As filed with the Securities and Exchange Commission on May 11, 2007

Registration No. 333-

UNITED STATES SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

Form S-1

REGISTRATION STATEMENT UNDER

THE SECURITIES ACT OF 1933

CCS MEDICAL HOLDINGS, INC.

(Exact name of Registrant as specified in its charter)


Delaware	2834	25-1926268
(State or other jurisdiction of incorporation or organization)	(Primary Standard Industrial Classification Code Number)	(I.R.S. Employer Identification No.)

14255 49th Street North, Suite 301

Clearwater, FL 33762

(727) 507-2772

(Address, including zip code, and telephone number, including area code, of

Registrant’s principal executive offices)

Joseph H. Capper

Chief Executive Officer

CCS Medical Holdings, Inc.

14255 49th Street North, Suite 301

Clearwater, FL 33762

(727) 507-2772

(Name, address, including zip code, and telephone number, including area code, of agent for service)

Copies to:


Cristopher Greer, Esq. Mark A. Cognetti, Esq. Willkie Farr & Gallagher LLP 787 Seventh Avenue New York, New York 10019 (212) 728-8000		Rod Miller, Esq. Weil, Gotshal & Manges LLP 767 Fifth Avenue New York, New York 10153 (212) 310-8000

Approximate date of commencement of proposed sale to the public: As soon as practicable after this Registration Statement becomes effective.

If any of the securities being registered on this Form are to be offered on a delayed or continuous basis pursuant to Rule 415 under the Securities Act of 1933, check the following box. o

If this form is filed to register additional securities for an offering pursuant to Rule 462(b) under the Securities Act, please check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o

If this form is a post-effective amendment filed pursuant to Rule 462(c) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o

If this form is a post-effective amendment filed pursuant to Rule 462(d) under the Securities Act, check the following box and list the Securities Act registration statement number of the earlier effective registration statement for the same offering. o

CALCULATION OF REGISTRATION FEE


	Proposed Maximum Aggregate		Amount of
Title of Each Class of Securities to be Registered	Offering Price(1)(2)(3)		Registration Fee
Common Stock, $0.01 par value	$	172,500,000	$	5,295.75


(1)		In accordance with Rule 457(o) under the Securities Act of 1933, as amended (the “Securities Act”), the number of shares being registered and the proposed maximum offering price per share are not included in this table.

(2)		Estimated solely for the purpose of calculating the registration fee pursuant to Rule 457(o) under the Securities Act.

(3)		Includes shares of common stock that may be issued and sold if the underwriters exercise their option to purchase additional shares.

The Registrant hereby amends this Registration Statement on such date or dates as may be necessary to delay its effective date until the Registrant shall file a further amendment which specifically states that this Registration Statement shall thereafter become effective in accordance with Section 8(a) of the Securities Act of 1933 or until this Registration Statement shall become effective on such date as the Commission, acting pursuant to said Section 8(a), may determine.

The information in this prospectus is not complete and may be changed. We may not sell these securities until the registration statement filed with the Securities and Exchange Commission is effective. This prospectus is not an offer to sell these securities and we are not soliciting any offer to buy these securities in any jurisdiction where the offer or sale is not permitted.

Subject to Completion, dated May 11, 2007

PROSPECTUS

CCS Medical Holdings, Inc.

Common Stock

We are offering shares of our common stock in this initial public offering. No public market currently exists for our common stock.

We will apply to list our common stock on the Nasdaq Global Market under the symbol “CCSM.” We currently expect that the initial public offering price will be between $ and $ per share.

Investing in our common stock involves risks. See “Risk Factors” beginning on page 12.


	Per Share	Total

Public Offering Price	$	$
Underwriting Discount	$	$
Proceeds to CCS Medical Holdings, Inc. (before expenses)	$	$

We have granted the underwriters a 30-day option to purchase up to an additional shares of our common stock on the same terms and conditions as set forth above if the underwriters sell more than shares of our common stock in this offering.

Neither the Securities and Exchange Commission nor any state securities commission has approved or disapproved of these securities or determined if this prospectus is truthful or complete. Any representation to the contrary is a criminal offense.

Lehman Brothers, on behalf of the underwriters, expects to deliver the shares on or about , 2007.


Lehman Brothers	Goldman, Sachs & Co.


Wachovia Securities	Raymond James

, 2007

TABLE OF CONTENTS


	Page

Prospectus Summary		1
Risk Factors		12
Special Note Regarding Forward-Looking Statements		24
Use of Proceeds		25
Dividend Policy		25
Capitalization		26
Dilution		27
Selected Historical Consolidated Financial Data		28
Management’s Discussion and Analysis of Financial Condition and Results of Operations		33
Industry		50
Business		54
Management		72
Compensation Discussion and Analysis		76
Certain Relationships and Related Person Transactions		85
Principal Stockholders		87
Description of Capital Stock		89
Shares Eligible for Future Sale		92
Certain U.S. Tax Considerations for Non-U.S. Holders		94
Underwriting		96
Legal Matters		102
Experts		102
Where You Can Find More Information		102
EX-23.1: CONSENT OF ERNST & YOUNG LLP
EX-23.2: CONSENT OF PRICEWATERHOUSECOOPERS LLP
EX-23.3: CONSENT OF KPMG LLP

You should rely only on the information contained in this prospectus. We have not, and the underwriters have not, authorized anyone to provide you with information that is different from that contained in this prospectus. This prospectus may only be used where it is legal to sell these securities. The information contained in this prospectus is accurate only as of the date of this prospectus, regardless of the time of delivery of this prospectus or of any sale of our common stock. Our business, financial condition, results of operations and prospects may have changed since that date.

Through and including , 2007 (the 25th day after the date of this prospectus), all dealers that effect transactions in these securities, whether or not participating in this offering, may be required to deliver a prospectus. This is in addition to the dealers’ obligation to deliver a prospectus when acting as underwriters and with respect to their unsold allotments or subscriptions.

PROSPECTUS SUMMARY

This summary highlights selected information contained elsewhere in this prospectus. This summary does not contain all of the information you should consider before investing in our common stock. You should read the entire prospectus carefully, including “Risk Factors” and our consolidated financial statements and notes to those consolidated financial statements, included elsewhere in this prospectus, before making an investment decision. We use “CCS Medical,” “our company,” “we,” “us” and “our” in this prospectus to refer to CCS Medical Holdings, Inc. and its subsidiaries and predecessors.

Our Business

We are a leading medical supply management company delivering products and value-added services to individuals living with select chronic medical conditions, including diabetes, urological and ostomy-related disorders, chronic wounds, incontinence, respiratory conditions and other illnesses. We employ a differentiated marketing approach using a nationwide field-based sales force that targets healthcare professionals who focus on chronic conditions to expand our extensive relationship-based network. In an effort to promote proper patient compliance with physician prescribed protocols, our medical supply programs educate and counsel patients on disease states and complex clinical regimens, assume responsibility for the patients’ billing and collecting from government programs and third-party payors, and deliver products to patients’ homes through the mail. Our primary product focus is on diabetes, a large and fast growing component of the chronic care market. Products we distribute in the diabetes market include blood glucose testing supplies, insulin pumps and related supplies, and prescription medications.

Our target markets are large, growing at epidemic levels and being serviced more frequently by mail. According to a Johns Hopkins University study, nearly one-half of Americans are living with at least one chronic condition and approximately one in four Americans lives with two or more of these conditions. Diabetes is among the most common chronic conditions in the United States and accounts for an estimated 10% of direct and indirect healthcare costs. The American Diabetes Association, or ADA, estimated the total direct and indirect costs of diabetes at approximately $132 billion in 2002. This includes approximately $17.5 billion of outpatient medication and supplies, including $10.5 billion for medication and oral agents, and $7.0 billion for insulin and delivery supplies costs. According to Frost & Sullivan, a healthcare industry research firm, the number of individuals diagnosed with diabetes in the United States is expected to grow 5.1% annually between 2005 to 2012. We believe that mail-order distribution is becoming more prevalent in servicing growing chronic care needs. For example, the share of diabetic test strips distributed through the mail is estimated to have increased from approximately 28% in 2001 to approximately 33% in 2006. The Department of Health and Human Services estimates that 60% of Medicare expenditures for diabetic supplies are for items furnished by mail-order suppliers. Our platform, value-added services, and direct mail capabilities combined with our relationships with healthcare professionals, managed care organizations, and manufacturers uniquely position us to capitalize on these market opportunities.

We believe our customized medical supply management programs add value for patients, healthcare professionals and payors. Patients benefit from the convenience and privacy of home delivery, our processing claims on their behalf, and their ability to defer out-of-pocket expenses. Healthcare professionals benefit from our assistance with improved patient compliance and our practice of filling prescriptions as written. Payors benefit from lower overall medical costs as patient complications and comorbidities decline due to increased compliance with treatment regimens. We estimate that the patients we serve are on average three times more compliant to the physician-recommended care protocol than patients serviced by retail networks. Improved patient compliance benefits the patients we serve and our business relationships as it can lead to improved medical outcomes and reduced medical costs.

We employ a highly targeted relationship-based marketing approach. Our nationwide field-based sales force regularly calls upon healthcare professionals, including endocrinologists, internists, general practitioners, certified diabetic educators and nurse specialists. Our approach has enabled us to develop a large network of relationships which results in the potential for ongoing referrals, a lower patient acquisition cost, increased patient retention, and a recurring revenue stream. We also market our services to managed care companies, emphasizing our ability to help reduce the overall cost of care. Lastly, we have developed relationships with many manufacturers in the

industry, such as LifeScan, Inc., a Johnson & Johnson company, Medtronic MiniMed, Inc., Roche Diagnostics Corporation and Bayer Corporation. These relationships have led to coordinated marketing opportunities which have led to increased sales and an enhanced market position.

Our Competitive Strengths

We are a leading medical supply management company delivering products and value-added services to individuals living with select chronic medical conditions. We believe our customized medical supply management programs provide value to patients, healthcare professionals and payors. We believe our competitive strengths include:

Nationwide Sales Force Focused on Healthcare Professionals

We employ a differentiated sales and marketing approach relative to our competitors using a field-based sales force that primarily targets healthcare professionals who focus on chronic conditions. We believe this is a more effective and cost efficient means of patient procurement and that our cost per patient acquisition is considerably lower than that of a strictly direct-to-consumer approach. As of March 31, 2007, we employed approximately 200 sales professionals nationwide.

Comprehensive Medical Supply and Service Offerings

Proprietary Technology Platform and Operating Systems

We utilize proprietary information technologies and a custom designed operating system that differentiates us from our competitors and provides a scalable platform for future growth. We manage our operations through an internally developed Oracle-based Patient Information Management System, or PIMS, which increases our administrative efficiency and reduces our organizational costs by allowing us to capture more accurate patient information, facilitate easier enrollment of patients, process claims more effectively, manage compliance with regulatory requirements, and manage inventories and the distribution of supplies to the patients we serve.

Central Position in the Chronic Care Value Chain

We believe our sales force, product and service offerings, and technology platform allow us to occupy an influential position with patients, healthcare professionals and other industry participants. By developing these relationships, and leveraging our central position, we believe we can influence patient behavior.

Experienced Management Team

We are led by Joseph H. Capper, our Chief Executive Officer, who was previously the Director of Sales at Bayer Corporation’s Diabetic Diagnostics Division. As Chief Executive Officer, Mr. Capper led the integration of Chronic Care Solutions, Inc. and MPTC Holdings, Inc. Mr. Capper leads an experienced management team with substantial healthcare distribution, manufacturing and service experience. Our Chief Financial Officer, Stephen M. Saft, was previously the Chief Financial Officer at Priority Healthcare Corporation. Our executive management team has, on average, 14 years of experience in the industry.

Our Growth Strategy

average. In furtherance of this objective, we have adopted a diversified growth plan, highlighted by the following strategic elements:

Strengthen our Professional Referral Network by Increasing the Size and Effectiveness of our Sales Force

We utilize our nationwide field-based sales force to target healthcare professionals who focus on chronic conditions in order to encourage them to recommend our service to their patients. In order to gain greater penetration and build relationships with our selected healthcare professional market segments, we plan to hire additional sales personnel on an ongoing basis. With expanded sales reach and call frequency, combined with a successful track record of service, we expect continued referral growth both from securing new healthcare professionals as referral sources and from receiving additional referrals from healthcare professionals who are already recommending our services.

Increase our Patient Base by Expanding our Managed Care Relationships

We currently have relationships with approximately 500 managed care organizations and employ a specialized sales team to compete for new contracts that could offer us access to a greater number of patients. While we can, in certain cases, offer savings on product costs, our primary proposition in the managed care market is one of long-term cost containment. For new managed care plans, our objective is to contract as an authorized, or preferred, provider and execute a series of marketing initiatives, such as call campaigns, mailings and educational seminars, designed to attract additional patients into our program.

Leverage and Expand our Position within the Chronic Care Value Chain

We believe that our relationships with customers, healthcare professionals, manufacturers and payors position us favorably in the chronic care value chain. We believe that we have built a sales, marketing and patient service infrastructure that differentiates us from our competitors. We have developed relationships with, and we believe we are often viewed as the supplier of choice for select coordinated marketing arrangements with, many of the leading medical product manufacturers, including LifeScan, Inc., Medtronic MiniMed, Inc., Roche Diagnostics Corporation and Bayer Corporation. We believe these relationships provide us with a competitive advantage on which we intend to capitalize by consistently aiming to be among the first suppliers to bring new and innovative products to the marketplace. By leveraging our relationships with physicians, patients, manufacturers and payors, we believe we can gain preferred access to opportunities which will allow us to expand our product base and compete more effectively for new patients.

Cross-Sell Additional Products and Services to Patients

Expand Chronic Conditions Served and Pursue Strategic Acquisitions

We intend to pursue acquisitions that will enable us to accelerate the implementation of our strategic plan and to grow the number of patients we serve. We will evaluate acquisitions that diversify or complement our product offering, payor mix and referral sources. Based on our management team’s experience with merging diverse operations, systems and cultures, we believe we can efficiently integrate new operations, disease states, products and services into our current business platform.

Our Field Sales Team

We employ a detailed and focused approach that educates the healthcare professionals on the benefits and value that our customers may receive from our services, which encourages healthcare professionals to recommend us to their patients. By targeting healthcare professionals, we believe we build relationships with the key influencing agents for patient-related purchasing decisions while reducing the potential for patient attrition given the credibility of the referral source. We believe healthcare professionals are assured their patients will receive top quality products from trusted manufacturers and up-to-date education regarding their disease and therapy. Additionally, our emphasis on healthcare professionals allows members of our sales force to interact on a meaningful and consistent basis with this referral source. We believe this interaction drives greater affinity to the products we distribute and the services we provide.

Our Products

We offer a comprehensive line of products targeted at the chronic care patient population. We have contracts with most major manufacturers of medical supplies and pharmaceutical products used by individuals living with select chronic conditions we serve. Such supplies and products include test strips, insulin pumps and related supplies, ostomy supplies, wound care products and urological and incontinence products. We offer a wide range of products to patients in all 50 states, Washington, D.C. and Puerto Rico. We believe our patient support representatives are trained to offer products that most appropriately address the physicians’ orders and the patients’ needs. We believe that the breadth of our product offerings, which include products manufactured by LifeScan, Inc., Medtronic MiniMed, Inc., Roche Diagnostics Corporation and Bayer Corporation, is a significant competitive advantage in serving healthcare professionals and managed care accounts. Diabetes related products, including diabetic supplies, insulin pumps and pump related supplies and pharmacy, comprised approximately 67% of net revenue for the year ended December 31, 2006.

Risks Associated with Our Business

Our business is subject to numerous risks, as more fully described in the section entitled “Risk Factors” immediately following this prospectus summary, including the following:


	•	We have a limited operating history as a combined entity, which may not serve as an adequate basis to evaluate our business, results of operations and prospects and may increase the risk of your investment;

	•	We are highly dependent on payments from third-party healthcare payors, and the uncertainty of third-party reimbursements may adversely affect our business;

	•	Reductions in reimbursement rates for our products;

	•	Recent changes in Medicare coverage and reimbursement policies for our products, including the advent of competitive bidding;

	•	The success of our business depends heavily on our relationships with healthcare professionals who prescribe our products;

	•	Our business and our industry are highly regulated and, if government regulations are interpreted or enforced in a manner adverse to us or our business, we may be subject to enforcement actions, penalties, exclusion, and other material limitations on our operations;

	•	We operate in an industry that is subject to price competition; and

	•	We have substantial indebtedness that may affect our ability to raise additional capital to fund our operations and react to changes in the our industry.

Financing Transaction

year, $50 million revolving credit facility and a seven-year, $365 million term loan facility. The size of the credit facility is subject to change prior to its closing. The new term loan, together with the proceeds of this offering, will be used to repay the outstanding amounts under our existing credit facilities and pay fees and expenses related to this offering. The revolving credit facility will not be drawn upon at the closing of the new credit facility but will be available, subject to certain conditions, for general corporate purposes in the ordinary course of business and for other transactions permitted under the credit agreement. A portion of the revolving credit facility will be available for letters of credit. The obligations under the senior secured credit facility will be secured by a lien on substantially all of our assets.

Proceeds of the new credit facility will be used to repay a portion of our existing credit facilities. As of December 31, 2006, we had outstanding indebtedness of $330.3 million under our First Lien Credit Agreement, $110 million under our Second Lien Credit Agreement, and $59.3 million under our unsecured note payable, which we collectively refer to as our existing credit facilities.

Corporate Information

We were incorporated under the laws of the State of Delaware in September 2005 under the name CCS Acquisition Holding Corporation, and subsequently changed our name to Chronic Care Solutions Holding, Inc. In April 2007, we changed our name to CCS Medical Holdings, Inc. We were formed for the purpose of acquiring, through our wholly owned subsidiaries, CCS Acquisition Holding-Sub Corporation and CCS Medical, Inc. (f/k/a CCS Acquisition, Inc.), all of the ownership interests of MPTC Holdings, Inc. and Chronic Care Solutions, Inc. Our principal executive offices are located at 14255 49th Street North, Suite 301, Clearwater, FL 33762 and our telephone number is (727) 507-2772. Our website address is http://www.ccsmed.com. Any information that is included on or linked to our website is not a part of this prospectus.

The Offering


Common stock offered by us		shares

Common stock outstanding immediately after the offering		shares

Underwriters’ option		We have granted the underwriters an option to purchase up to additional shares of common stock if the underwriters sell more than shares in this offering.

Use of proceeds		We estimate the net proceeds of this offering, after deducting underwriting discounts and commissions and estimated offering expenses, will be approximately $ , assuming an initial public offering price of $ per share, which is the midpoint of the price range set forth on the cover page of this prospectus.

		We intend to use the net proceeds from this offering to repay a portion of our outstanding borrowings under our existing credit facilities in the aggregate amount of approximately $ . In connection with the completion of this offering, we expect to enter into a new $415 million senior secured credit facility, of which $365 million will be used to repay the remaining portion of our outstanding borrowings under our existing credit facilities.

		An affiliate of Wachovia Capital Markets, LLC is a lender under our existing credit facilities and will, accordingly, receive a portion of the proceeds used to repay those borrowings. We intend to use the remainder of the net proceeds for working capital and other general corporate purposes. See “Use of Proceeds.”

Listing		We intend to apply to list our common stock on the Nasdaq Global Market under the symbol “CCSM.” Because Warburg Pincus Private Equity IX, L.P., or Warburg Pincus, will own more than 50% of the voting power of our common stock after this offering, we are considered to be a “controlled company” for purposes of the Nasdaq listing requirements. As such, we are permitted, and have elected, to opt out of the Nasdaq listing requirements that would otherwise require our board of directors to be comprised of a majority of independent directors.

The number of shares of common stock that will be outstanding immediately after this offering is based on shares outstanding as of and, except as otherwise noted, excludes:


	•	shares of common stock issuable upon the exercise of stock options outstanding as of with a weighted average exercise price of $ per share; and

	•	shares of common stock reserved for future grants under our stock option and incentive plans as of December 31, 2006.

Except as otherwise noted, all information in this prospectus:


	•	assumes an initial public offering price of $ per share, the midpoint of the price range set forth on the cover page of this prospectus;

	•	assumes no exercise of the underwriters’ option to purchase up to additional shares of our common stock;

	•	reflects the for stock split that will occur immediately prior to the completion of this offering;

	•	gives effect to the automatic conversion of the outstanding shares of our series A preferred stock into shares of our common stock; and

	•	assumes the filing of our amended and restated certificate of incorporation, which will occur simultaneously with the completion of this offering.

Summary Historical Consolidated Financial and Other Operating Data

The following table sets forth the summary historical consolidated financial data and other operating data of CCS Medical Holdings, Inc. (Successor) for the five quarterly periods ended December 31, 2006, which are derived from our unaudited financial statements. The unaudited financial statements include all adjustments, consisting of normal recurring accruals, which CCS Medical Holdings, Inc. considers necessary for a fair presentation of the consolidated financial position and results of operations for these periods. The historical results presented below are not necessarily indicative of financial results to be expected in the future.

The data should be read in conjunction with “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the consolidated financial statements, related notes, and other financial information included herein.

CCS Medical Holdings, Inc.


	Quarters Ended
	December 31,			March 31,			June 30,			September 30,			December 31,
	2005			2006			2006			2006			2006
	(In thousands, except patient data)

Statement of operations data
Net revenues	$	103,701		$	96,703		$	103,276		$	112,873		$	119,579
Costs and expenses:
Cost of goods sold		55,034			53,886			58,826			65,234			66,823
Operating, selling, general and administrative expenses		29,948			28,883			28,354			26,048			27,581
Provision for uncollectible accounts		8,267			5,781			6,798			6,513			6,588
Depreciation expense		3,465			3,514			3,449			2,668			3,202
Amortization expense		2,627			2,627			2,671			2,600			2,819

		99,341			94,691			100,098			103,063			107,013

Income from operations		4,360			2,012			3,178			9,810			12,566
Interest income		(102	)		(32	)		(197	)		(178	)		(43	)
Interest expense		11,891			12,117			12,983			13,151			12,908

Loss before income tax expense		(7,429	)		(10,073	)		(9,608	)		(3,163	)		(299	)
Income taxes		986			950			950			950			789

Net loss before preferred stock dividends	$	(8,415	)	$	(11,023	)	$	(10,558	)	$	(4,113	)	$	(1,088	)

Other operating data
EBITDA, as defined(1)		11,454			10,039			11,767			16,236			19,239
Total patients
Acquisition cost per diabetic patient(2)	$	214		$	133		$	139		$	144		$	154

The following tables set forth the summary historical consolidated financial data of: (i) CCS Medical Holdings, Inc. (Successor) for the year ended December 31, 2006 and for the three months ended December 31, 2005, which are derived from our audited consolidated financial statements included elsewhere in this prospectus; (ii) Chronic Care Solutions, Inc. (Predecessor) for the years ended September 30, 2005 and 2004, which are derived from our audited consolidated financial statements included elsewhere in this prospectus; and (iii) MPTC Holdings, Inc. (Predecessor) for the nine months ended September 30, 2005 and for the year ended December 31, 2004, which are derived from our audited consolidated financial statements included elsewhere in this prospectus. The historical results presented below are not necessarily indicative of financial results to be expected in future periods.

