Electronically Transmitted to the Securities and Exchange Commission on June 20, 2001 Registration No. 333-60500 ================================================================================ SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 ____________ AMENDMENT NO. 1 TO FORM S-3 REGISTRATION STATEMENT UNDER THE SECURITIES ACT OF 1933 ____________ PROXYMED, INC. (Exact name of Registrant as specified in its charter) Florida 65-0202059 (State or other jurisdiction (I.R.S. Employer of incorporation or organization) Identification No.) Michael K. Hoover Chief Executive Officer ProxyMed, Inc. 2555 Davie Road, Suite 110 2555 Davie Road, Suite 110 Fort Lauderdale, Florida 33317 Fort Lauderdale, Florida 33317 (954) 473-1001 (954) 473-1001 (Name, address, including zip code, and (Name, address, including zip code, telephone number, including area code, and telephone number, including of registrant's principal executive offices) area code, of agent of service) ____________ Copies of communications to: Frank M. Puthoff, Esq. Steven Sonberg, Esq. Executive Vice President and Holland & Knight LLP Chief Legal Officer 701 Brickell Avenue ProxyMed, Inc. Suite 3000 2555 Davie Road, Suite 110 Miami, Florida 33131 Fort Lauderdale, Florida 33317 (305) 374-8500 (954) 473-1001 ____________ Approximate date of commencement of proposed sale to the public: From time to time as described in the Prospectus after the effective date of this Registration Statement. ____________ If the only securities being registered on this Form are being offered pursuant to dividend or interest reinvestment plans, please check the following box. [_] If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933 (the "Securities Act"), other than securities offered only in connection with dividend or interest reinvestment plans, check the following box. [X] 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 delivery of the prospectus is expected to be made pursuant to Rule 434, please check the following box. [_] THE REGISTRANT HEREBY AMENDS THIS REGISTRATION STATEMENT ON SUCH DATE OR DATES AS MAY BE NECESSARY TO DELAY ITS EFFECTIVE DATE UNTIL THE REGISTRANT SHALL FILE A FURTHER AMENDMENT WHICH SPECIFICALLY STATES THAT THIS REGISTRATION STATEMENT SHALL THEREAFTER BECOME EFFECTIVE IN ACCORDANCE WITH SECTION 8(A) OF THE SECURITIES ACT OR UNTIL THE REGISTRATION STATEMENT SHALL BECOME EFFECTIVE ON SUCH DATE AS THE SECURITIES AND EXCHANGE COMMISSION, ACTING PURSUANT TO SAID SECTION 8(A), MAY DETERMINE. The information in this Prospectus is not complete and may be changed. The selling shareholders may not sell the securities offered by this Prospectus until the registration statement filed with the Securities and Exchange Commission is effective. This Prospectus is not an offer to sell these securities and it is not soliciting an offer to buy these securities in any state where the offer or sale is not permitted. SUBJECT TO COMPLETION, DATED JUNE 20, 2001 PROSPECTUS Shares [LOGO] Proxy Med Common Stock __________ This Prospectus relates to up to 3,282,423 shares of Common Stock of ProxyMed, Inc. which may be sold from time to time by the selling shareholders listed on page 13, or their transferees, pledgees, donees or successors. The selling shareholders may sell all or any portion of their shares of Common Stock in one or more transactions through ordinary brokerage transactions, in private, negotiated transactions, or through any other means described in the section entitled "Plan of Distribution" beginning on page 19. The selling shareholders are selling these shares for their own accounts. We will not receive any of the proceeds from the sale of the shares by the selling shareholders, but will pay all registration expenses. The selling shareholders will pay all selling expenses, including all underwriting discounts and selling commissions. Our Common Stock is traded on the Nasdaq National Market under the symbol "PILL". ________ INVESTING IN OUR COMMON STOCK INVOLVES SIGNIFICANT RISKS. SEE "RISK FACTORS" BEGINNING ON PAGE 5. ________ Neither the Securities and Exchange Commission nor any state securities commission has approved or disapproved of these securities, or determined if this Prospectus is truthful or complete. Any representation to the contrary is a criminal offense. ________ THE DATE OF THIS PROSPECTUS IS JUNE __, 2001 TABLE OF CONTENTS Page ---- WHERE YOU CAN FIND MORE INFORMATION 2 FORWARD-LOOKING INFORMATION 3 ABOUT PROXYMED 4 RISK FACTORS 5 USE OF PROCEEDS 12 SELLING SHAREHOLDERS 13 DESCRIPTION OF SECURITIES 13 PLAN OF DISTRIBUTION 19 LEGAL OPINION 22 EXPERTS 22 WHERE YOU CAN FIND MORE INFORMATION We file annual, quarterly and special reports, proxy statements and other information with the Securities and Exchange Commission (the "SEC"). You may read and copy any document we file at the public reference facilities of the SEC in Washington, D.C., Chicago, Illinois and New York, New York. Please call the SEC at 1-800-SEC-0330 for further information on the public reference rooms. Our SEC filings are also available to the public from the SEC's web site at http://www.sec.gov. The SEC allows us to "incorporate by reference" the information we have filed with it, which means that we can disclose important information to you by referring you to those documents. The information incorporated by reference is considered to be part of this Prospectus, and information that we file later with the SEC will automatically update and supersede this information. We incorporate by reference into this Prospectus the following documents listed below and any future filings that we make with the SEC under Sections 13(a), 13(c), 14 or 15(d) of the Securities Exchange Act of 1934: (1) Our Annual Report on Form 10-K for the year ended December 31, 2000 filed on March 28, 2001; (2) Our Quarterly Report on Form 10-Q for the quarter ended March 31, 2001 filed on May 5, 2001; (3) Our Current Report on Form 8-K filed on April 26, 2001; (4) Our Current Report on Form 8-K filed on May 7, 2001; (5) Our Current Report on Form 8-K filed on June 15, 2001, and (6) The description of our Common Stock contained in our Registration Statement on Form 8-A declared effective on August 5, 1993, including any other amendment or report filed for the purpose of updating such information. 2 You may request a copy of these filings, at no cost, by writing or telephoning us at the following address: ProxyMed, Inc. 2555 Davie Road, Suite 110 Fort Lauderdale, Florida 33317 Attn: Corporate Secretary Telephone: (954) 473-1001, ext. 300 You should rely only on information incorporated by reference or provided in this Prospectus and any prospectus supplement. No one (including any salesman or broker) is authorized to provide oral or written information about this offering that is not included in this Prospectus. FORWARD-LOOKING INFORMATION This Prospectus, including the information incorporated by reference, contains forward-looking statements made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1995. These forward-looking statements involve substantial risks and uncertainties. These forward-looking statements can generally be identified as such because the context of the statement includes words such as the company "believes" "anticipates", "expects", "intends", or other words of similar import. Similarly, statements that describe the Company's future plans, objectives and goals are also forward- looking statements. Further, certain forward-looking statements are based upon assumptions of future events, which may not prove to be accurate. The Company's actual results, performance or achievements could differ materially from those expressed or implied in these forward-looking statements as a result of certain factors, including those risk factors set forth on page 5 and elsewhere in this Prospectus, certain of which may be detailed from time to time in our periodic reports filed with the SEC. 3 ABOUT PROXYMED ProxyMed is an electronic healthcare transaction processing services company providing connectivity services and related value-add products to physicians, payers, pharmacies, medical laboratories, and other healthcare providers and suppliers. Our electronic transaction processing services support a broad range of both financial and clinical transactions. To facilitate these services, we operate ProxyNet(R), our secure, proprietary national electronic information network, which provides physicians and other primary care providers with direct connectivity to one of the industry's largest list of payers, the largest list of chain and independent pharmacies and