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Computer Programs and Systems

cpsi · NASDAQ Healthcare
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Ticker cpsi
Exchange NASDAQ
Sector Healthcare
Industry Medical - Healthcare Information Services
Employees 1001-5000
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FY2002 Annual Report · Computer Programs and Systems
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CPSI

Clear direction for healthcare information solutions

2002 

A N N U A L

R E P O R T

C O M P U T E R P R O G R A M S A N D S Y S T E M S ,   I N C .

Company Profile

CPSI is a leading provider of healthcare information solutions for community hospitals and has more than 450 hospital clients in
45 states.  Founded in 1979, the Company is a single source vendor providing comprehensive software and hardware products,
complemented by complete installation services and extensive support.  The Company’s fully integrated, enterprise-wide system
automates  clinical  and  financial  data  management  in  each  of  the  primary  functional  areas  of  a  hospital.    CPSI’s  staff  of
approximately  660  employees,  including  technical,  healthcare,  and  medical  professionals,  provides  system  implementation  and
continuing support services as part of a comprehensive program designed to respond to clients’ information needs in a constantly
changing healthcare environment.  For more information, visit www.cpsinet.com.

Annual Meeting

The annual meeting of stockholders will be held on May 15, 2003, at 9:00 a.m. CDT at the Mobile Convention Center, One South
Water Street, Mobile, Alabama.

CPSI 02 AR

Financial Highlights

(in thousands, except per share data)
Total revenues
Cost of sales

Gross profit

Operating expenses

Operating income

Interest income, net
Other

Net income before taxes

Provision for income taxes
Net income

Pro Forma Income Data(1)
Net income before taxes as reported
Pro forma provision for income taxes
Pro forma net income
Pro forma basic earnings per share
Pro forma diluted earnings per share
Weighted average shares outstanding:

Basic
Diluted

Y E A R S E N D E D
D E C E M B E R 31,

20 02
$ 73,744
42,925
30,819

200 1
$ 59,666
36,242
23,424

18,750

14,948

12,069
190
362
12,621
1,971
$ 10,650

$ 12,621
4,577
$ 8,044
0.80
$
0.80
$

10,024
10,062

8,476
50
154
8,680
-
$ 8,680

$ 8,860
3,231
$ 5,449
0.59
$
0.59
$

9,288
9,288

(1)Pro forma adjustments reflect the provision for income taxes as if the Company had been taxed as a C corporation for all periods presented.

$73.7

$8.0

$59.7

$50.5

$49.2

$5.6

$5.4

327

285

$32.1

$3.3

$3.1

444

400

362

9 8 9 9

0 0 0 1 0 2

9 8 9 9

0 0 0 1 0 2

9 8 9 9

0 0 0 1 0 2

R E V E N U E S

P R O F O R M A
N E T I N C O M E

H O S P I T A L
C L I E N T S

P A G E 1

CPSI 02 AR

Dear Stockholders:

CPSI’s first year as a public company has been exciting and successful.  
Our solid financial results were generated by strong operating performance, 
fiscal discipline and exceptional customers.  Throughout this annual report, we
will highlight these results.  First, I would like to introduce you to our 
company and the values that drive our business and employees.

To understand CPSI today, it is helpful to
understand our history, which we believe
is unique among information technology
vendors.    CPSI  was  founded in  Mobile,
Alabama,  in  1979.    Since  that  time,  we
into  a  leading
have  grown  steadily 
healthcare technology company that offers a
broad  range  of  sophisticated  information
technology  products  for  community
hospitals.    However,  first  and  foremost,
we  think  of  ourselves  as  a  healthcare
services  company.    We  have  built  our
business  by  focusing  on  the  unique
administrative  and  clinical  needs  of
community  hospitals,  not  by  following
trends in information technology.

CPSI’s  growth  has  been  completely
organic;  we  have  never  acquired  another
company.  Instead, we have developed all
our  software  products  internally,  based
solely  upon  the  needs  of  our  customers.
We have achieved this growth largely with
employees  who have  spent  their  entire
careers  at  CPSI.    For  example,  each
member of our management staff began at
the  Company in  an  entry-level  position,
reflecting our commitment to promoting
from  within.    Furthermore,  the  average
tenure of our seven executive officers is 14
years.  CPSI now works with 452 clients in
45  states,  and  we  service  all  of these
customers with our 660 employees who live
and work in Mobile.

We have grown by making money, not by
accumulating  debt.    We  utilize  the
industry’s  most  conservative  accounting
practices, recognizing revenue only when

we have earned it.  This is the way we have
always  operated  our  business,  and  it  is
how we plan to run it in the future.  We
are pleased that the world we now live in
is gaining some appreciation for this style
of  business  management.    For  us,  it  is
simply the way we operate. 

300 acute care beds, commonly referred to
as “community hospitals.”  These hospitals
make up more than 80% of the acute care
facilities  in  the  U.S.    For  more  than  20
years,  CPSI  has  steadfastly  focused  on
serving this large and important segment
of the healthcare industry.

2002  was  a  very  important  year  in  our
history.    In  May,  we  completed  a
successful  initial  public  offering.    Since
that time, we have continued to grow our
business in the same manner that we did
as  a  private  company.    Our  growth  is  a
result  of  our  dedication  to  offering  our
community  hospital 
a
complete  solution,  including  an  intense
commitment 
and
to 
responsiveness.    We  understand  their
business, their needs and limitations, and
they rely on us to be there for them every
day. 
  This  has  been  our  business
philosophy for over twenty years, and we
plan  to  continue  to  follow  this  strategy
going forward.  

customers 

service 

The  remainder  of  this  letter  more
completely  describes  our  business,  the
markets  we  serve,  and  our  company’s
goals for 2003 and beyond.

Our Market
Healthcare  is  the  largest  segment  in  the
U.S.  economy,  representing  over  14%  of
the gross domestic product or a staggering
one  out  of  every  seven  dollars  spent.
Hospitals account for almost one-third of
total  healthcare  spending.    CPSI’s  target
market consists of hospitals with less than

P A G E 2

Like  large  hospitals,  community  hospitals
are required to handle and process massive
amounts  of 
information  every  day,
including  patient  demographic  data,
patient charges, medical records, insurance
billing information, lab results, vital signs,
and  physician  orders,  just  to  mention  a
few.    Yet  while  hospitals  are  among  the
information,
most  prolific  users  of 
been
historically 
disproportionately 
of
information technology. 

small 

users 

have 

they 

lab,  and 

We believe this is beginning to change in a
significant way.  In particular, community
hospitals  are  seeking  to  automate  the
numerous clinical tasks they perform, from
the  pharmacy, 
radiology
departments to the nurses’ stations and the
patient bedside.  Many facilities today are
relying  on  paper-based  systems  in  these
areas,  or  they  have  in  place  stand-alone
products  that  do  not  share  information
seamlessly  with  the  core  financial  and
patient accounting systems in the hospital.
Through  automation  provided  with  a
completely  integrated  system,  they  can
eliminate the need for cumbersome paper
records that are not only inefficient, but are
also often difficult to retrieve or even lost.
Additionally, an integrated system installed

CPSI 02 AR

PRESIDENT AND CHIEF EXECUTIVE OFFICER

D A V I D   D Y E

in all of the functional areas of the hospital
can  ensure  that  information  is  centrally
stored  and  accessible 
in  real  time,
providing clinical personnel and physicians
with  immediate  access  to  patient  data
through an electronic patient record.  

Automating clinical tasks, however, is not
simply  a  matter  of  improving  efficiency
or saving time.  Sometimes, it is a matter
of  life  and  death.    According to  the  oft-
quoted  1999  report  issued  by  The
Institute  of  Medicine,  up  to  98,000
Americans  die  annually  because  of
preventable  medical  errors. 
  These
mistakes  cost  the  healthcare  industry  an
  Properly
estimated  $4.5  billion. 
implemented technology is a proven way
to  avoid 
these  costs  and,  more
importantly,  improve  the  quality  of  care
provided to the patient.

in 

investment 

the  Health 

Meanwhile, 
Insurance
Portability  and  Accountability  Act
in  1996  with
(HIPAA),  passed 
requirements phasing in now, is separately
driving 
information
technology  by  hospitals  and  other
healthcare  providers.    HIPAA  mandates
that hospitals meet higher standards when
it  comes  to  patient  privacy,  security  of
patient  data  and  electronic  transmission
of information.  Traditional paper records
cannot effectively meet these standards.

Community  hospitals  must  meet  the
same  HIPAA  regulatory  requirements  as
their larger peers, and their need to deliver
high  quality  patient  care  is  no  less

essential.    In  fact,  the  quality  of  the
services provided at community hospitals
is arguably the most important element of
their  ongoing  viability.    However,  unlike
larger  facilities,  community  hospitals
typically lack the financial and personnel
resources  to  support  a  large  information
technology  infrastructure.    They  do  not
require vendors; they need a partner.

For  452  such  hospitals,  CPSI  is  that
partner.

The CPSI Single Source Solution
information
to 
When 
comes 
it 
technology, 
access
can 
hospitals 
everything  they  need  through  a  single
phone  number:  251-639-8100.    No
other company in our field can make that
claim.  When a hospital installs the CPSI
system, we provide and support not only
the  software,  but  the  hardware  as  well.
Our  clients  never  have  to  deal  with  a
hardware  vendor  who  tells  them  the
problem lies in the software or a software
vendor  who  claims  the  problem  is  with
the  hardware.    If  there  is  a  system
problem, it is our problem, and we fix it.

Our approach to initial implementation is
equally unique.  We strive to eliminate the
hassles  traditionally  involved  in  system
conversions.    We  provide  all  forms,
supplies and other peripherals.  We install
everything.    Our  team  works  with  each
hospital for as long as it takes to convert all
relevant existing data.  We train all users,
on-site,  in  the  environment  where  they
will actually use the applications.  In stark

contrast  to  most  of  our  competitors,  a
CPSI  conversion  and  implementation  is
typically  complete  five  months  after  it
begins, not several years.

Our system is designed around our core
software modules, which includes patient
management  and  financial  accounting
software.    This  core  system  is  the
minimum we will sell to any facility and
includes  patient  registration,  charging,
insurance billing, medical records coding,
general  ledger,  accounts  payable,  payroll
and  executive  information.    Optional
add-on  applications 
include  patient
scheduling,  managed  care  tracking,
and
quality 
attendance,  human  resources,  budgeting
and materials management. 

improvement, 

time 

the 

our 

to  gain 

CPSI’s  clinical  and  patient  care  software
community  hospital
enables 
customers 
complete
advantage  of  a  fully  integrated  system.
More than one-half of our clients already
have  some  or  all  of  these  applications
installed.    The  clinical  suite  automates
record  keeping  and  reporting  for  a
number  of  busy  clinical  functions,
including  the  hospital’s  lab,  pharmacy,
and
radiology, 
therapy 
  The
respiratory  care  departments. 
patient  care  software  equips  hospitals
with  sophisticated  tools  for  entering  and
accessing  data  for  each  patient.    Nurses,
for example, can use wireless, touch-screen
devices 
signs  and
record  vital 
assessments and verify proper medication
administration  at  the  patient  bedside.

physical 

to 

P A G E 3

JANE DOE Software specialist and computer systems analyst

CPSI 02 AR

We truly believe hospitals are 
better served by our single source 
solution approach.  