The information presented below should be read together with “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the above-reference consolidated financial statements and accompanying notes included elsewhere in this prospectus.


	Predecessors												Successor
	Chronic Care Solutions, Inc.						MPTC Holdings, Inc.						CCS Medical Holdings, Inc.
	Year Ended			Year Ended			Year Ended			Nine Months			Three Months			Year Ended
	Sept. 30,			Sept. 30,			Dec. 31,			Ended Sept. 30,			Ended Dec. 31,			Dec. 31,
Statement of operations data	2004			2005			2004			2005			2005			2006
	(In thousands, except share data)

Net revenues	$	112,142		$	191,594		$	152,015		$	140,841		$	103,701		$	432,430
Costs and expenses:
Cost of goods sold		62,512			111,287			70,698			71,394			55,034			244,767
Operating, selling, general and administrative expense		32,045			52,108			51,159			45,559			29,948			110,865
Provision for uncollectible accounts		3,430			18,733			7,157			6,531			8,267			25,680
Depreciation expense		4,000			11,478			1,327			1,501			3,465			12,833
Amortization expense		1,134			3,600			7,080			3,145			2,627			10,717
Impairment loss		—			—			4,988			—			—			—
Other		—			—			736			350			—			—

		103,121			197,206			143,145			128,480			99,341			404,862

Income (loss) from operations		9,021			(5,612	)		8,870			12,361			4,360			27,568
Interest expense		15,030			22,053			6,709			5,789			11,891			51,161
Interest income		—			—			(24	)		(25	)		(102	)		(450	)
Other expense (income), net		59			(2	)		—			—			—			—

Income (loss) before income tax expense		(6,068	)		(27,663	)		2,185			6,597			(7,429	)		(23,143	)
Income tax expense (benefit)		(2,228	)		587			950			2,578			986			3,639

Net income (loss)		(3,840	)		(28,250	)		1,235			4,019			(8,415	)		(26,782	)
Preferred stock dividends		3,773			6,706			3,015			3,172			3,240			14,002

Net income (loss) applicable to common stock	$	(7,613	)	$	(34,956	)	$	(1,780	)	$	847		$	(11,655	)	$	(40,784	)

Cash dividends declared per common share	$	61.78		$	—		$	—		$	—		$	—		$	—


	Predecessors											Successor
	Chronic Care Solutions, Inc.						MPTC Holdings, Inc.					CCS Medical Holdings, Inc.
	Year Ended			Year Ended			Year Ended			Nine Months		Three Months		Year Ended
	Sept. 30,			Sept. 30,			Dec. 31,			Ended Sept. 30,		Ended Dec. 31,		Dec. 31,
Statement of operations data	2004			2005			2004			2005		2005		2006
	(In thousands, except share data)

Net income (loss) per common share:
Basic(3)	$	(5.12	)	$	(11.13	)	$	(0.13	)	$	0.06	$	—	$	(54,817.20	)
Diluted(3)	$	(5.12	)	$	(11.13	)	$	(0.13	)	$	0.06	$	—	$	(54,817.20	)
Weighted average shares outstanding:
Basic(3)		1,487,385			3,141,479			13,878,442			13,878,442		—		744
Diluted(3)		1,487,385			3,141,479			13,878,442			15,257,795		—		744
Pro forma net income (loss) per share attributable to common stockholders:
Basic
Diluted
Weighted average shares used to compute pro forma net income (loss) per share attributable to common stockholders:
Basic
Diluted
Other financial data
EBITDA, as defined(1)													11,454		57,283


	Predecessors									Successor
	Chronic Care Solutions, Inc.					MPTC Holdings, Inc.				CCS Medical Holdings, Inc.
	Year Ended		Year Ended			Year Ended		Nine Months		Three Months		Year Ended		Year Ended
	Sept. 30,		Sept. 30,			Dec. 31,		Ended Sept. 30,		Ended Dec. 31,		Dec. 31,		Dec. 31,
	2004		2005			2004		2005		2005		2006		As Adjusted(4)
	(In thousands)

Balance sheet data
Total assets	$	230,355	$	217,902		$	184,767	$	181,820	$	678,153	$	677,627
Long-term debt		190,008		194,826			93,815		87,800		483,755		499,579
Capital leases		255		—			1,262		706		535		291
Preferred stock		3		3			127		127		2		2
Total stockholders’ equity (deficit)	$	18,389	$	(16,567	)	$	74,410	$	78,428	$	150,966	$	123,461


(1)		We present EBITDA, as defined in this prospectus to provide investors with supplemental measures of our operating performance and liquidity and information utilized in the calculation of the financial covenants under our senior credit facilities. EBITDA, as defined differs from the term “EBITDA” as it is commonly used. EBITDA, as defined, as used in this prospectus, means “EBITDA” as that term is defined under our senior credit facilities, which is generally consolidated net income before interest expense, provision for income taxes, depreciation and amortization, restructuring changes, non-cash charges and any management or advisory fees.

competitors. Further, we believe EBITDA and EBITDA, as defined are frequently used by securities analysts, investors and other interested parties in the evaluation of companies in our industry.

EBITDA and EBITDA, as defined are not recognized measurements under GAAP. When evaluating our operating performance or liquidity, investors should not consider EBITDA and EBITDA, as defined in isolation of, or as a substitute for, measures of our financial performance and liquidity as determined in accordance with GAAP, such as net income, operating income or net cash provided by operating activities. EBITDA and EBITDA, as defined may have material limitations as performance measures because they exclude items that are necessary elements of our costs and operations. Because other companies may calculate EBITDA and EBITDA, as defined differently than we do, EBITDA may not be, and EBITDA, as defined as presented in this prospectus is not, comparable to similarly titled measures reported by other companies.

Our existing credit facilities contain, and we expect our new credit facility will contain, restrictive covenants that are derived from EBITDA, as defined. Borrowings under our senior credit facilities are a key source of our liquidity. Our ability to borrow under these senior credit facilities depends upon, among other things, the compliance with the financial ratio covenants based on EBITDA, as defined set forth in the credit agreement for our senior credit facilities. Our senior credit facility requires us to maintain a specified consolidated leverage ratio and consolidated interest expense coverage ratio based on EBITDA, as defined. Failure to comply with these financial ratio covenants would result in a default under our senior credit facilities and, absent a waiver or an amendment from the lenders, permit the acceleration of all outstanding borrowings under the senior credit facilities. As of December 31, 2006, we had aggregate principal amounts outstanding of $499.6 million pursuant to our senior credit facilities. As of December 31, 2006, we performed the calculations associated with the above noted financial covenants and determined that we were in compliance with such financial covenants. For a discussion of the risks associated with our significant leverage, see “Risk Factors—Our substantial indebtedness could adversely affect our ability to raise additional capital to fund our operations and limit our ability to react to changes in the economy or our industry.”

The following is a reconciliation of EBITDA and EBITDA, as defined to net income on a quarterly and annual basis:

CCS Medical Holdings, Inc.


	Quarters Ended															Year Ended
	December 31,			March 31,			June 30,			September 30,			December 31,			December 31,
	2005			2006			2006			2006			2006			2006
	(In thousands)

Net income (loss)	$	(8,415	)	$	(11,023	)	$	(10,558	)	$	(4,113	)	$	(1,088	)	$	(26,782	)
Add:
Depreciation and amortization		6,092			6,141			6,120			5,268			6,021			23,550
Interest expense, net		11,789			12,085			12,786			12,973			12,865			50,711
Income taxes		986			950			950			950			789			3,639

EBITDA		10,452			8,153			9,298			15,078			18,587			51,118
Add:
Integration and restructuring charges		1,002			1,886			2,469			955			486			5,796
Other non-cash charges		—			—			—			203			166			369

EBITDA, as defined	$	11,454		$	10,039		$	11,767		$	16,236		$	19,239		$	57,283


(2)		Acquisition cost per diabetic patient consists of the sales and marketing costs related to acquiring new diabetic patients as customers. These costs are allocated among new patients during the period.


(3)		Common shares outstanding as of December 31, 2005 were subject to a reverse stock split in June 2006 resulting in fractional shares of .01 common shares outstanding on a converted basis at December 31, 2005. We paid cash in lieu of issuing fractional shares. The per share information in the table does not reflect the for stock split that will occur immediately prior to the completion of this offering.

(4)		As adjusted to reflect the following events as if they occurred on December 31, 2006:


	(i)	the automatic conversion of the our outstanding shares of our series A preferred stock into shares of our common stock;

	(ii)	the for stock split that will occur immediately prior to the completion of this offering;

	(iii)	the issuance and sale of shares of common stock in this offering at an assumed public offering price of $ per share, the midpoint of the price range set forth on the cover page of this prospectus, after deducting the estimated underwriting discounts and our estimated offering expenses; and

	(iv)	the entry into our new senior secured credit facility and the repayment of our existing credit facilities.

RISK FACTORS

You should carefully consider the risks described below and all other information contained in this prospectus before making an investment decision. If any of the following risks, as well as other risks and uncertainties that are not yet identified or that we currently think are immaterial, actually occur, our business, financial condition and results of operations could be materially and adversely affected. In that event, the trading price of our shares could decline, and you may lose part or all of your investment.

Risks Related to Our Business

We have incurred net losses in the past and may incur additional losses in the future. If we fail to increase our revenues or reduce expenses, including interest expense, we may not become profitable.

We have incurred net losses of approximately $8.4 million for the three months ended December 31, 2005, and $26.8 million for the year ended December 31, 2006. As of December 31, 2006, we had a retained deficit of approximately $35.2 million. Our net losses are largely due to interest expense on our outstanding indebtedness. For the year ended December 31, 2006, our interest expense was $51.2 million. We intend to repay a portion of our outstanding indebtedness upon the completion of this offering and the closing of our new credit facility.

We have a limited operating history as a combined entity, which may not serve as an adequate basis to evaluate our business, results of operations and prospects and may increase the risk of your investment.

We were formed in September 2005 in connection with the acquisition of Chronic Care Solutions, Inc. and MPTC Holdings, Inc. by Warburg Pincus, and as a result, we have a limited operating history as a combined entity for purposes of your evaluation of our business and prospects. Because of our limited operating history as a combined entity, our historical results of operations may not provide a meaningful basis for evaluating our business, results of operations and prospects. You should evaluate our business, results of operations and prospects in light of the risks and difficulties we may encounter as a company in a highly competitive industry, including our potential inability to:


	•	achieve broad patient adoption and acceptance of the services we provide and the products we distribute;

	•	successfully expand our sales force;

	•	successfully scale our current operations;

	•	implement and execute our business and marketing strategies;

	•	successfully hire and retain key personnel; or

	•	effectively manage our business.

We may not be able to successfully address these risks and difficulties, which could harm our business, results of operations and prospects.

We are highly dependent on payments from third-party healthcare payors, including Medicare, Medicaid and other government sponsored programs, and the uncertainty of third-party reimbursement may adversely affect our business.

A substantial portion of our revenue is derived from third-party private and governmental payors including Medicare, Medicaid and other government sponsored programs. These third-party payors exercise significant control over patient access and increasingly use their enhanced bargaining power to secure discounted rates and other requirements that may increase the cost of service. If third-party payors do not approve our products for reimbursement or fail to reimburse for them adequately, sales will suffer as some physicians or their patients will opt for a competing product that is covered for reimbursement or has a lower patient responsibility payment. Even if third-party payors make reimbursement available, such reimbursement may not be adequate or these payors’ reimbursement policies may adversely affect our ability to achieve profitability. Our sales will continue to depend, in part, upon the extent to which coverage of and reimbursement for our products will be available from government

health administration authorities, private health insurers, health maintenance organizations and other third-party payors.

In addition, certain estimates are required to record our net revenues and accounts receivable at their net realizable values as a result of the nature of the industry and reimbursement environment in which we operate. Due to the continuing changes in this industry and reimbursement environment, our estimates could change by a material amount in the near term, which could have an impact on our operations and cash flows.

Reductions in reimbursement rates for our products could adversely affect our business and results of operations.

Sales of a significant portion of our diabetes products and medical supplies depend largely on whether levels of reimbursement from government healthcare programs, such as Medicare and Medicaid, and private payors will be adequate. We believe that healthcare professionals may not use or prescribe our products, and patients may not purchase our products, if these third-party payors do not provide reimbursement for the costs of our products. Consequently, we may be unable to sell our products on a profitable basis if third-party payors deny coverage or reduce their current levels of reimbursement. Third-party payors continually review their coverage policies carefully for existing and new therapies and can, without notice, deny coverage for treatments that include the use of our products or the patient responsibility is excessive. For example, Medicare frequently engages in efforts to contain costs, which may result in a reduction of coverage of, and reimbursement for, our products. Because many private payors model their coverage and reimbursement policies on Medicare policies, third-party payors’ coverage of, and reimbursement for, our products could be negatively impacted by legislative, regulatory or other measures that reduce Medicare coverage and reimbursement generally. Furthermore, the Centers for Medicare & Medicaid Services, or CMS, could invoke its inherent reasonableness authority to reduce reimbursement levels for Medicare covered products, which could have an adverse effect on our results of operations. A reduction in payments received from, or a loss of coverage under, Medicare could result in similar actions being taken by private payors, which could have an adverse effect on our results of operations.

Recent changes in Medicare coverage and reimbursement policies for our products, including the advent of competitive bidding, could adversely affect our business and results of operations.

Recent changes in coverage and reimbursement policies for our products by Medicare or reductions in reimbursement rates for our products could adversely affect our business and results of operations. The Medicare Modernization Act mandated a number of changes in the Medicare payment methodology and conditions for coverage of certain items of durable medical equipment. These changes include a temporary freeze in annual increases in payments for durable medical equipment from 2004 through 2008, competitive bidding requirements, and new clinical conditions for payment and quality standards which affect our products to varying degrees. The Medicare Modernization Act also revised the payment basis for prescription drugs provided under Medicare Part B and established expanded coverage of outpatient prescription drugs under a new Medicare Part D.

Under the new competitive bidding program, beginning in April 2008, suppliers must be successful bidders to furnish certain durable medical equipment and supplies to Medicare beneficiaries in 10 geographic areas. Payment will be based on winning bid amounts rather than the Medicare fee schedule for items subject to bidding. CMS included mail-order diabetes supplies, but not retail diabetes supplies or glucose monitors, in the first round of the competitive bidding program, along with nine other categories of equipment and supplies. Additional types of equipment may be included in subsequent rounds of competitive bidding when the program is expanded in 2009. Inclusion of any of our products in Medicare competitive bidding or other Medicare reimbursement reductions could have a material adverse effect on our results of operations. We are evaluating the competitive bidding criteria in order to formulate our strategy. As of this time we intend to participate in the bidding process. However, if we are not selected to participate in the competitive bidding program in a particular region in the future, or if payment amounts established under the bidding process are substantially below Medicare fee schedule amounts, it could have an adverse effect on our results of operations.

Compliance with Medicare quality standards could impact our business operations and the costs associated with participation in the Medicare program.

As mandated by the Medicare Prescription Drug, Improvement and Modernization Act of 2003, or the Medicare Modernization Act, in August 2006, CMS issued quality standards for suppliers, which are being applied by independent accreditation organizations approved by CMS. All Medicare suppliers must be accredited. We are currently accredited by Community Health Accreditation Program (CHAP), a CMS-approved accrediting agency. Compliance with the quality standards could impact our business operations and the costs associated with participation in the Medicare program. Moreover, as mandated by the Medicare Modernization Act, CMS issued a proposed rule to implement new clinical conditions for payment of durable medical equipment in August 2004. At this time, we cannot predict what clinical conditions will be adopted, the timing of such adoption or the impact on our business of the new standards or any new clinical conditions that are adopted.

The success of our business depends heavily on our relationships with healthcare professionals who prescribe our products, and our failure to maintain or develop these relationships could adversely affect our results of operations.

Our sales force has developed and maintains close relationships with a number of healthcare professionals. We believe that our sales of the products we offer depend significantly on their recommendations of the services we provide. Acceptance of our services depends on educating healthcare professionals as to the distinctive characteristics, perceived benefits, clinical efficacy and cost-effectiveness of our services compared to our competitors’ and on educating healthcare professionals on the clinical efficacy and patient compliance benefits of our services. Our failure to maintain these relationships and develop similar relationships with other leading healthcare professionals could result in a decrease in the recommendation of our services, which may adversely affect our results of operations.

Our business and our industry are highly regulated and, if government regulations are interpreted or enforced in a manner adverse to us or our business, we may be subject to enforcement actions, penalties, exclusion, and other material limitations on our operations.

We and our suppliers are extensively regulated by federal, state and local government agencies. We are required to register our business for permits and/or licenses with, and comply with certain operating and security standards of, the U.S. Drug Enforcement Administration, or DEA, the Food and Drug Administration, or FDA, state boards of pharmacy, state health departments and other state agencies. In addition, we are subject to federal and state laws and regulations that govern financial and other arrangements among healthcare providers, including federal and state anti-kickback statutes, federal and state false claims laws and regulations, beneficiary inducement laws and regulations, and other fraud and abuse laws and regulations. We are also subject to federal and state laws governing the confidentiality of patient information. In addition, federal legislation has resulted in new national standards for the protection of patient information in electronic health information transactions.

Federal regulatory and law enforcement authorities have recently increased enforcement activities with respect to Medicare and Medicaid fraud and abuse regulations and other reimbursement laws and rules. We cannot assure you that such increased enforcement activities will not indirectly have an adverse effect on our business, financial condition or results of operations.

Because the healthcare industry will continue to be subject to substantial regulations, we cannot guarantee that our activities will not be reviewed or challenged by regulatory agencies in the future. Failure to have the necessary clearances, licenses, permits and licenses, or the loss of such clearances, approvals, permits and licenses, or the failure to comply with these laws, regulations, and administrative requirements could subject us to significant civil and criminal sanctions, and could result in suspension of our operations or exclusion of our business from participation in Medicare, Medicaid and other federal and state healthcare programs.

Our promotional materials and practices to promote the sale of medical supplies and products we distribute are subject to extensive government regulation.

Promotional materials and practices to promote the sale of medical products are subject to federal and state laws and regulations that require claims and statements not to be false or misleading and consistent with the any legal and regulatory conditions for clearance or approval to market such products. Promotional claims for medical products typically must be within the bounds of labeling that has been approved or cleared by regulatory authorities, while unapproved or off-label claims are prohibited. Although our marketing and sales force receives initial and periodic training to ensure that all marketing and sales practices are conducted within regulatory requirements, the interpretation of such requirements and the enforcement discretion policies of regulatory authorities may change, or regulatory authorities may conclude that our practices are not in compliance with such requirements. Failure to comply with laws and regulations as interpreted and enforced by regulatory authorities could have a material adverse effect on our business, financial condition or results of operations.

Our marketing and sales practices may contain risks that could have an adverse impact on us.

Our marketing and sales practices directed toward existing and potential referral sources have included certain modest provision of goods and services that we believe is standard in the industry. Under applicable federal and state healthcare fraud and abuse, anti-kickback, false claims and self-referral laws, it could be determined that our marketing and sales practices fall outside permitted compensation arrangements, thereby subjecting us to possible civil and/or criminal sanctions (including exclusion from the Medicare and Medicaid programs) which could have an adverse effect on our business. Although we believe we maintain a satisfactory compliance program, it may not be adequate in the detection or prevention of violations.

Certain federal and state laws and regulations regarding reimbursement and coverage of products and services by Medicare and Medicaid, as well as federal and state laws addressing healthcare fraud and abuse, are broad in scope and apply to our relationships with healthcare providers and entities that may prescribe or recommend our products, and who may assist us in the development and promotion of our products. These laws and regulations are also complex, and even minor, inadvertent irregularities in claim submissions can potentially give rise to a charge that the law has been violated. Any violations of these laws or regulations could result in a material adverse effect on our business, financial condition and results of operations. If there is a change in law, regulation or administrative or judicial interpretations, we may have to change one or more of our business practices to be in compliance with these laws. Required changes could be costly and time consuming. Any failure to make required changes could result in our losing business or our existing business practices being challenged as unlawful.

Audits or denials of our claims by government agencies could reduce our revenues and have an adverse affect on our results of operations.

As part of our business operations, we submit claims on behalf of patients directly to, and receive payments from, Medicare, Medicaid, and other third-party payors. We are subject to extensive government regulation, including requirements for submitting reimbursement claims under appropriate codes and maintaining certain documentation to support our claims. Medicare contractors and Medicaid agencies periodically conduct pre- and post-payment reviews and other audits of claims and are under increasing pressure to more closely scrutinize healthcare claims and supporting documentation. We have periodically been subject to pre- and post-payment reviews as well as audits of claims and may experience such reviews and audits of claims in the future. Such reviews and similar audits of our claims could result in material delays in payment, as well as material recoupments or denials, which would reduce our net sales and profitability, or result in our exclusion from participation in the Medicare or Medicaid programs. Private payors may from time to time conduct similar reviews and audits.

The development of new technologies that reduce the need for consumable testing supplies or the other products we distribute could adversely affect our business.

The majority of our diabetes supply products sales are of consumable testing supplies used to draw and test small quantities of blood for the purpose of measuring and monitoring glucose levels. Numerous research efforts are underway to develop more convenient and less intrusive glucose measurement techniques. In addition, other development efforts may be underway with respect to other products that we distribute. The commercialization and

widespread acceptance of new technologies may eliminate or reduce the need for consumable testing supplies or other products that we distribute, reduce our sales, and adversely affect our results of operations.

We could lose patients and revenues to new or existing competitors who have greater financial or operating resources.