the largest list of clinical laboratories. Our products and services are provided from our three operating facilities located in Fort Lauderdale, Florida; Santa Ana, California; and New Albany, Indiana. The healthcare industry generates billions of financial and clinical transactions each year, including new prescription orders, refill authorizations, laboratory orders and results, radiology orders and results, medical insurance claims, insurance eligibility inquiries, encounter notifications, and referral requests and authorizations. We believe that the healthcare industry lags behind many other transaction-intensive industries, such as the travel, securities and banking industries, in the number of transactions processed electronically, with the vast majority of healthcare transactions being performed manually and on paper. For physicians, payers, labs and pharmacies to meet the financial and clinical demands of an evolving managed care system, we believe that participants in the healthcare system will need to process many of these types of transactions electronically. Due to the number of participants, lack of standards and complexity of establishing reliable and secure communication networks, the healthcare industry needs companies such as ProxyMed, with its secure, proprietary systems, to facilitate the processing of these transactions. * * * Our principal executive offices are located at 2555 Davie Road, Suite 110, Fort Lauderdale, Florida 33317-7424, and our telephone number is (954) 473-1001. 4 RISK FACTORS In addition to the other information in this Prospectus or incorporated in this Prospectus by reference, you should consider carefully the following factors in evaluating ProxyMed and our business before purchasing the Common Stock offered by this Prospectus. We have incurred losses in the past and we expect losses in the future which could have a detrimental effect on the market price of our stock We have incurred substantial losses, including losses of $48,852,000, $21,856,000, and $11,788,000 for the fiscal years ended December 31, 2000, 1999, and 1998, respectively. As of December 31, 2000, we had an accumulated deficit of $90,425,000. We expect to continue to incur substantial losses for the foreseeable future. We can give no assurance that we will ever achieve profitable operations. This could have a detrimental effect on the market price of our stock. We have important business relationships with other companies to market and sell some of our clinical products and services which have not resulted in significant sales yet and if these companies are unsuccessful, we will need to add this emphasis internally, which may divert our efforts and resources from others projects For the marketing and sale of some of our clinical products and services, we entered into important business relationships with physician office management information system vendors and electronic medical record vendors and through other agreements. These important business relationships, which have required and may continue to require significant commitments of effort and resources, have yet to generate substantial recurring revenue, and we cannot assure that they will ever generate substantial recurring revenue. Most of these relationships are on a non-exclusive basis, and we cannot assure that our electronic commerce partners and other strategic partners, most of whom have significantly greater financial and marketing resources than we do, will not develop and market products and services in competition with us in the future or will not otherwise discontinue their relationship with us. Also, our arrangements with some of our partners involve negotiated payments to the partners based on percentages of revenues generated by the partners. If the payments prove to be too high, we may be unable to realize acceptable margins, but if the payments prove to be too low, the partners may not be motivated to produce a sufficient volume of revenues. The success of our important business relationships will depend in part upon our partners' own competitive, marketing and strategic considerations, including the relative advantages of alternative products being developed and marketed by such partners. If any such partners are unsuccessful in marketing our products, we will need to place added emphasis on these aspects of our business internally, which may divert our planned efforts and resources from other projects. 5 Our laboratory communication devices may be replaced with web-based technology for lab results delivery, and we may not be successful in converting our customers to our own internet portal, proxyMed.com, which would adversely impact our revenues A key element of our Laboratory Services business strategy is to market our laboratory results reporting devices and related services, and our web-based solutions, directly to independent and hospital-based medical laboratories. As the Internet becomes a more acceptable method of transmitting laboratory orders and reporting results because of the efficiencies and savings believed to be available, we are leveraging our 20-plus years of goodwill and reputation for quality of products and superior service to migrate our customers over to our own Internet portal, proxyMed.com. We expect others to develop similar web- based solutions and compete aggressively in an attempt to capture our large customer base. We have no assurances that we will be able to retain or continue to grow our customer base. Further, even as to the continuing sales of our laboratory communication devices, we are unable to control many of the factors that influence our customers' buying decisions, including our customers' budgets and procedures for approving expenditures, and the changing political, economic and regulatory influences which affect the purchasing practices and operation of healthcare organizations. The acceptance of electronic transaction processing in the healthcare industry is still in its early stages; thus, the future of our business is uncertain Our strategy anticipates that electronic processing of healthcare transactions, including transactions involving clinical as well as financial information, will become more widespread and that providers and third-party payers increasingly will use electronic transaction processing networks for the processing and transmission of data. Electronic transmission of healthcare transactions (and, in particular, the use of the Internet to transmit them) is still developing, and complexities in the nature and types of transactions which must be processed have hindered, to some degree, the development and acceptance of electronic transaction processing in this industry. We cannot assure that continued conversion from paper-based transaction processing to electronic transaction processing in the healthcare industry, using proprietary physician management systems or the Internet, will occur. Our clinical transaction products and services have yet to be tested on a large scale and could fail under a heavy customer load The quality of our clinical transaction products and services is important to our business. Although we have completed the development of most of our electronic transaction processing network, which we believe efficiently performs the principal functions for which it has been designed, our clinical transaction products and services and the network are currently being utilized only by a limited number of customers for these transactions. We cannot assure that, upon widespread commercial use of our clinical transaction products and services, they will satisfactorily perform all of the functions for which we have designed them or that unanticipated technical or other errors 6 will not occur which would result in increased costs or material delays. Any of these errors could delay our plans, result in harmful publicity or cause us to incur substantial remedial costs. Since an error by any party in the process of prescribing drugs and filling prescriptions could result in substantial injury to a patient, our liability insurance may not be adequate in a catastrophic situation Our business exposes us to potential liability risks that are unavoidably part of being in the healthcare electronic transaction processing industry. Many of our products and services relate to prescribing and refilling of drugs and the transmission of medical laboratory results, an error by any party in the process could result in substantial injury to a patient. As a result, our liability risks are significant. We cannot assure that our insurance will be sufficient