Physicians  can  access  the  patient’s  chart
interactively, at the hospital and from their
home  or  office,  to  review  clinical  results
and  place  medical, 
and
medication orders.  In addition, they can
electronically  sign  these  orders  and  all
patient 
documents,
eliminating  the  need  for  the  hospital  to
maintain paper copies of these records.

transcription 

ancillary 

requires 

significant 

Some  hospitals,  especially  larger  ones,
take  a  “best  of  breed”  approach  to
information  technology,  meaning  that
they purchase a different software system
for each application.  Consequently, they
must  construct  costly 
interfaces  to
coordinate these systems.  This approach
also 
in-house
resources to maintain the various systems
and relationships with different vendors.
There  are  other  healthcare  information
technology  vendors 
a
comprehensive 
system.
However,  unlike  CPSI,  many  of  these
companies  have  built  their  systems 
and  products  through  acquisition  as
in-house  development, 
opposed 
to 
which  typically  results 
in  a  more
expensive  and  cumbersome  system  to
operate.    In  any  event,  none  of  our
competitors  offer  the  comprehensive
conversion, implementation and training,
and hardware services provided by CPSI.  

that  offer 

software 

We truly believe hospitals are better served
by  our  single  source  solution  approach.
This  is  particularly  true  for  community
hospitals  that  do  not  have  either  the
financial or personnel resources to manage

the multiple vendor relationships required
for a best of breed solution.

Business Office Outsourcing
Over  the  years,  as  we  have  continued  to
learn  about  the  challenges  faced  by
community  hospitals,  and  as 
these
hospitals have learned to rely on CPSI to
meet  all  of  their  information  technology
needs,  we  have  developed  additional
services  and  capabilities  that  add  value  to
our  customers’ business.    For  many
community  hospitals,  business  office
functions are among the most difficult to
handle  effectively. 
  They  are  time-
consuming and labor-intensive.  As a result
of  reimbursement  regulations,  third-party
billing  can  also  be  very  complex.    Most
importantly,  billing  and  collections
significantly impact cash flow and directly
affect financial performance. 

In  response  to  these  issues,  CPSI  offers
outsourced  solutions  that  address  the
business office needs of our clients.  We
found that for many of our customers, it
is  a  logical  step  to  entrust  these  tasks  to
the  company  that  already  understands
the  hospital  and  its  information  system.
In  addition,  because  we  have  the
capability  to  connect  directly  to  each
customer’s  system  through  a  virtual
private  network,  we  can  access  business
office data securely and conveniently.

For more than one-half of our customers,
CPSI  produces  and  mails  all  patient
billing statements.  If they choose, we can
also  process  electronic  billing  of

P A G E 4

insurance claims.  Some of these facilities
elect  to  outsource  their  entire  business
office,  allowing  CPSI  to  handle  all
receivables
patient 
management  utilizing  our  staff 
in
Mobile.    These  services  save  time  and
money for the hospital, enabling them to
focus on quality patient care.

billing 

and 

Business  office  outsourcing  is  a  relatively
small but growing part of our business.  It
is  extremely  significant  because  it  reflects
our commitment to service and to meeting
all the needs of our customers.  It is also a
segment of our business that we believe will
continue  to  grow  and  further  strengthen
our business and operating results.

What This Means To Our Customers –
The Service Concept
We believe that we offer the best solution
for the hospitals we serve.  However, our
most  valuable  assets  are  our  customers,
not  our  systems.    Quality  customer
the  most
service 
important single function in our business.
Based  on  the  comprehensive  scope  of
services  CPSI  provides,  our  hospital
clients  are  reliant  on  our  support  to
survive  and  prosper  in  a  difficult  and
competitive healthcare environment.  

is  undoubtedly 

Every  CPSI  customer  operates  with  the
most  up-to-date  version  of  our  software.
We  install  software  upgrades  twice  a  year
for  all  of  our  client  hospitals  at  no
additional  charge.    This  is  important  for
two reasons.  The first is that our customers
know  that  their  system  will  keep  up  with

CPSI is committed to 
technological leadership 
and the integration of proven
technologies into the CPSI
System.  We don't just 
implement change for the 
sake of change; we look for
those technologies that can
make a meaningful impact 
in the way community 
hospitals provide patient 
care. ImageLinkTM, our Picture
Archival and Communication
System (PACS), is the latest
example of that commitment.

S C O T T   L I T T R E L L

SENIOR SUPPORT REPRESENTATIVE,  PACS TECHNICAL SUPPORT

CPSI provides industry-leading support.
Our support staff includes healthcare
professionals who not only understand 
our software, but also bring real world
experience and an intimate knowledge 
of hospital departmental workflows 
and issues.  For example, Jamie draws 
on her patient care experience as a
Registered Nurse in providing 
support for our Nursing Applications. 

SENIOR SUPPORT REPRESENTATIVE,  NURSING APPLICATIONS

J A M I E   A D A M S ,   R N

CPSI 02 AR

Quality customer service is 
undoubtedly the most important 
single function in our business.  

their  needs  as  technology  improves  and
healthcare regulations change.  The second
is that we can provide better service to our
clients  since  all  of  our  employees  work  to
support the same version of the system.

over 

year, 

customer
Each 
600 
representatives  participate 
in  our
National  Users  Conference.  We  use  this
conference  to  understand  the  needs  of
our  customers  and  prioritize 
the
enhancements  we  make  to  our  system.
Over  the  years,  80%  of  our  product
enhancements have resulted directly from
this process.  This benefits CPSI not only
by building customer loyalty, but also by
assuring that our system keeps pace with
customer needs.

Our  commitment  to  service  is  further
  We
supported  by  our  employees. 
currently  maintain  more  than  one
support  person 
for  every  hospital
customer.    The  result  is  that  anytime  a
customer has a question or a problem, 24
hours a day and seven days a week, they
can  talk  to  a  CPSI  employee  who  can
help, even if that means that a member of
our  customer  support  team  gets  on  the
next  plane  and  travels  to  the  facility.
Every  employee  learns  when  hired  that
we are primarily a service company, and
their  number  one  priority  is  to  provide
exceptional customer support.

We  know  that  we  add  tangible  value  to
each hospital that we serve by helping the
hospital run its operation more smoothly
and  provide  better,  safer  care  for  its
is
patients. 

  The  dividend  to  us 

quantifiable  as  well.    In  CPSI’s  24-year
history,  we  have  lost  fewer  than  10
customers to our competitors.  This fact
supports  our  basic  philosophy:  that  by
taking care of our customers, everything
else  we  strive  for  as  a  company  will
ultimately take care of itself.

What This Means For Our
Stockholders
For the past 10 years, we have maintained
a 15-20% growth rate.  We have done so
by  consistently  adding  value  to  our
community  hospital  customers  and
understanding  their  business  and  the
challenges they face.  In 2002, we added
list  of  valued
44  hospitals  to  our 
customers. 
  We  have  continuously
enhanced our system and added products
based  on  the  needs  and  desires  of  our
clients.    As  an  example,  we  are  currently
engaged 
and
several 
development projects that hold enormous
potential  to  enhance  our  competitive
market position in the foreseeable future.
Most  notably,  our  integrated  Picture
Archiving  and  Communications  System
(PACS),  ImageLink,  is  in  the  finishing
stages,  as  we  plan  to  release  this
application  by  the  end  of  2003.    This
product will allow our hospital customers
to  view  and  store  radiology  images  in  a
digital  form,  eliminating  the  need  to
maintain cumbersome and expensive film-
based images. 

research 

in 

our current 452 hospital clients, only 150
utilize  the  complete  CPSI  software
application  suite.    We  believe,  and  our
trends  support,  that  as  our  customers
grow  and  understand  the  value  that  we
can  add  to  their  business,  they  will
choose 
the
additional products and services we offer.

take  advantage  of 

to 

The hospitals in the market we serve are
now  living  in  a  regulatory  and  financial
environment  that  demands  improved
operating  efficiency,  reduced  clinical
errors  and  properly  secured  confidential
patient  data.    All  of  these  requirements
simply  enhance  the  value  that  we  can
provide  to  our  customers.    While  these
issues affect all hospitals, we believe that
they  are  particularly 
important  to
community  hospitals  because  of  their
limited  financial  and  human  resources.
We  believe  our  approach  and  our
products  make  CPSI  the  best  solution 
for  the  largest  segment  of  the  U.S.
hospital market.

We  are  optimistic  about  our  future.    By
operating  our  business  in  the  same
manner that we have in the past, we are
confident  that  we  will  continue  to  grow
and  serve  the  best  interests  of  our
customers and stockholders.

Not  only  do  we  have  significant  growth
opportunities in our market, we also have
significant  growth  opportunities  from
within  our  existing  customer  base.    Of

David A. Dye
President and Chief Executive Officer

P A G E 7

CPSI 02 AR

Selected Financial Data

(in thousands, except for share and per share data)
INCOME DATA:
Total sales revenues
Total costs of sales
Gross profit
Total operating expenses
Operating income
Total other income
Income before taxes (1)
Income taxes
Net income

Net income per share - basic
Net income per share - diluted

Weighted average shares outstanding:

Basic
Diluted

Pro forma income data (2):

Historical income before

provision for income taxes

Pro forma income taxes
Pro forma net income

Pro forma net income per share:

Basic
Diluted

(in thousands)
BALANCE SHEET DATA:
Cash and cash equivalents
Working capital
Total assets
Total current liabilities
Note payable
Total stockholders' equity

Y E A R S E N D E D D E C E M B E R 31 ,

20 02

20 01

2000

1 9 99

1 998

$ 73,744
42,925
30,819
18,750
12,069
552
12,621
1,971
$ 10,650

$
$

1.06
1.06

$ 59,666
36,242
23,424
14,948
8,476
204
8,680
-
$ 8,680

$
$

0.93
0.93

$ 49,222
31,487
17,735
13,080
4,655
236
4,891
-
$ 4,891

$
$

0.53
0.53

$ 50,530
29,895
20,635
11,894
8,741
196
8,937
-
$ 8,937

$
$

0.96
0.96

$ 32,150
19,170
12,980
7,832
5,148
161
5,309
-
$ 5,309

$
$

0.57
0.57

10,024,438
10,061,765

9,288,000
9,288,000

9,288,000
9,288,000

9,288,000
9,288,000

9,288,000
9,288,000

$ 12,621
4,577
$ 8,044

$ 8,680
3,231
$ 5,449

$ 4,891
1,826
$ 3,065

$ 8,937
3,324
$ 5,613

$ 5,309
1,982
$ 3,327

$
$

0.80
0.80

$
$

0.59
0.59

$
$

0.33
0.33

$
$

0.60
0.60

$
$

0.36
0.36

20 02

20 01

A S O F D E C E M B E R 31 ,
2000

1 9 99

1 998

$ 6,352
14,812
28,909
8,430
-
20,479

$ 2,019
5,667
17,251
6,551
664
10,036

$ 1,033
4,658
14,515
5,810
749
7,956

$

980
6,735
14,374
4,421
889
9,065

$

715
4,634
7,691
1,453
-
6,239

(1) CPSI operated as an S corporation through May 20, 2002 and, as such, was not subject to federal and certain state income taxes.
(2)Pro forma information reflects the provision for income taxes that would have been recorded had CPSI been a C corporation during all of the periods presented.

P A G E 8

Management’s Discussion and Analysis

CPSI 02 AR

You  should  read  the  following  discussion  of  our  financial  condition  and  results  of  operations  in  conjunction  with  “Selected
Financial Data” and our financial statements and the related notes included elsewhere in this Annual Report. This discussion and
analysis  contains  forward-looking  statements  that  involve  risks,  uncertainties  and  assumptions.  Our  actual  results  may  differ
materially from those anticipated in these forward-looking statements as a result of many factors, including but not limited to those
set forth under “Risk Factors” in our Annual Report on Form 10-K filed with the Securities and Exchange Commission. 

