390 
   

  


Weighted-average shares used in computing basic pro forma net
income per common share
   7,255,362   7,264,029 
Adjustments to reflect the effect of the assumed conversion of
options outstanding
   439,666   339,242 
   

  


Weighted-average shares used in computing diluted pro forma net
income per common share
   7,695,028   7,603,271 
   

  


Pro forma net income per common share:         
Basic  $0.42  $0.28 
   

  


Diluted  $0.39  $0.27 
   

  


F-21


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Note 8—Income Taxes:
The provision for income taxes is as follows:
   
Years Ended September 30,

 
   
1999

  
2000

   
2001

 
Federal:              
Current  $998,000  $1,747,000   $1,583,000 
Deferred   408,000   (324,000)   (156,000)
   

  


  


    1,406,000   1,423,000    1,427,000 
   

  


  


State:              
Current   440,000   484,000    196,000 
Deferred   90,000   60,000    38,000 
   

  


  


    530,000   544,000    234,000 
   

  


  


Foreign:              
Current   27,000   26,000    24,000 
   

  


  


Total provision for income taxes  $1,963,000  $1,993,000   $1,685,000 
   

  


  


The components of the net deferred income tax assets are as follows:
   
September 30,

   
2000

  
2001

Depreciation and amortization  $704,000  $1,049,000
Allowance for doubtful accounts   100,000   98,000
Accrued liabilities   354,000   302,000
Deferred revenue   33,000   —  
Research tax credits   247,000   117,000
State taxes   133,000   123,000
   

  

   $1,571,000  $1,689,000
   

  

On January 3, 1995, the Company established a wholly owned Foreign Sales Corporation (“FSC”) in order to utilize certain tax income benefits associated with foreign sales. The activities of the FSC have been combined with the parent company and the taxes paid have been recorded as current tax expense in these financial statements. However, the Company’s income before provision for income taxes is substantially all from its domestic operations.

F-22


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

The provision for income taxes differs from the amount computed by applying the statutory federal tax rate to income before taxes as follows:
   
Years ended September 30,

 
   
1999

   
2000

   
2001

 
Federal income tax at statutory rate  34.0%  34.0%  34.0%
State income taxes, net of federal effect  5.8   6.3   5.8 
Research and development tax credits  (3.0)  (3.6)  (5.2)
Foreign Sales Corporation benefit  (1.5)  (1.5)  (1.5)
Foreign Sales Corporation taxes  0.5   0.5   0.5 
Other  3.2   3.6   2.2 
   

  

  

Provision for income taxes  39.0%  39.3%  35.8%
   

  

  

Note 9—Acquisitions:
MC2 Scientific Systems, Inc.
In April 2000, the Company acquired substantially all of the assets of MC2 Scientific Systems, Inc., (“MC2”), a Florida corporation engaged in the scientific software industry. The purchase consideration consisted of $800,000 in cash and transaction costs of approximately $81,000. In addition, the Company agreed to pay $500,000 upon completion of certain regulatory approval milestones (provided such clearance is obtained no later than three years from the acquisition date). The contingent payment of $500,000 will be allocated to goodwill if and when paid (see Note 13).
The acquisition of MC2 has been accounted for using the purchase method of accounting and, accordingly the results of operations of MC2 have been included in the Company’s consolidated financial statements subsequent to April 19, 2000. The purchase price was allocated to the assets acquired and the liabilities assumed based on their estimated fair values at the date of acquisition as determined by management. The excess of the purchase price over the fair value of the net identifiable assets was allocated to goodwill. The purchase price was allocated as follows:
Cash and cash equivalents  $1,956 
Property and equipment, net   5,219 
Assumed liabilities   (21,974)
Developed/core technology   385,994 
Acquired in-process research and development   307,675 
Acquired workforce   39,982 
Goodwill   161,979 
   


Total purchase price  $880,831 
   


The amortization of developed/core technology, acquired workforce and goodwill is being computed over three, two and five years, respectively, on a straight-line basis. The fair value of the identifiable assets, including the portion of the purchase price attributed to the developed/core technology and acquired in-process research and development was determined by management and an independent appraisal. The income approach was used to value developed/core technology and acquired in-process research and development, which includes an analysis of the completion costs, cash flows, other required assets and risk associated with achieving such cash flows. Management expected revenues to start in 2001 and continue through 2004 for in-process technologies.