to cover potential claims arising out of our current or proposed operations, or that our present level of coverage will be available in the future at a reasonable cost. A partially or completely uninsured claim against us, if successful and of sufficient magnitude, would have significant adverse financial consequences. Our inability to obtain insurance of the type and in the amounts we require could generally impair our ability to market our products and services. Our products employ proprietary information and technology which may infringe on the intellectual property rights of third parties In large part, our success is dependent on our proprietary information and technology. We rely on a combination of contract, copyright, trademark and trade secret laws and other measures to protect our proprietary information and technology. We have no patents. We have copyright registrations for twelve of our software products. As part of our confidentiality procedures, we generally enter into nondisclosure agreements with our employees, distributors and customers, and limit access to and distribution of our software, databases, documentation and other proprietary information. We cannot assure that the steps taken by us will be adequate to deter misappropriation of our proprietary rights or that third parties will not independently develop substantially similar products, services and technology. Although we believe our products, services and technology do not infringe on any proprietary rights of others, as the number of software products available in the market increases and the functions of those products further overlap, we and other software and internet developers may become increasingly subject to infringement claims. These claims, with or without merit, could result in costly litigation or might require us to enter into royalty or licensing agreements, which may not be available on terms acceptable to us. 7 We depend on connections to insurance companies and other payers, and if we lose these connections, our service offerings would be limited and less desirable to healthcare participants Our business is enhanced by the substantial number of payers, such as insurance companies, Medicare and Medicaid agencies to which we have electronic connections. These connections may either be made directly or through a clearinghouse. We have attempted to enter into suitable contractual relationships to ensure long-term payer connectivity; however, we cannot assure that we will be able to maintain our links with all these payers. In addition, we cannot assure that we will be able to develop new connections, either directly or through clearinghouses, on satisfactory terms. Lastly, some third- party payers provide systems directly to healthcare providers, bypassing us and other third-party processors. Our failure to maintain existing connections with payers and clearinghouses or to develop new connections as circumstances warrant, or to increase the utilization of direct links between providers and payers, could cause our electronic transaction processing system to be less desirable to healthcare participants, which would slow down or reduce the number of transactions that we process and for which we are paid. Evolving industry standards and rapid technological changes could result in our products becoming obsolete or no longer in demand Rapidly changing technology, evolving industry standards and the frequent introduction of new and enhanced internet-based services characterize the market for our products and services. Our success will depend upon our ability to enhance our existing services, introduce new products and services on a timely and cost-effective basis to meet evolving customer requirements, achieve market acceptance for new products or services and respond to emerging industry standards and other technological changes. We cannot assure that we will be able to respond effectively to technological changes or new industry standards. Moreover, we cannot assure that other companies will not develop competitive products or services, or that any such competitive products or services will not cause our products and services to become obsolete or no longer in demand. If electronic transaction processing penetrates the healthcare industry, we may face pressure to reduce our prices which potentially may cause us to no longer be competitive If electronic transaction processing extensively penetrates the healthcare market or becomes highly standardized, it is possible that competition among electronic transaction processors will focus increasingly on pricing. This competition may put intense pressure on us to reduce our pricing in order to retain market share. If we are unable to reduce our costs sufficiently to offset declines in our prices, or if we are unable to introduce new, innovative service offerings with higher prices, we may not be competitive. 8 Computer network systems like ours could suffer security and privacy breaches that could harm our customers and us We currently operate servers and maintain connectivity from multiple facilities. Despite our implementation of network security measures, such as limiting physical and network access to routers, our infrastructure may be vulnerable to computer viruses, break-ins and similar disruptive problems caused by customers or other users. Computer viruses, break-ins or other security problems could lead to interruption, delays or cessation in service to our customers. These problems could also potentially jeopardize the security of confidential information stored in the computer systems of our customers, which may deter potential customers from doing business with us and give rise to possible liability to users whose security or privacy has been infringed. The security and privacy concerns of existing and potential customers may inhibit the growth of the healthcare information services industry in general, and our customer base and business in particular. A significant security breach could result in loss of customers, damage to our reputation, direct damages, costs of repair and detection and other unplanned expenses. We depend on uninterrupted computer access for our customers; any prolonged interruptions in our operations could cause our customers to seek alternative providers of our services Our success is dependent on our ability to deliver high-quality, uninterrupted computer networking and hosting, requiring us to protect our computer equipment and the information stored in servers against damage by fire, natural disaster, power loss, telecommunications failures, unauthorized intrusion and other catastrophic events. We plan to develop additional back-up site capability and a program to manage technology to reduce risks in the event of a disaster, including periodic "back-ups" of our computer programs and data. Any damage or failure resulting in prolonged interruptions in our operations, such as the current California rolling blackouts, could cause our customers to seek alternative providers of our services. In particular, a system failure, if prolonged, could result in reduced revenues, loss of customers and damage to our reputation, any of which could cause our business to suffer. While we carry property and business interruption insurance to cover operations, the coverage may not be adequate to compensate us for losses that may occur. We may not be able to retain key personnel or replace them if they leave Our success is largely dependent on the personal efforts of Michael K. Hoover, our Chairman of the Board and Chief Executive Officer. Although we have entered into employment agreements with Mr. Hoover and other senior executives, the loss of any of their services could cause our business to suffer. Our success is also dependent upon our ability to hire and retain qualified operations, development and other personnel. Competition for qualified personnel in the healthcare information services industry is intense, and we cannot assure that we will be able to hire or retain the personnel necessary for our planned operations. 