The profitability of our business depends on our ability to retain as customers the patients we serve and to receive recurring and sustained reorders from them. Reorder rates are inherently uncertain due to several factors, many of which are outside of our control, including changing patient preferences, changes in payor coverage and reimbursement requirements, patient transition to extended care facilities, patient mortality and general economic conditions. Reorder rates are also affected by our ability to compete with retail pharmacies, direct-to-consumer distributors of medical supplies, healthcare product distributors, pharmacy benefit management companies and prescription drug plans with in-house pharmacies. Many of our competitors and potential competitors are large companies with well-known names and substantial resources. These companies may develop products and services that are more effective or less expensive than any that we are developing or selling. They may also promote and market these products more successfully than we promote and market our products. The loss of patients and revenues would negatively affect our operating results and financial condition.

If we are unable to effectively adapt to changes in the healthcare industry, our continued success could be adversely affected.

In recent years, the healthcare industry has experienced significant change driven by efforts to reduce costs and improve standards of care. In addition to reduction in Medicare, Medicaid, and third-party reimbursement, these efforts include potential national healthcare reform, increased and restrictive pharmacy benefit management, and horizontal and vertical consolidation within the healthcare industry. The result of these efforts will likely put downward pressure on product pricing, which may adversely affect our sales and profitability. Our inability to react effectively to these and other changes in the healthcare industry could adversely affect our operating results. Due to uncertainties regarding the ultimate features of reform initiatives and their enactment and implementation, we cannot predict which, if any, of such reforms will be adopted, when they may be adopted or what impact they may have on our product sales.

We operate in an industry that is subject to price competition.

In all of our product and service lines, we face strong competition from companies both large and small, located in the United States and abroad, on factors including quality of care and service, reputation within the healthcare community, scope of products and services, geographical scope and price. We operate in an industry that is subject to price competition, which has created downward pressure on pricing that may adversely affect our business or our ability to meet our financial obligations. If price competition continues, we may have to change our practices or modify our services in order to reduce costs. In addition, in the event we change our practices or modify our services, our relationships with healthcare professionals and the patients we serve may suffer or our results of operations may suffer.

If our costs of providing products or services increase, we may not be able to pass these cost increases on to our customers.

In many of our markets, due to competitive pressures or the fact that reimbursement rates are set by law, we have very little control over the price at which we sell our products and services. If our costs increase, we may not be able to increase our prices, which would adversely affect our results of operations. Accordingly, any increase in the cost of such products and services could adversely affect our results of operations and impair our financial condition.

Our business is dependent on shipping. Price increases or service interruptions by shipping carriers could adversely affect our results of operations and our ability to deliver products on a timely basis.

Shipping is a significant expense and is essential to our operations. We typically ship our products via U.S. Postal Service and United Parcel Service, and we typically pay the cost of shipment. As a result, any significant increase in shipping rates could have an adverse effect on our results of operations. Similarly, strikes, severe weather or other service interruptions by delivery services we use would adversely affect our ability to deliver products on a

timely basis. For example, in the wake of Hurricane Katrina in 2005, we were prevented from shipping our products to patients in affected areas for more than a week.

Our inventory management is complex and excess inventory may harm our results of operations.

Our management makes estimates regarding our inventory requirements based on assumptions about future demand. If future demand changes or actual market conditions are less favorable than as projected by management, we may become subject to inventory obsolescence and may have to sell excess inventory at reduced prices. Any excess inventory held by us may therefore adversely affect our results of operations or our ability to meet our financial obligations.

We are dependent upon third parties for the manufacture and supply of substantially all of our products.

We obtain substantially all of our products from third-party suppliers. For the year ended December 31, 2006, approximately 57% of our purchases were made from five major suppliers. Generally, we do not have long-term contracts with our suppliers committing them to supply products to us. Therefore, suppliers may not provide the products we need in the quantities we request. Because we do not control the actual production of the products we sell, we may be subject to delays caused by interruption in production based on conditions outside of our control. In the event that any of our third-party suppliers were to become unable or unwilling to continue to provide the products in required volumes, we would need to identify and obtain acceptable replacement sources on a timely basis. We may not be able to obtain such alternative sources of supply on a timely basis, if at all. An extended interruption in the supply of our products would have an adverse effect on our results of operations and our ability to satisfy our financial obligations. If we encounter a cessation, interruption or delay in the supply of products from one source, we may be unable to obtain such products through other sources on acceptable terms, within a reasonable amount of time or at all. In addition, if our agreements with the manufacturing companies were terminated, we may not be able to find suitable replacement products within a reasonable amount of time or at all. Any such cessation, interruption or delay may impair our ability to meet scheduled deliveries of our products and may cause patients to cancel orders. In that event, our reputation and results of operations may be adversely affected.

Our operating results could vary, which may cause the market price of our securities to decline.

We have experienced fluctuations in our operating results and anticipate that such fluctuations could continue. Results may vary significantly depending on a number of factors, including:


	•	changes in coverage and/or reimbursement guidelines and amounts;

	•	seasonal variations in deductible and co-insurance amounts;

	•	changes in regulations affecting the healthcare industry;

	•	changes in the mix or cost of our products;

	•	the timing of patient orders;

	•	the timing and cost of our advertising campaigns;

	•	increased investigative and enforcement initiative by Medicare and other third-party payors; and

	•	the timing of the introduction or acceptance of new products and services offered by us or our competitors.

Any shortfalls in our operating results or expected growth rates could result in decreases in our stock price or our ability to meet our financial obligations.

We may face costly litigation that could force us to pay damages and harm our reputation.

Like other participants in the healthcare market, we are subject to lawsuits alleging negligence, product liability or other similar legal claims, many of which involve large claims and significant defense costs. Any of these claims, whether with or without merit, could result in costly litigation and divert the time, attention and resources of our management. Although we currently maintain liability insurance intended to cover such claims, the coverage limits of such insurance policies may not be adequate or all such claims may not be covered by the insurance. In

addition, these insurance policies must be renewed annually. Although we have been able to obtain liability insurance, such insurance may not be available in the future on acceptable terms, if at all.

The loss of our senior management could disrupt our business.

Our senior management is important to the success of our business. There is significant competition for these kinds of personnel in the healthcare industry. We may not be able to retain our existing senior management, fill new positions or vacancies created by expansion or turnover or attract additional senior management personnel. The loss of any member of our senior management, including Joseph H. Capper, our Chief Executive Officer, without the retention of a replacement (either from inside or outside our existing management team) could disrupt our business. We do not maintain key-man life insurance on any of our senior management or employees.

The competition for staff may cause us to restrict growth in certain areas or to realize increased labor costs in existing areas.

Our operations are dependent on the services provided by qualified management and staff, including certified diabetic educators, pharmacists and other healthcare professionals, for which we compete with other healthcare providers. In addition, our opportunities for growth are limited by our ability to attract and retain such personnel. In certain markets, there is a shortage of qualified staff, including certified diabetic educators, pharmacists and other healthcare professionals, thereby increasing competition and requiring us to improve working conditions, including wages and benefits, for such personnel. Our potential inability to maintain and grow an appropriate workforce may inhibit our expansion and have a material adverse effect on our financial results.

We must hire and retain qualified sales representatives to grow our sales.

Our ability to retain existing patients and referral sources and attract new patients and referral sources is dependent upon hiring new sales representatives and retaining existing sales representatives. The inability to adequately hire or retain sales representatives could limit our ability to expand our business and increase sales.

If a sales representative ceases employment, we risk the loss of customer goodwill based on the impairment of relationships developed between the sales representative and our customers for whom the sales representative was responsible. This is particularly a risk where the representative goes to work for a competitor. We require sales representatives to sign non-compete agreements containing restrictive covenants which protect our legitimate business interests. However, these agreements have not been obtained from all sales representatives. In addition, the terms of these agreements in a limited number of states may not be enforceable. We are actively attempting to execute non-compete agreements with sales representatives that currently do not have agreements in place but we may not be able to obtain an agreement from each such sales representative.

Our results of operations may be adversely affected if we do not manage our growth efficiently.

We have recently expanded our operations and plan to continue to expand. This expansion has created significant demands on our administrative, operational and financial personnel and other resources. Additional expansion in existing or new markets could strain these resources and increase our need for capital. Our personnel, systems, procedures, controls and existing space may not be adequate to support further expansion.

Future acquisitions may cause integration problems, disrupt our business and strain our resources.

In the past we have made significant business acquisitions and may continue with such acquisitions in the future. Our success will depend, to a certain extent, on the future performance of these acquired business entities. These acquisitions, either individually or as a whole, could divert management attention from other business concerns and expose us to unforeseen liabilities or risks associated with entering new markets and integrating those new entities. Further, the integration of these entities may cause us to lose key employees, key referral sources or key suppliers. Integrating newly acquired organizations and technologies could be expensive and time consuming and may strain our resources. Consequently, we may not be successful in integrating these acquired businesses or technologies and may not achieve anticipated revenue and cost benefits.

Further, we may expand into new markets through the development of new product applications based on our existing specialized technology and design capabilities. These efforts could require us to make substantial investments, including significant research, development, engineering and capital expenditures for new, expanded

or improved manufacturing facilities which would divert resources from other aspects of our business. Expansion into new markets may be costly and may not result in any benefit to us. Specific risks in connection with expanding into new markets include the inability to transfer our quality standards into new products, the failure of customers in new markets to accept our products, and price competition in new markets. Such expansion efforts into new markets could be unsuccessful.

Our business is dependent on sophisticated information systems that may impact business operations if they fail to operate properly or not as anticipated.

The success of our business depends on the ability to obtain, process, analyze, maintain and manage data. We have become more reliant on our information systems due to the consolidation and centralization of administrative functions. Management relies on our information systems because:


	•	third-party ancillary billing services require proper tracking and reporting;

	•	customer orders must be received and shipped on a timely basis;

	•	billings and collections for all customers must be managed efficiently and accurately;

	•	product cost information, net of rebates, is needed by the sales force in a timely manner to conduct business;

	•	product reporting, such as product sales by vendor and vendor incentives earned, is a requirement;

	•	centralized procurement and inventory management systems are required for effective inventory management;

	•	regulatory compliance on certain products requires proper tracking and reporting;

	•	rebates are received from manufacturers when certain products are sold and sophisticated systems are required to track, apply and collect such rebates;

	•	data and information systems must be converted after acquisitions are consummated and during operating system conversions; and

	•	proper employee compensation and recordkeeping is required.

Our business, financial condition and results of operations may be materially adversely affected if, among other things:


	•	our information systems are interrupted or fail for any extended length of time;

	•	services relating to our information systems are not kept current;

	•	our information systems become unable to support expanded business;

	•	information is lost or unable to be restored or processed; or

	•	information security is breached.

Our substantial indebtedness could adversely affect our ability to raise additional capital to fund our operations and limit our ability to react to changes in the economy or our industry.

We are a highly leveraged company. As of December 31, 2006, we had approximately $499.6 million of outstanding indebtedness. We expect to refinance our existing indebtedness with proceeds from this offering and approximately $365 million in new indebtedness. Our ability to generate sufficient cash flow from operations to make scheduled payments on our indebtedness will depend on a range of economic, competitive and business factors, many of which are outside our control. Our business may not generate sufficient cash flow from operations to meet our debt service and other obligations. If we are unable to meet our expenses and debt service and other obligations, we may need to refinance all or a portion of our indebtedness on or before maturity, sell assets or raise equity. We may not be able to refinance any of our indebtedness, sell assets or raise equity on commercially reasonable terms or at all, which could cause us to default on our obligations and impair our liquidity. Our inability to generate sufficient cash flow to satisfy our debt obligations, or to refinance our obligations on commercially reasonable terms, would have an adverse effect on our business, financial condition and results of operations.

Our outstanding indebtedness will have several important effects on our future operations, including, among others:


	•	our debt covenants may require us to meet financial tests, and impose other limitations that may limit our flexibility in planning for and reacting to changes in our business and the industries in which we operate, including possible acquisition opportunities;

	•	our ability to obtain additional financing for working capital, capital expenditures, acquisitions, general corporate and other purposes may be limited;

	•	failure to meet our debt covenants could result in acceleration of the indebtedness or an increase in the interest rate or administrative fees associated with our indebtedness;

	•	we may be at a competitive disadvantage to similar companies that have less debt; and

	•	we may be more vulnerable to adverse economic and industry conditions.

Our existing credit facilities contain, and we expect our new credit facility will contain, financial and other restrictive covenants. In the past, we have satisfied certain covenants pursuant to provisions in our senior credit facility that permit us to cure what would otherwise be noncompliance by issuing certain equity securities. For example, on August 23, 2006 and November 23, 2006, we issued 10,106 and 1,244, respectively, shares of our series A preferred stock. We may not be able to satisfy these covenants or be able to pursue new business strategies within the constraints of the covenants in the future if we cannot comply with our covenants and such noncompliance is not waived or cured in the applicable cure period or we cannot obtain a satisfactory amendment to the covenants, we will be in default. As a result, we will be unable to access our credit facility and our lenders may declare all amounts borrowed under the facility to be due and payable, together with accrued interest.

We could be adversely affected by an impairment of the significant amount of goodwill and other intangibles on our financial statements.

Our acquisitions have resulted in the recording of a significant amount of goodwill on our financial statements. The goodwill was recorded because the fair value of the tangible and identifiable intangible net assets acquired was less than the purchase price. We may not realize the full value of this goodwill. We evaluate on an ongoing basis whether events and circumstances indicate that all or some of the carrying value of goodwill is no longer recoverable, in which case we would write-off the unrecoverable goodwill as a charge to our earnings. As of December 31, 2006, we had goodwill of approximately $520.7 million, or 77% of total assets.

Because our growth strategy may involve the acquisition of other companies, we may record additional goodwill in the future. The possible write-off of this goodwill could negatively impact our future earnings. We will also be required to allocate a portion of the purchase price of any acquisition to the value of noncompetition agreements, patient base and contracts that are acquired. The amount allocated to these items could be amortized over a fairly short period. As a result, our earnings and the market price of our common stock could be negatively impacted.

If we fail to maintain effective internal controls over financial reporting, our business, operating results and stock price could be adversely affected.

Beginning with our annual report for our fiscal year ending 2008, Section 404 of the Sarbanes-Oxley Act of 2002 will require us to include a report by our management on our internal controls over financial reporting. This report must contain an assessment by management of the effectiveness of our internal controls over financial reporting as of the end of our fiscal year and a statement as to whether or not our internal controls are effective. Our annual report for the fiscal year ending 2008 must also contain a statement that our independent registered public accounting firm has issued attestation reports on management’s assessment of such internal controls and on the effectiveness of internal controls.

In order to achieve timely compliance with Section 404, we have begun a process to document and evaluate our internal controls over financial reporting. Our efforts to comply with Section 404 have resulted in, and are likely to continue to result in, significant costs, the commitment of time and operational resources and the diversion of management’s attention. If our management identifies one or more material weaknesses in our internal controls

over financial reporting, we will be unable to assert that our internal controls are effective. If we are unable to assert that our internal controls over financial reporting are effective, or if our independent registered public accounting firm is unable to attest that our management’s report is fairly stated or they are unable to express an opinion on our management’s evaluation or on the effectiveness of our internal controls, market perception of our financial condition and the trading price of our stock may be adversely affected and customer perception of our business may suffer.

Risks Related to Our Common Stock and this Offering

There is no existing market for our common stock and we do not know if one will develop to provide you with adequate liquidity.

There is currently no public market for our common stock. An active trading market for our common stock may not develop. You may be unable to resell the common stock you buy at or above the initial public offering price. We will establish the initial public offering price through negotiations with the representatives of the underwriters. You should not view the price they and we establish as any indication of prices that will prevail in the trading market.

Our stock price could be volatile, which could result in losses for investors purchasing shares in this offering.

The stock market in general, and the market for healthcare-related companies in particular, has experienced volatility. This volatility has often been unrelated to the operating performance of particular companies. Investors may not be able to sell their common stock at or above our public offering price. Prices for the common stock will be determined in the marketplace and may be influenced by many factors, including variations in our financial results, changes in earnings estimates by industry research analysts, investors’ perceptions of us and general economic, industry and market conditions.

You will experience immediate and significant dilution in book value per share.

The initial public offering price of our common stock is substantially higher than what the net tangible book value per share of our outstanding common stock will be immediately after this offering. Net tangible book value per share represents the amount of total tangible assets less total liabilities, divided by the number of shares outstanding. Based upon an assumed initial public offering price of $ (the midpoint of the price range set forth on the cover page of this prospectus), if you purchase our common stock in this offering, you will incur an immediate dilution of approximately $ in the net tangible book value per share of common stock. See “Dilution.”

We will also have outstanding options to purchase our common stock with exercise prices significantly below the initial public offering price of the common stock. To the extent these options are exercised, you will experience further dilution.

If we are not the subject of securities analyst reports or if any securities analyst downgrades our common stock or our sector, the price of our common stock could be negatively affected.

Securities analysts may publish reports about us or our industry containing information about us that may affect the trading price of our common stock. There are many publicly traded companies active in the healthcare industry, which may mean it will be less likely that we receive analysts’ coverage, which in turn could affect the price of our common stock. In addition, if a securities or industry analyst downgrades the outlook for our stock or one of our competitors’ stocks, the trading price of our common stock may also be negatively affected.

Future sales of our common stock by our existing stockholders may negatively impact the trading price of our common stock.

If a substantial number of our existing stockholders decide to sell shares of their common stock in the public market following the completion of this offering, the price at which our common stock trades could decline. Additionally, the public market’s perception that such sales might occur may also depress the price of our common stock. Our directors, executive officers, and certain of our other existing stockholders have agreed to enter into lock-up agreements pursuant to which they have agreed not to sell shares of our common stock in the public market

for a period of 180 days following the completion of this offering. Our amended and restated certificate of incorporation, which will be in effect upon the completion of this offering, will authorize us to issue up to shares of common stock, of which shares will be outstanding and shares will be issuable upon the exercise of outstanding vested stock options. Of the shares outstanding upon the completion of this offering, shares will be freely tradeable without restriction and shares will be freely tradeable following the expiration of the 180-day lock-up period. Following the completion of this offering, we also anticipate filing a registration statement to register those authorized but unissued shares of common stock reserved for issuance under our equity incentive plan and our stock purchase plan. In addition, some of our stockholders have the right to require us to register common stock for resale in certain circumstances. See “Certain Relationships and Related Person Transactions — Registration Rights Agreement.”

Provisions in our charter documents and under Delaware law may prevent or frustrate attempts by our stockholders to change our management and hinder efforts to acquire a controlling interest in us.

Provisions of our corporate charter and bylaws may discourage, delay or prevent a merger, acquisition or other change in control that stockholders may consider favorable, including transactions in which you might otherwise receive a premium for your shares. These provisions may also prevent or frustrate attempts by our stockholders to replace or remove our management. These provisions include:


	•	a classified board of directors;

	•	limitations on the removal of directors;

	•	advance notice requirements for stockholder proposals and nominations;

	•	the inability of stockholders to act by written consent or to call special meetings; and

	•	the ability of our board of directors to designate the terms of and issue new series of preferred stock without stockholder approval.

In addition, Section 203 of the Delaware General Corporation Law prohibits a publicly held Delaware corporation from engaging in a business combination with an interested stockholder, generally a person which together with its affiliates owns, or within the last three years has owned, 15% of our voting stock, for a period of three years after the date of the transaction in which the person became an interested stockholder, unless the business combination is approved in a prescribed manner. Accordingly, Section 203 may discourage, delay or prevent a change in control of our company.

These and other provisions contained in our charter and bylaws could delay or discourage transactions involving an actual or potential change in control of us or our management, including transactions in which our stockholders might otherwise receive a premium for their shares over then current prices, and may limit the ability of stockholders to remove our current management or approve transactions that our stockholders may deem to be in their best interest and, therefore, could adversely affect the price of our common stock.

We may need to raise additional capital in the future, which may not be available on favorable terms or at all, and which may cause dilution to existing stockholders.

We may need to seek additional funding in the future. We do not know if we will be able to obtain additional financing on favorable terms, if at all. If we cannot raise funds on acceptable terms, if and when needed, we may not be able to develop or enhance our product and service offerings, take advantage of future opportunities or respond to competitive pressures or unanticipated requirements, and we may be required to reduce operating costs, which could seriously harm our business. In addition, if we issue equity securities, our stockholders may experience additional dilution or the new equity securities may have rights, preferences or privileges senior to those of our common stock.

We do not intend to pay dividends on shares of our common stock for the foreseeable future.

Since our acquisition in September 2005, we have not declared or paid any cash dividends on shares of our common stock. We intend to use earnings in the future to fund and develop our business and do not anticipate paying

any cash dividends on our common stock. Your potential gain from your investment in our common stock, therefore, will be solely the capital appreciation, if any, of our common stock.

Our principal stockholder will be able to influence matters requiring stockholder approval and could discourage the purchase of our outstanding shares at a premium.

After this offering, our principal stockholder, Warburg Pincus, will control approximately % of our outstanding common stock. See “Principal Stockholders.” This concentration of ownership may have the effect of delaying, preventing or deterring a change in control of our company, could deprive our stockholders of an opportunity to receive a premium for their common stock as part of a sale or merger of our company and may negatively affect the market price of our common stock. These transactions might include proxy contests, tender offers, mergers or other purchases of common stock that could give you the opportunity to realize a premium over the then-prevailing market price for shares of our common stock.

Upon the completion of this offering, Warburg Pincus will continue to have the right under our stockholders’ agreement to designate two members of our board of directors. See “Management — Board Composition” and “Certain Relationships and Related Person Transactions — Stockholders’ Agreement.” As a result of this share ownership and minority representation on our board of directors, our current stockholders, in particular Warburg Pincus, will be able to influence all affairs and actions of our company, including matters requiring stockholder approval such as the election of directors and approval of significant corporate transactions. The interests of our executive officers, directors and principal stockholders may differ from the interests of the other stockholders. For example, Warburg Pincus could oppose a third-party offer to acquire us that you might consider attractive and the third party may be unwilling to proceed unless Warburg Pincus supports the offer. In addition, if the board of directors supports a transaction requiring an amendment to our certificate of incorporation, Warburg Pincus is currently in a position to defeat any required stockholder approval of the proposed amendment. If the board of directors supports an acquisition of us by means of a merger or a similar transaction, the vote of Warburg Pincus alone is currently sufficient to approve the transaction under Delaware law. In each of these cases and in similar situations, you may disagree with Warburg Pincus as to whether the action opposed or supported by Warburg Pincus is in the best interest of our stockholders.

We will be considered a “controlled company” within the meaning of the Nasdaq listing requirements and, as a result, qualify for exemptions from certain corporate governance requirements.