F-23


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Gross margins were estimated to be stable and operating expense ratios are estimated to slightly decline over the years. The present value of these cash flows were then calculated with a discount rate of 20% for the developed/core technology and 25% for the in-process research and development. At the date of the acquisition, the Company determined the technological feasibility of MC2’s products was not established and, accordingly, wrote-off the corresponding amounts to acquired in-process research and development. At the date of acquisition, the only identifiable intangible assets acquired were the developed/core technology and acquired workforce. Currently the Company knows of no developments, which would lead it to change its original assessment of the expected timing and commercial viability of these projects.
CareCore, Inc.
In February 2001, the Company acquired certain intangible assets of CareCore, Inc. (“CareCore”), a Delaware corporation engaged in the scientific software industry. The purchase consideration consisted of a prior loan provided by the Company with a fair value of $309,096, the purchase of other debt holders loans of $190,904 (see Note 11) and transaction costs of approximately $39,803. The Company did not assume any CareCore liabilities or employee stock options.
The acquisition of CareCore has been accounted for using the purchase method of accounting and, accordingly, the results of operations of CareCore have been included in the Company’s consolidated financial statements subsequent to March 28, 2001. The purchase price was allocated to the assets acquired based on their estimated fair values at the date of acquisition as determined by management. The purchase price was allocated as follows:
Acquired in-process research and development  $510,846
Acquired workforce   28,957
   

Total purchase price  $539,803
   

The acquired workforce is being amortized over 10 months on a straight-line basis. The fair value of the identifiable assets, including the portion of the purchase price attributed to the acquired in-process research and development, was determined by management and an independent appraisal. The income approach was used to value the in-process research and development, which includes an analysis of the completion costs, cash flows, other required assets and risk associated with achieving such cash flows. Management expected revenues to start in 2001 and continue through 2003. Gross margins are estimated to be stable and operating expense ratios are expected to slightly decline over the years. The present value of these cash flows were then calculated with a discount rate of 30% for the in-process research and development. At the date of the acquisition, the Company determined the technological feasibility of CareCore’s products was not established and, accordingly, wrote-off the corresponding amounts to acquired in-process research and development. At the date of acquisition, the only identifiable intangible asset acquired was the workforce. Currently the Company knows of no developments which would lead it to change its original assessment of the expected timing and commercial viability of these projects.

F-24


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited Pro Forma Financial Information
The following unaudited pro forma financial information are based on the respective historical financial statements of the Company, MC2 and CareCore. The pro forma financial information reflects the consolidated results of operations as if the acquisitions of MC2 and CareCore occurred at the beginning of each of the periods presented. The pro forma data excludes the charges for in-process research and development and the amortization of the resulting goodwill and other intangible assets. The pro forma financial data presented are not necessarily indicative of the Company’s results of operations that might have occurred had the transactions been completed at the beginning of the periods presented, and do not purport to represent what the Company’s consolidated results of operations might be for any future period.
   
Year Ended September 30, 2001

  
Six Months Ended March 31, 2002

 
   
(in thousands, except per share data)
 
Net sales  $33,856,579  $20,436,419 
Net income (loss) available to common stockholders  $2,457,596  $(2,698,536)
Net income (loss) per common share:         
Basic  $0.41  $(0.45)
Diluted  $0.38  $(0.45)
Weighted-average shares used in
computing net income (loss) per common share:
         
