Exhibit 10.40 - Loan Agreement

INNOSERV              OVERTON BANK &           ACCOUNT #: CFV/JF
TECHNOLOGIES, INC.    TRUST, N.A.              Loan Number 78000700
4330 BELTWAY, SUITE   SOUTH ARLINGTON          Date: APRIL 14, 1997
300                   PO BOX 150049            Maturity Date: JANUARY 8, 1999
ARLINGTON, TX 76018   ARLINGTON, TX 76015      Loan Amount: $1,197,573.00
                      LENDER'S NAME AND        Renewal of _______________
BORROWER'S NAME       ADDRESS                  
AND ADDRESS           "You" means the lender,
"I" includes each     its successors and 
borrower above,       assigns.
joint and severally.   


For value received, I promise to pay to you, or your order, at your address 
listed above the PRINCIPAL sum of ONE MILLION ONE HUNDRED NINETY SEVEN 
THOUSAND FIVE HUNDRED SEVENTY THREE AND NO/100****Dollars $1,197,573.00
 XX  SINGLE ADVANCE: I will receive all of this principal sum on APRIL 14, 
- ---- 1997. No additional advances are contemplated under this note.
     MULTIPLE ADVANCE: The principal sum shown above is the maximum amount of 
- ---- principal I can borrow under this note. On ________________ I will 
     receive the amount of $_____ and future principal advances are 
     contemplated.
  CONDITIONS: The conditions for future advances are ______.
       OPEN END CREDIT: You and I agree that I may borrow up to the maximum 
  ---- amount of principal more than one time. This feature is subject to all 
       other conditions and expire on _________________.
       CLOSED END CREDIT: You and I agree that I may borrow up to the maximum 
  ---- only one time (and subject to all other conditions).
INTEREST: I agree to pay interest on the outstanding principal balance from 
APRIL 14, 1997 at the rate of 9.500% per year until FIRST CHANGE DATE.
XX  VARIABLE RATE: This rate may change as stated below.
- --  X  INDEX RATE: The future rate will be 1.000% Over the following index 
   --- rate: WALL STREET JOURNAL BASE RATE AS ESTABLISHED BY THE MINIMUM PRIME 
       LENDING RATE FOR LARGE U.S. MONEY CENTER COMM. BANKS AS PUBLISHED IN THE
       MONEY RATES SEC. OF W.S.J.
    X  CEILING RATE: The interest rate ceiling for this note is the __*__ 
   --- ceiling rate announced by the Credit Commissioner from time to time.
    X  FREQUENCY AND TIMING: The rate on this note may change as often as 
   --- DAILY.
       A change in the interest rate will take effect ON THE SAME DAY.
   --- LIMITATIONS: During the term of this loan, the applicable annual 
       interest rate will not be more than _____% or less than _____%.



  EFFECT OF VARIABLE RATE: A change in the interest rate will have the 
following effect on the payments:
   XX  The amount of each scheduled payment will change.
  ----
   XX  The amount of the final payment will change.
  ----

ACCRUAL METHOD: Interest will be calculated on a ACTUAL/360 basis.
POST MATURITY RATE: I agree to pay interest on the unpaid balance of this 
      note owing after maturity, and until paid in full, as stated below:
  --- on the same fixed or variable rate basis in effect before maturity (as 
      indicated above).
   X  at a rate equal to HIGHEST RATE PERMITTED BY LAW.
  ---

    LATE CHARGE: If a payment is made more than ___ days after it is due, I 
- --- agree to pay a late charge of ______.
    ADDITIONAL CHARGES: In addition to interest, I agree to pay the following 
- --- charges which __ are ___are not included on the principal amount 
    above: ________________
PAYMENTS: I agree to pay this note as follows:
XX  INTEREST: I agree to pay accrued interest ON THE 8TH DAY OF EACH MONTH
- --- BEGINNING JUNE 8, 1997, AND ON JANUARY 8, 1999.
XX  PRINCIPAL: I agree to pay the principal $54,000.00 ON THE 8TH DAY OF THE 
- --- MONTH BEGINNING JUNE 8, 1997, BALANCE DUE JANUARY 8, 1999.
    INSTALLMENTS: I agree to pay this note in ___ payments. The first payment 
- --- will be in the amount of $______ and will be due _______. A payment of 
    $_______ will be due ________ thereafter. The final payment of the entire 
    unpaid balance of principal and interest will be due ____________.
ADDITIONAL TERMS: 
  $125,000.00 PRINCIPAL REDUCTION PLUS ACCRUED INTEREST DUE ON APRIL 30, 
1997. SEE SEPARATE SECURITY AGREEMENT DATED 4/14/97.