Because Warburg Pincus will own more than 50% of the voting power of our common stock after this offering, we will be considered to be a “controlled company” for the purposes of the Nasdaq listing requirements. Under Nasdaq listing requirements, a “controlled company” is permitted to, and we have elected to, opt out of the provisions that would otherwise require (i) our board of directors to be comprised of a majority of independent directors, (ii) compensation of our officers to be determined or recommended to the board of directors by a majority of its independent directors or by a compensation committee that is composed entirely of independent directors and (iii) director nominees to be selected or recommended for selection by a majority of the independent directors or by a nominating committee composed solely of independent directors. Accordingly, you may not have the same protections afforded to stockholders of companies that are subject to all of the Nasdaq corporate governance requirements.

SPECIAL NOTE REGARDING FORWARD-LOOKING STATEMENTS

This prospectus contains forward-looking statements. The forward-looking statements are contained primarily in the sections entitled “Prospectus Summary,” “Risk Factors,” “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and “Business.” These statements involve known and unknown risks, uncertainties and other factors that may cause our actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by the forward-looking statements. In some cases, you can identify forward-looking statements by terms including “anticipates,” “believes,” “could,” “estimates,” “expects,” “intends,” “may,” “plans,” “potential,” “predicts,” “projects,” “should,” “will,” “would,” and similar expressions intended to identify forward-looking statements. Forward-looking statements reflect our current views with respect to future events and are based on assumptions and subject to risks and uncertainties.

Factors that could cause our actual results to differ materially from those expressed or implied in such forward-looking statements include, but are not limited to:


	•	changes, delays or denials in reimbursement policies of Medicare;

	•	the effect of competitive bidding under Medicare reimbursement in the future;

	•	payments from third-party healthcare payors, and the uncertainty of third-party reimbursements;

	•	the ability of our medical supply business to retain patients and receive recurring orders from them;

	•	the interpretation and enforcement of government regulations;

	•	our ability to effectively adapt to changes in the healthcare industry;

	•	the development of new technologies that may reduce the need for consumable testing supplies;

	•	the effect of increased price competition;

	•	increased costs of providing products or services to our customers;

	•	price increases or service interruptions by shipping carriers on which we depend;

	•	our ability to manage our inventory;

	•	our dependence upon third parties for the manufacture and supply of substantially all of our products;

	•	the effects of any litigation we may face that could force us to pay damages and harm our reputation;

	•	the loss of members of our senior management;

	•	competition for staff may cause us to restrict growth in certain areas or to realize increased labor costs in existing areas;

	•	our ability to hire and retain qualified sales representatives;

	•	our ability to manage our growth efficiently;

	•	our ability to efficiently integrate any future acquisitions; and

	•	the proper operation of our information systems.

We discuss many of the foregoing and other risks in this prospectus in greater detail under the heading “Risk Factors.” Given these uncertainties, you should not place undue reliance on these forward-looking statements. Also, forward-looking statements represent our estimates and assumptions as of the date of this prospectus. You should read this prospectus, and the documents that we reference in this prospectus and have filed as exhibits to the registration statement of which this prospectus is a part, completely and with the understanding that our actual future results may be materially different from what we expect. Except as required by law, we assume no obligation to update these forward-looking statements publicly, or to update the reasons actual results could differ materially from those anticipated in these forward-looking statements, even if new information becomes available in the future.

USE OF PROCEEDS

We estimate that the net proceeds from the sale of the shares of common stock that we are offering will be approximately $ , after deducting the underwriting discount and estimated offering expenses of $ and assuming an initial public offering price of $ per share, the midpoint of the price range set forth on the cover page of this prospectus. If the underwriters exercise their option to purchase additional shares in full, we estimate that our net proceeds will be approximately $ . Each $1.00 increase (decrease) in the assumed initial public offering price would increase (decrease) the net proceeds to us from this offering by $ million, assuming the number of shares offered by us, as set forth on the cover page of this prospectus, remains the same and after deducting the underwriting discounts and commissions and estimated offering expenses payable by us.

We anticipate using the net proceeds of this offering to repay a portion of our outstanding borrowings under our existing credit facilities. In addition, in connection with the completion of this offering, to repay the remaining portion of our outstanding borrowings under our existing credit facilities, we will enter into a new senior secured credit facility with a group of lenders that will include affiliates of some of the underwriters.

As discussed above, we will use the net proceeds of this offering for the repayment of a portion of our outstanding borrowings under our existing credit facilities. As of December 31, 2006, we had $330.3 million outstanding under our First Lien Credit Agreement, entered into with Wachovia Bank, National Association, Bank of America, N.A., and JPMorgan Chase Bank, N.A., which matures in September 2012. The first lien term loan bears interest at LIBOR plus 3.25%, or 8.62%, as of December 31, 2006. The prime-based revolving credit loan bears interest at prime plus 1.5%, or 9.75%, as of December 31, 2006. The LIBOR-based revolving credit loan bears interest at LIBOR plus 2.5%, or 7.85% as of December 31, 2006. As of December 31, 2006, we had $110 million outstanding under our Second Lien Credit Agreement, entered into with Wachovia Bank, National Association, Bank of America, N.A., and JPMorgan Chase Bank, N.A., which matures in March 2013. The second lien term loan bears interest at LIBOR plus 8.0%, or 13.37% as of December 31, 2006. As of December 31, 2006, we had $59.3 million outstanding under our unsecured note payable, with Bank of America, N.A., which matures in September 2013. The unsecured revolving loan bears interest at 14.0%. Prior to September 30, 2010, interest on the outstanding principal amount may, at our option, be paid in cash or in kind in the form of an increase in the outstanding principal amount. Thereafter, interest is payable semiannually in arrears commencing March 31, 2011. An affiliate of Wachovia Capital Markets, LLC is a lender under our existing credit facilities and will, accordingly, receive a portion of the proceeds to repay those borrowings.

DIVIDEND POLICY

Since our acquisition in 2005, we have not declared or paid cash dividends on our common stock. We currently intend to retain all future earnings, if any, for the operation and expansion of our business and therefore do not anticipate declaring or paying cash dividends on our common stock in the foreseeable future. In addition, our existing credit facilities restrict the amount available to us to pay cash dividends. The amounts available to us to pay cash dividends will be restricted under our new credit facility. Any payment of cash dividends on our common stock will be at the discretion of our board of directors and will depend upon our results of operations, earnings, capital requirements, contractual restrictions and other factors deemed relevant by our board of directors.

CAPITALIZATION

The following table sets forth our cash and cash equivalents and capitalization as of December 31, 2006:


	•	on an actual basis;

	•	as adjusted to reflect the following events as if they occurred on December 31, 2006:


	(i)	the automatic conversion of the our outstanding shares of our series A preferred stock into shares of our common stock assuming an initial public offering of $ per share, the midpoint of the price range set forth on the cover page of this prospectus;

	(ii)	the for stock split that will occur immediately prior to the completion of this offering;

	(iii)	the issuance and sale of shares of common stock in this offering at an assumed public offering price of $ per share, the midpoint of the price range set forth on the cover page of this prospectus, after deducting the estimated underwriting discounts and our estimated offering expenses; and

	(iv)	the entry into our new senior secured credit facility and the repayment of our existing credit facilities.

You should read this table in conjunction with the information contained in “Use of Proceeds,” “Selected Historical Consolidated Financial Data,” “Description of Capital Stock” and “Management’s Discussion and Analysis of Financial Condition and Results of Operations” as well as the consolidated financial statements and the notes thereto included elsewhere in this prospectus.


	As of December 31, 2006
	Actual			As Adjusted
	(In thousands except number of shares and per share information)

Cash and cash equivalents:	$	—		$

Long-term debt (including current maturities):	$	499,579

Stockholders’ equity:
Preferred stock
Series A convertible preferred stock, par value $0.01 per share, 200,000 authorized, 173,276 shares issued and outstanding, actual		2
Preferred stock, par value $0.01 per share, authorized, issued and outstanding, as adjusted
Common stock, par value $0.01 per share, 500,000 authorized, 3,025 shares issued and outstanding, actual; authorized, shares issued and outstanding, as adjusted		0
Additional paid-in capital		156,468
Retained deficit		(35,197	)
Accumulated other comprehensive income		2,188

Total stockholders’ equity	$	123,461		$

Total capitalization	$	623,040		$

The above table does not include:


	•	shares of common stock issuable upon the exercise of stock options outstanding as of with a weighted average exercise price of $ per share;

	•	shares of common stock reserved for future grants under our stock option and incentive plans as of December 31, 2006; and

	•	shares of common stock that may be issued and sold if the underwriters exercise their option to purchase additional shares.

DILUTION

Dilution is the amount by which the offering price paid by the purchasers of our common stock sold in this offering will exceed the net tangible book value per share of our common stock immediately after this offering. The net tangible book value per share presented below is equal to the amount of our total tangible assets (total assets less intangible assets) less total liabilities as of December 31, 2006, divided by the number of shares of our common stock that would have been held by our common stockholders of record immediately prior to this offering had we effected the for stock split that will occur immediately prior to the completion of this offering, the automatic conversion of our outstanding series A preferred stock into shares of common stock (assuming an initial public offering price of $ per share, the midpoint of the price range set forth on the cover page of this prospectus) and the entry into the new senior secured credit facilities. Our net tangible book value as of December 31, 2006 was approximately $ , or $ per share.

On an as adjusted basis, our net tangible book value as of December 31, 2006 would have been approximately $ , or $ per share (assuming an initial public offering price of $ per share, the midpoint of the price range set forth on the cover page of this prospectus). This represents, on an as adjusted basis, an immediate dilution in net tangible book value of $ per share.

The following tables illustrate this dilution:


Assumed initial public offering price per share		$
As adjusted net tangible book value per share as of December 31, 2006	$
Increase per share attributable to new investors	$
As adjusted net tangible book value per share after this offering		$
Dilution in net tangible book value per share to new investors		$

If the underwriters exercise their option to purchase additional shares of our common stock in full, the as adjusted net tangible book value per share after this offering would be $ per share, the increase per share to existing stockholders would be $ per share and the dilution to new investors would be $ per share.

The following table shows, as of December 31, 2006, on an as adjusted basis giving effect to the conversion of all outstanding shares of series A preferred stock, the for stock split that will occur immediately prior to the completion of this offering and the entry into the new senior secured credit facilities, the number of shares purchased from us and the total consideration and average price per share paid to us by existing stockholders and by new investors before deducting the estimated underwriting discounts and commissions and the estimated offering expenses payable by us:

Shares Purchased

Total Consideration

Average Price

Number

Percent

Amount

Percent

Per Share

Existing stockholders

New investors

Total

Each $1.00 increase (decrease) in the assumed initial public offering price of $ per share (the midpoint of the price range set forth on the cover page of this prospectus) would increase (decrease) total consideration paid by new investors and total consideration paid by all stockholders by $ million, assuming the number of shares offered by us, as set forth on the cover page of this prospectus, remains the same, and before deducting the underwriting discounts and commissions and estimated offering expenses payable by us.

As of December 31, 2006, there were options outstanding to purchase shares of our common stock, with a weighted average exercise price of $ per share. The tables and calculations above assume that those options have not been exercised. To the extent outstanding options are exercised, you would experience further dilution if the exercise price is less than our net tangible book value per share.

In addition, we may choose to raise additional capital due to market conditions or strategic considerations even if we believe we have sufficient funds for our current and future operating plans. To the extent additional capital is raised through the sale of equity or convertible debt securities, it could result in further dilution to existing stockholders.

SELECTED HISTORICAL CONSOLIDATED FINANCIAL DATA

The following table presents selected historical consolidated financial data of (i) CCS Medical Holdings, Inc. (Successor) for the year ended December 31, 2006 and for the three months ended December 31, 2005, which are derived from our audited consolidated financial statements included elsewhere in this prospectus; (ii) Chronic Care Solutions, Inc. (Predecessor) for the years ended September 30, 2005 and 2004, which are derived from our audited consolidated financial statements included elsewhere in this prospectus; and (iii) MPTC Holdings, Inc. (Predecessor) for the nine months ended September 30, 2005 and for the year ended December 31, 2004, which are derived from our audited consolidated financial statements included elsewhere in this prospectus.

As of September 30, 2005, Chronic Care Solutions Holding, Inc. acquired all of the outstanding shares of capital stock of Chronic Care Solutions, Inc. and MPTC Holdings, Inc. and, as a result, Chronic Care Solutions, Inc. and MPTC Holdings, Inc. are predecessors to CCS Medical Holdings, Inc. In March 2002, DEGC Enterprises (U.S.), Inc. consummated a stock purchase agreement with Chronic Care Solutions, Inc. pursuant to which Chronic Care Solutions, Inc. purchased all of the outstanding shares of capital stock of DEGC Enterprises (U.S.), Inc. DEGC Enterprises (U.S.), Inc. is a predecessor to Chronic Care Solutions, Inc. Effective April 17, 2007, Chronic Care Solutions Holding, Inc. changed its name to CCS Medical Holdings, Inc. The consolidated financial data of Chronic Care Solutions, Inc., MPTC Holdings, Inc. and DEGC Enterprises (U.S.), Inc. are included herein for historical evaluation purposes.

The historical results presented below are not necessarily indicative of the results to be expected for any future period. The information presented below should be read together with “Management’s Discussion and Analysis of Financial Condition and Results of Operations” and the above-referenced consolidated financial statements and the notes thereto included elsewhere in this prospectus.


	DEGC Enterprises
	(U.S.), Inc.		Chronic Care Solutions, Inc.											MPTC Holdings, Inc.												CCS Medical Holdings, Inc.
	Predecessor		Predecessor											Predecessor												Successor
	Five Months		Seven Months		Year			Year			Year			Year			Year			Year			Nine Months			Three Months			Year
	Ended		Ended		Ended			Ended			Ended			Ended			Ended			Ended			Ended			Ended			Ended
Statement of operations data	Feb 28, 2002		Sept 30, 2002		Sept 30, 2003			Sept 30, 2004			Sept 30, 2005			Dec 31, 2002			Dec 31, 2003			Dec 31, 2004			Sept 30, 2005			Dec 31, 2005			Dec 31, 2006
	(In thousands, except share data)

Net revenues	$	17,065	$	29,852	$	67,458		$	112,142		$	191,594		$	67,192		$	111,538		$	152,015		$	140,841		$	103,701		$	432,430
Costs and expenses:
Cost of goods sold		8,655		15,686		36,534			62,512			111,287			22,581			45,972			70,698			71,394			55,034			244,767
Operating, selling, general and administrative expense		3,944		7,637		16,177			32,045			52,108			26,446			39,820			51,159			45,559			29,948			110,865
Provision for uncollectible accounts		1,200		909		3,070			3,430			18,733			4,036			6,384			7,157			6,531			8,267			25,680
Depreciation		217		429		828			4,000			11,478			735			1,129			1,327			1,501			3,465			12,833
Amortization		—		—		—			1,134			3,600			7,265			8,760			7,080			3,145			2,627			10,717
Impairment loss		—		—		—			—			—			—			—			4,988			—			—			—
Other		—		—		—			—			—			3,605			883			736			350			—			—

		14,016		24,661		56,609			103,121			197,206			64,668			102,948			143,145			128,480			99,341			404,862
Income (loss) from operations		3,049		5,191		10,849			9,021			(5,612	)		2,524			8,590			8,870			12,361			4,360			27,568
Interest expense		—		513		623			15,030			22,053			1,520			2,363			6,709			5,789			11,891			51,161
Interest income		—		—		—			—			—			(102	)		(23	)		(24	)		(25	)		(102	)		(450	)
Other expense (income), net		1,769		60		(47	)		59			(2	)		—			—			—			—			—			—

Income (loss) before income tax expense		1,280		4,618		10,273			(6,068	)		(27,663	)		1,106			6,250			2,185			6,597			(7,429	)		(23,143	)
Income tax expense (benefit)		—		1,748		3,800			(2,228	)		587			473			2,511			950			2,578			986			3,639

Net income (loss)		1,280		2,870		6,473			(3,840	)		(28,250	)		633			3,739			1,235			4,019			(8,415	)		(26,782	)
Preferred stock dividends		—		1,418		1,702			3,773			6,706			—			—			3,015			3,172			3,240			14,002

Net income (loss) applicable to common stock	$	1,280	$	1,452	$	4,771		$	(7,613	)	$	(34,956	)	$	633		$	3,739		$	(1,780	)	$	847		$	(11,655	)	$	(40,784	)

Cash dividends declared per common share	$	—	$	—	$	—		$	61.78		$	—		$	—		$	—		$	—		$	—		$	—		$	—

Net income (loss) per common share:
Basic(1)	$	3,459.46	$	1.61	$	5.30		$	(5.12	)	$	(11.13	)	$	0.05		$	0.27		$	(0.13	)	$	0.06		$	—		$	(54,817.20	)
Diluted(1)	$	3,459.46	$	0.81	$	2.65		$	(5.12	)	$	(11.13	)	$	0.04		$	0.18		$	(0.13	)	$	0.06		$	—		$	(54,817.20	)
Weighted average shares outstanding:
Basic(1)		370		900,000		900,000			1,487,385			3,141,479			13,699,174			13,836,204			13,878,442			13,878,442			—			744
Diluted(1)		370		1,800,000		1,800,967			1,487,385			3,141,479			17,343,425			20,984,645			13,878,442			15,257,795			—			744
Pro forma net income (loss) per share attributable to common stockholders:
Basic
Diluted
Weighted average shares used to compute pro forma net income (loss) per share attributable to common stockholders:
Basic
Diluted
Other financial data
EBITDA, as defined(2)																											11,454			57,283


																		Successor
	Predecessors																	CCS Medical Holdings, Inc.
	Chronic Care Solutions, Inc.									MPTC Holdings, Inc.												December 31,
	September 30,		September 30,		September 30,		September 30,			December 31,		December 31,		December 31,		September 30,		December 31,		December 31,		2006
Balance sheet data	2002		2003		2004		2005			2002		2003		2004		2005		2005		2006		As adjusted(3)
	(In thousands)

Total assets	$	49,585	$	56,583	$	230,355	$	217,902		$	80,024	$	135,846	$	184,767	$	181,820	$	678,153	$	677,627
Long-term debt		10,503		7,221		190,008		194,826			27,445		75,923		93,815		87,800		483,755		499,579
Capital leases		—		354		255		—			813		1,587		1,262		706		535		291
Preferred stock		1		1		3		3			62		68		127		127		2		2
Total stockholders’ equity (deficit)		32,066		36,842		18,389		(16,567	)		41,700		48,174		74,410		78,428		150,966		123,461


(1)		Common shares outstanding as of December 31, 2005 were subject to a reverse stock split in June 2006 resulting in fractional shares of .01 common shares outstanding on a converted basis at December 31, 2005. We paid cash in lieu of issuing fractional shares. The information in the table does not reflect the for stock split that will occur immediately prior to the completion of this offering.

(2)		We present EBITDA, as defined in this prospectus to provide investors with supplemental measures of our operating performance and liquidity and information utilized in the calculation of the financial covenants under our senior credit facilities. EBITDA, as defined differs from the term “EBITDA” as it is commonly used. EBITDA, as defined, as used in this prospectus, means “EBITDA” as that term is defined under our senior credit facilities, which is generally consolidated net income before interest expense, provision for income taxes, depreciation and amortization, restructuring changes, non-cash charges and any management or advisory fees.

Management uses EBITDA and EBITDA, as defined as performance and cash flow metrics for internal monitoring and planning purposes, including the preparation of our annual operating budget and monthly operating reviews, as well as to facilitate analysis of investment decisions. In addition, both metrics are important to allow us to evaluate profitability and make performance trend comparisons between us and our competitors. Further, we believe EBITDA and EBITDA, as defined are frequently used by securities analysts, investors and other interested parties in the evaluation of companies in our industry.

associated with the above noted financial covenants and determined that we were in compliance with such financial covenants. For a discussion of the risks associated with our significant leverage, see “Risk Factors—Our substantial indebtedness could adversely affect our ability to raise additional capital to fund our operations and limit our ability to react to changes in the economy or our industry.”

The following is a reconciliation of EBITDA and EBITDA, as defined to net income on a quarterly and annual basis:

CCS Medical Holdings, Inc.


	Quarters Ended															Year Ended
	December 31,			March 31,			June 30,			September 30,			December 31,			December 31,
	2005			2006			2006			2006			2006			2006
	(In thousands)

Net income (loss)	$	(8,415	)	$	(11,023	)	$	(10,558	)	$	(4,113	)	$	(1,088	)	$	(26,782	)
Add:
Depreciation and amortization		6,092			6,141			6,120			5,268			6,021			23,550
Interest expense, net		11,789			12,085			12,786			12,973			12,865			50,711
Income taxes		986			950			950			950			789			3,639

EBITDA		10,452			8,153			9,298			15,078			18,587			51,118
Add:
Integration and restructuring charges		1,002			1,886			2,469			955			486			5,796
Other non-cash charges		—			—			—			203			166			369

EBITDA, as defined	$	11,454		$	10,039		$	11,767		$	16,236		$	19,239		$	57,283


(3)		As adjusted to reflect the following events as if they occurred on December 31, 2006:


	(i)	the automatic conversion of the our outstanding shares of our series A preferred stock into shares of our common stock;

	(ii)	the for stock split that will occur immediately prior to the completion of this offering;

	(iii)	the issuance and sale of shares of common stock in this offering at an assumed public offering price of $ per share, the midpoint of the price range set forth on the cover page of this prospectus, after deducting the estimated underwriting discounts and our estimated offering expenses; and

	(iv)	the entry into our new senior secured credit facility and the repayment of our existing credit facilities.

The following is a reconciliation of EBITDA and EBITDA, as defined to net income:


	Successor
	CCS Medical Holdings, Inc.
	Three Months
	Ended			Year Ended
	December 31,			December 31,
Other financial data	2005			2006
	(In thousands)

Net loss	$	(8,415	)	$	(26,782	)
Add:
Depreciation and amortization		6,092			23,550
Interest expense, net		11,789			50,711
Income taxes		986			3,639

EBITDA		10,452			51,118
Add:
Integration and restructuring charges		1,002			5,796
Other non-cash charges		—			369

EBITDA, as defined	$	11,454		$	57,283

MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL
CONDITION AND RESULTS OF OPERATIONS

The following discussion should be read in conjunction with the consolidated financial statements of CCS Medical Holdings, Inc. (f/k/a Chronic Care Solutions Holding, Inc.), or CCSM, Chronic Care Solutions, Inc. (Predecessor), or CCS, and MPTC Holdings, Inc. (Predecessor), or MPTC, included elsewhere in this prospectus. Some of the information contained in this discussion and analysis or included elsewhere in this prospectus, including information with respect to our plans and strategy for our business, includes forward-looking statements that involve risks and uncertainties. Please see “Special Note Regarding Forward-Looking Statements” for more information. You should review the “Risk Factors” for a discussion of important factors that could cause actual results to differ materially from the results described in or implied by the forward-looking statements. All amounts herein are in thousands except as noted.