Basic   6,016,972   6,025,639 
Diluted   6,456,638   6,025,639 
Note 10—Retirement Plan:
The Company has a voluntary 401(k) Plan (the “Plan”) covering substantially all eligible employees. The Plan provides for employees to make tax deferred contributions to the Plan equal to a maximum of 15% of their salary under a written elective deferral agreement. The Company will match the first 5% of such contributions, which vest over a six year period. The Company contributed $254,404, $298,196 and $424,862 to the Plan in the fiscal years ended September 30, 1999, 2000 and 2001, respectively.
Note 11—Related Party Note Receivable:
In November 1999, the Company entered into a convertible note receivable agreement with CareCore, in the amount of $1,000,000. Officers and Directors of CareCore were also Officers and Directors of the Company. Under the terms of the agreement, the note was due and payable upon demand to the Company at any time after November 2000. The note, which bore interest at 5.57%, was convertible at the Company’s option, in whole or in part, into shares of the preferred stock series to be issued in CareCore’s next round of equity financing. In connection with the note, the Company also received a warrant to purchase a number of shares of the redeemable convertible preferred stock issued in CareCore’s next equity financing equal to the quotient obtained by dividing 20% of the original note principal amount, by the price of the shares of preferred stock sold in such equity financing. In the event such equity financing did not occur on or before May 31, 2002, the warrant was to be exercisable for shares of common stock at $0.50 per share. Based on information available at September 30, 2000, the note receivable was deemed unlikely to be fully collected and as such the receivable was written-down to $309,096, a balance which the Company deemed collectable.
Also in November 1999, CareCore entered into convertible promissory note agreements with Officers and Directors of the Company. On December 29, 2000, the Company purchased the outstanding convertible notes

F-25


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

receivable from the Officers and Directors of the Company at $0.30 on each $1.00 for total consideration of $190,904. In February 2001, these receivables were settled and the warrant was terminated as part of the Company’s acquisition of CareCore (see Note 9).
Note 12—Merger Related Costs:
In June 2000, the Company signed a definitive agreement with a publicly traded company to merge the organizations in a transaction that would have been accounted for as a pooling of interests. On November 6, 2000, the U.S. Department of Justice announced its intention to block the proposed transaction due to antitrust concerns in the radiation oncology information management system market sector. Both parties agreed not to challenge the decision by foregoing the option to seek further judgment by the Federal courts. The Company incurred $578,228 of legal and accounting fees associated with the transaction.
Note 13—Subsequent Event:
Reincorporation
Prior to the completion of the Company’s initial public offering, the Company’s Board of Directors will authorize the reincorporation of the Company in the state of Delaware, subject to stockholder approval. Following the reincorporation, the Company will be authorized to issue 60,000,000 shares of $0.001 par value common stock and 5,000,000 shares of $0.001 par value preferred stock. The Board of Directors has the authority to issue the undesignated preferred stock in one or more series and to fix the rights preferences, privileges and restrictions thereof. The accompanying consolidated financial statements have been retroactively restated to give effect to the reincorporation.
Note 14—Subsequent Events (Unaudited):
Subsidiaries
In January 2002, the Company established IMPAC Global Systems UK Limited, a wholly owned subsidiary incorporated in the United Kingdom.
The Company’s international subsidiary uses the local currency as its functional currency. Assets and liabilities are translated at exchange rates in effect at the balance sheet date and revenue and expense accounts at average exchange rates during the period. Resulting translation adjustments are recorded directly to cumulative comprehensive income.
Acquisitions
In November 2001 and January 2002, total contingent payments of $500,000 were paid in accordance with the terms of the acquisition agreement for MC2 (see Note 9). These contingent payments were allocated to goodwill.
In April 2002, the Company acquired Intellidata, Inc., a laboratory information systems company located in Woodbridge, Virginia. The Company acquired all of Intellidata’s outstanding stock for total consideration of approximately $1,300,000. This transaction will be accounted for using the purchase method of accounting. An independent appraisal is in the process of being performed to determine the fair value of identified intangible assets and the allocation of the purchase price.
Commitments
In January 2002 the Company entered into a license agreement for telecommunication services through 2004. The future aggregate payments under the license agreement total approximately $620,000.