9 We may issue additional shares which could adversely affect the market price of our common stock Certain events over which you have no control could result in the issuance of additional shares of our Common Stock or preferred stock, which would dilute your ownership percentage in ProxyMed and could adversely affect the market price of our Common Stock. We may issue additional shares of Common Stock or preferred stock for many reasons including: . to raise additional capital or finance acquisitions; . upon the exercise or conversion or an exchange of outstanding options, warrants and shares of convertible preferred stock; or . in lieu of cash payment of dividends. In addition, the number of shares of Common Stock that we are required to issue upon conversion or exercise, as the case may be, of Series B Preferred Stock, Series C Preferred Stock and many of our outstanding options and warrants may increase if certain anti-dilution events occur (such as, certain issuances of Common Stock, options and convertible securities). Proposed healthcare legislation and changes to existing laws could cause an erosion of our current competitive strengths Our customers are subject to extensive and frequently changing federal and state healthcare laws and regulations. Political, economic and regulatory influences are subjecting the healthcare industry in the United States to fundamental change. Potential reform legislation may include: . mandated basic healthcare benefits, . controls on healthcare spending through limitations on the growth of private health insurance premiums and Medicare and Medicaid reimbursement, . the creation of large insurance purchasing groups, . fundamental changes to the healthcare delivery system, . FTC enforcement actions of existing privacy laws relating to the internet, . federal and state privacy and confidentiality statutes, regulations rules and guidelines covering medical records and patient information. The federal Health Insurance Portability and Accountability Act of 1996, known as HIPAA for short, mandates the use of standard transactions, standard identifiers, security and other provisions for electronic claims transactions. HIPAA specifically designates clearinghouses (including us and other financial network operators) as the 10 compliance facilitators for healthcare providers and payers. On August 17, 2000, the U.S. Department of Health and Human Services published final regulations to govern eight of the most common electronic transactions involving health information. We must comply by April 14, 2003. We believe that we will be in compliance by that date or sooner, and we expect, but have no assurances that our business partners or customers who may also be covered by these regulations will also be in compliance by that date. Due to mandated standards, however, there is a possibility that it will be easier for competitors to offer electronic transaction processing services similar to ours, which would make our competitive strength of accepting financial transactions in multiple formats less of a differentiating factor for our customers. We anticipate Congress and state legislatures will continue to review and assess alternative healthcare delivery systems and payment methods, as well as internet and healthcare privacy legislation, and that public debate of these issues will likely continue in the future. Due to uncertainties as to these reform initiatives and their enactment and implementation, we cannot predict which, if any, of such reform proposals will be adopted, when they may be adopted or what impact they may have on us. Because we are smaller and have fewer financial resources than many of our competitors, we may not be able to successfully compete in the very competitive healthcare electronic transaction processing industry We face competition from many healthcare information systems companies and other technology companies. Many of our competitors are significantly larger and have greater financial resources than we do and have established reputations for success in implementing healthcare electronic transaction processing systems. Other companies have targeted this industry for growth, including the development of new technologies utilizing internet-based systems. We cannot assure that we will be able to compete successfully with these companies or that these or other competitors will not commercialize products, services or technologies that render our products, services or technologies obsolete or less marketable. Investors should not anticipate receiving cash dividends on our Common Stock We currently anticipate retaining all of our future earnings, if any, for use in the operation and expansion of our business, and do not plan to pay any cash dividends on shares of our Common Stock in the foreseeable future. The provisions of our Series B Preferred Stock prohibit the payment of dividends on our Common Stock unless we get the consent of the holders of two-thirds of the Series B Preferred Stock. Potential investors who anticipate a need for dividends should not invest in the Common Stock. Our Common Stock price has fluctuated considerably and may not appreciate in value The market price of shares of our Common Stock has fluctuated substantially in recent years and is likely to fluctuate significantly from its current level. During the 11 period from January 1, 2001 through May 4, 2001, our Common Stock closing price has ranged from a high of $1.50 per share to a low of $0.94 per share. In 1998, our Common Stock closing price ranged from a low of $5.25 per share to a high of $16.50 per share, during 1999, our Common Stock closing price ranged from a low of $9.50 per share to a high of $19.25 per share, and during 2000, our Common Stock closing price ranged from a low of $0.81 per share to a high of $11.13 per share. Future announcements concerning our financial performance, conversion of shares of the Series B or the Series C Preferred Stock into Common Stock, warrant and option exercises, year-end selling for tax losses, the announcement of strategic business relationships, the introduction of new products, services or technologies or changes in product pricing policies by us or our competitors or changes in earnings estimates by analysts, among other factors, could cause the market price of our Common Stock to fluctuate substantially. Stock markets have experienced extreme price and volume volatility in the last year. This volatility has had a substantial effect on the market prices of securities of many public companies, including those in the eHealth sector, for reasons frequently unrelated to the operating performance of the specific companies. These broad market fluctuations may also cause declines in the market price of our Common Stock. Investors seeking short-term liquidity should be aware that we cannot assure that the stock price will appreciate in value or, as noted above, that cash dividends will be paid. We may be required to delist our shares from Nasdaq if certain events occur The Nasdaq Stock Market has certain rules that must be met in order for a listed company to maintain its listing on the National Market System. We may be required to delist from Nasdaq if the bid price of our Common Stock closes below one dollar ($1.00) for thirty consecutive trading days. In such event, trading, if any, in the Common Stock may then continue to be conducted on the over-the- counter market in what are commonly referred to as the "pink sheets", or on the OTC Electronic Bulletin Board. As a result of trading in the over-the-counter market, an investor may find it more difficult to dispose of, or to obtain accurate quotations as to the market value of, the Common Stock. In addition, trading in the Common Stock would likely decrease substantially, and the price of the Common Stock may decline. USE OF PROCEEDS We will not receive any proceeds from the sale of shares of Common Stock by any of the selling shareholders. We estimate that our expenses in connection with the filing of this registration statement will be approximately $35,000. 