Overview

We are a leading medical supply management company delivering products and value-added services to individuals living with select chronic medical conditions. We drive referrals and sales in patient populations being treated for diabetes, urological and ostomy-related disorders, chronic wounds, incontinence, respiratory conditions and other chronic conditions. Our primary product focus is on diabetes, a large and fast growing component of the chronic care market. Products we distribute in the diabetes market include blood glucose testing supplies, insulin pumps and related supplies, and prescription medications.

We market our products and services to patients via contact with their physician, chronic disease educator, managed care representative, our sales professionals and/or other forms of communication. To service our patient base, we operate six distribution centers that currently ship a total of over 150,000 packages each month. Generally, we ship our products via U.S. Postal Priority Mail and UPS, which allow us to track and verify patient shipment status automatically. We receive payment from several payor types, ranging from cash purchases by private patients to commercial, Medicaid and Medicare billing. We submit direct electronic claims whenever possible and do not use any third parties to process our electronic claims.

We operate our business in two segments: direct-to-consumer and business-to-business. The direct-to-consumer segment provides for direct mail of our products to patients suffering from chronic diseases. Our business-to-business segment provides diabetes testing supplies and related products on a wholesale basis to providers and distributors.

CCS Medical Holdings, Inc. began operations in September 2005 and acquired Chronic Care Solutions, Inc. and MPTC Holdings, Inc. Our history dates back to 1994, when the direct-to-consumer operations of DEGC Enterprises (U.S.), Inc., one of our predecessor entities, began. We and our predecessor entities have completed acquisitions and integrations of several entities, including Chronic Care Solutions, Inc., MPTC Holdings, Inc. and the entities listed below:


Chronic Care Solutions, Inc.		MPTC Holdings, Inc.

November 2004	Acquired KeyMed, Inc.	July 2004	Acquired Gericare Providers, Inc.

June 2004	Acquired the Pharmacy and Supplies Division of Matria Healthcare, Inc.	October 2003	Acquired Medical Holdings, Inc.

March 2004	Acquired Medical Express Depot, Inc.	June 2002	Acquired Express-Med, Inc.

February 2004	Acquired Secure Care Medical, Inc.	April 2001	Acquired assets of Health Script Pharmacy Services, Inc.

March 2002	Acquired DEGC Enterprises (U.S.), Inc.	October 1999	Acquired MedShip Direct, Inc.

As a part of our ongoing business development activities, we created a subsidiary to expand our product line offerings and customer base. This subsidiary operates under the name of Sanvita. In the quarter ended December 31, 2006, we acquired certain assets and assumed certain liabilities from the blood glucose monitoring division of Becton, Dickinson and Company which accelerated this business development initiative. We also secured the rights to be the exclusive distributor of a new blood glucose monitoring system in the United States and Puerto Rico.

Fiscal Year

We have adopted a year end of December 31. Chronic Care Solutions, Inc. had a year end of September 30 and MPTC Holdings, Inc. had a year end of December 31.

Sources of Revenue

We receive payments for products sold from the Medicare and Medicaid programs, commercial insurers, managed care organizations and our customers. The following table sets forth the percentage of our net revenues we earned by category of payor since we began operations on October 1, 2005.


	Year Ended			Quarter Ended
	December 31,			December 31,
	2006			2005

Medicare		51.5	%		54.8	%
Medicaid		7.1	%		7.3	%
Commercial		32.0	%		28.2	%
Other		9.4	%		9.7	%

Total		100.0	%		100.0	%

Costs and Expenses

Our primary expenditures consist of cost of goods sold, shipping costs, operating, selling, general and administrative expenses, and interest expense. The largest cost we incur is the cost to purchase the products we distribute. These products are purchased directly from various manufacturers and wholesalers and delivered to our warehouses and distribution centers. We also incur administrative costs and salaries and benefits relating to our sales and marketing plan, call center operations, shipping, warehouse and distribution centers, and administrative and executive staff. During 2006, we implemented a plan to integrate operational functions of the two predecessor companies, restructured the respiratory product line, and leveraged the combined infrastructure to support our growth in sales.

Quarterly Results of Operations

A summary of the quarterly data for CCS Medical Holdings, Inc. from October 1, 2005 (inception of operations) through December 31, 2006 follows:


	Quarters Ended
	December 31,			March 31,			June 30,			September 30,			December 31,
	2005			2006			2006			2006			2006
	(In thousands except patient data)

Statement of operations data
Net revenues	$	103,701		$	96,703		$	103,276		$	112,873		$	119,579
Costs and expenses:
Cost of goods sold		55,034			53,886			58,826			65,234			66,823
Operating, selling, general and administrative expenses		29,948			28,883			28,354			26,048			27,581
Provision for uncollectible accounts		8,267			5,781			6,798			6,513			6,588
Depreciation expense		3,465			3,514			3,449			2,668			3,202
Amortization expense		2,627			2,627			2,671			2,600			2,819

		99,341			94,691			100,098			103,063			107,013

Income from operations		4,360			2,012			3,178			9,810			12,566
Interest income		(102	)		(32	)		(197	)		(178	)		(43	)
Interest expense		11,891			12,117			12,983			13,151			12,908

Loss before income tax expense		(7,429	)		(10,073	)		(9,608	)		(3,163	)		(299	)
Income taxes		986			950			950			950			789

Net loss before preferred stock dividends	$	(8,415	)	$	(11,023	)	$	(10,558	)	$	(4,113	)	$	(1,088	)

Other operating data
EBITDA, as defined(1)		11,454			10,039			11,767			16,236			19,239
Total patients
Acquisition cost per diabetic patient(2)	$	214		$	133		$	139		$	144		$	154


(1)		We present EBITDA, as defined in this prospectus to provide investors with supplemental measures of our operating performance and liquidity and information utilized in the calculation of the financial covenants under our senior credit facilities. EBITDA, as defined differs from the term “EBITDA” as it is commonly used. EBITDA, as defined, as used in this prospectus, means “EBITDA” as that term is defined under our senior credit facilities, which is generally consolidated net income before interest expense, provision for income taxes, depreciation and amortization, restructuring changes, non-cash charges and any management or advisory fees.

EBITDA, as defined differently than we do, EBITDA may not be, and EBITDA, as defined as presented in this prospectus is not, comparable to similarly titled measures reported by other companies.

The following is a reconciliation of EBITDA and EBITDA, as defined to net income on a quarterly and annual basis:

CCS Medical Holdings, Inc.


	Quarters Ended															Year Ended
	December 31,			March 31,			June 30,			September 30,			December 31,			December 31,
	2005			2006			2006			2006			2006			2006
	(In thousands)

Net income (loss)	$	(8,415	)	$	(11,023	)	$	(10,558	)	$	(4,113	)	$	(1,088	)	$	(26,782	)
Add:
Depreciation and amortization		6,092			6,141			6,120			5,268			6,021			23,550
Interest expense, net		11,789			12,085			12,786			12,973			12,865			50,711
Income taxes		986			950			950			950			789			3,639

EBITDA		10,452			8,153			9,298			15,078			18,587			51,118
Add:
Integration and restructuring charges		1,002			1,886			2,469			955			486			5,796
Other non-cash charges		—			—			—			203			166			369

EBITDA, as defined	$	11,454		$	10,039		$	11,767		$	16,236		$	19,239		$	57,283


(2)		Acquisition cost per diabetic patient consists of the marketing costs related to acquiring new diabetic patients as customers. These costs are allocated among new patients during the period.

Upon consummation of the acquisitions of CCS and MPTC, we began the integration of the headcount, systems, processes, contracts and cultures. This process resulted in the reduction of our headcount from 1,567 employees as of October 1, 2005 to 1,430 as of December 31, 2006 while we continued to grow our business. We also renegotiated most of our significant product acquisition agreements whereby we leveraged the combined purchasing volumes of our predecessors to improve unit pricing. In addition, we initiated several improvements in our revenue cycle systems and processes to enable us to improve collections and lower the provision for uncollectible accounts.

Critical Accounting Policies

The preparation of our financial statements in conformity with U.S. generally accepted accounting principles requires management to make estimates and assumptions that affect the amounts reported in our financial statements and accompanying notes. Actual results could differ materially from those estimates. For a summary of all of our accounting policies, including the accounting policies discussed below, see Note 2 of the Consolidated

Financial Statements of CCSM included elsewhere in this prospectus. The items in our financial statements that we believe are the most dependent on the application of significant estimates and judgments are as follows:

Revenue Recognition

Our revenue recognition policy is consistent with the criteria set forth in Staff Accounting Bulletin 104 — Revenue Recognition (“SAB 104”) for determining when revenue is realized or realizable and earned. Revenues are reported on the accrual basis in the period in which products, services, or insulin pump rental equipment are provided. Revenues are recorded at established or negotiated charges, reduced by contractual adjustments to the net amounts expected to be collected. Differences between expected realizable amounts and final payments are reported as contractual adjustments when final payments are made. Allowances for returns are estimated based on historical return trends. We perform periodic analyses to evaluate whether recorded accounts receivable balances reflect estimated net realizable value. Specifically, we consider historical realization data, accounts receivable aging trends, other operating trends, and relevant business conditions. Also, focused reviews of certain large and/or problematic payors are performed.

Due to the nature of the industry and the reimbursement environment in which we operate, certain estimates are required to record revenues and accounts receivable at their net realizable values. Inherent in these estimates is the risk that they will have to be revised or updated as additional information becomes available. Specifically, the complexity of many third-party billing arrangements and the uncertainty of reimbursement amounts for certain services from certain payors may result in adjustments to amounts originally recorded. Such adjustments are typically identified and recorded at the point of cash application, claim denial, or account review. Due to the continuing changes in the healthcare industry and third-party reimbursement, it is possible that our estimates could change by a material amount in the near term, which could have an impact on operations and cash flows. A change in the provision for uncollectible accounts based on a 1.0% change in net revenues for the year ended December 31, 2006 would have favorably or unfavorably impacted net revenues and loss before income taxes by approximately $0.3 million.

Accounts Receivable

Accounts receivable are comprised of amounts due from customers and third-party payors. Credit is extended to our customers and collateral is not required. We value our receivables at the amount we expect to receive from our customers and third-party payors, net of estimates for contractual adjustments and uncollectible amounts. The realization cycle for certain governmental and managed care payors can be protracted, involving denial, appeal and adjudication processes, and are subject to periodic adjustments which may be significant. Additions to the allowance for uncollectible accounts are made by means of the provision for uncollectible accounts using reasonable estimates based on available information, but may involve regulatory or contractual complexities, multiple reimbursement mechanisms, and assumptions subject to interpretation. Accounts receivable are written off after collection efforts have been followed in accordance with our policies. Accounts written off as uncollectible are deducted from the allowance, and subsequent recoveries are added.

The provision for uncollectible accounts is based upon our assessment of historical and expected net collections, business and economic conditions within the markets in which we operate, and other collection indicators. Based on collections subsequent to December 31, 2005, cash collections exceeded expected realizable amounts as of December 31, 2005 by $1.3 million.

Goodwill and Other Intangible Assets

Goodwill represents the excess of the cost of acquisitions over the fair value of net assets acquired. In accordance with Statement of Financial Accounting Standards (SFAS) No. 142, Goodwill and Other Intangible Assets, goodwill is reviewed for impairment utilizing a two-step process. The first step of the impairment test requires the identification of the reporting units, and comparison of the fair value of each of these reporting units to the respective carrying value. The fair value of the reporting units is determined based on valuation techniques using the best information that is available, such as a multiple of earnings before interest, taxes, depreciation and amortization or discounted cash flow projections. If the carrying value is less than the fair value, no impairment

exists and the second step is not performed. If the carrying value is higher than the fair value, there is an indication that impairment may exist and the second step must be performed to compute the amount of the impairment. In the second step, the impairment is computed by comparing the implied fair value of reporting unit goodwill with the carrying amount of that goodwill. SFAS No. 142 requires goodwill to be tested for impairment annually at the same time every year, and when an event occurs or circumstances change such that it is reasonably possible that an impairment may exist. The annual impairment tests are performed in the fourth quarter of each year. There were no impairment losses recognized for the year ended December 31, 2006 or the three-month period ended December 31, 2005.

Other intangible assets primarily include customer relationships, trade names, proprietary software, a patent and non-competition agreement. Other intangible assets are recorded at their fair value at the date of acquisition, less accumulated amortization and are amortized over the period of expected benefit. In accordance with SFAS No. 144, Accounting for the Impairment or Disposal of Long-Lived Assets, purchased intangibles subject to amortization, are reviewed for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable from estimated future cash flows. There were no impairment losses recognized for the year ended December 31, 2006 or the three-month period ended December 31, 2005.

Income Taxes

We recognize deferred tax assets and liabilities for the expected future tax consequences of events that have been included in our financial statements or tax returns. Deferred tax assets and liabilities are determined based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. We estimate the degree to which tax assets and loss carryforwards will result in a benefit based on expected profitability by tax jurisdiction.

At December 31, 2006, we had substantial federal and state net operating loss carryforwards, or NOLs, which will expire in 2024 through 2026. Although approximately $16 million of our NOLs are subject to the loss limitation rules under Sections 382 and 383 of the Internal Revenue Code of 1986, as amended, we believe that our ability to utilize our NOLs is not currently affected by such limitations and that our ability to utilize our NOLs will not be significantly affected as a result of the stock offering which is the subject of this registration statement. Our ability to utilize our NOLs is dependent upon future taxable income.

Stock-Based Compensation

In December 2004, the Financial Accounting Standards Board revised its Statement of Financial Accounting Standards, No. 123, with SFAS No. 123R, “Share-Based Payment.” The revised statement requires an entity to measure the cost of employee services received in exchange for an award of equity instruments based on the grant-date fair value of the award. That cost is to be recognized over the period during which the employee is required to provide service in exchange for the award. We have accounted for our employee stock-based compensation awards in accordance with SFAS No. 123R.

Effective September 30, 2005, we adopted our Stock Incentive Plan, pursuant to which 24,680 shares of our common stock and 3,167 shares of our series A preferred stock were reserved for issuance under the plan.

On March 16, 2006, we granted a director 1,898 shares of restricted common stock. On August 1, 2006, we granted to certain employees options to purchase 2,210 shares of common stock at an exercise price of $15.00 per share. In addition, on October 7, 2006, we granted a director options to purchase 100 shares of common stock at an exercise price of $15.00 per share and on October 16, 2006, we granted to certain employees 17,274 shares of restricted common stock.

In order to assist the board of directors in its determination of the value of our common stock, we engaged an independent valuation specialist to perform a valuation of our common stock at November 1, 2005. The independent valuation specialist applied several methodologies to determine the value of our common stock, which valuation supported the determination of the board of directors as to the purchase price of the restricted common stock and the exercise price of the options. During 2006, we consulted with our valuation specialist to confirm the reasonableness of the fair value estimate. As disclosed in the notes to our financial statements included

elsewhere in this prospectus, we estimated the fair value of options issued at the date of grant using a Black-Scholes option-pricing model, which includes assumptions related to volatility, expected life, dividend yield and risk-free interest rate. Management and the board of directors believe that the valuation approaches employed are appropriate for an enterprise such as ours.

If the fair value of our restricted common stock exceeded the option exercise price by $10.00, we would have had to record additional compensation expense of $10,409 in the aggregate over the service period relating to option awards. If the fair value of the restricted common stock exceeded the fair value determined by our board of directors at the date of grant by $10.00, we would have had to record additional compensation expense of $100,610 in the aggregate over the service period relating to restricted common stock awards.

CCS Medical Holdings, Inc. (Successor) Results of Operations

For The Year Ended December 31, 2006 Compared To The Quarter Ended December 31, 2005

CCSM began operations on September 30, 2005 with the acquisition of the outstanding common and preferred stock of CCS and MPTC. A discussion of the results of operations of CCS and MPTC for the two years prior to the acquisition follows this section and is included for historical evaluation purposes. The following results of operations of CCSM represent the period since inception.

The results of operations shown below are a comparison of the year ended December 31, 2006 to the quarter ended December 31, 2005. Because of the differing time periods being compared, comparisons are of limited value and we omitted the percentage change from period to period.

Net Revenues

The following table presents net revenues by segment for the year ended December 31, 2006 and the quarter ended December 31, 2005 for CCSM (in thousands).


	Year Ended					Quarter Ended
	December 31, 2006					December 31, 2005
	Amount		Percentage			Amount		Percentage

Net revenues
Direct-to-consumer	$	426,908		98.7	%	$	103,701		100.0	%
Business-to-business	$	5,522		1.3	%	$	—		—

Net revenues	$	432,430		100.0	%	$	103,701		100.0	%

In the direct-to-consumer segment, for the quarter ended December 31, 2005, 65.4% of net revenues related to diabetes supplies sold and 34.6% related to all other supplies sold. For the year ended December 31, 2006, 66.9% of net revenues related to diabetes supplies sold and 33.1% related to all other supplies sold. This shift in revenue composition was driven by the addition of 121,931 gross new diabetes customers during the year ended December 31, 2006 for an ending customer count of 324,959 as of December 31, 2006.

Business-to-business net revenues were approximately $5.5 million for the year ended December 31, 2006. These revenues were due to the purchase of inventory and certain other assets and assumption of certain liabilities from the blood glucose monitoring division of Becton, Dickinson and Company during the fourth quarter of 2006.

Cost of Goods Sold

The following table presents cost of goods sold by segment expressed as a percentage of segment net revenues for the year ended December 31, 2006 and the quarter ended December 31, 2005 for CCSM (in thousands).


	Year Ended					Quarter Ended
	December 31, 2006					December 31, 2005
	Amount		Percentage			Amount		Percentage

Cost of goods sold:
Direct-to-consumer	$	243,042		56.9	%	$	55,034		53.1	%
Business-to-business	$	1,725		31.2	%	$	—		—	%

Cost of goods sold	$	244,767		56.6	%	$	55,034		53.1	%

Cost of goods sold includes the cost of equipment (excluding depreciation for rental equipment, which is included in depreciation expense), pharmaceuticals and supplies sold customers.

Direct-to-consumer cost of goods sold expressed as a percentage of segment net revenues was 56.9% for the year ended December 31, 2006 and 53.1% for the quarter ended December 31, 2005. This 3.8% increase is primarily attributable to higher product costs as a percentage of net revenues in the respiratory product line due to changes in the reimbursement structure, and the restructuring of a contract with one of our customers for pharmacy management services. This increase was partially offset by improvements in vendor pricing and shifts in product mix.

Business-to-business cost of goods sold increased approximately $1.7 million for the year ended December 31, 2006. This cost of goods sold was due to the purchase of inventory and certain other assets and assumption of certain liabilities from the blood glucose monitoring division of Becton, Dickinson and Company during the fourth quarter of 2006.

Operating, Selling, General and Administrative Expenses

The following table presents operating, selling, general and administrative expenses expressed as a percentage of net revenues for the year ended December 31, 2006 and the quarter ended December 31, 2005 for CCSM (in thousands).


	Year Ended					Quarter Ended
	December 31, 2006					December 31, 2005
	Amount		Percentage			Amount		Percentage

Operating, selling, general and administrative expenses	$	110,865		25.6	%	$	29,948		28.9	%

Operating, selling, general and administrative expenses expressed as a percentage of net revenues was 25.6% for the year ended December 31, 2006 and 28.9% for the quarter ended December 31, 2005. This 3.3% decrease is primarily attributable to cost savings from integrating the two predecessor entities’ operations and a restructuring of the respiratory product line. This decrease was partially offset by certain costs associated with the integration. The remainder is attributable to our ability to leverage the combined infrastructure to support our growth in sales.

Provision for Uncollectible Accounts

The following table presents provision for uncollectible accounts expressed as a percentage of net revenues for the year ended December 31, 2006 and the quarter ended December 31, 2005 for CCSM (in thousands).


	Year Ended					Quarter Ended
	December 31, 2006					December 31, 2005
	Amount		Percentage			Amount		Percentage

Provision for uncollectible accounts	$	25,680		5.9	%	$	8,267		8.0	%

The provision for uncollectible accounts expressed as a percentage of net revenues decreased from 8.0% to 5.9% for the quarter ended December 31, 2005 and year ended December 31, 2006, respectively. The decrease in the provision for uncollectible accounts as a percentage of net revenues was driven by improved cash collections, primarily in diabetes direct-to-consumer, as a result of initiatives to improve accounts receivables collections during 2006. These initiatives included changing revenue cycle processes and controls, adding new management and staff and modifying our systems.

Depreciation and Amortization

The following table presents depreciation and amortization expressed as a percentage of net revenues for the year ended December 31, 2006 and the quarter ended December 31, 2005 for CCSM (in thousands).


	Year Ended					Quarter Ended
	December 31, 2006					December 31, 2005
	Amount		Percentage			Amount		Percentage

Depreciation and amortization	$	23,550		5.4	%	$	6,092		5.9	%

Expressed as a percentage of net revenues, depreciation and amortization declined from 5.9% to 5.4% for the quarter ended December 31, 2005 and the year ended December 31, 2006, respectively. This 0.5% decrease was primarily a result of the benefits of integration and reduced capital expense on a larger revenue base.

Interest Income and Expense

The following table presents interest income earned on our cash and cash equivalent balances as well as interest expense incurred in connection with debt borrowings for the year ended December 31, 2006 and the quarter ended December 31, 2005 for CCSM (in thousands).


	Year Ended			Quarter Ended
	December 31, 2006			December 31, 2005

Interest income	$	(450	)	$	(102	)
Interest expense	$	51,161		$	11,891

Interest income increased from approximately $0.1 million for the quarter ended December 31, 2005 to approximately $0.5 million for the year ended December 31, 2006.

Interest expense increased from approximately $11.9 million for the quarter ended December 31, 2005 to approximately $51.2 million for the year ended December 31, 2006 primarily as a result of the increase in the outstanding balance of our unsecured note payable. As permitted under the applicable loan agreements, we have elected to have accrued interest added to the balance of the outstanding principal on our unsecured note in lieu of paying cash for interest. See “Liquidity and Capital Resources” for additional information regarding our debt.

Income Taxes

The following table presents income taxes and effective tax rates for the year ended December 31, 2006 and the quarter ended December 31, 2005 for CCSM (in thousands).