Overview
2002 was a very important year in our history.  In May, we completed our initial public offering, and despite a tough market and
economy, we have continued to perform well.  During 2002, we continued to grow our business by adding approximately 50 new
customers.  We also expanded product sales to our existing customer base.  These sales together with our other products and services
produced record revenues in 2002 in the amount of $73.7 million. 

We strive to consistently add value to our community hospital customers and understand their business and the challenges they
face.  We have continuously enhanced our system and added products based on the needs and desires of our customers.  As an
example, in 2002 we entered the final development stages for our ImageLink radiology image management product and a new
product designed to enhance patient charting procedures for medical practices.  These new products reflect our commitment to
remain at the forefront of healthcare technology for the benefit of our customers.

We continue to implement our strategy of offering a complete solution to our community hospital customers with a commitment
to service and responsiveness.  We understand their business, needs and limitations, and they rely on us to be there for them every
day.  This has been our strategy for over twenty years, and we plan to continue to follow this same strategy going forward. 

Background
CPSI  was  founded  in  1979  and  specializes  in  delivering  comprehensive  healthcare  information  systems  and  related  services  to
community hospitals. Our systems and services are designed to support the primary functional areas of a hospital and to enhance
access to needed financial and clinical information. Our comprehensive system enables healthcare providers to improve clinical,
financial and administrative outcomes. Our products and services provide solutions in key areas, including patient management,
financial management, patient care and clinical, enterprise and office automation.

We sell a fully integrated, enterprise-wide financial and clinical hospital information system comprised of all necessary software,
hardware,  peripherals,  forms  and  office  supplies,  together  with  comprehensive  customer  service  and  support.  We  also  offer
outsourcing services, including electronic billing submissions, patient statement processing and business office functions, as part of
our overall information system solution.

We have achieved a compounded annual growth rate in revenues of approximately 25.0% over the past five years. We have achieved
year-to-year revenue growth in each of the last five years except 2000, when hospitals decreased technology spending following
increased spending in 1999 and earlier years to address the year 2000 issue. Our system currently is installed and operating in over
450 hospitals in 45 states and the District of Columbia. Our customers historically have consisted of community hospitals with
100 or fewer acute care beds. However, we also serve and are targeting for growth the market consisting of hospitals with 100 to
300 acute care beds.

Revenues
System Sales.  Revenues from system sales are derived from the sale of information systems (including software, conversion and
installation services, hardware, peripherals, forms and office supplies) to new customers and from the sale of new or additional
products to existing customers. We do not record revenue upon execution of a sales contract. Upon signing a contract to purchase
a system from us, each customer pays a non-refundable 10% deposit that is recorded as deferred revenue. The customer then pays
40% of the purchase price for the software and the related installation, training and conversion when we install the system and
commence  training  on-site  at  the  customer's  facility,  which  is  likewise  recorded  as  deferred  revenue.  When  the  system  begins
operating in a live environment, the remaining 50% of the system purchase price is payable, and we recognize revenue for the total
amount  of  the  purchase  price  for  software  and  related  services.  Revenues  derived  from  installation  of  additional  software
applications are generally recognized upon installation. Revenues from the sale of hardware, forms and supplies are recognized upon
the shipment of the product to the customer.

P A G E 9

Management’s Discussion and Analysis

CPSI 02 AR

Support and Maintenance. We also derive revenues from the provision of system support services, including software application
support, hardware maintenance, continuing education and related services. Support services are provided pursuant to a support
agreement under which we provide comprehensive system support and related services in exchange for a monthly fee based on the
services provided. The initial term of these contracts ranges from one to seven years, with a typical duration of five years. Upon
expiration of the initial term, these contracts renew automatically from year-to-year thereafter until terminated. Revenues from
support services are recognized in the month when these services are performed.

We provide our products to some customers as an application service provider, or “ASP.” We provide ASP services on a remote access
basis  by  storing  and  maintaining  servers  at  our  headquarters  which  contain  customers'  patient  and  administrative  data.  These
customers then access this data remotely in exchange for a monthly fee. In addition, as part of our total information solution, we
also serve as an Internet service provider, or “ISP,” for some of our customers for a monthly fee. We also provide web-site design and
hosting services if needed. Revenues from our ASP and ISP services are recognized in the month when these services are delivered. 

Outsourcing Revenues.  We began offering outsourcing services in January 1999. Revenues from outsourcing services have increased
rapidly since that time. We expect outsourcing revenues to continue to grow at a faster rate than our systems and services revenues.
Our  outsourcing  services  include  electronic  billing,  statement  processing  and  business  office  outsourcing  (primarily  accounts
receivable management). All of these outsourcing services are sold pursuant to one year customer agreements, with automatic one
year renewals until terminated. Revenues from outsourcing services are recognized when these services are performed.

Costs of Sales
System Sales. The principal costs associated with the design, development, sale and installation of our systems are employee salaries,
benefits, travel expenses and certain other overhead expenses. For the sale of equipment we incur costs to acquire these products
from the respective distributors or manufacturers, as the case may be. Costs are deferred and recognized as an expense at the time
the related revenues are recognized on a completed contract basis. However, at December 31, 2000, 2001 and 2002, no system
sales related costs were deferred as all contracts were deemed to be substantially complete, or such amounts were not considered to
be material. 

Support and Maintenance.  The principal costs associated with our system support and maintenance services are employee salaries,
benefits and certain other overhead expenses. Costs are expensed as incurred and are not deferred. 

We  have  the  same  employee  groups  providing  both  system  installations  and  support  and  maintenance  services.  Salary  related
expenses are allocated between cost of system sales and cost of support and maintenance services based upon an estimate of the
percentage of time employees spend performing each function. 

Outsourcing.  The principal cost related to our statement outsourcing is postage. The principal cost related to our electronic billing
outsourcing is long distance telecommunication fees. Employee salaries, benefits, supplies and forms are additional significant costs
associated with our outsourcing services. Costs are expensed as incurred and are not deferred.

P A G E 10

Management’s Discussion and Analysis

CPSI 02 AR

Results of Operations
The following table sets forth certain items included in our results of operations for each of the three years in the period ended
December 31, 2002, expressed as a percentage of our total revenues for these periods:

(dollars in thousands)
INCOME DATA:
Sales revenues:
System sales
Support and maintenance
Outsourcing
Total sales revenues

Costs of sales:
System sales
Support and maintenance
Outsourcing
Total costs of sales
Gross profit

Operating expenses:

Sales and marketing
General and administrative

Total operating expenses
Operating income

Other income (expense):

Interest income
Miscellaneous income
Interest expense
Total other income

Income before taxes
Income taxes

20 02

Y E A R S E N D E D D E C E M B E R 31 ,
2 001

2 00 0

A M O U N T

%
S A L E S

A M O U N T

%
S A L E S

A M O U N T

%
S A L E S

$ 38,309
30,246
5,189
73,744

51.9% $ 30,350
25,823
41.0
3,493
7.0
59,666
100.0

50.8% $ 25,737
21,123
43.3
2,362
5.9
49,222
100.0

52.3%
42.9
4.8
100.0

25,838
13,905
3,182
42,925
30,819

5,933
12,817
18,750
12,069

214
362
(24)
552

12,621
1,971

35.0
18.9
4.3
58.2
41.8

8.0
17.4
25.4
16.4

0.3
0.4
0.0
0.7

17.1
2.7

22,499
11,634
2,109
36,242
23,424

5,105
9,843
14,948
8,476

126
154
(76)
204

8,680
-

37.7
19.5
3.5
60.7
39.3

8.6
16.5
25.1
14.2

0.2
0.2
(0.1)
0.3

14.5
-

20,198
9,781
1,508
31,487
17,735

4,477
8,603
13,080
4,655

91
214
(69)
236

4,891
-

41.0
19.9
3.1
64.0
36.0

9.1
17.5
26.6
9.4

0.2
0.4
(0.1)
0.5

9.9
-

Net income

$ 10,650

14.4% $ 8,680

14.5% $ 4,891

9.9%

2001 Compared to 2002 
Revenues. Total revenues increased by 23.6% or $14.0 million from $59.7 million for 2001 to $73.7 million for 2002.

System sales revenues increased by 26.2% or $7.9 million from $30.4 million in 2001 to $38.3 million in 2002. The increase in
system sales revenue was attributable to an increase in the number and size of new customer installations. No costs relating to
system sales were deferred under our completed contract method of accounting at December 31, 2002 or 2001 as all contracts were
deemed to be substantially complete.  

Support and maintenance revenues increased by 17.1% or $4.4 million from $25.8 million in 2001 to $30.2 million in 2002.  The
increase in support and maintenance revenues was attributable to an increase in recurring revenues as a result of a larger customer
base, as well as an increase in ASP and ISP services volume.

P A G E 11

Management’s Discussion and Analysis

CPSI 02 AR

Outsourcing revenues increased by 48.6% or $1.7 million from $3.5 million in 2001 to $5.2 million in 2002. We experienced an
increase  in  outsourcing  revenues  as  a  result  of  continued  growth  in  customer  demand  for  electronic  billing  and  statement
outsourcing services. We initiated business office outsourcing services during the first quarter of 2002 and were providing services
to four customers at December 31, 2002.

Costs of Sales. Total costs of sales increased by 18.4% or $6.7 million from $36.2 million in 2001 to $42.9 million in 2002. As a
percentage of revenues, cost of sales decreased from 60.7% for 2001 to 58.2% for 2002.

Cost of system sales increased by 14.7% or $3.3 million from $22.5 million for 2001 to $25.8 million for 2002. This increase was
caused primarily by an increase in travel expenses of $0.8 million as a direct result of larger system installations requiring larger
installation teams. Additionally, payroll related expenses increased $1.4 million as a result of increased employee headcount needed
to support increasing sales volume. Cost of equipment also increased by $1.1 million as a direct result of our increase in system
sales. The gross margin on system sales increased from 25.9% for 2001 to 32.6% for 2002. The increase in gross margin was due
to an increase in the average size of systems installed in 2002 over 2001.

Cost of support and maintenance increased by 19.8% or $2.3 million from $11.6 million for 2001 to $13.9 million for 2002. This
increase was caused primarily by an increase in payroll related expenses of $2.0 million as a result of increased employee headcount
needed  to  support  our  increasing  customer  base.  Also,  telecommunication  expenses  increased  $0.3  million  due  to  increased
utilization of our ISP services.  The gross margin on support and maintenance revenues decreased from 54.9% for 2001 to 54.0%
for 2002.  The decrease in the gross margin was primarily due to the addition of customer support personnel necessary for the
planned expansion of our customer base.

Our costs associated with outsourcing services increased 52.3% or $1.1 million from $2.1 million in 2001 to $3.2 million in 2002.
Salary expense increased $0.5 million due to the hiring of additional employees to support our business office outsourcing services.
Postage cost increased $0.5 million and cost of forms increased $0.1 million as a result of an increase in transaction volumes of our
statement outsourcing services.

Sales and Marketing Expenses.  Sales and marketing expenses increased 15.7% or $0.8 million from $5.1 million in 2001 to $5.9
million in 2002.  The increase was attributable to increased commission expense of $0.8 million that resulted from increased sales
volumes.