F-26


IMPAC MEDICAL SYSTEMS, INC. AND SUBSIDIARIES
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Option grants
In April and May 2002, the Company granted 10,000 and 205,000 options to purchase shares of common stock at $7.00 and $13.00 per share, respectively.
2002 Stock Plan
The Company’s 2002 stock plan was adopted by the Board of Directors in May 2002 and will be submitted to the stockholders for approval prior to the closing of the Company’s initial public offering. The 2002 stock plan will become effective when the underwriting agreement for the Company’s initial public offering is signed. At that time, all outstanding options and stock purchase rights under our 1993 stock option plan and the 1998 stock plan will be administered under the 2002 stock plan but will continue to be governed by their existing terms. The 2002 stock plan provides for the discretionary grant to employees, including officers and employee directors, of incentive stock options and for the discretionary grant to employees, directors and consultants of nonstatutory stock options and stock purchase rights. The 2002 stock plan also provides for the periodic automatic grant of nonstatutory stock options to non-employee directors. The total number shares of common stock reserved for issuance under the 2002 stock plan equals 2,500,000 shares of common stock plus the number of shares that remain reserved for issuance under the 1993 stock option plan and the 1998 stock plan as of the date the 2002 stock plan becomes effective. The number of shares reserved for issuance under the 2002 stock plan will be increased on the first day of each of the Company’s fiscal years by the lesser of (a) 3.0% of the outstanding common stock on the last day of the immediately preceding fiscal year and (b) such lesser amount as the board may determine. The exercise price of all incentive stock options granted under the 2002 stock plan and all nonstatutory stock options granted automatically to non-employee directors must be at least equal to the fair market value of the common stock on the date of grant. With respect to any optionee who owns stock possessing more than 10% of the voting power of all classes of the Company’s outstanding capital stock, the exercise price of any incentive or nonstatutory stock option must equal at least 110% of the fair market value on the date of grant. Unless terminated sooner, the 2002 stock plan will terminate automatically 10 years from the date it was adopted by the Company’s Board of Directors.
2002 Employee Stock Purchase Plan
The Company’s 2002 employee stock purchase plan was adopted by the Board of Directors in May 2002 and will be submitted to the stockholders for approval prior to the closing of this offering. A total of 750,000 shares of common stock has been reserved for issuance under the 2002 employee stock purchase plan. Under the employee stock 2002 purchase plan, the Board of Directors may determine the duration and frequency of stock purchase periods. Initially the 2002 employee stock purchase plan will operate using semi-annual offering periods. The 2002 employee stock purchase plan permits participants to purchase common stock through payroll deductions of up to 10% of their total compensation, including bonuses and commissions. Amounts deducted and accumulated by the participant are used to purchase shares of common stock at the end of each purchase period. The price of stock purchased under the 2002 employee stock purchase plan is generally 85% of the lower of the fair market value of the common stock either at the beginning of the offering period or at the end of the purchase period. Unless earlier terminated by the Board of Directors, the 2002 purchase plan will terminate automatically December 31, 2012.
Initial public offering
In May 2002, the Company’s Board of Directors authorized management to file a registration statement with the Securities and Exchange Commission to permit the Company to sell its common stock to the public. Upon completion of the Company’s initial public offering, all of the outstanding convertible preferred stock will be converted into shares of common stock.

F-27


PROSPECTUS                         , 2002
LOGO
LOGO
IMPAC Medical Systems, Inc.
                     Shares
Common Stock
Thomas Weisel Partners LLC
SG Cowen
U.S. Bancorp Piper Jaffray

Neither we nor any of the underwriters have authorized anyone to provide information different from that contained in this prospectus. When you make a decision about whether to invest in our common stock, you should not rely upon any information other than the information in this prospectus. Neither the delivery of this prospectus nor the sale of our common stock means that information contained in this prospectus is correct after the date of this prospectus. This prospectus is not an offer to sell or solicitation of an offer to buy these shares of common stock in any circumstances under which the offer or solicitation is unlawful.
Until            , 2002 (25 days after commencement of this offering), all dealers that buy, sell or trade these shares of common stock, 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 underwriters and with respect to their unsold allotments or subscriptions.


 
PART II
 
INFORMATION NOT REQUIRED IN PROSPECTUS
 
ITEM 13.    OTHER EXPENSES OF ISSUANCE AND DISTRIBUTION.
 
The following table sets forth the costs and expenses, other than underwriting discounts and commissions, payable by us in connection with the sale of common stock being registered. All amounts are estimates except the SEC registration fee; the NASD filing fee and the Nasdaq National Market listing fee.
 
   
Amount to be Paid

SEC registration fee  $4,656
NASD filing fee   5,560
Nasdaq National Market listing fee   *
Printing and engraving expenses   *
Legal fees and expenses   *
Accounting fees and expenses   500,000
Blue sky qualification fees and expenses   *
Transfer agent and registrar fees   *
Miscellaneous fees and expenses   *
   

Total  $ 
   


* to be filed by amendment
 
ITEM 14.    INDEMNIFICATION OF DIRECTORS AND OFFICERS.
 