THIS WRITTEN LOAN AGREEMENT
REPRESENTS THE FINAL AGREEMENT     PURPOSE: The purpose of this loan is
BETWEEN THE PARTIES AND MAY        BUSINESS: CONVERT #78000411/78000415 TO
NOT BE CONTRADICTED BY EVIDENCE    TERM NOTE.
OF PRIOR, CONTEMPORANEOUS OR
SUBSEQUENT ORAL AGREEMENTS OF
THE PARTIES.                       SIGNATURES: I agree to terms of this note
                                               (including those on Page 2). I 
                                               have received a copy on 
                                               today's date.

THERE ARE NO UNWRITTEN ORAL
AGREEMENTS BETWEEN THE PARTIES.

Signature for Lender
                                       INNOSERV TECHNOLOGIES, INC.
                                       --------------------------------------

 /s/ CURTIS F. VON DER AHE             BY: /s/ MICHAEL G. PULS
- --------------------------------          -----------------------------------
CURTIS F. VON DER AHE, PRESIDENT          MICHAEL G. PULS, PRESIDENT



DEFINITIONS: As used on page 1, "X" means the terms that apply to this loan.  
"I", "me" or "my" means each Borrower who signs this note and each other 
person or legal entity (including guarantors, endorsers, and sureties) who 
agrees to pay this note (together referred to as "us").  "You" or "your" means 
the Lender and its successors and assigns.

APPLICABLE LAW:  The law of the state of Texas will govern this note.  Any 
term of this note which is contrary to applicable law will not be effective, 
unless the law permits you and me to agree to such a variation.  If any 
provision of this agreement cannot be enforced according to its terms, this 
fact will not affect the enforceability of the remainder of this agreement.  
No modification of this agreement may be made without your express written 
consent.  Time is of the essence in this agreement.

PAYMENTS:  Each payment I make on this note will first reduce the amount I 
owe you for charges which are neither interest or principal.  The remainder 
of each payment will then reduce accrued unpaid interest, and then unpaid 
principal.  If you and I agree to a different application of payments, we 
will describe our agreement on this note.  I may prepay a part of, or the 
entire balance of this loan without penalty, unless we specify to the 
contrary on this note.  I may prepay a part of, or the entire balance of the 
loan without penalty, unless we specify to the contrary on this note.  Any 
partial prepayment will not excuse or reduce any later scheduled payment 
until this note is paid in full (unless, when I make the prepayment, you and 
I agree in writing to the contrary).

INTEREST:  If I receive the principal in more than one advance, each advance 
will start to earn interest only when I receive the advance.  The interest 
rate in effect on this note at any given time will apply to the entire 
principal advanced at that time.  Notwithstanding anything to the contrary, I 
do not agree to pay and you do not intend to charge any rate of interest that 
is higher than the maximum rate of interest you could charge under applicable 
law for the extension of credit that is agreed to here (either before or 
after maturity).  If any notice of interest accrual is sent and is in error, 
we mutually agree to correct it, and if you actually collect more interest 
than allowed by law and this agreement, you agree to refund it to me.

INDEX RATE:  The index will serve only as a device for setting the rate on 
this note.  You do not guarantee by selecting this index, or the margin, that 
the rate on this note will be the same rate you charge on any other loans or 
class of loans to me or other borrowers.

ACCRUAL METHOD:  The amount of interest that I will pay on this loan will be 
calculated using the interest rate and accrual method stated on page 1 of 
this note.  For the purpose of interest calculation, the accrual method will 
determine the number of days in a "year".  If no accrual method is stated, 
then you may use any reasonable accrual method for calculating interest.

POST MATURITY RATE:  For purposes of deciding when the "Post Maturity Rate" 
(shown on page 1) applies, the term "maturity" means the date of the last 
scheduled payment indicated on page 1 of this note or the date you accelerate 
payment on the note, whichever is earlier.

SINGLE ADVANCE LOANS:  If this is a single advance loan, you and I expect 
that you will make only one advance of principal.  However, you may add 
other amounts to the principal if you make any payments described in the 
"PAYMENTS BY LENDER" paragraph below.

MULTIPLE ADVANCE LOANS:  If this is a multiple advance loan, you and I expect 
that you will make more than one advance of principal.  If this is closed and 
credit, repaying a part of the principal will not entitle me to additional 
credit.

PAYMENT BY LENDER:  If you are authorized to pay, on my behalf, charges I am 
obligated to pay (such as property insurance premiums), then you may treat 
those payments made by you as advances and add them to the unpaid principal 
under this note, or you may demand immediate payment of the charges.

SET-OFF:  I agree that you may set off any amount due and payable under this 
note against any right I have to receive money from you.  "Right to receive 
money from you" means:



     (1)  any deposit account balance I have with you;

     (2)  any money owed to me on an item presented to you or in your 
          possession for collection or exchange; and 

     (3)  any repurchase agreement or other non deposit obligation.