	Year Ended			Quarter Ended
	December 31, 2006			December 31, 2005

Income taxes	$	3,639		$	986
Effective tax rate		(15.7	%)		(13.3	%)

The effective tax rates in the year ended December 31, 2006 and the quarter ended December 31, 2005 were lower than the federal statutory rate primarily due to valuation allowances applicable to deferred tax assets. Our effective tax rate decreased from (13.3%) for the quarter ended December 31, 2005 to (15.7%) for the year ended December 31, 2006 due to changes in our net loss period over period compared to the increase in our net deferred tax liability over the same period.

Chronic Care Solutions, Inc. (Predecessor) Results of Operations

For The Fiscal Year Ended September 30, 2005 Compared To The Fiscal Year Ended September 30, 2004

CCS was acquired as of September 30, 2005 by CCSM. CCS was a national direct-to-consumer, mail-order medical and pharmacy supply company. CCS’ primary product focus was diabetes supplies and medications. The following results of operations relate to the period prior to the sale and is included for historical evaluation purposes.

Net Revenues

The following table presents net revenues expressed as a percentage of net revenues for the fiscal years ended September 30, 2005 and 2004 for CCS (in thousands).


	Year Ended					Year Ended
	September 30, 2005					September 30, 2004
	Amount		Percentage			Amount		Percentage

Net revenues	$	191,594		100.0	%	$	112,142		100.0	%

Net revenues increased by approximately $79.5 million, or 70.8%, from fiscal 2004 to fiscal 2005. Approximately 74% of this increase is attributable to the acquisition of four companies in fiscal 2004 and the remainder to internal growth of the diabetes line of business from customer growth and cross selling of ancillary product lines. Offsetting the growth was the 2.6% cut in Medicare reimbursement for diabetes test strips and lancets effective January 1, 2005, which reduced net revenues for fiscal 2005 by approximately $1.8 million. Also reducing the growth was the reduction in Medicare reimbursement for respiratory inhalation drugs effective January 1, 2005, which reduced net revenues for fiscal 2005 by approximately $2.1 million.

Cost of Goods Sold

The following table presents cost of goods sold expressed as a percentage of net revenues for the fiscal years ended September 30, 2005 and 2004 for CCS (in thousands).


	Year Ended					Year Ended
	September 30, 2005					September 30, 2004
	Amount		Percentage			Amount		Percentage

Cost of goods sold	$	111,287		58.1	%	$	62,512		55.7	%

Cost of goods sold increased by approximately $48.8 million, or 78.0%, from fiscal 2004 to fiscal 2005. Cost of goods sold expressed as a percentage of net revenues was 55.7% for fiscal 2004 and 58.1% for fiscal 2005. This 2.4% increase is primarily attributable to the Medicare cuts described above, and to a lesser extent, a shift in business and product mix as a result of operating the four companies acquired during fiscal 2004 for the entire year in fiscal 2005.

Operating, Selling, General and Administrative Expenses

The following table presents operating, selling, general and administrative expenses expressed as a percentage of net revenues for the fiscal years ended September 30, 2005 and 2004 for CCS (in thousands).


	Year Ended					Year Ended
	September 30, 2005					September 30, 2004
	Amount		Percentage			Amount		Percentage

Operating, selling, general and administrative expenses	$	52,108		27.2	%	$	32,045		28.6	%

Operating, selling, general and administrative expenses increased by approximately $20.1 million, or 62.6%, from fiscal 2004 to fiscal 2005. This increase was due to the impact of operating the four companies acquired during fiscal 2004 for the entire year in fiscal 2005. Operating, selling, general and administrative expenses expressed as a percentage of net revenues was 27.2% for fiscal 2005 and 28.6% for fiscal 2004. This 1.4% decrease is attributable to cost savings from the integration of the four companies acquired during fiscal 2004 and our ability to leverage the combined infrastructure to support our growth in sales.

Operating, selling, general and administrative expenses includes approximately $2.6 million and approximately $3.1 million in direct response advertising amortization in fiscal 2005 and 2004, respectively.

Provision for Uncollectible Accounts

The following table presents the provision for uncollectible accounts expressed as a percentage of net revenues for the fiscal years ended September 30, 2005 and 2004 for CCS (in thousands).


	Year Ended					Year Ended
	September 30, 2005					September 30, 2004
	Amount		Percentage			Amount		Percentage

Provision for uncollectible accounts	$	18,733		9.8	%	$	3,430		3.1	%

The provision for uncollectible accounts increased by approximately $15.3 million, or 446.2%, from fiscal 2004 to fiscal 2005. Approximately $10.9 million of the change was for additional allowances recorded due to changes in collection trends, primarily driven by the integration challenges of our four business acquisitions in fiscal 2004. Approximately $2.2 million of the change was for allowances recorded on accounts receivable related to

acquisition growth and approximately $2.2 million was allowances recorded on accounts receivable generated by the internal growth of the business.

Depreciation and Amortization

The following table presents depreciation and amortization expressed as a percentage of net revenues for the fiscal years ended September 30, 2005 and 2004 for CCS (in thousands).


	Year Ended					Year Ended
	September 30, 2005					September 30, 2004
	Amount		Percentage			Amount		Percentage

Depreciation and amortization	$	15,078		7.9	%	$	5,134		4.6	%

Depreciation and amortization increased by approximately $9.9 million from fiscal 2004 to fiscal 2005. Approximately $6.2 million is related to the increase in depreciation recorded on insulin pumps rentals. Approximately $1.3 million relates to the increased depreciation and amortization on assets acquired with the four acquisitions in fiscal 2004. The remainder, or approximately $2.4 million, relates to assets acquired during fiscal 2005 as a result of growth in the business.

Interest Expense

The following table presents interest expense incurred on outstanding borrowings for the years ended September 30, 2005 and 2004 for CCS (in thousands).


	Year Ended		Year Ended
	September 30, 2005		September 30, 2004

Interest expense	$	22,053	$	15,030

Interest expense increased by approximately $7.0 million, or 46.7%, from fiscal 2004 to fiscal 2005. Interest expense for fiscal 2004 includes the write-off of $4.0 million of deferred financing costs relative to the extinguishment or modification of certain debt. The increase was due to a full year of interest expense in fiscal 2005 on debt borrowings during fiscal 2004 for the acquisition of four companies.

Income Tax Expense (Benefit)

The following table presents the income tax expense (benefit) and effective tax rates for the years ended September 30, 2005 and 2004 for CCS (in thousands).


	Year Ended			Year Ended
	September 30, 2005			September 30, 2004

Income tax expense (benefit)	$	587		$	(2,228	)
Effective tax rate		(2.1	)%		36.7	%

The income tax benefit for fiscal 2004 of approximately $2.2 million reflected our ability to benefit from the current year losses generated due to the ability to recover income taxes paid in prior years by carrying back our net operating losses. The income tax expense for fiscal 2005 of approximately $0.6 million primarily reflects the effect of a valuation allowance which first became applicable during fiscal 2005 due to our inability to carry back additional net operating losses to prior years or rely on forecasted future taxable income as evidence to support the recovery of these assets. The effective tax rate in fiscal 2005 was lower than the federal statutory rate primarily due to valuation allowances applicable to deferred tax assets.

MPTC Holdings, Inc. (Predecessor) Results of Operations

For The Nine Months Ended September 30, 2005 Compared To The Year Ended December 31, 2004

MPTC was acquired as of September 30, 2005 by CCSM. MPTC was a national direct-to-consumer, mail-order medical and pharmacy supply company. MPTC’s primary product focus was prescription respiratory medication and supplies, as well as diabetes, ostomy, urological and wound care supplies. The following results of operations relate to the period prior to the sale and is included for historical evaluation purposes.

The results of operations presented below are a comparison of the nine months ended September 30, 2005 to the year ended December 31, 2004. Because of the differing time periods being compared, comparisons are of limited value and we omitted the percentage change from period to period.

Net Revenues

The following table presents net revenues for the nine months ended September 30, 2005 and year ended December 31, 2004 for MPTC (in thousands).


	Nine Months Ended					Year Ended
	September 30, 2005					December 31, 2004
	Amount		Percentage			Amount		Percentage
Net revenues	$	140,841		100.0	%	$	152,015		100.0	%

This decrease in net revenues was primarily due to the unfavorable impact of changes in the Medicare reimbursement policy for respiratory medications, offset by favorable changes made to our respiratory drug formulary. The change in formulary resulted in higher Medicare reimbursement rates. The remaining change in net revenues is primarily related to an additional quarter of operations for the July 2004 acquisition of Gericare and growth in pharmacy management services.

Cost of Goods Sold

The following table presents cost of goods sold expressed as a percentage of net revenues for the nine months ended September 30, 2005 and year ended December 31, 2004 for MPTC (in thousands).


	Nine Months Ended					Year Ended
	September 30, 2005					December 31, 2004
	Amount		Percentage			Amount		Percentage

Cost of goods sold	$	71,394		50.7	%	$	70,698		46.5	%

This increase in cost of goods sold was due to changes in respiratory formulary subsequent to changes in the Medicare reimbursement policy discussed above, partially offset by growth associated with the inclusion of an additional quarter of operations for the July 2004 acquisition of Gericare.

Cost of goods sold expressed as a percentage of net revenues was 50.7% for the nine months ended September 30, 2005 and 46.5% for the year ended December 31, 2004. This 4.2% increase is primarily attributable to the net impact of reductions in respiratory reimbursement and our shift in respiratory drug formulary to higher cost products. The remaining increase in cost of goods sold as a percentage of net revenues was attributable to the restructuring of certain contracts related to our pharmacy management services. This increase was partially offset by improvements in margin and mix as a result of the inclusion of an additional quarter of operations for the July 2004 acquisition of Gericare.

Operating, Selling, General and Administrative Expenses

The following table presents operating, selling, general and administrative expenses expressed as a percentage of net revenues for the nine months ended September 30, 2005 and year ended December 31, 2004 for MPTC (in thousands).


	Nine Months Ended					Year Ended
	September 30, 2005					December 31, 2004
	Amount		Percentage			Amount		Percentage

Operating, selling, general and administrative expenses	$	45,559		32.3	%	$	51,159		33.7	%

This decrease in operating, selling, general and administrative expenses was offset by an additional quarter of operations for the July 2004 acquisition of Gericare.

Operating, selling, general and administrative expenses expressed as a percentage of net revenues was 32.3% for the nine months ended September 30, 2005 and 33.7% for the year ended September 30, 2004. This 1.4% decrease in operating, selling, general and administrative expenses is primarily associated with restructuring related

to the Medicare reductions in respiratory reimbursements. This decrease was partially offset by increases in sales and marketing costs associated with diabetes supplies and other corporate expenses.

Provision for Uncollectible Accounts

The following table presents provision for uncollectible accounts expressed as a percentage of net revenues for the nine months ended September 30, 2005 and the year ended December 31, 2004 for MPTC (in thousands).


	Nine Months Ended					Year Ended
	September 30, 2005					December 31, 2004
	Amount		Percentage			Amount		Percentage

Provision for uncollectible accounts	$	6,531		4.6	%	$	7,157		4.7	%

The provision for uncollectible accounts expressed as a percentage of net revenues decreased from 4.7% to 4.6% for the year ended December 31, 2004 and nine months ended September 30, 2005, respectively. The nominal decrease in the provision for uncollectible accounts as a percentage of net revenues was driven by improved cash collections.

Depreciation and Amortization

The following table presents depreciation and amortization expressed as a percentage of net revenues for the nine months ended September 30, 2005 and year ended December 31, 2004 for MPTC (in thousands).


	Nine Months Ended					Year Ended
	September 30, 2005					December 31, 2004
	Amount		Percentage			Amount		Percentage

Depreciation and amortization	$	4,646		3.3	%	$	8,407		5.5	%

This decrease in depreciation and amortization was partly the result of the decrease in amortization expense as certain intangibles associated with previous years’ acquisitions became fully amortized.

Impairment Loss

The following table presents the impairment loss for the nine months ended September 30, 2005 and year ended December 31, 2004 for MPTC (in thousands).


	Nine Months Ended		Year Ended
	September 30, 2005		December 31, 2004

Impairment loss — proprietary software system	$	—	$	4,988

The impairment loss on proprietary software system of approximately $5.0 million relates to amounts previously capitalized for a proprietary operating system that were expensed when we abandoned development in December 2004.

Other Expenses

The following table presents other expenses for the nine months ended September 30, 2005 and year ended December 31, 2004 for MPTC (in thousands).


	Nine Months Ended		Year Ended
	September 30, 2005		December 31, 2004

Other expenses	$	350	$	736

Other expenses for the nine months ended September 30, 2005 consisted of restructuring charges related to the respiratory division. Other expenses for the year ended December 31, 2004 consisted of approximately $0.2 million in restructuring charges for the respiratory division, approximately $0.4 million in loss on disposal of assets partially relates to the write-off of assets from the restructuring of the respiratory division and other equipment deemed obsolete, and approximately $0.1 million in other expenses.

Interest Income and Expense

The following table presents interest income and interest expense for the nine months ended September 30, 2005 and year ended December 31, 2004 for MPTC (in thousands).


	Nine Months Ended		Year Ended
	September 30, 2005		December 31, 2004

Interest income	$	25	$	24
Interest expense	$	5,789	$	6,709

Interest expense is related to interest incurred on outstanding borrowings. During 2005, interest rates on our variable rate loans were higher than the prior year due to increases in the prime rate. During July 2004, unamortized loan costs of approximately $1.0 million on our prior debt structure were expensed when the debt was refinanced.

Income Taxes

The following table presents the income tax provision and effective tax rates for the nine months ended September 30, 2005 and year ended December 31, 2004 for MPTC (in thousands).


	Nine Months Ended			Year Ended
	September 30, 2005			December 31, 2004

Income tax expense	$	2,578		$	950
Effective tax rate		39.1	%		43.5	%

Income tax expense increased from approximately $1.0 million for the year ended December 31, 2004 to approximately $2.6 million for the nine months ended September 30, 2005 due to an increase in our pretax income. The effective tax rates in the nine months ended September 30, 2005 and the year ended December 31, 2004 were higher than the federal statutory rate due primarily to state income taxes and nondeductible expenses.

Liquidity and Capital Resources

Our principal capital requirements have been to fund working capital needs to support internal growth, acquisitions, capital expenditures and principal and interest payments on our debt. Our principal working capital needs are for inventory and accounts receivable. Management controls inventory levels in order to minimize carrying costs. Historically, our sources of liquidity have consisted of cash from operations, our senior credit facilities and proceeds from equity issuances.

The following table summarizes our sources and uses of cash during the year ended December 31, 2006 and the quarter ended December 31, 2005 for CCSM.


	Year Ended			Quarter Ended
	December 31, 2006			December 31, 2005
	(In thousands)

Net cash provided by (used in) operating activities	$	8,311		$	(13,470	)
Net cash used in investing activities		(31,968	)		(615,558	)
Net cash provided by financing activities		19,155			633,530

Net change in cash and cash equivalents	$	(4,502	)	$	4,502

As of December 31, 2006, our current assets of $92.1 million exceeded our current liabilities of $35.7 million, resulting in net working capital of $56.4 million. In comparison, as of December 31, 2005, our working capital was $49.7 million. Our operating leverage improved, primarily due to an increase in accounts receivable of $13.8 million and inventory of $6.9 million and a decrease in accounts payable and accrued expenses of $6.2 million, partially offset by decreases in prepaids and other current assets of $11.1 million, income taxes receivable of $4.7 million and cash of $4.5 million from the prior year. Accounts receivable increased due to increases in sales and customers, as well as a decrease in the provision for uncollectible accounts during 2006. Inventory increased due to the fourth quarter acquisition of the business-to-business segment, as well as additional inventory requirements for increased sales volumes and customer counts. Accounts payable and accrued expenses decreased due to shorter payment terms with vendors during 2006 and a reduction of accrued expenses relating to integration costs paid in 2006 for the

business acquisitions in 2005. Prepaids and other current assets decreased due to the working capital settlement from the 2005 business acquisitions. Income taxes receivable decreased due to the collection of a tax refund in 2006. We may encounter operating pressures from business acquisitions, operating costs and debt payments.

Our year-end cash position decreased by $4.5 million, from $4.5 million as of December 31, 2005 to $0 as of December 31, 2006. This decrease in cash was primarily related to cash used in investing activities of $32.0 million, partially offset by cash provided by financing activities of $19.2 million and cash provided by operating activities of $8.3 million. Cash used in investing activities of $32.0 million represented purchases of business assets net of liabilities assumed of $19.6 million and property and equipment of $12.4 million. Cash provided by financing activities of $19.2 million reflected net borrowings on revolving debt of $11.5 million, proceeds from the issuance of preferred stock of $11.4 million partially offset by payments on term debt of $3.2 million, the repurchase of preferred stock of $0.3 million and payments on capital lease obligations of $0.2 million. Net cash provided by operating activities was $8.3 million compared to net cash used in operating activities of $13.5 million for the quarter ended December 31, 2005, an improvement of $21.8 million reflecting increases in non-cash items of $44.8 million for depreciation, amortization, in-kind interest, provision for uncollectible accounts, stock-based compensation and deferred taxes primarily related to operations for twelve months in 2006 compared to three months in 2005, partially offset by an increase in net loss of $18.4 million and a change in operating assets and liabilities of $4.6 million. The change in operating assets and liabilities is discussed along with working capital in the preceding paragraph.

Senior Credit Facilities and Other Long Term Debt

Our first lien credit facility with several financial institutions provides for $320 million in first lien term loan and a $50 million revolving loan commitment. Borrowings under the revolving loan are subject to certain requirements specified in the agreement and are collateralized by substantially all of our assets.

Our second lien credit facility with several financial institutions provides for $110 million in second lien term loans. Borrowings under this facility are collateralized by substantially all of our assets. All unpaid principal and interest is payable at maturity on March 30, 2013.

We have an unsecured note payable with a financial institution bearing interest at 14.0%. All unpaid principal is payable at maturity on September 30, 2013. Prior to September 30, 2010, interest on the outstanding principal amount may, at our option, be paid in cash or in kind in the form of an increase in the outstanding principal amount. Thereafter, interest is payable semiannually in arrears commencing March 31, 2011.

Our credit agreements contain various restrictive covenants, including the maintenance of certain financial ratios, and restrictions regarding certain activities such as incurring additional indebtedness, sales of assets, investments, mergers and consolidations, and the payment of dividends. As of December 31, 2006, we are in compliance with the covenants of our credit agreements.

In connection with the completion of this offering, we expect to enter into a new $415 million senior secured credit facility with a group of lenders that will include affiliates of some of the underwriters. Our proposed initial public offering is not conditioned on the closing of the new credit facility and if we do not close the new credit facility, our existing facility will remain in place. The new facility is expected to consist of a six-year, $50 million revolving credit facility and a seven-year, $365 million term loan facility. The size of the credit facility is subject to change prior to its closing. The term loan is expected to be due on the seventh anniversary of funding and will be used, together with the proceeds of this offering, to repay the outstanding amounts under our existing credit facilities and pay fees and expenses related to this offering and the refinancing. The revolving credit facility will not be drawn upon at the closing of the new credit facility, but will be available, subject to certain conditions, for general corporate purposes in the ordinary course of business and for other transactions permitted under the credit agreement. A portion of the revolving credit facility will be available for letters of credit. The obligations under the senior secured credit facility will be secured by a lien on substantially all of our assets.

We believe we have sufficient liquidity to meet our cash requirements over both the short (next twelve months) and long term (in relation to our debt service requirements). In evaluating the sufficiency of our liquidity for both the shorter and longer term, we considered the expected cash flow to be generated by our operations and the available borrowings under the new senior secured credit facility compared to our anticipated cash requirements for debt service, working capital, cash taxes and capital expenditures as well as funding requirements for long-term liabilities. We anticipate that our operating cash flow, together with borrowings under the new senior secured credit facility, will be sufficient to meet our anticipated future operating expenses, capital expenditures and debt service obligations as they become due for at least the next 12 months. However, our ability to make scheduled payments of principal, to pay interest on or to refinance our indebtedness and to satisfy our other debt obligations will depend upon our future operating performance, which will be affected by general economic, financial, competitive, legislative, regulatory, business and other factors beyond our control. See “Risk Factors.”

Off-Balance Sheet Arrangements

As of December 31, 2006, we did not have any off-balance sheet arrangements.

Contractual Obligations

We have various contractual obligations that affect our liquidity. The following represents future payments for our contractual obligations including our capital and operating leases as of December 31, 2006 for CCSM.


	Payments Due by Period
			Less than						More than
	Total		1 year		2-3 years		4-5 years		5 years
	(In thousands)

Capital lease obligations, including interest	$	340	$	208	$	72	$	29	$	31
Operating lease obligations		13,456		4,842		6,413		2,201		—
Long-term debt, including current maturities:
First lien term loan		316,800		3,200		6,400		6,400		300,800
Second lien term loan		110,000		—		—		—		110,000
Unsecured loan payable		98,370		—		—		—		98,370
First lien revolving credit loan		13,500		—		—		—		13,500
Interest on long-term debt(1)		291,988	$	42,972		85,115		101,227		62,674

Total contractual obligations	$	844,454	$	51,222	$	98,000	$	109,857	$	585,375


(1)		Includes projected future interest calculated as follows:

a. 8.62% (three-month LIBOR at December 31, 2006 plus 3.25%) for the first lien term loan;

b. 13.37% (three-month LIBOR at December 31, 2006 plus 8.00%) for the second lien term loan;

c. 14.00% (stated rate) for the unsecured loan payable; and

d. 7.85% (one-month LIBOR at December 31, 2006 plus 2.50%) for the first lien revolving credit loan.

New Accounting Pronouncements

In June 2006, the Financial Accounting Standards Board (“FASB”) ratified the consensus reached by the Emerging Issues Task Force (“EITF”) on EITF Issue No. 06-3, “How Taxes Collected from Customers and Remitted to Governmental Authorities Should Be Presented in the Income Statement (That Is, Gross versus Net Presentation)” (“EITF 06-3”). A consensus was reached that entities may adopt a policy of presenting sales taxes in

the income statement on either a gross or net basis. If taxes are significant, an entity should disclose its policy of presenting taxes and the amounts of taxes. EITF 06-3 is effective for periods beginning after December 15, 2006. We do not expect the adoption of EITF 06-3 to impact its method for presenting sales taxes in our financial statements.