General and Administrative Expenses. General and administrative expenses increased by 30.2% or $3.0 million from $9.8 million
for 2001 to $12.8 million for 2002.  The increase was due primarily to increases in employee related expenses of $1.1 million as a
result of an increase in employees from 548 at December 31, 2001 to 650 at December 31, 2002. Additional expense increases,
which resulted from our continued growth, were $0.2 million for depreciation, $0.2 million for telecommunications, $0.2 million
for facilities rent and $0.6 million related to bad debts. We have also experienced increased expenses of $0.7 million in professional
fees, investor relations and directors’ fees, which resulted from becoming a public company.  

As a result of the foregoing factors, net income before taxes increased by 44.8% or $3.9 million from $8.7 million for 2001 to
$12.6 million for 2002.

2000 Compared to 2001
Revenues. Total revenues increased by 21.2% or $10.5 million from $49.2 million in 2000 to $59.7 million in 2001.

System sales revenues increased by 17.9% or $4.7 million from $25.7 million in 2000 to $30.4 million in 2001. The increase in
system sales revenues was attributable to an increase in the number and size of new customer installations.

Support and maintenance revenues increased by 22.2% or $4.7 million from $21.1 million in 2000 to $25.8 million in 2001. The
increase in support and maintenance revenues was attributable to recurring revenues received from an increasing customer base and
the commencement of ASP services. 

Outsourcing revenues increased by 47.9% or $1.1 million from $2.4 million in 2000 to $3.5 million in 2001. We experienced an
increase  in  outsourcing  revenues  as  a  result  of  continued  growth  in  customer  demand  for  billing  and  administrative  support
services. We expect outsourcing revenues to continue to grow at a faster rate than systems and services revenues.

P A G E 12

Management’s Discussion and Analysis

CPSI 02 AR

Costs of Sales. Total costs of sales increased by 15.1% or $4.7 million from $31.5 million in 2000 to $36.2 million in 2001. As a
percentage of revenues, costs of sales changed from 64.0% in 2000 to 60.7% in 2001.

Cost of system sales increased by 11.4% or $2.3 million from $20.2 million in 2000 to $22.5 million in 2001. This increase was
caused primarily by increased salary expense of $1.0 million due to increased headcount needed to accommodate the increased
number of system installations. We also experienced an increase in travel expense of $0.7 million as a result of the increase in the
number  of  system  installations  in  2001  over  2000,  and  a  related  increase  in  customer  training  requirements.  Our  equipment
expense increased by $0.8 million as a direct result of our increased system sales. The gross margin on system sales increased from
21.5% in 2000 to 25.9% in 2001. The increase in the gross margin was primarily due to the increase in software license revenues
and custom programming revenues, both of which have a higher profit margin than hardware sales.

Cost of support and maintenance increased by 19.0% or $1.8 million from $9.8 million in 2000 to $11.6 million in 2001. This
increase was caused primarily by increased salary expense of $1.0 million due to increased headcount needed to adequately support
our increasing customer base. Telecommunications expenses increased by $0.3 million which resulted from the commencement of
ASP and ISP services. The gross margin on support and maintenance revenues increased from 53.7% in 2000 to 54.9% in 2001.
The increase in the gross margin was primarily due to the increasing customer base for which we provide support. 

Our costs associated with outsourcing services increased significantly due to an increase in postage costs of $0.4 million resulting
from an increase in the transaction volumes of our statement processing services. Salary costs also increased by $0.1 million due to
the hiring of new employees in this area. 

Sales and Marketing Expenses.  Sales and marketing expenses increased by 14.0% or $0.6 million from $4.5 million in 2000 to
$5.1 million in 2001. As a percentage of total revenues, sales and marketing expenses changed from 9.1% in 2000 to 8.6% in 2001.
The increase in expenses was due in part to increased travel expenses of $0.3 million and the increase in costs associated with the
addition of sales and marketing personnel and increased sales commissions of $0.2 million. We expect sales and marketing expense
to  continue  to  increase  on  an  absolute  basis  as  our  business  continues  to  grow. We  expect  much  of  the  increase  to  come  from
increases in the number of employees.

General and Administrative Expenses. General and administrative expenses increased by 14.4% or $1.2 million from $8.6 million
in 2000 to $9.8 million in 2001. As a percentage of total revenues, general and administrative expenses changed from 17.5% in
2000 to 16.5% in 2001. The increase in expenses was due to increased costs of $0.3 million associated with pay raises for existing
employees and the hiring of additional employees to support the growth in our business and an increase of $0.5 million in our
insurance related costs. The remainder of the increase is primarily attributable to increased depreciation and telecommunications
expenses. We expect general and administrative expenses to increase as a result of our becoming a public company.

As a result of the foregoing factors, net income increased by 77.5% or $3.8 million from $4.9 million in 2000 to $8.7 million in
2001. Pro forma net income, which reflects a pro forma tax provision as if we had been a C corporation, increased by 77.8% or
$2.3 million from $3.1 million in 2000 to $5.4 million in 2001.

Liquidity and Capital Resources
As of March 17, 2003, we had $6.1 million in cash and cash equivalents.  This cash reserve plus cash generated from our normal
operating activities should be adequate to fund our business for the foreseeable future. Our principal source of liquidity has been
cash  provided  by  operating  activities.  Cash  provided  by  operating  activities  has  been  used  primarily  to  fund  the  growth  in  our
business  and,  prior  to  our  IPO,  to  pay  S  corporation  distributions  to  our  stockholders.  We  paid  approximately  monthly  cash
distributions to our stockholders in the aggregate amounts of $6.0 million, $6.6 million and $16.9 million in the years ended
December 31, 2000, 2001 and 2002, respectively. We have not declared any dividends since our IPO in May 2002.  While there
is no assurance that dividends will be declared or paid in the future, to the extent that we generate cash in excess of our operating
needs, the Board of Directors from time to time will consider paying cash dividends to holders of our common stock.

P A G E 13

Management’s Discussion and Analysis

CPSI 02 AR

On May 24, 2002, we completed an initial public offering (“IPO”) of 3,000,000 shares of our common stock.  Of the shares
offered, 1,200,000 shares were sold by the Company, and 1,800,000 shares (plus the 450,000 over-allotment option shares) were
sold  by  certain  stockholders. The  amount  of  aggregate  gross  proceeds  from  the  shares  of  common  stock  sold  by  us  was  $19.8
million.  The net proceeds to us from the offering were approximately $16.9 million after deducting the underwriting discount of
$1.4 million and $1.5 million in other expenses incurred in connection with the offering.  We used approximately $14.3 million
of  these  proceeds  to  fund  distributions  to  our  pre-IPO  stockholders  in  connection  with  the  distribution  of  previously  taxed  S
corporation income.

Net cash provided by operating activities totaled $7.6 million, $9.0 million and $7.0 million for the years ended December 31, 2000,
2001 and 2002, respectively. The increase in cash provided by operating activities from 2000 to 2001 was the result of the increase in
net income and working capital.  The decrease in cash provided by operating activities from 2001 to 2002 was primarily related to an
increase in accounts receivable.  Upon the completion of our IPO, we converted from an S corporation to a C corporation for tax
purposes. As a result, some of our cash provided by our operating activities is now required to pay taxes on our income.

Net cash used in investing activities totaled $1.4 million, $1.3 million and $1.9 million for the years ended December 31, 2000,
2001 and 2002, respectively.  In each of those years we used cash for the purchase of property and equipment. 

Net cash used in financing activities totaled $6.1 million, $6.7 million and $0.7 for the years ended December 31, 2000, 2001 and
2002,  respectively.    During  2002,  we  received  $16.9  million  as  net  proceeds  from  our  IPO.    Prior  to  the  IPO,  we  made  cash
distributions to our stockholders in the amount of $2.6 million.  From the IPO proceeds, we made additional cash distributions
to  our  pre-IPO  stockholders  in  the  amount  of  $14.3  million  for  previously  taxed  S  corporation  income.    We  anticipate  an
additional cash distribution to these stockholders of approximately $0.3 million prior to the filing of our 2002 tax returns.  We
intend to use the remainder of the IPO proceeds for working capital purposes.  We also retired outstanding long-term debt in the
amount of $0.7 million.  During 2001 and 2000, we used cash primarily to pay cash distributions to our stockholders.

Our days sales outstanding for the years ended December 31, 2000, 2001 and 2002 were 52.5, 41.7 and 56.8, respectively.

We currently do not have a bank line of credit or other credit facility in place. Because we have no debt, we will not be subject to
contractual restrictions or other influences on our operations, such as payment demands and restrictions on the use of operating
funds, that are typically associated with debt. If we borrow money in the future, we will likely be subject to operating and financial
covenants that could limit our ability to operate as profitably as we have in the past. Defaults under applicable loan agreements
could result in the demand by lenders for immediate payment of substantial funds and substantial restrictions on expenditures,
among other things.

Related Party Transactions
We lease the majority of our corporate headquarters campus from CP Investments, Inc., an Alabama corporation, the stockholders
of which are John Morrissey, John Heyer, Bob O'Donnell, Elissa Stillings, Kevin P. Wilkins, Tabitha M. Wilkins Olzinski, Ellen
M. Harvey, Michael K. Muscat, Jr. and Susan M. Slaton. All of these individuals are either stockholders of CPSI, or, in the case of
Ms. Stillings, the spouse of a stockholder.  Prior to January 31, 2003, M. Kenny Muscat and Dennis Wilkins were officers and
directors of CP Investments, Inc.  In 2002, we paid total lease payments in the amount of $1,083,225 to CP Investments, Inc.
During  2002,  we  entered  into  three  new  leases  with  CP  Investments,  Inc.,  all  of  which  expire  in  2012.  Under  these  lease
agreements, we make annual lease payments in the aggregate amount of $1,224,000, subject to annual adjustment based on the
Consumer Price Index.  The annual rents payable under these leases have been determined by an independent, third-party appraisal
firm.  The lease agreements provide for a subsequent third party appraisal of the rental amounts at the conclusion of the fifth year
of each lease.

We lease the remainder of our headquarters facilities, which is comprised of one building that houses our dedicated research and
development staff, from DJK, LLC, a limited liability company owned by Dennis Wilkins. On April 1, 2002, we entered into a
lease for this facility that expires in April 2012. Prior to that time we paid only the expenses associated with the building. In 2002,
we  paid  total  lease  payments  in  the  amount  of  $29,250  to  DJK,  LLC.    Under  the  lease  agreement,  we  will  make  annual  lease
payments in the amount of $39,000, subject to annual adjustment based on the Consumer Price Index.  The annual rent payable
under this lease has been determined by an independent, third-party appraisal firm.  The lease agreement provides for a subsequent
third party appraisal of the rental amount at the conclusion of the fifth year of the lease.

P A G E 14

Management’s Discussion and Analysis

CPSI 02 AR

In July 1999 and May 2001, certain of our stockholders sold an aggregate of 904,750 shares (after considering the effect of the 430
for 1 stock split) to seven of our executive officers for cash in the aggregate amount of approximately $8.5 million. The executive
officers financed 100% of the aggregate purchase price with individual loans from AmSouth Bank and pledged their shares of stock
as collateral. Simultaneously with such financings, we entered into agreements with AmSouth Bank to purchase from AmSouth
any such loan if (i) an officer's employment with us is terminated for any reason, (ii) an officer defaults on his or her loan or pledge
agreement  or  (iii)  our  financial  condition  deteriorates  below  certain  defined  parameters.  We  terminated  these  loan  purchase
agreements with AmSouth in connection with our IPO. 