     "Any amount due and payable under this note" means the total amount of 
which you are entitled to demand payment under the terms of this note at the 
time you set off.  This total includes any balance the due date for which you 
properly accelerate under this note.

     If my right to receive money from you is also owned by someone who has 
not agreed to pay this note, your right of set-off will apply to my interest 
in the obligation and to any other amounts I could withdraw on my sole request 
or endorsement.  Your right of set-off does not apply to an account or other 
obligation where my rights are only as a representative.  It also does not 
apply to any Individual Retirement Account or other tax-deferred retirement 
account.

     You will not be liable for the dishonor of any check when the dishonor 
occurs because you set off this debt against any of my accounts.  I agree to 
hold you harmless from any such claims arising as a result of your exercise 
of your right of set-off.

REAL ESTATE OR RESIDENCE SECURITY:  If this note is secured by real estate or 
a residence that is personal property, the existence of a default and your 
remedies for such a default will be determined by applicable law, by the 
terms of any separate instrument creating the security interest and, to the 
extent not prohibited by the law and not contrary to the terms of the 
separate security instrument, by the "Default" and "Remedies" paragraph 
herein.

DEFAULT:  I will be in default on this loan and any agreement securing this 
loan if any one or more of the following occurs:

     (1)  I fail to perform any obligation which I have undertaken in this 
          note or any agreement securing this note: or

     (2)  you, in good faith, believe that the prospect of payment or the 
          prospect of my performance of any other of my obligations under this 
          note or any agreement securing this note is implied.

     If any of us are in default on this note or any security agreement, you 
may exercise your remedies against any or all of us.

REMEDIES:  If I am in default on this note you have, but are not limited to 
the following remedies:

     (1)  You may demand immediate payment of my debt under this note 
          (principal, accrued unpaid interest and other accrued charges).

     (2)  You may set off this debt against any right I have to the payment 
          of money from you, subject to the terms of the "Set-Off" paragraph
          herein.

     (3)  You may demand security, additional security, or additional parties 
          to be obligated to pay this note as a condition for not using any 
          other remedy.

     (4)  You may refuse to make advances to me or allow purchases on credit 
          by me.

     (5)  You may use any remedy you have under state or federal law.

     By selecting any one or more of these remedies you do not give up your 
right to later use any other remedy.  By waiving your right to declare an 
event to be a default, you do not waive your right to later consider the 
event as a default if it continues or happens again.

COLLECTION COSTS AND ATTORNEY'S FEES:  I agree to pay all costs of 
collection, replevin or any other similar type of cost if I am in default.  
In addition, if you hire an attorney to collect this note, I also agree to 
pay any fee you incur with such attorney plus court costs (except where 
prohibited by law).  To the extent permitted by the United States Bankruptcy 
Code, I also agree to pay the reasonable attorney's fees



and costs you incur to collect this debt as awarded by any court exercising 
jurisdiction under the Bankruptcy Code.

WAIVER:  I give up my rights to require you to do certain things.  I will not 
require you to:

     (1)  demand payment of amounts due (presentment);

     (2)  obtain official certification of nonpayment (protest);

     (3)  give notice that amounts due have not been paid (notice of 
          dishonor);

     (4)  give notice of intent to accelerate; or

     (5)  give notice of acceleration.

OBLIGATIONS INDEPENDENT:  I understand that I must pay this note even if 
someone else has also agreed to pay it (by, for example, signing this form or 
a separate guarantee or endorsement).  You may sue me alone, or anyone else 
who is obligated on this note, or any number of us together, to collect this 
note.  You may without notice release any party to this agreement without 
releasing any other party.  If you give up any of your rights, with or 
without notice, it will not affect my duty to pay this note.  Any extension 
of new credit to any of us, or renewal of this note by all or less than all 
of us will not release me from my duty to pay it.  (Of course, you are 
entitled to only one payment in full).  I agree that you may at your option 
extend this note or the debt represented by this note, or any portion of the 
note or debt, from time to time without limit or notice and for any term 
without affecting my liability for payment of the note.  I will not assign 
my obligation under this agreement without your prior written approval.

CREDIT INFORMATION:  I agree and authorize you to obtain credit information 
about me from time to time (for example, by requesting a credit report) and 
to report to others your credit experience with me (such as a credit 
reporting agency).  I agree to provide you, upon request, any financial 
statement or information you may deem necessary.  I warrant that the 
financial statements and information I provide to you are or will be 
accurate, correct and complete.

NOTICE:  Unless otherwise required by law, any notice to me shall be given by 
delivering it or by mailing it by first class mail addressed to me at my 
last known address.  My current address is on page 1.  I agree to inform you 
in writing of any change in my address.  I will give any notice to you by 
mailing it first class to your address stated on page 1 of this agreement, or 
to any other address that you have designated.