In July 2006, the FASB issued Interpretation No. 48, “Accounting for Uncertainty in Income Taxes — an interpretation of FASB Statement No. 109” (“FIN 48”), which clarifies the accounting for and disclosure of uncertainty in tax positions. FIN 48 prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. FIN 48 also provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition associated with tax positions. The provisions of FIN 48 are effective for fiscal years beginning after December 15, 2006. The adoption of FIN 48 will not have a significant impact on our financial statements.

In September 2006, the FASB issued SFAS No. 157, “Fair Value Measurements” (“SFAS No. 157”), which defines fair value, establishes a framework for measuring fair value and expands the related disclosure requirements. The provisions of SFAS No. 157 are effective for fiscal years beginning after November 15, 2007. We are currently evaluating the impact that SFAS No. 157 will have on our financial statements.

Quantitative and Qualitative Disclosures about Market Risk

We are exposed to market risk from changes in interest rates and changes in commodity prices. Our exposure to interest rate risk relates to $440.3 million in outstanding debt at December 31, 2006 owed to banks based on variable rates. Under the terms of the notes governing these borrowings, interest is payable at our option at 2.5% to 8.0% over LIBOR, or 1.5% to 7.0% over the base rate (prime). The weighted average effective interest rate during 2006 for these borrowings was 9.8%. Should interest rates increase by one percentage point on our variable rate loans outstanding at December 31, 2006, our estimated annual interest expense would increase by approximately $1.9 million over amounts reported for the year ended December 31, 2006.

We also own certain money market funds that are sensitive to market risks. The money market fund balance is used to preserve our capital until it is required to fund operating, investing or financing activities. None of the money market fund balance is held for trading purposes.

Interest Rate Swap Agreements

We enter into interest rate swap agreements to limit our exposure to interest rate fluctuations on our variable rate long-term debt. The interest rate swap agreements are contracts to exchange variable rate interest payments for fixed interest payments over the life of the agreements without the exchange of the underlying notional amounts. The notional amounts of interest rate swap agreements are used to measure interest to be paid or received and do not represent the amount of exposure to credit loss. The differential paid or received on interest rate swap agreements is recognized in interest expense in the consolidated statements of operations. The related accrued receivable is included in other assets.

We entered into interest rate swap agreements for our First and Second Lien Term Notes, or the Term Notes, with Wachovia Bank, National Association on September 28, 2005 and JPMorgan Chase Bank, N.A. on October 6, 2005. We have designated these derivative financial instruments as cash flow hedges (i.e., the interest rate swap agreements hedge the exposure to variability in expected future cash flows that is attributable to a particular risk). The total notional amount of the hedging instruments is $250 million or 58.1% of the $426.8 million Term Notes outstanding at October 1, 2005; $200 million and $50 million of the notional amount was syndicated to Wachovia and JPMorgan Chase, respectively. The effect of these agreements related to all of the notional amount is to pay fixed, scheduled rates increasing quarterly from 4.14% to 4.8405% through September 30, 2010. The fair value of the interest rate swap agreements is the estimated amount that we would receive or pay to terminate the agreement at the reporting date, taking into account current interest rates and the current creditworthiness of the counter parties. At December 31, 2006 and 2005, the fair value of our interest rate swap agreements was assets of $2.2 million and $0.6 million, respectively, which is included in other noncurrent assets in the consolidated balance sheets of CCSM included elsewhere in the this prospectus.

INDUSTRY

Chronic Care Market

According to a Johns Hopkins University Study, nearly one-half of Americans are estimated to be living with at least one chronic condition such as diabetes, urological and ostomy-related disorders, chronic wounds, incontinence, respiratory conditions and other illnesses, and approximately one in four Americans lives with two or more of these conditions. These diseases disproportionately affect those individuals aged 65 and over, or seniors, with an estimated 87% of seniors suffering from at least one chronic condition. The U.S. Census projects the number of seniors in the United States to increase from approximately 36.7 million in 2005 to 40.2 million in 2010 and to double between 2000 and 2030. According to a Johns Hopkins University study, approximately 83% of the U.S. healthcare costs are expended on people with at least one chronic condition.

Diabetes is among the most common chronic conditions in the United States and accounts for an estimated 10% of direct and indirect healthcare costs. The American Diabetes Association, or ADA, estimated the total direct and indirect costs of diabetes to be approximately $132 billion in 2002. This includes approximately $17.5 billion of outpatient medication and supplies costs, including $10.5 billion for medication and oral agents, and $7.0 billion for insulin and delivery supplies.

Diabetes Market

Diabetes is the fifth leading cause of death by disease in the United States. Diabetes is a disease that prevents the body from properly producing or using insulin, the hormone that regulates sugar in the bloodstream. The Centers for Disease Control and Prevention, or CDC, estimates 20.8 million people in the United States had diabetes as of 2005, representing approximately 7% of the U.S. population. Of this population, based on CDC estimates, only 14.6 million people had been diagnosed, implying that almost 30% of this population remains undiagnosed.

There are two main types of diabetes. Type I diabetes, which typically occurs earlier in life, develops when the body’s immune system destroys pancreatic beta cells, the only cells in the body capable of producing insulin. Type I diabetics are unable to regulate their blood glucose naturally and require daily insulin injections or continuous insulin infusion pump therapy. According to the CDC, approximately 5% to 10% of the diagnosed diabetic population in the United States have Type I diabetes, resulting in approximately 730,000 to 1.5 million individuals in the United States with Type I diabetes. Type II diabetes typically occurs later in life and is more common, accounting for over 90% to 95% of all cases of diabetes diagnosed in the United States, or approximately 13.1 million to 13.9 million people in the United States. All individuals with Type I diabetes and 40% to 45% of individuals with Type II diabetes are insulin dependent. The remainder can control their blood glucose levels through regulatory monitoring, following a careful diet and exercise program, losing excess weight and taking oral medication.

According to Frost & Sullivan, a healthcare industry research firm, the number of individuals diagnosed with diabetes in the United States is expected to grow 5.1% annually between 2005 to 2012. The primary historical and projected drivers of this growth in the diabetic population include: (i) an aging population base; (ii) an increasing incidence of obesity, poor dietary habits and sedentary lifestyles; (iii) earlier onset of the disease; and (iv) a higher percentage of ethnic minorities in the population who are considered higher-risk candidates for developing the disease.

Patients with diabetes have an increased risk of developing additional serious and high cost comorbid health conditions. The following table identifies these comorbid conditions and their prevalence among diabetics.


Comorbidity		Diabetes Impact

Heart Disease and Stroke		Leading cause of diabetes-related deaths (approximately 65%)
High Blood Pressure		Approximately 73% of adults have blood pressure above normal parameters
Glaucoma / Blindness		Leading cause of new cases of blindness among adults between 20 and 74 years of age
Kidney Disease		Leading cause of end-stage renal disease, accounting for 44% of all new cases in 2002
Nervous System Disease		Approximately 60% to 70% of people with diabetes have mild-to-severe forms of nervous system damage

The treatment cost of comorbid health conditions related to diabetes was approximately $24.6 billion in the United States in 2002, according to the ADA. Studies have shown that regular blood glucose testing and insulin injections are critical to diabetic care regimen and significantly reduce the risk of comorbidity complications. Consequently, many disease management programs focus on identifying undiagnosed diabetic patients and intensive management of diabetic supply programs.

As the population of diabetic patients in the United States has steadily grown in recent years, political awareness and societal attention to the disease has also grown. In July 1998, legislation was enacted requiring Medicare to begin covering blood glucose monitors and test strips for beneficiaries with Type II diabetes. These guidelines nearly tripled the number of Medicare patients eligible to receive reimbursement for diabetic supplies. In 2001, Medicare extended reimbursement to cover insulin pump therapy for Type I diabetics. Beginning in January 2006, Medicare further extended coverage of insulin and other diabetic products under Medicare Part D.

Treatment of Diabetes

Regular monitoring of blood glucose levels is the cornerstone of the care regimen in treating diabetes. The U.S. Diabetes Control and Complications Trial, published in 1993, and the United Kingdom Diabetes Prospective Study, published in 1998, are two landmark studies that showed more intensive therapy, in which increased glucose testing was a key part, led to fewer diabetic comorbidities. Traditional blood glucose monitoring involves the use of a portable handheld meter that measures the amount of glucose present in a patient’s blood sample. The patient’s blood sample is typically obtained from a lancet device, which makes a tiny incision, or prick, typically in a patient’s finger. A glucose test strip is then swabbed over the blood droplet that forms and is inserted into the blood glucose meter for analysis. Recent advances in technology have led to the development of less-invasive blood glucose monitoring systems capable of delivering accurate readings more quickly, from much smaller blood sample sizes. As a result of the reduced discomfort from these newer technologies, we believe patients will likely test more often. Nonetheless, the CDC estimates that approximately 40% of diabetic patients are non-compliant in monitoring their blood glucose levels, which can have an adverse effect on the health of this population due to improper blood glucose levels and the associated physiological impact.

Prescribed for certain Type I diabetic patients, an insulin infusion pump allows for better control of a patient’s blood glucose levels by delivering insulin through a small catheter usually inserted into a patient’s abdominal wall. Pumps are programmed to continuously deliver different quantities of insulin throughout the day based on a patient’s individual needs, including larger doses at meal-time. Over the last few years, pump therapy has become an attractive treatment option that should continue to gain acceptance as more patients and physicians become aware of its benefits. The number of diabetics in the United States using insulin pumps grew from fewer than approximately 50,000 in 1998 to approximately 270,000 in 2006, and we estimate there are over one million diabetics in the United States who would benefit from a switch to insulin pump-based therapy. These patients require insulin pumps and associated supplies in addition to utilizing customary blood glucose meters and test strips. While a typical Type II patient might test their blood glucose level three times per day, we estimate pump patients test an average of five times per day. Industry analysts estimate the market for insulin pumps and related

disposable products was approximately $610 million in 2006 in the United States and is expected to grow to approximately $725 million in 2008. We believe insulin pump patients are more compliant with medical supply management programs, due to the severity of their condition and the immediate impact of noncompliance.

Mail-Order Distribution Channel for Chronic Care Supplies

Historically, individuals diagnosed with chronic conditions have had to purchase the supplies required to manage their illness predominantly from retail pharmacies. These patients have had to visit the pharmacy, pay a retail price for their supplies, and complete the forms required to obtain reimbursement from a government, employer or third-party sponsored managed care plan, a process which is lengthy, complex and imposes a financial burden on individuals. Personal privacy, logistical and transportation concerns often impact compliance rates among diabetics that purchase supplies from retail pharmacies. The mail-order channel is designed specifically to address these issues.

As a result, the growth of chronic care supplies being distributed via mail-order has significantly outpaced the growth of retail pharmacies. For example, in 2004, the number of prescriptions filled by mail-order increased over 13% from the previous year, compared to only a 1% increase in the number of prescriptions filled by traditional retail pharmacies. For example, the share of diabetic test strips distributed through the mail is estimated to have increased from approximately 28% in 2001 to approximately 33% in 2006. The Department of Health and Human Services estimates that 60% of Medicare expenditures for diabetic supplies are for items furnished by mail-order suppliers.

The mail-order chronic care supply management sector is highly fragmented with several hundred participants. We believe that the majority of mail-order market participants are locally or regionally focused, service less than 10,000 active patients and use manual, paper-based or off-the-shelf information systems. Beyond this patient volume level, larger infrastructure is required to effectively service patients, deal with reimbursement and regulatory issues, continue to cost-effectively acquire patients and profitably grow such a business.

Chronic Care Value Chain

Chronic care requires patients to manage their condition over prolonged periods of time, and often, over their lifetime. Most treatment regimens require the patient to continually monitor the status of their condition by regularly visiting their doctors and/or medical professionals. Patients are often dependent upon a continuous stream of medical supplies and pharmaceutical products. While these medical supplies and pharmaceutical products are typically prescribed by a physician, the patient is left with making the actual purchasing decision.

The prescribed supplies and products can be costly and may require significant patient effort to obtain. Patients generally rely on public and private reimbursement through Medicare, Medicaid, managed care payors and other insurance companies to assist them in the payment for these treatments. The medical supplies and pharmaceutical products that patients require may be manufactured by one or multiple manufacturers (such as pharmaceutical or medical device companies) and sourced through one or multiple vendors (such as retail pharmacies, direct-to-consumer distributors, healthcare product distributors, pharmacy benefit managers, and prescription drug plans with in-house pharmacies). Not all vendors carry products from all manufacturers or all of the products offered by particular manufacturers, and not all manufacturers, products or vendors are eligible for reimbursement by a patient’s payor. As a result, patients may spend significant effort in trying to obtain the prescribed supplies and products from multiple sources, or decide to substitute specific supplies or products with items they believe to be similar.

Because the patient is typically making the decision regarding the purchase, the chronic care industry focuses on influencing patients’ behavior directly and indirectly influencing managed care payors, medical supplies and pharmaceutical manufacturers, retail and distribution outlets and healthcare professionals, such as physicians, nurses and disease educators.

These different participants across the chronic care value chain depend upon one another for their continued success in managing the patient’s chronic condition and influencing patients’ behavior. For instance, managed care payors can influence patient decision-making based on the treatments the payors choose to reimburse. Manufacturers will look to influence what the payors choose to reimburse and at what levels through direct interaction with

the payor and through marketing their products directly to the patient, to vendors, or physicians. Vendors consistently work to influence physicians so that these physicians will prescribe products that the vendor carries and recommend certain vendors to patients. In addition, vendors will try to influence manufacturers and payors in order to receive favorable business terms. Taken together, this interdependency among complementary chronic care participants drives the forging of critical relationships across the industry. These relationships help to bring ideas, supplies and products to the market and influence physician and patient behavior. Each participant looks to add value by introducing their particular strength or products or services to their respective customers. The more a participant can position itself with strong relationships across the full value chain, the more likely the participant is to be in a position to influence patient decisions and product purchases.

BUSINESS

General

We are a leading medical supply management company delivering products and value-added services to individuals living with select chronic medical conditions. We employ a differentiated marketing approach using a national field-based sales force that targets healthcare professionals who focus on chronic conditions to expand our extensive relationship-based network. Through this network, we drive referrals and sales in patient populations being treated for diabetes, urological and ostomy-related disorders, chronic wounds, incontinence, respiratory conditions and other chronic conditions. In an effort to promote improved patient compliance with physician prescribed protocols, our medical supply programs educate and counsel patients on disease states and complex clinical regimens, assume responsibility for the patients’ billing and collecting from government programs and third-party payors, and deliver products to patients’ homes through the mail. We leverage our proprietary operating and information systems to manage regulatory compliance, maximize operational efficiencies, and deliver high levels of patient service. Our primary product focus is on diabetes, a large and fast growing component of the chronic care market. Products we distribute in the diabetes market include blood glucose testing supplies, insulin pumps and related supplies, and prescription medications.

We believe our customized medical supply management programs add value to patients, healthcare professionals and payors. Patients benefit from the convenience and privacy of home delivery, our processing claims on their behalf, and their ability to defer out-of-pocket expenses. Healthcare professionals benefit from our assistance with improved patient compliance and our practice of filling prescriptions as written. We believe payors benefit from lower overall medical costs as patient complications and comorbidities decline due to increased compliance with treatment regimens. We estimate the patients we serve are on average three times more compliant to the physician-recommended care protocol than patients serviced by retail networks. Improved patient compliance benefits the patients we serve and business relationships as it can lead to improved medical outcomes and reduced medical costs.

We employ a highly targeted relationship-based marketing approach. Our dedicated field-based sales force regularly calls upon healthcare professionals, including endocrinologists, internists, general practitioners, certified diabetic educators and nurse specialists. Our approach has enabled us to develop a large network of relationships which result in the potential for ongoing referrals, a lower patient acquisition cost, increased patient retention, and a recurring revenue stream. We also market our services to managed care companies to emphasize our ability to help reduce the overall cost of care.

We believe our strategy to target healthcare professionals is aligned with the goals of many of the leading manufacturers in the industry. As such, we have developed relationships with companies such as LifeScan, Inc., a Johnson & Johnson company, Medtronic MiniMed, Inc., Roche Diagnostics Corporation and Bayer Corporation. These relationships have led to coordinated marketing opportunities which have led to increased sales and an enhanced market position.

We believe that our platform, value-added services, and direct mail capabilities combined with our relationships with healthcare professionals, managed care organizations, and manufacturers positions us well to broadly capitalize on the opportunities across the large and growing chronic care market.

History

acquisitions and integrations of several entities, including Chronic Care Solutions, Inc., MPTC Holdings, Inc. and the entities listed below:


Chronic Care Solutions, Inc.		MPTC Holdings, Inc.

November 2004	Acquired KeyMed, Inc.	July 2004	Acquired Gericare Providers, Inc.

June 2004	Acquired the Pharmacy and Supplies Division of Matria Healthcare, Inc.	October 2003	Acquired Medical Holdings, Inc.

March 2004	Acquired Medical Express Depot, Inc.	June 2002	Acquired Express-Med, Inc.

February 2004	Acquired Secure Care Medical, Inc.	April 2001	Acquired assets of Health Script Pharmacy Services, Inc.

March 2002	Acquired DEGC Enterprises (U.S.), Inc.	October 1999	Acquired MedShip Direct, Inc.

As a part of our ongoing business development activities, we created a subsidiary to expand our product line offerings and patient base. This subsidiary operates under the name of Sanvita. In the quarter ended December 31, 2006, we acquired certain assets and assumed certain liabilities from the blood glucose monitoring division of Becton, Dickinson and Company which accelerated this business development initiative. We also secured the rights to be the exclusive distributor of a new blood glucose monitoring system in the United States and Puerto Rico.

Market Opportunity

Large and Growing Chronic Care Market

According to a Johns Hopkins University study, nearly one-half of Americans are living with at least one chronic condition such as diabetes, urological and ostomy-related disorders, chronic wounds, incontinence, respiratory conditions and other illnesses. Approximately one in four Americans lives with two or more of these conditions. These diseases disproportionately affect seniors, with approximately 87% suffering from at least one chronic condition. The U.S. Census projects the number of seniors in the United States to increase from approximately 36.7 million in 2005 to 40.2 million in 2010 and to double between 2000 and 2030. According to a Johns Hopkins University study, approximately 83% of U.S. healthcare costs are expended on people with at least one chronic condition. With the population of seniors expected to double between 2000 and 2030 and the expected increase in healthcare expenditures as a result of rising costs, longer life expectancies, and new technologies, we believe the need for chronic care medical supply management will continue to grow.

Diabetes Market Growing at Epidemic Levels

Diabetes is among the most common chronic conditions in the United States and accounts for an estimated 10% of direct and indirect healthcare costs. The ADA estimated the total direct and indirect costs of diabetes in 2002 at approximately $132 billion. This includes approximately $17.5 billion of outpatient medication and supplies, including $10.5 billion for medication and oral agents, and $7.0 billion for insulin and delivery supplies. According to Frost & Sullivan, the number of individuals diagnosed with diabetes in the United States is expected to grow 5.1% annually between 2005 to 2012, making it one of the most rapidly growing chronic conditions. From 2002 to 2006, the average incidence of diabetes in the United States was estimated to be 1.4 million individuals.

Growth in Mail-Order Fulfillment

The growth in mail-order distribution of pharmaceutical products has significantly outpaced the growth of retail pharmacies. The mail-order model lends itself particularly well to the distribution of healthcare products used by patients on a recurring basis over an extended period of time who may require special training, education or compliance monitoring. Mail-order pharmacies differentiate themselves from traditional retail pharmacies through management of the entire documentation and claims filing process on behalf of their patients. In addition, mail-order home delivery is attractive to many chronic patients given that it typically affords them greater privacy than the retail pharmacy setting. For example, the share of diabetic test strips distributed through the mail is estimated to have increased from approximately 28% in 2001 to approximately 33% in 2006. The Department of Health and Human Services estimates that 60% of Medicare expenditures for diabetic supplies are for items furnished by mail-order suppliers.

Competitive Strengths

Nationwide Sales Force Focused on Healthcare Professionals

We employ a differentiated sales and marketing approach relative to our competitors using a field-based sales force that is primarily targets healthcare professionals who focus on chronic conditions. As of March 31, 2007, we employed approximately 200 sales professionals nationwide. These sales professionals call on primary care physicians, hospitals, internal medicine clinics and specialists, endocrinologists and certified diabetes educators, as well as chronic care product manufacturing representatives. Our sales professionals periodically meet in person with these healthcare professionals and explain in depth our products, distribution capabilities and medical supply management process, highlighting what we believe to be the benefits of our services and products for the patient and physician. In these discussions, our sales professionals educate the healthcare professionals on our ability to manage patient compliance, which can lead to improved medical outcomes and reduced medical costs, and our “fill as prescribed” policy. In addition, our sales professionals highlight the benefits of our integrated information systems in reducing paperwork for the patients we serve and their physicians and provide written educational materials for physicians to distribute to their patients regarding the management of chronic medical conditions. We believe that this detailed and focused approach educates the healthcare professionals on the benefits and value that our customers may receive from our services, and encourages healthcare professionals to recommend us to their patients, thereby leading to increased patient confidence in our services, recurring patient referrals, improved patient retention and reduced patient acquisition costs.

Comprehensive Medical Supply and Service Offerings

We offer the patients we serve a comprehensive, single-source solution for medical supplies, prescriptions and chronic care management services. We routinely interact with the patients we serve by proactively managing their supply needs, such as scheduling reminders to reorder products to ensure compliance with their prescription regimens, and by providing responsive patient service. Through our customized medical supply programs, we provide education on disease states and counseling services on complex clinical regimens, and assume responsibility for the patients’ billing and collecting from government programs and third-party payors, all in an effort to promote improved patient compliance. By delivering medical supplies and pharmaceuticals directly to patients’ homes through the mail and by accepting responsibility for the billing of their medical claims, we significantly reduce the logistical, financial and clinical challenges associated with managing a chronic condition.

Proprietary Technology Platform and Operating Systems

We utilize proprietary information technologies and a custom designed operating system that we believe differentiates us from our competitors and provides a scalable platform for future growth. We manage our operations through an internally developed Oracle-based Patient Information Management System, or PIMS. PIMS increases our administrative efficiency and reduces our organizational costs by allowing us to capture more accurate patient information, facilitate easier enrollment of patients, process claims more effectively, manage compliance with regulatory requirements, and manage inventories and the distribution of supplies to the patients we serve. Our paperless system is designed to be Health Insurance Portability and Accountability Act, or HIPAA, compliant and integrates our clinical and financial operations, including patient information, regulatory compliance, assignment of medical benefits, billing, pharmacy, shipping, perpetual inventory management, accounts receivable and cash collections, marketing and quality control. We believe PIMS has the flexibility and capacity to support enrollment of a substantial number of additional new patients with minimal capital expenditures. We believe that PIMS provides us with a competitive advantage and enables us to deliver higher levels of patient satisfaction relative to our competitors.