12 SELLING SHAREHOLDERS General The shares of Common Stock being offered by the selling shareholders are issuable upon the exchange of certain warrants. We are registering the shares in order to permit the selling shareholders to offer these shares for resale from time to time. None of the selling shareholders has had any material relationship with us within the past three years. Common shares after offering include shares of common stock, stock options and warrants owned prior to any securities being offered under this Prospectus. Common Shares Common Beneficially Shares Common Owned Prior Offered Shares to By This After Percentage Name of Selling Shareholder Offering Prospectus Offering of Class --------------------------- -------- ---------- -------- ---------- Fisher Capital Ltd. 626,186 626,186 -0- * Leonardo, L.P. 1,262,473 1,262,473 -0- * Royal Bank of Canada 1,009,976 1,009,976 -0- * Wingate Investments, Ltd. 383,788 383,788 -0- * * Less than 1% DESCRIPTION OF SECURITIES Our authorized capital stock consists of 100,000,000 shares of Common Stock, par value $.001 per share, and 2,000,000 shares of preferred stock, par value $.01 per share, of which 15,000 shares have been designated Series B Preferred Stock and 300,000 shares have been designated Series C Preferred Stock. At May 4, 2001, 24,757,988 shares of Common Stock were issued and outstanding, 110 shares of Series B Preferred Stock were issued and outstanding and 253,265 shares of Series C Preferred Stock were issued and outstanding. Of the 24,757,988 shares of Common Stock outstanding on May 4, 2001, this amount does not include the 121,002 shares of Common Stock issuable upon conversion of Series B Preferred Stock, the 25,326,500 shares of Common Stock issuable upon conversion of the Series C Preferred Stock, the 24,146,174 shares of Common Stock issuable upon exercise of currently outstanding warrants, and 11,833,161 shares of Common Stock reserved for issuance upon exercise of currently outstanding stock options. The descriptions below of the terms of Common Stock, Series B Preferred Stock, Series C Preferred Stock and the related warrants are summaries of the material terms only and do not purport to be complete. Such descriptions are subject to and qualified by the actual agreements relating to Series B Preferred Stock, Series C Preferred Stock, such warrants, our amended Articles of Incorporation and By-laws, all of which have been 13 filed with the SEC and are incorporated into this Prospectus by reference, and by applicable law. Common Stock The issued and outstanding shares of Common Stock are, and the shares being offered by this Prospectus will be, validly issued, fully paid and non- assessable. The holders of outstanding shares of Common Stock are entitled to receive dividends out of assets legally available for them at such times and in such amounts as the Board of Directors may from time to time determine. We have not paid any dividends and do not expect to pay cash dividends on our Common Stock in the foreseeable future. All shares of Common Stock have equal voting rights and, when validly issued and outstanding, have one vote per share in all matters to be voted upon by the shareholders. Cumulative voting in the election of directors is not allowed, which means that the holders of more than 50% of the outstanding shares can elect all the directors if they choose to do so and, in such event, the holders of the remaining shares will not be able to elect any directors. The shares have no preemptive, subscription, conversion or redemption rights. Upon liquidation, dissolution or winding-up of ProxyMed, the holders of Common Stock are entitled to receive pro rata the assets of ProxyMed which are legally available for distribution to shareholders. Preferred Stock In addition to Series B Convertible Preferred Stock and Series C Convertible Preferred Stock, our Board of Directors has the authority to issue 1,746,625 additional shares of preferred stock in one or more series and to fix the designation, relative powers, preferences and rights and qualifications, limitations or restrictions of all shares of each such series, including dividend rates, conversion rights, voting rights, redemption and sinking fund provisions, liquidation preferences and the number of shares constituting each such series, without any further vote or action by the shareholders. The issuance of preferred stock could decrease the amount of earnings and assets available for distribution to holders of Common Stock or adversely affect the rights and powers, including voting rights, of the holders of Common Stock and could have the effect of delaying, deferring or preventing a change in control of ProxyMed without further action by the shareholders. Series B Preferred Stock Pursuant to the terms of a Securities Purchase Agreement dated December 23, 1999, we issued 15,000 shares of Series B Preferred Stock in a private placement to institutional investors. The shares of Series B Preferred Stock are non- voting and carry a cumulative dividend at a rate of 6% per annum, payable quarterly or upon conversion or 14 redemption, which may be paid in cash or Common Stock, at our option, subject to certain conditions. The shares of Series B Preferred Stock mature on December 23, 2001, subject to extension in certain circumstances, at which time the Series B Preferred Stock will be redeemed or converted at our option, subject to certain conditions. The conversion price of Series B Preferred Stock at maturity is 95% of the average of the closing trade price on the Nasdaq National Market of the Common Stock for the 30 consecutive trading days immediately preceding December 23, 2001. In connection with the sale of Series B Preferred Stock, we issued warrants (the "Old Warrants") to purchase up to 800,000 shares of Common stock, subject to adjustment in certain events. The original exercise price of the Old Warrants was $12.05 per share, subject to adjustment in certain events. The Old Warrants expire on December 23, 2002. In addition, in order to obtain the consent of Transamerica Business Credit Corporation to the sale of Series B Preferred Stock, a warrant to purchase 25,000 shares of Common Stock at an original exercise price of $11.62 per share was issued to Transamerica (the "Transamerica Warrant") on substantially the same terms as the Old Warrants. The exercise price and number of shares of Common Stock which may be purchased upon exercise of such warrants continue to be subject to further adjustment upon the occurrence of certain dilution events including, without limitation, certain issuances of Common Stock, stock options or convertible securities or certain corporate transactions such as stock splits, mergers or asset sales. Series B Preferred Stock converts into Common Stock at a floating rate based on the market price of the Common Stock. The terms of Series B Preferred Stock provide that the holders cannot exercise their rights to convert Series B Preferred Stock prior to December 23, 2000, unless certain triggering events occur. One such triggering event occurred as of May 1, 2000 when the closing price of the Common Stock had been below $4.21 for 10 trading days, thus causing the restriction on conversions to cease to be in effect. In order to attempt to prevent the conversion of all of the shares of Series B Preferred Stock and the resulting significant dilution to the holders of Common Stock, we engaged in negotiations with the holders of Series B Preferred Stock to restructure certain terms of Series B Preferred Stock. Effective May 4, 2000, we entered into a Redemption and Exchange Agreement (the "Redemption Agreement") with holders of 13,000 shares of Series B Preferred Stock. Under the terms of the Redemption Agreement, we have redeemed 13,000 shares of Series B Preferred Stock at 116.5% of the Conversion Amount (as defined in the Articles of Amendment to our Articles of Incorporation creating Series B Preferred Stock (the "Series B Articles of Amendment")). As of May 4, 2001, the remaining holder of Series B Preferred Stock had converted 1,890 shares of Series B Preferred Stock into an aggregate of 1,621,936 shares of Common Stock and 110 shares of Series B Preferred Stock continue to be held by such holder. The Redemption Agreement also provided for the exchange of 693,333 of the Old Warrants issued to the holders of Series B Preferred Stock subject to the Redemption Agreement for warrants (the "Exchanged Warrants") with an exercise price of $1.50 per 15 share. In addition, such holders have received, in the aggregate, 650,000 additional warrants (the "New Warrants") at an exercise price of $1.50 per share. The Exchanged Warrants expire on December 23, 2002, and the New Warrants expire on May 5, 2003. The exercise price and number of shares of Common Stock which may be purchased upon exercise of the Exchanged Warrants and the New Warrants are subject to adjustment upon the occurrence of certain dilution events which occur 183 days after the date of issuance of such warrants including, without limitation, certain issuances of Common Stock, stock options or convertible securities or certain corporate transactions such as stock splits, mergers or asset sales or other events. In February 2001, as a result of certain anti-dilution provisions, the 693,333 Exchanged Warrants were reset into 3,425,493 warrants with a new exercise price of $1.25883 per share. Effective April 24, 2001, the Company entered into Exchange Agreements (the "Exchange Agreements") with the former holders of $13,000,000 of its $15,000,000 Series B Preferred Stock. The Company and such