Contractual Commitments
Our related party real estate leases are our principal contractual commitments requiring recurring payments in the future. Our
payments under these leases subsequent to December 31, 2002 will be as follows:

Y E A R
2003
2004
2005
2006
2007
Thereafter
Total

A M O U N T
$ 1,263,000
1,263,000
1,263,000
1,263,000
1,263,000
5,445,750
$ 11,760,750

Critical Accounting Policies
General. Our discussion and analysis of our financial condition and results of operations are based on our financial statements,
which have been prepared in accordance with generally accepted accounting principles. We are required to make some estimates
and  judgments  that  affect  the  preparation  of  these  financial  statements. We  base  our  estimates  on  historical  experience  and  on
various  other  assumptions  that  we  believe  to  be  reasonable  under  the  circumstances,  but  actual  results  may  differ  from  these
estimates under different assumptions or conditions.

Revenue  Recognition. We  recognize  revenue  in  accordance  with  SEC  Staff  Accounting  Bulletin  No.  101  (SAB  101),  Revenue
Recognition  in  Financial  Statements,  as  amended  by  SAB  101A  and  101B  and  the  American  Institute  of  Certified  Public
Accountants Statement of Position (SOP) 97-2, Software Revenue Recognition. SAB 101 and SOP 97-2 require that four basic
criteria must be met before revenues can be recognized: (1) persuasive evidence that an arrangement exists; (2) delivery has occurred
or services have been rendered; (3) the fee is fixed and determinable; and (4) collectibility is reasonably assured. Determination of
criteria (3) and (4) are based on our judgment regarding the fixed nature of the fee charged for services rendered and products
delivered  and  the  collectibility  of  those  fees.  Should  changes  in  conditions  cause  us  to  determine  these  criteria  are  not  met  for
certain future transactions, revenues recognized for any reporting period could be adversely affected. 

Backlog
Backlog consists of revenues we reasonably expect to recognize over the next twelve months under existing contracts. The revenues
to be recognized may relate to a combination of one-time fees for system sales, and recurring fees for support, outsourcing, ASP
and ISP services. As of December 31, 2002, we had a twelve-month backlog of approximately $18.8 million in connection with
non-recurring  system  purchases  and  approximately  $39.5  million  in  connection  with  recurring  payments  under  support,
outsourcing, ASP and ISP contracts.

Qualitative and Quantitative Disclosures About Market and Interest Rate Risk 
We  reduce  the  sensitivity  of  our  results  of  operations  to  market  risks  related  to  changes  in  interest  rates  by  maintaining  an
investment  portfolio  comprised  solely  of  highly  rated,  short-term  investments.  We  do  not  hold  or  issue  derivative,  derivative
commodity instruments or other financial instruments for trading purposes. We are not exposed to currency exchange fluctuations,
as we do not sell our products internationally, and we currently have no exposure to equity price risks. 

P A G E 15

Management’s Discussion and Analysis

CPSI 02 AR

Recent Accounting Pronouncements 
In June 2001, the Financial Accounting Standards Board issued SFAS No. 143, Accounting for Asset Retirement Obligations. SFAS
No. 143 addresses financial accounting and reporting for obligations associated with the retirement of tangible long-lived assets
and the associated asset retirement costs. It applies to legal obligations associated with the retirement of long-lived assets that result
from the acquisition, construction, development and/or the normal operation of a long-lived asset, except for certain obligations
of lessees. SFAS No. 143 is effective for financial statements issued for fiscal years beginning after June 15, 2002. We believe the
adoption of SFAS No. 143 will not have a material effect on our financial position or results of operations. 

In July 2002, the FASB issued SFAS No. 146, Accounting for Costs Associated with Exit or Disposal Activities. SFAS No. 146 addresses
significant issues regarding the recognition, measurement, and reporting of costs that are associated with exit and disposal activities,
including restructuring activities that are currently accounted for pursuant to the guidance set forth in EITF No. 94-3, Liability
Recognition for Certain Employee Termination Benefits and Other Costs to Exit an Activity. SFAS No. 146 revises the accounting for
certain lease termination costs and employee termination benefits, which are generally recognized in connection with restructuring
activities.  The  adoption  of  SFAS  No.  146  is  not  expected  to  have  any  effect  on  the  Company’s  financial  position,  results  of
operations or cash flows.

On December 31, 2002, the FASB issued SFAS No. 148, Accounting for Stock-Based Compensation—Transition and Disclosure.
SFAS No. 148 amends SFAS No. 123, Accounting for Stock-Based Compensation, to provide alternative methods of transition to
SFAS  No.  123’s  fair  value  method  of  accounting  for  stock-based  employee  compensation.  SFAS  No.  148  also  amends  the
disclosure  provisions  of  SFAS  No.  123  and  APB  Opinion  No.  28,  Interim  Financial  Reporting,  to  require  disclosure  in  the
summary  of  significant  accounting  policies  of  the  effect’s  of  an  entity’s  accounting  policy  with  respect  to  stock-based
compensation. While the statement does not amend SFAS No. 123 to require companies to account for employee stock options
using the fair value method, the disclosure provisions of SFAS No. 148 are applicable to all companies with stock-based employee
compensation, regardless of whether they account for that compensation using the fair value method of SFAS No. 123 or the
intrinsic value method of Opinion 25.

Dividends
During 2001, we paid monthly cash distributions to our stockholders in the aggregate amount of $6.6 million.  During 2002, we
paid  a  total  of  $16.9  million  to  our  pre-IPO  stockholders  in  connection  with  the  IPO  and  our  related  conversion  from  an  S
corporation to a C corporation.

We have not declared any dividends since our IPO in May 2002.  To the extent that we generate cash in excess of our operating
needs, the Board of Directors from time to time will consider paying cash dividends to holders of our common stock.  Any decision
to pay dividends will depend upon many factors including our financial condition and earnings, cash needed to fund future growth
and legal requirements.  Accordingly, there is no assurance that dividends will be declared or paid in the future.

Change of Independent Auditors
On December 14, 2001, the Company selected Ernst & Young LLP as its independent auditors in connection with the Company’s
decision to pursue an initial public offering.  Wilkins Miller, P.C., or its predecessors, which had been the Company’s independent
accountants  prior  to  2001,  declined  to  stand  for  re-election  because  it  does  not  audit,  as  a  matter  of  practice,  the  financial
statements of publicly held companies. In connection with the audits by Wilkins Miller, P.C. of the Company’s financial statements
and schedule for the years ended December 31, 1999 and 2000, there were no disagreements with Wilkins Miller, P.C. on any
matter  of  accounting  principles  or  practices,  financial  statement  disclosure,  or  auditing  scope  or  procedure,  nor  any  reportable
events. The reports of Wilkins Miller, P.C. on the financial statements and schedule for the years ended December 31, 1999 and
2000 contained no adverse opinion or disclaimer of opinion and were not qualified or modified as to uncertainty, audit scope or
accounting principle. The decision to change auditors was approved by the Company’s Board of Directors. Prior to the engagement
of Ernst & Young LLP, neither the Company, nor someone on its behalf, consulted Ernst & Young LLP on the application of
accounting principles or on the type of audit opinion that might be rendered on the Company’s financial statements. 

P A G E 16

CPSI 02 AR

Balance Sheets

Assets
Current assets:

Cash and cash equivalents
Accounts receivable, net of allowance for doubtful accounts

of $768,000 and $532,000, respectively

Financing receivables, current portion
Inventories
Deferred tax assets
Prepaid expenses

Total current assets

Property and equipment:

Land
Maintenance equipment
Computer equipment
Office furniture and equipment
Automobiles

Less accumulated depreciation
Net property and equipment
Financing receivables

Total assets

Liabilities and Stockholders' Equity
Current liabilities:

Current portion of note payable
Accounts payable
Deferred revenue
Sales, income and use taxes payable
Accrued vacation
Accrued stockholders' distribution
Other accrued liabilities
Income taxes payable

Total current liabilities

Note payable

Stockholders' equity:

Common stock, par value $0.001 per share; 30,000,000
shares authorized; 10,488,000 and 9,288,000 shares
issued and outstanding, respectively

Additional paid-in capital
Deferred compensation
Retained earnings

Total stockholders' equity

Total liabilities and stockholders' equity

See accompanying notes.

P A G E 17

D E C E M B E R 31 ,
20 02

D E C E M B E R 31,
2 001

$ 6,352,452

$ 2,018,643

12,598,511
1,341,047
1,615,312
1,006,470
327,533
23,241,325

936,026
2,679,766
3,486,030
1,023,771
89,934
8,215,527
(3,388,704)
4,826,823
840,603
$ 28,908,751

$

-
2,093,812
2,347,816
1,258,553
1,317,247
250,000
968,741
193,546
8,429,715
-

8,107,467
769,423
1,126,353
-
196,276
12,218,162

936,026
2,114,224
2,906,476
793,576
89,934
6,840,236
(2,805,709)
4,034,527
998,797
$ 17,251,486

$

86,185
1,033,349
1,601,130
1,879,939
1,075,450
-
875,339
-
6,551,392
663,712

10,488
17,259,403
(225,423)
3,434,568
20,479,036
$ 28,908,751

9,288
109,811
-
9,917,283
10,036,382
$ 17,251,486

CPSI 02 AR

Statements of Income

Sales revenues:
System sales
Support and maintenance
Outsourcing
Total sales revenues

Costs of sales:
System sales
Support and maintenance
Outsourcing
Total costs of sales
Gross profit

Operating expenses:

Sales and marketing
General and administrative

Total operating expenses
Operating income

Other income (expense):

Interest income
Miscellaneous income
Interest expense
Total other income

Income before taxes
Income taxes

Net income

Net income per share:

Basic
Diluted

Weighted average shares outstanding:

Basic
Diluted

Unaudited pro forma income data (Note 5):

Historical income before provision

for income taxes
Pro forma income taxes
Pro forma net income

Pro forma net income per share:

Basic
Diluted

20 02

Y E A R S E N D E D D E C E M B E R 31 ,
200 1

20 00

$ 38,309,227
30,246,030
5,188,963
73,744,220

$ 30,350,201
25,822,575
3,493,629
59,666,405

$ 25,736,339
21,123,386
2,362,172
49,221,897

25,837,901
13,905,072
3,182,430
42,925,403
30,818,817

5,933,472
12,816,785
18,750,257
12,068,560

214,044
361,682
(23,677)
552,049

12,620,609
1,970,816

22,498,667
11,634,448
2,108,672
36,241,787
23,424,618

5,104,906
9,843,543
14,948,449
8,476,169

125,881
153,892
(75,742)
204,031

8,680,200
-

20,198,381
9,780,736
1,507,717
31,486,834
17,735,063

4,477,144
8,602,745
13,079,889
4,655,174

91,315
214,360
(69,313)
236,362

4,891,536
-

$ 10,649,793

$ 8,680,200

$ 4,891,536

$
$

1.06
1.06

$
$

0.93
0.93

$
$

0.53
0.53

10,024,438
10,061,765

9,288,000
9,288,000

9,288,000
9,288,000

$ 12,620,609
4,576,654
$ 8,043,955

$ 8,680,200
3,231,501
$ 5,448,699

$ 4,891,536
1,826,436
$ 3,065,100

$
$

0.80
0.80

$
$

0.59
0.59

$
$

0.33
0.33

See accompanying notes.