Article XIV of our restated certificate of incorporation provides that our directors shall not be personally liable to us or our stockholders for monetary damages for breach of fiduciary duty as a director, to the fullest extent permitted by the General Corporation Law of the State of Delaware. Article VI of our bylaws provides for indemnification of officers and directors to the full extent and in the manner permitted by Delaware law. Section 145 of the Delaware General Corporation Law makes provision for such indemnification in terms sufficiently broad to cover officers and directors under certain circumstances for liabilities arising under the Securities Act of 1933, as amended (the “Securities Act”).
 
We have entered into indemnification agreements with each director which provide indemnification under certain circumstances for acts and omissions which may not be covered by any directors’ and officers’ liability insurance. The indemnification agreements may require us, among other things, to indemnify our officers and directors against certain liabilities that may arise by reason of their status or service as officers and directors (other than liabilities arising from willful misconduct of a culpable nature), to advance their expenses incurred as a result of any proceeding against them as to which they could be indemnified, and to obtain officers’ and directors’ insurance if available on reasonable terms.
 
The form of underwriting agreement, filed as Exhibit 1.1 to the Registration Statement, provides for indemnification of us and our controlling persons against certain liabilities under the Securities Act.
 
ITEM 15.    RECENT SALES OF UNREGISTERED SECURITIES.
 
Since May 1, 1999, we have sold and issued the following unregistered securities:
 
1. Since May 1, 1999, we have issued options to purchase an aggregate of 657,500 shares of our common stock under our 1993 stock option plan and 1998 stock plan to a number of our employees and directors, 207,359 shares of which have been exercised at purchase prices ranging from $0.32 per share to $7.00 per share.

II-1


 
The issuances of the above securities were deemed to be exempt from registration under the Securities Act in reliance on:
 
 
 
Rule 701 promulgated under the Securities Act; or
 
 
Section 4(2) of such Securities Act as transactions by an issuer not involving any public offering.
 
The recipients of securities in each such transaction represented their intentions to acquire the securities for investment only and not with a view to or for sale in connection with any distribution thereof and appropriate legends were affixed to the share certificates issued in such transactions. All recipients had adequate access, through their relationships with us, to information about us.
 
ITEM 16.    EXHIBITS AND FINANCIAL STATEMENT SCHEDULES.
 
(a)  Exhibits
 
Number

  
Description

1.1  Form of Underwriting Agreement.*
3.1  Certificate of Incorporation.*
3.2  Form of Amended and Restated Certificate of Incorporation to be effective upon closing of the offering.*
3.3  Bylaws.*
3.4  Form of Amended and Restated Bylaws to be effective upon closing.*
4.1  Specimen Stock Certificate.**
5.1  Opinion of Orrick, Herrington & Sutcliffe LLP regarding the legality of the common stock being registered.**
10.1  Software Distribution Agreement dated April 25, 2001 between IMPAC and Siemens Medical Systems, Inc.*
10.2  Application Service Provider (ASP) Agreement dated May 31, 2002 between IMPAC and US Oncology, Inc. *†
10.3  Lease Agreement dated September 1, 1999 between the Revocable Living Trust dated March 23, 1987, Hillview Management, Inc. and IMPAC, as amended, for the premises in Mountain View, California.*
10.3.1Second Addendum dated March 23, 2000 to Lease Agreement dated September 1, 1999 between the Revocable Living Trust dated March 23, 1987, Hillview Management, Inc. and IMPAC for the premises in Mountain View, California.
10.4  Form of Indemnification Agreement between IMPAC and each of its officers and directors.*
10.5  1993 Stock Option Plan.*
10.6  1998 Stock Plan.*
10.7  2002 Stock Plan.*
10.8  2002 Employee Stock Purchase Plan.*
10.9  Form of Incentive Stock Option Agreement for 2002 Stock Plan.*
10.10  Form of Nonqualified Stock Option Agreement for 2002 Stock Plan.*
10.11  Investor Rights Agreement dated October 9, 1996 between IMPAC and the investors therein.*
21.1  List of Subsidiaries of IMPAC.*
23.1  Consent of Independent Accountants.*
23.2  Consent of Orrick, Herrington & Sutcliffe LLP (included in Exhibit 5.1).**
24.1  Power of Attorney (included on page II-4).*

II-2



*Previously Filed.
** To be supplied by amendment.
 