holders had previously entered into the Redemption Agreement. Under the Exchange Agreements, the Company cancelled and exchanged all outstanding Exchanged Warrants and New Warrants for an aggregate of 3,282,423 shares of Common Stock. Additionally, under terms of the Exchange Agreement, the Company is required to register certain of these shares under Form S-3 within 15 days after the Closing Date. For this transaction, the Company expects to record a $1.8 million deemed dividend charge in the quarter ended June 30, 2001. In connection with the cancellation and exchange of these warrants, the remaining holder of the Series B Preferred Stock and the holders of the Series C Preferred Stock have agreed to waive certain anti-dilution rights afforded by certain outstanding warrants, the Series B Preferred Stock and the Series C Preferred Stock. In the event of the liquidation of ProxyMed, the holder of the Series B Preferred Stock will be entitled to a liquidation preference before any amounts are paid to the holders of Common Stock. The liquidation preference is equal to the amount originally paid for the Series B Preferred Stock ($1,000 per share) plus accrued and unpaid dividends (and any unpaid default interest) on any outstanding Series B Preferred Stock through the date of determination. Other than as required by law, the holders of the Series B Preferred Stock have no voting rights except that the consent of holders of at least two-thirds of the outstanding Series B Preferred Stock will be required to (1) effect any change in our Articles of Incorporation that would change any of the rights of the Series B Preferred Stock; or (2) issue any Series B Preferred Stock other than pursuant to the Securities Purchase Agreement. Complete copies of the Series B Articles of Amendment, the form of the Old Warrants and the Securities Purchase Agreement are contained in our Current Report on Form 8-K filed with the SEC on December 28, 1999, and are incorporated herein by 16 reference. Complete copies of the Redemption Agreement, the Exchanged Warrants and the New Warrants are contained in our Current Report on Form 8-K filed with the SEC on May 8, 2000, and are incorporated herein by reference. Complete copies of the Exchange Agreements are contained in our Current Report on Form 8- K filed with SEC on April 26, 2001 and are incorporated herein by reference. The descriptions of these documents are summaries of the material terms and conditions only and are qualified in their entirety by reference to the complete documents which are publicly available from the SEC. Series C Preferred Stock Pursuant to the terms of a Subscription Agreement dated June 28 2000, we sold, in a private placement to institutional and individual investors (the "Series C Preferred Financing"), a total of $24,310,000 of 7% Convertible Senior Secured Notes (the "Notes") due January 1, 2001. Together with the Notes, we issued five-year warrants for the purchase of an aggregate of 12,155,000 shares of Common Stock at an exercise price of $1.00 per share. As described below, all of the Notes have been converted into shares of Series C Preferred Stock. The conversion price of the Series C Preferred Stock, the warrant exercise price, and number of shares of Common Stock issuable upon exercise of the warrants are subject to adjustment upon the occurrence of certain dilution events including, without limitation, certain issuances of Common Stock, stock options or convertible securities issued after June 2001, or certain corporate transactions such as stock splits, mergers or asset sales. As a result of completion of the redemption of the Series B Preferred Stock pursuant to the Redemption Agreement, the Notes, plus accrued interest thereon of approximately $20,000, automatically converted into 253,265 shares of Series C Preferred Stock on June 30, 2000. Shares of Series C Preferred Stock are immediately convertible into Common Stock at any time by the holder at an initial conversion price of $1.00 per share. Shares of Series C Preferred are subject to mandatory conversion if we raise more than $30 million in gross proceeds from the issuance of securities in a private or public placement or if the closing stock price of the Company is trading at $3.00 for 20 consecutive trading days. The Series C Preferred Stock is entitled to receive a 7% annual non-cumulative dividend, payable quarterly in cash or shares of Common Stock at the Company's option. If paid in Common Stock, the Common Stock is valued at $1.00 per share, subject to adjustment. Commonwealth served as private placement agent in the Series C Preferred Financing for which it received, in addition to cash fees of $2,431,000, five-year warrants to purchase 7,293,000 shares of Common Stock at an exercise price of $1.00 per share. As part of its compensation for financial advisory services in connection with the Series C Preferred Financing, we paid cash fees of $250,000 and also issued to Commonwealth a five-year warrant to purchase 1,000,000 shares of Common Stock at an exercise price of $1.50 per share. The investors in the Series C Preferred Financing agreed to a one-year lockup on the transfer or sale of any shares of Common Stock received upon conversion of Series C Preferred Stock and exercise of the related warrants issued. Additionally, 17 Commonwealth has agreed to a 15-month lockup on the sale or transfer of the shares of Common Stock underlying the warrants issued in connection with Series C Preferred Financing and certain officers of ProxyMed have also agreed to a similar lockup on all Common Stock owned or acquired during the 15-month period. At the discretion of Commonwealth, lockup periods for all parties can be extended for a period of up to an additional 12 months or may be terminated early. In August 2000, the Company sold 10,000 shares of Series C Preferred Stock for $1 million in a private placement and issued five-year warrants for the purchase of 500,000 shares of Common Stock at an exercise price of $1.00 per share to Mr. Michael K. Hoover, its new Chairman of the Board and Chief Executive Officer, under terms substantially identical to the Series C Preferred Financing. Mr. Hoover has also agreed to similar lockup terms agreed to in the Series C Preferred Financing by other officers of ProxyMed, as noted above. At our option, the quarterly dividend on Series C Preferred Stock may be paid in cash (to the extent permitted by the terms of the Series B Preferred Stock) or Common Stock. If paid in stock, the stock is valued at $1.00 per share, subject to adjustment. Dividends on Series C Preferred Stock are non- cumulative. Dividends for the quarter ended March 31, 2001 were paid with 436,840 shares of Common Stock issued in April 2001. In the event of liquidation of ProxyMed, the holders of the Series C Preferred will be entitled to a liquidation preference before any amounts are paid to the holders of Common Stock or any other security junior to Series C Preferred Stock. Series C Preferred Stock ranks junior to the Series B Preferred Stock with respect to the preference as to distributions and payments upon liquidation. The liquidation preference is equal to an amount originally paid for the Series C Preferred Stock ($100 per share) plus accrued and unpaid dividends on any outstanding Series C Preferred Stock through the date of determination. The holders of Series C Preferred Stock are entitled to one vote per share of Common Stock issuable upon the conversion of the Series C Preferred Stock and, except as otherwise provided by law, will vote as a single class with the holders of Common Stock on all matters submitted to a vote. In the event that the holders of Series C Preferred Stock are required to vote as a single class, the affirmative vote of holders of not less than two-thirds of the outstanding shares of Series C Preferred Stock shall be required to approve each matter to be voted upon and if any matter is approved by such requisite percentage of holders of Series C Preferred Stock, such matter shall bind all holders of Series C Preferred Stock. Complete copies of the Series C Preferred Financing documents described herein are contained in our Quarterly Report on Form 10-Q/A for the quarterly period ended June 30, 2000, filed with the SEC on August 31, 2000. The descriptions of these documents are summaries of the material terms and conditions only and are qualified in 18 their entirety by reference to the complete documents which are publicly available from the SEC. Certain Anti-Takeover Provisions Under ProxyMed's Articles of Incorporation, there