P A G E 18

CPSI 02 AR

Statements of Stockholders’ Equity

C O M M O N
S H A R E S

C O M M O N
S T O C K

A D D I T I O N A L
PA I D- I N
C A P I TA L

D E F E R R E D
C O M P E N S AT I O N

R E TA I N E D
E A R N I N G S

T O TA L
S T O C K H O L D E R S’
E Q U I T Y

Balance at

December 31, 1999

Net income
Dividends
Balance at

9,288,000
-
-

$ 9,288
-
-

$

109,811
-
-

$

December 31, 2000

9,288,000

9,288

109,811

Net income
Dividends
Balance at

-
-

-
-

-
-

December 31, 2001

9,288,000

9,288

109,811

-
-
-

-

-
-

-

-

$

8,945,547
4,891,536
(6,000,000)

$ 9,064,646
4,891,536
(6,000,000)

7,837,083

7,956,182

8,680,200
(6,600,000)

8,680,200
(6,600,000)

9,917,283

10,036,382

10,649,793

10,649,793

Net income
Issuance of common 

stock

Deferred compensation
Amortization of

deferred compensation

Distributions to former

S corporation stockholders

-

1,200,000
-

-

-

-

1,200
-

-

-

Balance at 

-

-

-

16,894,396
255,196

-
(255,196)

29,773

-
-

-

16,895,596
-

29,773

-

(17,132,508)

(17,132,508)

December 31, 2002

10,488,000

$10,488

$17,259,403

$(225,423)

$

3,434,568

$ 20,479,036

See accompanying notes.

P A G E 19

CPSI 02 AR

Statements of Cash Flows

Operating Activities
Net income
Adjustments to net income:
Provision for bad debts
Deferred taxes
Deferred compensation
Depreciation

Changes in operating assets and liabilities:

Accounts receivable
Financing receivables
Inventories
Prepaid expenses
Accounts payable
Deferred revenue
Sales, income and use taxes payable
Other liabilities
Income taxes payable

Net cash provided by operating activities

Investing Activities
Purchases of property and equipment
Proceeds from sale of property and equipment
Net cash used in investing activities

Financing Activities
Proceeds from issuance of common stock,

net of expenses

Principal payments on note payable
Distributions to stockholders
Net cash used in financing activities

Increase in cash and cash equivalents
Cash and cash equivalents at beginning of year

20 02

Y E A R S E N D E D D E C E M B E R 31 ,
200 1

20 00

$ 10,649,793

$ 8,680,200

$ 4,891,536

818,327
(1,006,470)
29,773
1,128,454

(5,309,371)
(413,430)
(488,959)
(131,257)
1,060,463
746,686
(621,386)
335,199
193,546
6,991,368

(1,920,750)
-
(1,920,750)

16,895,596
(749,897)
(16,882,508)
(736,809)

4,333,809
2,018,643

225,236
-
-
954,543

(580,347)
(1,129,187)
3,839
96,641
(207,049)
186,926
486,335
269,865
-
8,987,002

(1,321,948)
-
(1,321,948)

-
(79,559)
(6,600,000)
(6,679,559)

985,495
1,033,148

203,896
-
-
771,250

852,602
(431,447)
(11,612)
(87,438)
(39,942)
533,619
589,521
294,033
-
7,566,018

(1,440,539)
56,250
(1,384,289)

-
(128,152)
(6,000,000)
(6,128,152)

53,577
979,571

Cash and cash equivalents at end of year

$ 6,352,452

$ 2,018,643

$ 1,033,148

Supplemental disclosure of cash flow information

Cash paid for interest
Cash paid for income taxes

$
23,677
$ 2,783,740

$
$

75,742
-

$
$

69,313
-

See accompanying notes.

P A G E 20

CPSI 02 AR

Notes to Financial Statements

December 31, 2002

1.   BASIS OF PRESENTATION

Computer Programs and Systems, Inc. (CPSI or the Company) is a healthcare information technology solutions provider which
was  formed  and  commenced  operations  in  1979.    The  Company  provides,  on  an  integrated  basis,  enterprise-wide  clinical
management,  access  management,  patient  financial  management,  health  information  management,  strategic  decision  support,
resource planning management and enterprise application integration solutions to healthcare organizations throughout the United
States.  Additionally,  CPSI  provides  other  information  technology  solutions  including  outsourcing,  remote  hosting,  networking
technologies and other related services. 

2.   PUBLIC OFFERING OF COMMON STOCK AND RECAPITALIZATION

On May 24, 2002, the Company successfully completed an initial public offering of 3.0 million shares of common stock at a price
of $16.50 per share.  Of the shares offered, 1.2 million shares were sold by the Company and 1.8 million shares were sold by selling
stockholders.  In addition, the underwriters for the Company exercised their over-allotment option by purchasing an additional
450,000 shares at $16.50 per share from selling stockholders.  Of the net proceeds to the Company of approximately $16.9 million,
approximately $14.3 million was used to fund a partial distribution to pre-IPO stockholders of previously taxed S corporation
income, and the balance was used to repay outstanding debt and for general corporate purposes. 

On  May  1,  2002,  the  Company  declared  a  430-for-1  stock  split,  and  on  May  6,  2002,  the  Company  amended  its  Articles  of
Incorporation to increase the Company’s total authorized shares to 10,000,000 and to change the par value to $0.001 per share.  All
share and per share amounts for all periods presented in the accompanying financial statements have been restated to reflect the split.

Effective  immediately  prior  to  the  completion  of  the  offering,  the  Company  reincorporated  in  Delaware.    As  a  Delaware
corporation, the Company now has 30,000,000 shares of authorized common stock with a par value per share of $0.001. 

3.   SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES 

Cash and Cash Equivalents.  Cash and cash equivalents consists of highly-liquid financial instruments, primarily cash and money
market funds, purchased with an original maturity of three months or less.

Inventories. Inventories are stated at cost using the average cost method. The Company’s inventories are composed of computer
equipment, forms and supplies.

Property and Equipment. Property and equipment is recorded at cost, less accumulated depreciation. Additions and improvements
to property and equipment that materially increase productive capacity or extend the life of an asset are capitalized. Maintenance,
repairs  and  minor  renewals  are  expensed  as  incurred.  Upon  retirement  or  other  disposition  of  such  assets,  the  related  costs  and
accumulated  depreciation  are  removed  from  the  respective  accounts  and  any  resulting  gain  or  loss  is  included  in  the  results  of
operations. 

Depreciation  expense  is  computed  using  the  straight-line  method  over  the  asset’s  useful  life,  generally  5  years. The  Company
reviews for the possible impairment of long-lived assets whenever events or changes in circumstances indicate that the carrying
amount of an asset may not be recoverable.

Deferred Revenue.  Deferred revenue represents amounts received from customers under licensing agreements and implementation
fees for which the revenue earnings process has not been completed.

Revenue Recognition.  Systems sales revenues are derived from the sale of information systems (including software, conversion and
installation services, hardware, peripherals, forms and office supplies) to new customers and from the sale of new or additional
products to existing customers.  The Company recognizes revenue from systems sales on a completed contract basis in accordance

P A G E 21

CPSI 02 AR

Notes to Financial Statements

December 31, 2002

with American Institute of Certified Public Accountants Statement of Position (SOP) 97-2, Software Revenue Recognition, and SOP
81-1, Accounting for Performance of Construction Type and Certain Production-Type Contracts.  A contract is regarded as substantially
complete when all hardware and software is installed and the system is operating as intended.  Losses are recorded for the entire
estimated loss on the contract in the period that it becomes evident that current estimates of total contract revenue and contract
costs indicate a loss.

The Company does not record revenue upon execution of a sales contract.  Each customer initially remits a non-refundable 10%
deposit that is recorded as deferred revenue.  The customer then pays 40% of the purchase price when the Company commences
training on-site at the customer’s facility.  When the system becomes operational, the Company bills the remaining 50% of the
system purchase price and recognizes revenue for the total amount of the purchase price.  Costs relating to system sales revenues
are deferred and recognized at the time the related revenues are recognized; however, at December 31, 2002 and 2001, no system
sales-related costs were deferred as all contracts were deemed to be substantially complete, or such amounts were not considered to
be  material.  Revenues  derived  from  installation  of  additional  software  applications  are  generally  recognized  upon  installation.
Revenues from the sale of hardware are recognized upon the shipment of the product to the customer.

The Company also derives revenues from the provision of system support services, including software application support, hardware
maintenance, continuing education and related services.  Support services are provided pursuant to a General Support Agreement
under which the Company provides comprehensive system support and related services in exchange for a monthly fee based on the
services provided.  These contracts range in duration from 1 to 7 years, with an average duration of 5 years, and renew automatically
unless terminated by the customer.  Revenues from support services are recognized in the month when these services are performed.  

As  part  of  system  sales,  the  Company  also  provides  products  to  some  customers  as  an  application  service  provider  (ASP)  for  a
monthly fee.  In addition, the Company offers Internet services (ISP) to customers for a monthly fee.  Revenues from ASP and ISP
services are recognized in the month when these services are performed.

Outsourcing  services  are  sold  pursuant  to  one-year  customer  agreements,  with  automatic  one-year  renewals.  Revenues  from
outsourcing services are recognized when services are performed.  

Stock-Based  Compensation. During  2002,  the  Company  adopted  a  stock  compensation  plan  and  in  accordance  with  disclosure
provisions of Statement of Financial Accounting Standards (SFAS) No. 123 Accounting for Stock-Based Compensation, the Company
has  elected  to  follow  Accounting  Principles  Board  (APB)  Opinion  No.  25,  Accounting  for  Stock  Issued  to  Employees  and  related
interpretations in accounting for employee stock options. Under APB 25, because the exercise price of the Company’s employee stock
options equals the market price of the underlying stock on the date of grant, no compensation expense was recognized for the options
granted in 2002. Had the Company accounted for its stock-based compensation plan based on the fair value of awards at grant date
consistent with the methodology of SFAS No. 123, the Company’s reported net income and income per share for the year ended
December 31, 2002 would have been impacted as indicated below. The effects of applying SFAS No. 123 on a pro forma basis for the
year ended December 31, 2002, are not likely to be representative of the effects on reported pro forma net income for future years as
options vest over several years and it is anticipated that additional grants will be made in future years.

Net income, as reported
Deduct: Total stock-based employee
compensation expense determined
under fair value method for all awards

Pro forma net income
Diluted income per share, as reported
Pro forma diluted income per share

$ 10,649,793

(117,436)
$ 10,532,357
1.06
$
1.05
$

Research and Development Costs.  Research and development costs are expensed as incurred.  Research and development costs totaled
approximately $1,104,000, $888,000 and $861,000 for the years ended December 31, 2002, 2001 and 2000, respectively.

P A G E 22

CPSI 02 AR

Notes to Financial Statements

December 31, 2002

Software Development Costs.  According to Statement of Financial Accounting Standards (SFAS) No. 86, Accounting for the Costs
of  Computer  Software  to  be  Sold,  Leased  or  Otherwise  Marketed,  all  costs  incurred  to  establish  the  technological  feasibility  of  a
computer software product to be sold, leased or otherwise marketed are research and development costs and are charged to expense.
Costs incurred subsequent to establishing technological feasibility are capitalized. Capitalization of computer software costs ceases
when the product is available for general release to customers. The Company has determined that costs to be capitalized based on
SFAS No. 86 are not material.  Software and development costs of approximately $104,000, $168,000 and $164,000 were charged
to expense during the years ended December 31, 2002, 2001 and 2000, respectively.

Advertising. Advertising costs are expensed as incurred. Advertising expense was approximately $373,000, $377,000 and $460,000
for the years ended December 31, 2002, 2001 and 2000, respectively.