 Confidential treatment requested as to certain portions of this Exhibit.

II-2


 
(b)  Financial Statement Schedules
 
The following schedule is filed herewith:
 
Schedule II—Valuation and Qualifying Accounts
 
Schedules not listed above have been omitted because the information required to be set forth therein is not applicable or is shown in the financial statements or notes thereto.
 
ITEMItem 17.    UNDERTAKINGS.
 
We hereby undertake to provide to the underwriters at the closing specified in the underwriting agreement certificates in such denominations and registered in such names as required by the underwriters to permit prompt delivery to each purchaser.
 
Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to our directors, officers and controlling persons pursuant to the foregoing provisions, or otherwise, we have been advised that in the opinion of the Securities and Exchange Commission such indemnification is against public policy as expressed in the Act, and is, therefore, unenforceable. In the event that a claim for indemnification against such liabilities (other than the payment by us of expenses incurred or paid by a director, officer, or controlling person of ours in the successful defense of any action, suit or proceeding) is asserted by such director, officer or controlling person in connection with the securities being registered, we will, unless in the opinion of our counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by us is against public policy as expressed in the Act and will be governed by the final adjudication of such issue.
 
We hereby undertake that:
 
(1)  For purposes of determining any liability under the Securities Act of 1933, the information omitted from the form of prospectus filed as part of this registration statement in reliance upon Rule 430A and contained in a form of prospectus filed by us pursuant to Rule 424(b)(1) or (4) or 497(h) under the Securities Act shall be deemed to be part of this registration statement as of the time it was declared effective.
 
(2)  For the purpose of determining any liability under the Securities Act of 1933, each post-effective amendment that contains a form of prospectus shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at that time shall be deemed to be the initialbona fide offering thereof.

II-3


SIGNATURES
 
Pursuant to the requirements of the Securities Act of 1933, we have duly caused this registration statementRegistration Statement to be signed on our behalf by the undersigned, thereunto duly authorized, in the city of Mountain View, State of California on June 3,18, 2002.
 
IMPAC MEDICAL SYSTEMS, INC.
By: 
/s/    JOSEPH K. JACHINOWSKI

  
Joseph K. Jachinowski
President and Chief Executive Officer
 
POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS, that each person whose signature appears below hereby constitutes and appoints, jointly and severally, Joseph K. Jachinowski, James P. Hoey and David A. Auerbach, and each of them, as his attorney-in-fact, with full power of substitution, for him in any and all capacities, to sign any and all amendments to this Registration Statement (including post-effective amendments), and any and all Registration Statements filed pursuant to Rule 462 under the Securities Act of 1933, as amended, in connection with or related to the offering contemplated by this Registration Statement and its amendments, if any, and to file the same, with exhibits thereto and other documents in connection therewith, with the Securities and Exchange Commission, hereby ratifying and confirming our signatures as they may be signed by our said attorney to any and all amendments to said Registration Statement.
 
Pursuant to the requirements of the Securities Act of 1933, this Registration Statement has been signed by the following persons in the capacities and on the dates indicated:
 
Signature

  
Title

 
Date

/s/    JOSEPH K. JACHINOWSKI        

Joseph K. Jachinowski
  Chairman of the Board of Directors, President and Chief Executive Officer (Principal Executive Officer) June 3,18, 2002
/s/    KENDRA A. BORREGO      

Kendra A. Borrego
  Chief Financial Officer (Principal Financial Officer and Principal Accounting Officer) June 3,18, 2002
/s/    JAMES P. HOEY        *

James P. Hoey
  Director, Executive Vice President Chief Operations Officer June 3,18, 2002
/s/    DAVID A. AUERBACH        *

David A. Auerbach
  Director, Executive Vice President and Treasurer June 3,18, 2002
/s/    GREGORY M. AVIS        *