are approximately 13,795,504 unissued, unreserved shares of Common Stock and 1,746,625 shares of preferred stock available for future issuance without shareholder approval. The existence of authorized but unissued capital stock could have the effect of making more difficult or discouraging an acquisition of ProxyMed deemed undesirable by our Board of Directors. Nasdaq National Market Our Common Stock is, and the shares being offered by this Prospectus will be, traded in the Nasdaq National Market unless our Common Stock is delisted from Nasdaq. Certain events that could cause our Common Stock to be delisted from Nasdaq are described in this Prospectus under "Risk Factors - We may be required to delist our shares from Nasdaq if certain events occur". Transfer Agent and Registrar The transfer agent and registrar for our Common Stock is North American Transfer Company, Freeport, New York. PLAN OF DISTRIBUTION The selling shareholders (or, subject to applicable law, their pledges, donees, distributees, transferees or successors in interest) are offering shares of our Common Stock, which are issuable to them upon exercise of warrants that they acquired from us in connection with a certain Exchange Agreement. This Prospectus covers the selling shareholders' resale of up to 3,282,423 shares of our Common Stock that we have issued in connection with the exchange of certain warrants pursuant to an Exchange Agreement with certain investors, as well as any additional shares that may become issuable upon the exchange of the warrants because of stock splits, stock dividends and other specified transactions. We have also agreed to prepare and file any amendments and supplements to the registration statement in which this Prospectus is included as may be necessary to keep it effective until this Prospectus is no longer required for the selling shareholders to sell their shares of Common Stock, and to indemnify and hold the selling shareholders harmless against certain liabilities under the Securities Act of 1933, as amended (the "Securities Act"), that could arise in connection with the selling shareholders' sale of their shares. We have agreed to pay all reasonable fees and expenses incident to the filing of these registration statements, but the selling shareholders will pay any brokerage commissions, discounts or other expenses relating to the sale of their Common Stock. 19 The selling shareholders may sell the shares of Common Stock described in this Prospectus directly or through underwriters, broker-dealers or agents. The selling shareholders may also transfer, devise or give their shares by other means not described in this Prospectus. As a result, pledges, donees, transferees or other successors in interest that receive such shares as a gift, partnership distribution or other non-sale related transfer may offer shares of Common Stock under this Prospectus. In addition, if any shares covered by this Prospectus qualify for sale pursuant to Rule 144 under the Securities Act, as amended, the selling shareholders may sell such shares under Rule 144 rather than pursuant to this Prospectus. The selling shareholders may sell shares of Common Stock from time to time in one or more transactions: . at fixed prices that may be changed, . at market prices prevailing at the time of sale, or . at prices related to such prevailing market prices or at negotiated prices. The selling shareholders may offer their shares of Common Stock in one or more of the following transactions: . on any national securities exchange or quotation service on which the Common Stock may be listed or quoted at the time of sale, including the Nasdaq National Market, . in the over-the-counter market, . in privately-negotiated transactions, . through options, . by pledge to secure debts and other obligations, . by a combination of the above methods of sale, . to cover short sales made pursuant to this Prospectus, or . any other method permitted pursuant to applicable law. In effecting sales, brokers or dealers engaged by the selling shareholders or affiliated with them may arrange for other brokers or dealers to participate in the resales. The selling shareholders may enter in a block trade in which a broker-dealer will attempt to sell a block of shares as agent but may position and resell a portion of the block as 20 principal to facilitate the transaction. A broker-dealer may purchase such shares as principal and offer the shares for resale for its account pursuant to this Prospectus. Broker-dealers may agree with the selling shareholders to sell a specified number of these shares at a stipulated price per share. The selling shareholders may enter into hedging transactions with broker-dealers, and in connection with those transactions, broker-dealers may engage in short sales of the shares. The selling shareholders also may sell shares short and deliver the shares to close out such short positions. The selling shareholders also may enter into option or other transactions with broker-dealers that require the delivery to the broker-dealer of the shares, which the broker-dealer may resell pursuant to this Prospectus. The selling shareholders also may pledge the shares to a broker or dealer, and upon a default, the broker or dealer may effect sales of the pledged shares pursuant to this Prospectus. Broker-dealers may receive commissions or discounts from the selling shareholders (or, if any broker-dealer cats as agent for the purchaser of shares, from the purchaser) in amounts to be negotiated. The selling shareholders do not expect these commissions and discounts to exceed what is customary in the types of transactions involved. The broker-dealer transactions may include: . purchases of the shares by a broker-dealer as principal and resales of the shares by the broker-dealer for its account pursuant to this Prospectus; . ordinary brokerage transactions; or . transactions in which the broker-dealer solicits purchasers. If a material arrangement with any broker-dealer or other agency is entered into for the sale of any shares of common stock through a block trade, special offering, exchange distribution, secondary distribution, or a purchase by a broker or dealer, a Prospectus supplement will be filed, if necessary, pursuant to Rule 424(b) under the Securities Act disclosing the material terms and conditions of these arrangements. The SEC may deem the selling shareholders and any underwriters, broker- dealers or agents that participate in the distribution of the shares of Common Stock to be "underwriters" within the meaning of the Securities Act. The SEC may deem any profits on the resale of the shares of Common Stock and any compensation received by any underwriter, broker-dealer or agent to be underwriting discounts and commissions under the Securities Act. Under the Securities Exchange Act of 1934, as amended (the "Exchange Act"), any person engaged in the distribution of the shares of Common Stock may not simultaneously engage in market-making activities with respect to Common Stock for five business days prior to the start of the distribution. In addition, each selling shareholder and any other person participating in a distribution will be subject to the 21 Exchange Act, which may limit the timing of purchases and sales of Common Stock by the selling shareholder or any other person. LEGAL OPINION The validity of the Common Stock offered hereby will be passed on for us by Holland & Knight LLP, 701 Brickell Avenue, Suite 3000, Miami, Florida 33131. EXPERTS The consolidated balance sheets of ProxyMed as of December 31, 2000 and 1999, and the related consolidated statements of operations, stockholders' equity and cash flows of ProxyMed for each of the three years in the period ended December 31, 2000, that are incorporated by reference in this Prospectus have been incorporated by reference in reliance on the report of PricewaterhouseCoopers LLP, independent accountants, given on that firm's authority as experts in accounting and auditing. 