Use  of  Estimates.  The  preparation  of  financial  statements  in  conformity  with  accounting  principles  generally  accepted  in  the
United States requires that management make estimates and assumptions that affect the reported amounts of assets and liabilities,
the disclosures of contingent assets and liabilities at the date of the financial statements and the reported revenues and expenses
during the reporting periods. Actual results could differ from those estimates.

Impact of Recently Issued Accounting Standards.  In June 2001, the FASB issued SFAS No. 143, Accounting for Asset Retirement
Obligations.  SFAS No. 143 addresses financial accounting and reporting for obligations associated with the retirement of tangible
long-lived assets and the associated asset retirement costs.  It applies to legal obligations associated with the retirement of long-
lived assets that result from the acquisition, construction, development and/or the normal operation of a long-lived asset, except
for certain obligations of lessees.  SFAS No. 143 is effective for financial statements issued for fiscal years beginning after June 15,
2002.  The adoption of this standard is not expected to have any effect on the Company’s financial position, results of operations
or cash flows.

In August 2001, the FASB issued SFAS No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets.  SFAS No. 144
addresses financial accounting and reporting for the impairment or disposal of long-lived assets.  SFAS No. 144 supersedes SFAS
No. 121, Accounting for the Impairment of Long-Lived Assets and for Long-Lived Assets to Be Disposed Of, and the accounting and
reporting provisions of APB No. 30, Reporting the Results of Operations.  SFAS No. 144 is effective for financial statements issued
for fiscal years beginning after December 15, 2001, and interim periods within those fiscal years.  The adoption of this standard
had no effect on the Company’s financial position, results of operations or cash flows.

In July 2002, the FASB issued SFAS No. 146, Accounting for Costs Associated with Exit or Disposal Activities. SFAS No. 146 addresses
significant issues regarding the recognition, measurement and reporting of costs that are associated with exit and disposal activities,
including restructuring activities that are currently accounted for pursuant to the guidance set forth in EITF No. 94-3, Liability
Recognition for Certain Employee Termination Benefits and Other Costs to Exit an Activity. SFAS No. 146 revises the accounting for
certain lease termination costs and employee termination benefits, which are generally recognized in connection with restructuring
activities.  The  adoption  of  SFAS  No.  146  is  not  expected  to  have  any  effect  on  the  Company’s  financial  position,  results  of
operations or cash flows.

On December 31, 2002, the FASB issued SFAS No. 148, Accounting for Stock-Based Compensation—Transition and Disclosure. SFAS
No. 148 amends SFAS No. 123, Accounting for Stock-Based Compensation, to provide alternative methods of transition to SFAS No.
123’s fair value method of accounting for stock-based employee compensation. SFAS No. 148 also amends the disclosure provisions
of SFAS No. 123 and APB Opinion No. 28, Interim Financial Reporting, to require disclosure in the summary of significant accounting
policies of the effects of an entity’s accounting policy with respect to stock-based compensation. While SFAS No. 148 does not amend
SFAS No. 123 to require companies to account for employee stock options using the fair value method, the disclosure provisions of
SFAS No. 148 are applicable to all companies with stock-based employee compensation, regardless of whether they account for that
compensation using the fair value method of SFAS No. 123 or the intrinsic value method of APB No. 25.

P A G E 23

CPSI 02 AR

Notes to Financial Statements

December 31, 2002

4.   NET INCOME PER SHARE

Pro forma net income per share consists of the Company’s historical net income as an S corporation, adjusted for additional income
taxes that would have been recorded had the Company operated as a C corporation for the entire period.  The Company presents
both basic and diluted earnings per share (EPS) amounts. Basic EPS is calculated by dividing net income by the weighted average
number of common shares outstanding during the period presented. Diluted EPS amounts are based upon the weighted average
number of common and common equivalent shares outstanding during the period presented. The difference between basic and
diluted  EPS  is  solely  attributable  to  stock  options.  The  Company  uses  the  treasury  stock  method  to  calculate  the  impact  of
outstanding stock options. For the year ended December 31, 2002, these dilutive shares were 37,327.  There were no dilutive shares
for the years ended December 31, 2001 and 2000.

5.   INCOME TAXES  

The financial statements of the Company do not include a provision for income taxes through May 20, 2002 because the taxable
income of the Company was included in the income tax returns of the shareholders under the S corporation election through that
date.  Upon  completion  of  the  IPO,  the  Company’s  S  corporation  status  was  terminated,  and  the  Company  became  subject  to
federal and state income taxes. Upon revocation of the S corporation election, the Company recorded a $934,000 credit to the
deferred  tax  provision.  Prior  to  its  termination  as  an  S  corporation,  the  Company  declared  a  distribution  of  earned,  but
undistributed, accumulated S corporation earnings through the date the Company became a C corporation. A partial distribution
in the amount of $12,750,000 was paid on May 28, 2002. An additional distribution of $1,532,510 was made during the fourth
quarter of 2002. An estimated payable of $250,000, representing the remaining balance due, is recorded on the 2002 balance sheet.
The ultimate payout will be determined based on as-filed income tax returns for the year ended December 31, 2002.

The Company provides for income taxes using the liability method in accordance with SFAS No. 109, Accounting for Income Taxes.
Deferred income taxes arise from the temporary differences in the recognition of income and expenses for tax purposes. 

Deferred tax assets and liabilities are comprised of the following at December 31, 2002:

Deferred tax assets:

Accounts receivable
Sales, income and use tax receivables
Sales, income and use tax interest
Accrued liabilities

Deferred tax liabilities:

Deferred compensation

Net deferred tax assets

$

217,558
74,229
213,986
586,358
1,092,131

(85,661)
$ 1,006,470

Significant components of the income tax provision (benefit) for the year ended December 31, 2002 are as follows:

Current provision:

Federal
State

Deferred provision:

Federal
State

Total income tax provision

$ 2,575,944
401,342

(900,526)
(105,944)
$ 1,970,816

P A G E 24

CPSI 02 AR

Notes to Financial Statements

December 31, 2002

The difference between income taxes at the U. S. federal statutory income tax rate of 34% and those reported in the statement of
income for the year ended December 31, 2002 are as follows:

Income taxes at U. S. federal statutory rate
State income tax, net of federal tax effect
S corporation
Change in tax status
Other

6.   DEFERRED COMPENSATION

$ 4,291,007
259,869
(1,657,622)
(934,262)
11,824
$ 1,970,816

On May 17, 2002, Kenny Muscat, one of the Company’s directors and a principal stockholder sold 66,667 shares of common stock
to J. Boyd Douglas, Jr., one of the Company’s directors and its Chief Operating Officer (COO), for a price of $13.20 per share.
The share price was determined by an independent valuation of the fair market value of the shares. A promissory note was delivered
for the entire purchase price. The promissory note bears interest at the applicable rate for federal income tax purposes, and the
entire  principal  balance  is  due  five  years  after  the  date  of  the  stock  sale.  As  a  part  of  the  same  transaction,  Mr.  Muscat  also
transferred to Mr. Douglas 19,333 shares of common stock for $1.00. These shares are subject to a mandatory transfer obligation
under which Mr. Douglas will be required to transfer the shares back to Mr. Muscat in the event Mr. Douglas’ employment with
the Company terminates for certain reasons prior to the fifth anniversary of the transaction date. The mandatory transfer obligation
will lapse as to 20% of the shares on each anniversary of the transaction date over the five year restriction period.

As a result of this transaction, the Company recorded deferred compensation expense of $255,196, representing the excess of the
fair  market  value  of  the  19,333  shares  transferred  by  Mr.  Muscat  to  Mr.  Douglas.  The  Company  is  amortizing  the  deferred
compensation expense over 20 fiscal quarters, recognizing pre-tax compensation expense of  $12,760 per quarter.

7.   STOCK OPTION PLAN

On  May  1,  2002,  the  Company’s  Board  of  Directors  adopted  the  2002  Stock  Option  Plan  under  which  the  Company  has
authorized the issuance of equity-based awards for up to 1,165,333 shares of common stock to provide additional incentive to
employees and officers. Pursuant to the plan, the Company can grant either incentive or non-qualified stock options. Options to
purchase common stock under the 2002 Stock Option Plan have been granted to Company employees with an exercise price equal
to the fair market value of the underlying shares on the date of grant.

Stock options granted under the 2002 Stock Option Plan to executive officers of the Company become vested as to all of the shares
covered by such grant on the fifth anniversary of the grant date and expire on the seventh anniversary of the grant date. Stock
options granted under the 2002 Stock Option Plan to employees other than executive officers become vested as to 50% of the
shares covered by the option grant on the third anniversary of the grant date and as to 100% of such shares on the fifth anniversary
of the grant date, and such options expire on the seventh anniversary of the grant date.

Under the methodology of SFAS No. 123, the fair value of the Company’s stock options was estimated at the date of grant using the
Black-Scholes option pricing model. The multiple option approach was used, with assumptions for expected option life of 5 years and
44% expected volatility for the market price of the Company’s stock in 2002. Dividend yield of 3% was used since the Company’s
Board of Directors may elect to distribute dividends in the future. The risk-free rate of return was determined to be 2.79% in 2002.

The Black-Scholes option valuation model was developed for use in estimating the fair value of traded options which have no vesting
restrictions  and  are  fully  transferable.  In  addition,  option  valuation  models  require  the  input  of  highly  subjective  assumptions,
including expected stock price volatility. Because the Company’s employee stock options have characteristics significantly different

P A G E 25

CPSI 02 AR

Notes to Financial Statements

December 31, 2002

from those of traded options, and because subjectivity of assumptions can materially affect estimate of fair value, the Company believes
the Black-Scholes model does not necessarily provide a reliable single measure of the fair value of its employee stock options.

The weighted average grant fair value of options granted to employees under the 2002 Stock Option Plan during 2002 was $5.30. During
2002, options were granted under the plan at exercise prices equal to the market value of the Company’s stock on the date of grant.

A summary of stock option activity under the plan is as follows:

Outstanding on December 31, 2001

Granted at fair value
Exercised
Forfeited

Outstanding on December 31, 2002

Exercisable on December 31, 2002

Shares available for future grants under the

plan as of December 31, 2002 

Weighted-average remaining contractual life

8.   CONCENTRATION OF CREDIT RISK

S H A R E S

-
466,133
-
(21,135)

444,998 

- 

E X E RC I S E

P R I C E

-
16.50
-
16.50

16.50

-

$

$

$

720,335

6.5 years

Financial instruments, which potentially subject the Company to concentration of credit risk, consist principally of temporary cash
investments and trade receivables. The Company places its temporary cash investments with credit-worthy, high-quality financial
institutions.

The Company’s customer base is concentrated in the healthcare industry. Customers are located throughout the United States. The
Company requires no collateral or other security to support customer receivables. An allowance for doubtful accounts has been
established for potential credit losses.

9.   FAIR VALUES OF FINANCIAL INSTRUMENTS

Cash, cash equivalents, accounts receivable, accounts payable and accrued liabilities are reflected in the accompanying financial
statements at cost, which approximates fair value because of the short-term maturity of these instruments. Based on the borrowing
rates currently available to the Company for bank loans with similar terms and average maturities, at December 31, 2002 and 2001
the fair values of the note payable and financing receivables approximate book value.