Gregory M. Avis
  Director June 3,18, 2002
/s/    ROBERT J. BECKER        *

Robert J. Becker, M.D.
  Director June 3,18, 2002
/s/    CHRISTOPHER M. ROSE        *

Christopher M. Rose, M.D.
  Director June 3,18, 2002
*By:  
/s/    JOSEPH K. JACHINOWSKI        

Joseph K. Jachinowski
Attorney-in-Fact

II-4


REPORT OF INDEPENDENT ACCOUNTANTS ON FINANCIAL STATEMENT SCHEDULE
To the Board of Directors and Stockholders of
IMPAC Medical Systems, Inc. and Subsidiaries
The reincorporation described in Note 13 to the consolidated financial statements has not been consummated at June 3, 2002. When it has been consummated, we will be in a position to furnish the following report:
“Our audits of the consolidated financial statements referred to in our report dated November 2, 2001, appearing in the Registration Statement on Form S-1 of IMPAC Medical Systems, Inc. also included an audit of the financial statement schedule listed in Item 16(b) on Page II-3 of this Form S-1. In our opinion, the financial statement schedule presents fairly, in all material respects, the information set forth therein when read in conjunction with the related consolidated financial statements.”
/s/    PricewaterhouseCoopers LLP
San Jose, California
November 2, 2001


SCHEDULE II
IMPAC MEDICAL SYSTEMS, INC.
VALUATION AND QUALIFYING ACCOUNTS
For the Years Ended September 30, 1999, 2000 and 2001
Descriptions

  
Balance at Beginning of Year

  
Additions

  
Deductions

   
Balance at End of Year

Allowance for doubtful accounts receivable                 
Year ended September 30, 1999  $272,000  $86,000  $(27,000)  $331,000
Year ended September 30, 2000   331,000   359,000   (306,000)   384,000
Year ended September 30, 2001   384,000    —   (133,000)   251,000
All other financial statement schedules have been omitted because the information required to be set forth herein is not applicable or is shown either in the consolidated financial statements or the notes thereto.


 
EXHIBIT INDEX
 
The following exhibits are filed as part of this Form S-1 Registration Statement.
 
Number

  
Description

1.1  Form of Underwriting Agreement.*
3.1  Certificate of Incorporation.*
3.2  Form of Amended and Restated Certificate of Incorporation to be effective upon closing of the offering.*
3.3  Bylaws.*
3.4  Form of Amended and Restated Bylaws to be effective upon closing.*
4.1  Specimen Stock Certificate.**
5.1  Opinion of Orrick, Herrington & Sutcliffe LLP regarding the legality of the common stock being registered.**
10.1  Software Distribution Agreement dated April 25, 2001 between IMPAC and Siemens Medical Systems, Inc.*
10.2  Application Service Provider (ASP) Agreement dated May 31, 2002 between IMPAC and US Oncology, Inc.*
10.3  Lease Agreement dated September 1, 1999 between the Revocable Living Trust dated March 23, 1987, Hillview Management, Inc. and IMPAC, as amended, for the premises in Mountain View, California.*
10.3.1Second Addendum dated March 23, 2000 to lease Agreement dated September 1, 1999 between the Revocable Living Trust dated March 23, 1987, Hillview Management, Inc. and IMPAC for the premises in Mountain View, California.
10.4  Form of Indemnification Agreement between IMPAC and each of its officers and directors.*
10.5  1993 Stock Option Plan.*
10.6  1998 Stock Plan.*
10.7  2002 Stock Plan.*
10.8  2002 Employee Stock Purchase Plan.*
10.9  Form of Incentive Stock Option Agreement for 2002 Stock Plan.*
10.10  Form of Nonstatutory Stock Option Agreement for 2002 Stock Plan.*
10.11  Investor Rights Agreement dated October 9, 1996 between IMPAC and the investors therein.*
21.1  List of Subsidiaries of IMPAC.*
23.1  Consent of Independent Accountants.*
23.2  Consent of Orrick, Herrington & Sutcliffe LLP (included in Exhibit 5.1).**
24.1  Power of Attorney (included on page II-4).*

*Previously filed.
** To be supplied by amendment.
 Confidential treatment requested as to certain portions of this Exhibit.