22 PART II INFORMATION NOT REQUIRED IN PROSPECTUS Item 14. Other Expenses of Issuance and Distribution. The following table sets forth the costs and expenses in connection with the sale and distribution of the securities being registered, other than underwriting discounts and commissions. All of the amounts shown are estimates except the Securities and Exchange Commission registration fee. To Be Paid By The Registrant --------------- SEC registration fee $ 854 Accounting fees and expenses 5,000 Legal fees and expenses 25,000 Miscellaneous 4,146 --------------- $ 35,000 =============== Item 15. Indemnification of Directors and Officers. Section 607.0850 of the Florida Business Corporation Act empowers a Florida corporation to indemnify any person who was or is a party to any proceeding (other than an action by or in the right of such corporation) by reason of the fact that such person is or was a director, officer, employee, or agent of such corporation, or is or was serving at the request of such corporation as a director, officer, employee or agent of another corporation, partnership, joint venture, trust or other enterprise, against liability incurred in connection with such proceeding, including any appeal thereof, if such person acted in good faith and in a manner such person reasonably believed to be in or not opposed to the best interests of the corporation, and, with respect to any criminal action or proceeding, such person had no reasonable cause to believe his conduct was unlawful. A Florida corporation may indemnify such person against expenses including amounts paid in settlement (not exceeding, in the judgment of the board of directors, the estimated expense of litigating the proceeding to conclusion) actually and reasonably incurred by such person in connection with actions brought by or in the right of the corporation to procure a judgment its favor under the same conditions set forth above, if such person acted in good faith and in a manner such person believed to be in, or not opposed to, the best interests of the corporation, except that no indemnification is permitted in respect of any claim, issue or matter as to which such person shall have been adjudged to be liable to the corporation unless and to the extent the court in which such action or suit was brought or other court of competent jurisdiction shall determine upon application that, in view of all the circumstances of the case, such person is fairly and reasonably entitled to indemnity for such expenses as the court shall deem proper. 22 To the extent such person has been successful on the merits or otherwise in defense of any action referred to above, or in defense of any claim, issue or matter therein, the corporation must indemnify such person against expenses, including counsel (including those for appeal) fees, actually and reasonably incurred by such person in connection therewith. The indemnification and advancement of expenses provided for in, or granted pursuant to, Section 607.0850 is not exclusive of any other rights to which those seeking indemnification or advancement of expenses may be entitled under the articles of incorporation of ProxyMed or any by-law, agreement, vote of shareholders or disinterested directors, or otherwise. Section 607.0850 also provides that a corporation may maintain insurance against liabilities for which indemnification is not expressly provided by the statute. Article VII of ProxyMed's Restated Articles of Incorporation and Article VII of ProxyMed's Bylaws provide for indemnification of the directors, officers, employees and agents of ProxyMed (including the advancement of expenses) to the fullest extent permitted by Florida law. In addition, ProxyMed has contractually agreed to indemnify its directors and officers to the fullest extent permitted under Florida law. ProxyMed's employment agreements with its principal executive officers limit their personal liability for monetary damages for breach of their fiduciary duties as officers and directors, except for liability that cannot be eliminated under the Florida Business Corporation Act. Item 16. Exhibits. The Exhibits to this Registration Statement are listed in the Index to the Exhibits on page 27. Item 17. Undertakings. (a) The undersigned Registrant hereby undertakes: (1) to file, during any period in which offers or sales are being made, a post-effective amendment to this Registration Statement: (i) to include any prospectus required by Section 10(a)(3) of the Securities Act of 1933; (ii) to reflect in the prospectus any facts or events arising after the effective date of the Registration Statement (or the most recent post-effective amendment thereof) which, individually or in the aggregate, represent a fundamental change in the information set forth in the Registration Statement; and (iii) to include any material information with respect to the plan of distribution not previously disclosed in the Registration Statement or any material change to such information in the Registration Statement; (2) that, for the purpose of determining any liability under the Securities Act of 1933, each such post-effective amendment shall be deemed to be a new registration statement relating to the securities offered therein, and the offering of such securities at the time shall be deemed to be the initial bona fide offering thereof; and (3) to remove from registration by means of a post- effective amendment any of the securities being registered which remain unsold at the termination of the offering. 23 (b) The undersigned Registrant hereby undertakes that, for purposes of determining any liability under the Securities Act of 1933, each filing of the Registrant's annual report pursuant to Section 13(a) or Section 15(d) of the Exchange Act of 1934 (and, where applicable, each filing of an employee benefit plan's annual report pursuant to Section 15(d) of the Exchange Act) that is incorporated by reference in the Registration Statement 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 initial bona fide offering thereof. (c) Insofar as indemnification for liabilities arising under the Securities Act of 1933 may be permitted to directors, officers and controlling persons of the Registrant pursuant to the foregoing provisions, or otherwise, the Registrant has 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 the Registrant of expenses incurred or paid by a director, officer or controlling person of the Registrant 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, the Registrant will, unless in the opinion of its counsel the matter has been settled by controlling precedent, submit to a court of appropriate jurisdiction the question whether such indemnification by it is against public policy as expressed in the Act and will be governed by the final adjudication of such issue. (d) The undersigned Registrant hereby undertakes that: (i) for the purposes of determining any liability under the Securities Act, 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 the Registrant pursuant to Rule 424(b)(1) or (4) or 497(h) under the Securities Act shall be deemed to be part of the registration statement as of the time it was declared effective; and (ii) for the purposes of determining any liability under the Securities Act, 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 initial bona fide offering thereof. 24 SIGNATURES Pursuant to the requirements of the Securities Act of 1933, the Registrant certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form S-3 and has duly caused this Registration Statement to be signed on its behalf by the undersigned, thereunto duly authorized, in the City of Fort Lauderdale, State of Florida, on June 20, 2001. PROXYMED, INC. By: /s/ Judson E. Schmid ---------------------------------- Executive Vice President, Chief Financial Officer and Treasurer 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. Signatures Title Date ---------- ----- ---- * Chairman of the Board, Chief June 20, 2001 - ---------------------------- Executive Officer and Michael K. Hoover Director * Vice-Chairman of the Board June 20, 2001 - ---------------------------- and Director Harold S. Blue * Director June 20, 2001 - ---------------------------- Edwin M. Cooperman * Director June 20, 2001 - ---------------------------- Gerald B. Cramer * Director June 20, 2001 - ---------------------------- Donald G. Drapkin * Director June 20, 2001 - ---------------------------- Michael S. Falk * Director June 20, 2001 - ---------------------------- Thomas E. Hodapp * Director June 20, 2001 - ---------------------------- Bertram J. Polan * Director June 20, 2001 - ---------------------------- Eugene R. Terry *By /s/ Frank M. Puthoff *Pursuant to Power ---------------------- of Attorney dated Frank M. Puthoff May 9, 2001. June 20, 2001 Attorney -In-Fact 26 INDEX TO EXHIBITS Exhibit No. Description of Documents ----------- ------------------------ 5.1 Opinion of Holland & Knight LLP. (1) 23.1 Consent of Holland & Knight LLP (included in the opinion filed as Exhibit 5.1). (1) 23.2 Consent of PricewaterhouseCoopers LLP. 24.1 Power of Attorney (set forth on signature page of the Registration Statement). (1) (1) Previously filed. 27