P A G E 26

CPSI 02 AR

Notes to Financial Statements

December 31, 2002

10.  FINANCING RECEIVABLES

The Company leases its information and patient care systems to certain healthcare providers under sales-type leases expiring in
various  years  through  2007.    These  receivables  typically  have  terms  from  2  to  5  years,  bear  interest  at  10%,  and  are  usually
collateralized by a security interest in the underlying assets.  Since the Company has a history of successfully collecting all amounts
due under the original payment terms of these extended payment arrangements without making any concessions to its customers,
the Company satisfies the requirement of SOP 97-2 for revenue recognition.  The Company’s history with these types of extended
payment term arrangements supports management’s assertion that revenues are fixed and determinable and probable of collection. 

The components of these lease receivables were as follows on December 31:

Total minimum lease payments receivable
Less unearned income
Lease receivables
Less current portion
Amounts due after one year

Future minimum lease payments to be received as of December 31, 2002 are as follows:

2003
2004
2005
2006
2007
Total minimum lease payments to be received
Less unearned income
Net leases receivable

2 001
$ 1,649,416
(300,099)
1,349,317
(350,520)
998,797

$

20 02
$ 1,637,908
(222,649)
1,415,259
(574,656)
840,603

$

$

687,143
523,254
260,759
164,481
2,271
1,637,908
(222,649)
$ 1,415,259

The Company has also sold information and patient care systems to certain healthcare providers under extended payment terms.
These  receivables,  included  in  current  portion  of  financing  receivables,  typically  have  terms  from  3  to  12  months  and  are
collateralized by a security interest in the underlying assets.  Total amounts receivable under these arrangements at December 31,
2002 and 2001 were $766,391 and $418,903, respectively.

11.  NOTES PAYABLE

In July 1999, the Company entered into a note payable agreement with a bank for $984,674.  The note was payable in monthly
installments of $11,805, including interest at 7.72% until the maturity date, July 29, 2009.  The note was paid in full during the
year ended December 31, 2002.

12.  BENEFIT PLANS

In January 1994, the Company adopted the Computer Programs & Systems, Inc. 401(k) Retirement Plan that covers all eligible
employees of the Company who have completed one year of service. The plan allows eligible employees to contribute up to 15% of
their pre-tax earnings up to the statutory limit prescribed by the Internal Revenue Service.  The Company matches the first $1,000
contribution per participant plus a discretionary amount determined by the Company. The Company contributed approximately
$816,000,  $739,000 and $650,000 to the plan for the years ended December 31, 2002, 2001 and 2000, respectively.

P A G E 27

CPSI 02 AR

Notes to Financial Statements

December 31, 2002

The  Company  provides  certain  health  and  medical  benefits  to  eligible  employees,  their  spouses  and  dependents  pursuant  to  a
benefit plan funded by the Company. Each participating employee contributes to the Company's costs associated with such benefit
plan. The Company's obligation to fund this benefit plan and pay for these benefits is limited through the Company's purchase of
an  insurance  policy  from  a  third-party  insurer.  The  amount  established  as  a  reserve  is  intended  to  recognize  the  Company's
estimated  obligations  with  respect  to  its  payment  of  claims  and  claims  incurred  but  not  yet  reported  under  the  benefit  plan.
Management believes that the recorded liability for medical self-insurance at December 31, 2002 and 2001 is adequate to cover
the losses and claims incurred, but these reserves are necessarily based on estimates and the amount ultimately paid may be more
or less than such estimates.

13.  OPERATING LEASES WITH RELATED PARTIES

The Company leases certain real property, all of which is owned by entities that are owned by one or more stockholders of the
Company. The lease agreements have terms of ten years and expire on or before November 2012. For the second five years of the
leases, the rental may be adjusted with consent of the landlord and the Company. If mutual consent cannot be obtained, the rental
for the second five years will remain the same as the first five years.  For the years ended December 31, 2002, 2001 and 2000, total
rent expense paid to the related party was approximately $1,112,000, $958,000 and $890,000, respectively. 

The future minimum lease payments under operating leases subsequent to December 31, 2002 are as follows:

2003
2004
2005
2006
2007
Thereafter

$ 1,263,000
1,263,000
1,263,000
1,263,000
1,263,000
5,445,750
$ 11,760,750

14.  COMMITMENTS

The Company has entered into an agreement with a supplier obligating the Company to purchase certain forms and supplies. The
forms and supplies were manufactured to the Company’s specifications and must be purchased within one year of manufacture.
The outstanding purchase commitment at December 31, 2002 was approximately $145,000.

P A G E 28

CPSI 02 AR

Notes to Financial Statements

December 31, 2002

15.  QUARTERLY FINANCIAL STATEMENTS (UNAUDITED)

The following table presents a summary of our results of operations for our eight most recent quarters ended December 31, 2002.
The information for each of these quarters is unaudited and has been prepared on a basis consistent with the audited financial
statements.  This information includes all adjustments, consisting only of normal recurring adjustments, that we consider necessary
for fair presentation of this information when read in conjunction with the audited financial statements and related notes.  Pro
forma net income and pro forma earnings per share data included in this table has been adjusted to include pro forma corporate
income tax provisions as if we had been a C corporation during all of the quarterly periods.  Our operating results have varied on
a quarterly basis and may fluctuate significantly in the future.

(in thousands, except for share and per share data)

Year Ended December 31, 2002:

Sales revenues
Gross profit
Operating income
Net income
Net income per share:

Basic
Diluted

Pro forma net income
Pro forma net income per share:

Basic
Diluted

Weighted average shares outstanding

Basic
Diluted

Year Ended December 31, 2001:

Sales revenues
Gross profit
Operating income
Net income
Net income per share:
Basic and diluted
Pro forma net income
Pro forma net income per share

Basic and diluted

Weighted average shares outstanding

Basic and diluted

$

$

F I R S T
Q U A RT E R

S E C O N D
S E C O N D
Q U A RT E R
Q U A RT E R
(As Reported)          (Restated)(1)

T H I R D
Q U A RT E R

F O U RT H
Q U A RT E R

16,921 $
7,019
2,799
2,872

17,511 $
7,199
2,763
2,382

17,511 $
7,199
2,763
3,316

$

18,897
7,905
3,041
2,077

0.31
0.31
1,790

0.19
0.19

0.24
0.24
1,792

0.18
0.18

0.34
0.34
1,792

0.18
0.18

0.20
0.20
2,077

0.20
0.20

20,415
8,696
3,465
2,385

0.23
0.23
2,385

0.23
0.23

9,288,000
9,288,000

9,815,473
9,829,027

9,815,473
9,829,027

10,488,000
10,589,226

10,488,000
10,563,331

13,529 $
5,358
1,727
1,744

0.19
1,095

0.12

14,133
5,399
1,909
1,931

0.21
1,212

0.13

$

$

14,849
5,664
2,094
2,186

0.24
1,372

0.15

17,155
7,004
2,746
2,819

0.30
1,770

0.19

9,288,000

9,288,000

9,288,000

9,288,000

(1)  The Second Quarter 2002 information was restated to record a tax benefit arising from the Company’s change in tax status.

P A G E 29

CPSI 02 AR

Report of Ernst & Young LLP, 
Independent Auditors

The Board of Directors
Computer Programs and Systems, Inc.

We have audited the accompanying balance sheets of Computer Programs and Systems, Inc. as of December 31, 2002 and 2001,
and the related statements of income, stockholders’ equity and cash flows for the years then ended.  These financial statements are
the responsibility of the Company’s management.  Our responsibility is to express an opinion on these financial statements based
on our audits.

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

In our opinion, the financial statements referred to above present fairly, in all material respects, the financial position of Computer
Programs and Systems, Inc. at December 31, 2002 and 2001, and the results of its operations and its cash flows for the years then
ended in conformity with accounting principles generally accepted in the United States.

February 5, 2003
Birmingham, Alabama

Report of Wilkins Miller, P.C., 
Independent Auditors

The Board of Directors
Computer Programs and Systems, Inc.

In our opinion, the accompanying statements of income, stockholders’ equity and cash flows present fairly, in all material respects,
the  results  of  operations  and  cash  flows  of  Computer  Programs  and  Systems,  Inc.  for  the  year  ended  December  31,  2000,  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
audit. We conducted our audit 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 audit provides a reasonable basis for our opinion.

Mobile, Alabama
February 16, 2001
except for the second paragraph of Note 2,
as to which the date is May 6, 2002

P A G E 30

CPSI 02 AR

Directors and Officers

David A. Dye
President and Chief Executive Officer
Computer Programs and Systems, Inc.

J. Boyd Douglas, Jr.
Executive Vice President and 
Chief Operating Officer
Computer Programs and Systems, Inc.

Board of Directors

John W. Morrisey
Retired Vice President, Sales and
Marketing
Computer Programs and Systems, Inc.

W. Austin Mulherin, III
Attorney
Frazer, Greene, Upchurch & Baker, LLC

William R. Seifert, II
Executive Vice President
AmSouth Bank

Dennis P. Wilkins
Retired President and Chief 
Executive Officer
Computer Programs and Systems, Inc.

Ernest F. Ladd, III
Retired Executive Vice President
and Chief Financial Officer
Dravo Corporation

M. Kenny Muscat
Retired Executive Vice President
and Chief Operating Officer
Computer Programs and Systems, Inc.

David A. Dye
President and Chief Executive Officer

Officers

J. Boyd Douglas, Jr.
Executive Vice President and 
Chief Operating Officer 

M. Stephen Walker
Vice President of Finance and
Chief Financial Officer

P A G E 31

CPSI 02 AR

Corporate Data

Independent Accountants

Corporate Headquarters

Ernst & Young LLP
1901 Sixth Avenue North
Suite 1900, AmSouth/Harbert Plaza
Birmingham, AL 35203-2618

Transfer Agent

Wachovia Bank, N.A.
Equity Services Group
1525 West W. T. Harris Blvd., 3C3
Charlotte, NC  28262-1153

Legal Counsel

Maynard, Cooper & Gale, P.C.
1901 Sixth Avenue North
Suite 2400, AmSouth/Harbert Plaza
Birmingham, AL 35203-2618

Computer Programs and Systems, Inc.
6600 Wall Street
Mobile, AL  36695

Common Stock

Computer Programs and Systems, Inc.’s
common stock is traded on The Nasdaq
Stock  Market’s  National  Market  under
the symbol CPSI.  The following tables
show  the  quarterly  range  of  high  and
low sales prices of the common stock for
the dates indicated, beginning with May
21, 2002, the date the Company’s stock
began trading:

HIGH

2002
Second quarter 
(beginning May 21) 23.20
25.25
Third quarter
26.85
Fourth quarter

LOW

17.02
17.35
19.00

As  of  March  28,  2003,  Computer
Inc.  had
Programs  and  Systems, 
approximately 
stockholders,
2,975 
including  75  stockholders  of  record  and
approximately  2,900  persons  or  entities
holding common stock in nominee name.

Form 10-K

The  Company  has  filed  an  Annual
Report  on  Form  10-K  for  the  year
ended  December  31,  2002,  with  the
Securities  and  Exchange  Commission.
Stockholders may obtain a copy of this
report,  without  charge,  by  writing: 
M.  Stephen  Walker,  Shareholder
Relations,  Computer  Programs  and
Systems,  Inc.,  6600  Wall  Street,
Mobile, AL  36695.

P A G E 32

Hospital Customer Locations

1

3

4

5

6

3

4

1

3

4

4

2

1

11

6

4
5

10

4

2

2

8

14

3

2

25

14

45

9

9

7

15

14

37

29

6

11

7

13

11

37

3

7

31

10

Corporate Headquarters

(cid:2)
(cid:2)
CPSI

6600 Wall Street
Mobile, AL  36695