Central Position in the Chronic Care Value Chain

We believe our sales force, product and service offerings, and technology platform, allow us to occupy an influential position with patients, healthcare professionals and other industry participants. By developing these relationships, and leveraging our central position, we believe we can influence patient behavior. We believe healthcare professionals are more likely to refer us patients because we consistently provide the healthcare

professional with information regarding manufacturer developments and payor reimbursement practices as well as educational materials for their patients. In addition, we believe manufacturers and payors seek to develop relationships with us because we have the ability to influence prescribing trends with the healthcare professionals.

We have a large dedicated sales force consisting, as of March 31, 2007, of approximately 200 sales professionals focused on healthcare professionals and chronic care medical supply management services. We believe our central position in delivering products and services, our reputation, size, scale and direct relationships with healthcare professionals provide us with a competitive advantage. As such, we believe we are an attractive partner for leading product vendors, as we provide rapid and cost-effective access to a significant portion of the healthcare professionals in the highly fragmented and geographically diverse portions of the chronic care market that we serve. We believe that our services add value in the chronic care value chain, which has led to our achieving a critical position in that chain, thereby creating barriers to entry for our competitors.

Experienced Management Team

We are led by Joseph H. Capper, our Chief Executive Officer, who was previously the Director of Sales at Bayer Corporation’s Diagnostics Division. As our Chief Executive Officer, Mr. Capper has led the integration of Chronic Care Solutions, Inc. and MPTC Holdings, Inc. Mr. Capper leads an experienced management team with substantial healthcare distribution, manufacturing and service experience. Our Chief Financial Officer, Stephen M. Saft, was previously the Chief Financial Officer at Priority Healthcare, a Nasdaq listed company, which experienced growth in sales from approximately $800 million to over $2 billion while Mr. Saft was there. Mr. Saft also eventually led the management team responsible for the sale of Priority Healthcare to Express Scripts, creating one of the largest specialty pharmaceutical dispensing and distribution companies in the United States. In addition to Mr. Capper and Mr. Saft, our executive management team has, on average, 14 years of experience in the industry. Throughout our company history, management has led us through successful acquisitions and successfully integrated these entities into our product and service platforms, thus driving growth within the markets we serve.

Our Growth Strategy

Our objective is to become the leading medical supply management company serving patients that are living with one or more chronic conditions and increase our revenue and profitability at a rate faster than the market average. In furtherance of this objective, we have adopted a diversified growth plan, highlighted by the following strategic elements:

Strengthen our Professional Referral Network by Increasing the Size and Effectiveness of our Sales Force

We utilize our nationwide field-based sales force to target healthcare professionals who focus on chronic conditions in order to encourage them to recommend our service to their patients. As of March 31, 2007, our field-based sales force consisted of approximately 200 representatives providing coverage to 48 states. In order to gain greater penetration and build relationships within our selected healthcare professional market segments, we plan to hire additional sales personnel on an ongoing basis. With expanded sales reach and call frequency, combined with our successful track record of service, we expect continued referral growth both from securing new healthcare professionals as referral sources and from receiving additional referrals from healthcare professionals already recommending our services. We also expect to implement several initiatives aimed at improving the effectiveness of our sales force, specifically in the areas of recruiting/selection, patient targeting, territory mapping and routing, contact and sales cycle management, training and certification, key messaging and marketing support. We believe the marginal costs for adding and supporting more sales personnel are out weighed by the incremental referral business this may produce. We believe our field-based sales model would require significant investment of capital and management time by our competitors to replicate, results in lower patient acquisition costs and provides us with a competitive advantage.

Increase our Patient Base by Expanding our Managed Care Relationships

We currently have relationships with approximately 500 managed care organizations and employ a specialized sales team to compete for new contracts which could offer us access to a greater number of patients. Managed care

organizations often institute product and service buying restrictions for their plan members in an effort to manage costs. While we can, in certain cases, offer savings on product costs, our primary proposition in the managed care market is one of long-term cost containment. We proactively manage each patient’s medical supply needs, provide product and disease-specific education, and other value-added services such as privacy, convenience and patient compliance management, therefore we believe the patients we serve are more likely to comply with the physician-recommended care protocol. Greater patient compliance may delay the onset of common comorbid health conditions (retinopathy, neuropathy, nephropathy, and cardiovascular disease in the case of diabetes), which are expensive to manage. For new managed care plans, our objective is to contract as an authorized, or preferred, provider and execute a series of marketing initiatives, such as call campaigns, mailings and educational seminars, designed to attract additional patients as customers. Given our patient compliance management, operating scale, patient service and support infrastructure, information technology systems and direct sales capabilities, we believe we are well positioned to expand and strengthen our managed care relationships and gain access to additional patient populations as a result.

Leverage and Expand our Position within the Chronic Care Value Chain

We believe that our relationships with customers, healthcare professionals, manufacturers and payors position us favorably in the chronic care value chain. We believe that we have built a sales, marketing and patient service infrastructure that differentiates us from our competitors. We have developed relationships with, and we believe we are often viewed as the supplier of choice for select coordinated marketing arrangements with, many of the leading medical product manufacturers, including Roche Diagnostics, LifeScan, Bayer and Medtronic MiniMed. We believe these relationships provide us with a competitive advantage on which we intend to capitalize by consistently aiming to be among the first suppliers to bring new and innovative products to the marketplace. By leveraging our relationships with physicians, patients, manufacturers and payors, we believe we can gain preferred access to opportunities which will allow us to expand our product base and compete more effectively for new patients. Where appropriate, we intend to leverage our sales and marketing position to commercialize (which includes providing most, if not all, business functions except research and development and manufacturing) new products. Our Sanvita division, in which we have recently contracted for exclusive U.S. rights to commercialize a branded blood glucose monitoring system, is an example of how we have implemented this strategy.

Cross-Sell Additional Products and Services to Patients

We believe there is significant opportunity to provide additional products and services to patients we currently serve for their chronic care and other comorbid disease conditions. We intend to expand communication efforts to eligible patients as to the availability of the other products we offer and to cross-sell when clinically appropriate in the view of the patients’ prescribing physician. The Medicare Part D prescription drug program for seniors is an example of such an opportunity. We are expanding the capabilities and resources within our mail-order pharmacy in order to accommodate this growth initiative. Additionally, we have recently commenced an initiative to offer medically necessary wound care supplies to our diabetes patient base.

Expand Chronic Disease States Served and Pursue Strategic Acquisitions

We intend to pursue acquisitions that will enable us to accelerate the implementation of our strategic plan and to grow the number of patients we serve. If successful, attractive acquisitions would expand the products and services we currently offer and provide a vehicle to enter new aspects of the chronic care market. We evaluate acquisitions that diversify or complement our product offering, payor mix and referral sources. Based on our management team’s experience with merging diverse operations, systems and cultures, we believe we can efficiently integrate new operations, disease states, products and services into our current business platform. In addition, we will seek to leverage our operating and financial capabilities to provide clinically appropriate supplies, services and prescription pharmaceuticals to patients in chronic care therapeutic areas we do not currently target.

Operations

Information Systems

We manage our business through PIMS, our customized, highly scalable, Oracle-based and proprietary information systems. We believe PIMS is one of the most advanced technology platforms in the industry and a critical driver of our ability to successfully leverage our business through scale.

This paperless system is designed to be HIPAA compliant and integrates all aspects of our clinical and financial operations, including patient information, regulatory compliance, assignment of medical benefits, billing, pharmacy, shipping, perpetual inventory, accounts receivables and cash collections, marketing, and quality control.

PIMS helps drive regulatory compliance by allowing patient workflow progress only after all necessary compliance steps have been completed. PIMS has been designed to be user-friendly with an intuitive interface that enables employees to quickly gain proficiency in their areas of responsibility. The system captures thousands of data points throughout our business, which we query to generate reports and analyze and manage all aspects of the business, including compliance with regulatory documentation requirements. We believe that PIMS provides us with a competitive advantage and enables us to deliver higher levels of efficiency relative to our competitors.

Medical Supply Management Process

The patient enrollment and support process involves four distinct processes that deliver a patient-focused service to customers. The key areas include enrollment, patient support, shipping, and billing.

New Patient Enrollment

A majority of the patients we serve enroll in our program by completing forms obtained from their physician or after being contacted by us at the request of their physician or their managed care organization. Typically, new patients are enrolled by one of our patient enrollment representatives, who begin the process by qualifying the patient for the program. The patient enrollment representative explains in detail how our program works and provides information on the other services we provide. Based on patient needs, insurance coverage and any instructions from the healthcare professional, the patient enrollment representative will guide the patient to the most appropriate choice of products. This education phase of the enrollment process is crucial to furthering patients’ understanding of their condition, as well as the importance of their compliance to the prescribed testing and monitoring regimen.

A critical step in the set-up process is to establish the patient’s regular order and shipping schedule. Patients are set up with customized shipping schedules based on their medical needs and the specifications of their insurance plan. Once configured, PIMS will automatically generate reorder cards and/or cue patient service representatives to contact the patient by phone for authorization prior to each regularly scheduled order. Every new patient configuration is reviewed by our billing approval team.

Patient Support

After enrollment, ongoing management of the patient is typically handled by specialized representatives. These specialized representatives are organized into various teams in order to: handle inbound calls from patients; conduct outbound call campaigns for patient reorders; collect required documentation from physicians (certificate of medical necessity for Medicare patients); process reorder cards when applicable; and provide product and disease education. Many of these representatives’ tasks are documentation intensive. All documents are bar-coded and scanned into PIMS. This allows all new patient enrollment and patient support representatives to have electronic access to all information needed to quickly and efficiently service patients.

Shipping

To service our patient base, we operate six distribution centers that currently ship a total of over 150,000 packages each month. Shipping volume can be allocated between centers to maximize throughput, meet deadlines, or take advantage of geographic variances in shipping rates. These centers use a real-time, perpetual inventory

module in PIMS to manage inventory levels, based on anticipated shipping schedules. Every patient is preconfigured with a customized shipping schedule, and our shipping department utilizes this information to anticipate inventory needs in advance. This allows us to rapidly turn our inventory and minimize excess supply levels. With our current infrastructure, we believe we can significantly increase our shipping throughput without significant capital expenditures to accommodate future growth.

We believe each of our distribution centers, four of which contain full service pharmacies, is adequately staffed to meet our current needs. Using a complex set of rule-based decision trees, PIMS automatically determines which products are required to be dispensed by a pharmacy. We maintain an extensive system to monitor pharmacy dispensing requirements in all 50 states. We generally ship our products via U.S. Postal Priority Mail and United Parcel Service, which allow us to track and verify patient shipment status automatically.

Billing and Collection

Our billing and collection systems have the flexibility to address the needs of several payor types, from cash purchases by private patients to commercial and Medicare billing. Additionally, the systems and processes are designed to adhere to Medicare and commercial insurance documentation and approval standards in order to manage compliance and maximize efficiency.

We believe that a key part of our value-added service proposition is the handling of the medical claims process for the patient. To this end, we have a dedicated staff of collection representatives that obtains necessary information from healthcare professionals and efficiently processes medical claims on behalf of patients. We assume responsibility for the patients’ billing and collecting from government programs and third-party payors which substantially simplifies the claims submission process. Except for required co-pay or annual deductible amounts, patients are not required to make any upfront payments. We have developed the necessary infrastructure to efficiently process medical claims with over 4,500 payors, including Medicare, state Medicaid programs and private insurance plans. We believe patients benefit from timely home delivery of their prescribed medical products, from not having to navigate a complex reimbursement process, and limited, if any, out-of-pocket expenses.

We have automated our claims generation process through PIMS, which reviews every shipment and determines how to submit the appropriate claim. PIMS applies a complex set of business and payor rules that are unique to each insurance plan in order to create a claim. The same process also verifies that the proper documentation has been received and accepted. Proper completion of initial administrative activities can reduce the likelihood of problems associated with submitting or receiving reimbursement for future claims.

We submit direct electronic claims whenever possible and do not use any third parties to process our electronic claims. In addition, our in-house claims professionals work with any payor capable of receiving electronic claims. By maintaining this ability in-house, we believe we can create any customization needed by a particular insurance plan. The pharmacy system is integrated into PIMS so claims that must be adjudicated at the time of shipment (similar to credit card transactions) are processed at the point a prescription is filled. PIMS connects directly to all of the online processors and easily handles numerous transactions from our pharmacies each day.

Sales and Marketing

Field Sales Team

We believe our sales and marketing approach differentiates us from our competitors. While most mail-order companies in the industry use direct-to-consumer marketing, such as direct mail and TV advertising, we market our products through a nationwide field-based sales force focused on healthcare professionals, primarily physicians and certified diabetic educators and managed care accounts for new patient referrals. In marketing to healthcare professionals, members of our sales force emphasize the benefits of home delivery and utilizing one supplier for a variety of chronic conditions, our “fill as prescribed” policy, and the services we provide. We believe healthcare professionals are assured their patients will receive top quality products from trusted manufacturers and up-to-date education regarding their disease and therapy when their patients are enrolled as our customers.

By targeting healthcare professionals, we believe we build relationships with the key influencing agents for patient-related purchasing decisions while reducing the potential for patient attrition given the credibility of the

referral source. Additionally, our emphasis on healthcare professionals allows members of our sales force to interact on a meaningful and consistent basis with this referral source. We believe this interaction drives greater affinity to the products we distribute and the services we provide.

Our field-based sales model focuses on healthcare professionals who focus on chronic conditions, and other healthcare professionals. For example, our sales professionals in the diabetes market focus on approximately 20,000 physicians and 8,000 certified diabetic educators. We believe this is a more effective and cost efficient means of patient procurement than a costly media-based direct-to-consumer sales and marketing approach. We believe that our patient acquisition cost is considerably lower than that of a direct-to-consumer approach.

We launched our field-based sales force in 2003 with a mandate to develop and maintain referral relationships with physicians, educators, and other healthcare professionals. As of March 31, 2007, our national field sales force included approximately 200 professionals providing coverage to 48 states, making it the largest sales force among mail-order companies serving diabetic patients.

The states we cover are divided into a number of territories covered by our account executives which have been targeted based upon data relevant to the segment of the chronic care market they serve. For example, account executive territories in the diabetes market have been established using diabetes incidence data and information on leading physician prescribers of blood glucose monitors and test strips. Each such territory has at least 225,000 people with diabetes. Additionally, doctors with active patients in PIMS (over 85,000) and certified diabetic educators registered with the American Association of Diabetic Educators (over 8,000) are loaded into each account executive’s database to allow for territory management and call planning.

Managed Care Sales Team

We have a managed care sales team that targets a variety of managed care organizations. We believe these organizations are placing increased emphasis on disease management and compliance in order to improve patient outcomes and reduce costs. We enter into contracts to provide mail-order fulfillment of products and select disease management services to covered patient populations at set reimbursement rates. Once contracted, we are proactive in working with managed care organizations to develop effective marketing approaches to encourage patients to take advantage of our programs.

We believe that managed care organizations and their customers benefit in several ways from our services. These benefits include a lower cost of supplies, convenience of home delivery, and access to compliance monitoring systems that ensure consistency of treatment and patient testing. The benefits serve to improve patient outcomes as the disease management discipline is enabled by our technology-driven processes.

Customers

As of March 31, 2007, we served approximately 376,000 active customers through 17,000 referring healthcare professionals. We track customers by the primary referral source, by payor source and by primary diagnosis.

No single healthcare professional, national payor account, benefit manager or other referral source accounted for more than 5% of our patient referrals for the twelve months ended December 31, 2006. Our patient base includes diabetics, respiratory patients, pump and pump supply patients, urology and ostomy patients, incontinence patients, and wound care patients. We have experienced a low patient turnover rate of approximately 2% per month since October 2005.

Payors and Reimbursement

Our payor mix consists primarily of government-sponsored health plans. As a percentage of our revenue for 2006, Medicare comprised 51.5%; Medicaid comprised 7.1%; and commercial payors (self-insured corporations, pharmacy benefit management companies, managed care organizations and other health plans) comprised 32.0%.

Medicare is a federal program, administered by CMS, that provides health insurance benefits to U.S. citizens age 65 and over who are eligible for Social Security benefits. In 2006, Medicare enrollment included an estimated 43 million active beneficiaries. Of the 38 million active beneficiaries enrolled in 2001 whose sole coverage was

Medicare, 87% suffered from one or more chronic conditions. In July 1998, federal legislation was enacted requiring Medicare to begin covering blood glucose monitors and test strips for beneficiaries with Type II diabetes. These guidelines nearly tripled the number of Medicare patients eligible to receive reimbursement for diabetes supplies. Diabetic supplies are covered under Medicare Part B, which pays 80% of Medicare-approved amounts after proper paperwork has been obtained. The beneficiary is responsible for the remaining 20%, which is typically paid out-of-pocket or covered by supplemental insurance.

Under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003, or Medicare Modernization Act, there are several new key features including the Medicare Advantage HMO program and a new prescription drug benefit for Medicare enrollees. With Medicare’s coverage available for tests to screen for the presence of diabetes, diabetics who were previously undiagnosed would be able to seek treatment and begin regular testing of their blood glucose.

Medicaid provides health insurance for low income families and people with disabilities. Eligibility for Medicaid is primarily means based, with beneficiaries having to fall below specific income thresholds and resource standards. Medicaid is the third largest source of health insurance in the United States behind employer sponsored health insurance and Medicare and provides coverage for more than 12% of the population. Medicaid is a state administered health insurance program that is jointly funded by each individual state and the federal government, with the government contributing 50% to 83% of the program cost based on the average per capita income of each state.

Commercial insurance includes managed care, health maintenance organizations, or HMOs, preferred provider organizations, or PPOs, private pay and indemnity plans. Payment rates may vary among various commercial insurance sources. We currently have relationships with approximately 500 managed care organizations. We believe our diverse payor base provides us with the ability to better absorb potential negative reimbursement changes in individual payor segments.

Products

We offer a comprehensive line of products targeted at the chronic care patient population. We have contracts with most major manufacturers of medical supplies and pharmaceutical products used by individuals living with the select chronic medical conditions we serve. Such supplies and products include test strips, insulin pumps and related supplies, ostomy supplies, wound care products and urological and incontinence products. We offer a wide range of products to patients in all 50 states, Washington, D.C. and Puerto Rico. We believe our patient support representatives are trained to offer products that most appropriately address the physicians’ orders and the patients’ needs. We offer diabetic patients a wide variety of products, including products manufactured by industry leaders such as LifeScan, Inc., Medtronic MiniMed, Inc., Roche Diagnostics Corporation and Bayer Corporation. We believe that the breadth of our product offering is a significant competitive advantage in serving healthcare professionals and managed care accounts. Diabetes related products, including diabetic supplies, insulin pumps and pump related supplies and pharmacy, comprise approximately 67% of net revenue for 2006.

Product Sourcing

We currently distribute approximately 7,500 active products to the patients we serve. These products include medical supplies and pharmacy products. We typically enter short-term contracts with our suppliers which are generally structured such that the costs of products to us decreases at certain purchase volume thresholds. For the year ended December 31, 2006, approximately 57% of our purchases were made from five major suppliers.

Direct-to-Consumer Products

Diabetic Supplies

Test Strips

We provide a comprehensive line of diabetic supplies that patients use to test and monitor their glucose levels. These disposable products include branded glucose monitoring devices, glucose test strips, lancets, lancing devices

and many other ancillary products that diabetic patients use. These branded products are generally purchased from leading manufacturers, including LifeScan, Roche Diagnostics, Bayer Diagnostics and Abbott/TheraSense.

Insulin Pump and Pump Supplies

We provide substantially all of the products required by insulin pump patients to treat diabetes, including insulin pumps, disposable pump infusion sets, reservoirs and other accessories. These products are generally acquired from the leading insulin pump manufacturers including Medtronic MiniMed, Inc., Animas, Roche (Disetronic) and Smith Medical (Deltec).

Pharmacy Products

We operate a full service pharmacy. We provide pharmaceutical products that support diabetic patients’ clinical needs. Commonly prescribed drugs include diabetic medicines such as metformin, rosiglitazone and sulfonylurea.

Other Chronic Care Products and Supplies

Ostomy Supplies

Ostomy products include pouch systems that connect to the end of the bowel or ureter through a patient’s abdominal wall. Individual ostomy products include pouches, catheters, belts and other accessories including skin adhesive, adhesive remover, skin barrier wipes, tape and stoma.

Wound Care

We provide wound care supplies to individuals suffering from chronic wounds. In addition to supplying medicated bandages, dressings, and other wound care products, we provide off-loading devices, compression therapy products and other supplies.

Respiratory Products

We supply prescription respiratory products to patients suffering from chronic obstructive pulmonary disease, or COPD, and, to a lesser extent, patients with asthma, allergies, and other pulmonary disorders. Products include brochodilator nebulizer solutions, including albuterol and ipratropium, and supplies such as nebulizers, compressors, masks, and tubing.

Urological and Incontinence Products

These products include waste disposal bags, catheters, diapers, absorbent pads, and other supplies.

Sanvita

Distribution

To service our patient base, we utilize six distribution centers that currently ship a total of over 150,000 packages each month. Because we have multiple distribution centers, we believe we can easily allocate shipping volume for diabetic and pharmacy supplies between centers to maximize throughput, meet deadlines, or take advantage of geographic variances in shipping rates. These centers use a real-time, perpetual inventory module contained in PIMS to manage inventory levels based on anticipated shipping schedules. Because every patient is preconfigured with a customized shipping schedule, the shipping department utilizes this information to anticipate

its inventory needs in advance. This allows us to rapidly turn our inventory and minimize excess supply levels. We believe we can significantly increase our shipping throughput without significant capital expenditures.

We believe each of our distribution centers, four of which contain full service pharmacies, is adequately staffed to meet our current needs. Using a complex set of rule-based decision trees, PIMS automatically determines which products are required to be dispensed by each pharmacy. Through PIMS we maintain an extensive system to monitor pharmacy dispensing requirements in all 50 states, Washington, D.C. and Puerto Rico. We typically ship our products via U.S. Postal Priority Mail and United Parcel Service, which allows us to track and verify patient shipment status automatically.

Competition

The markets in which we operate are highly competitive. A number of our competitors and potential competitors have substantially greater capital resources, purchasing power and marketing budgets, as well as more experience in distributing products.

Our competitors include retail pharmacies such as CVS Corporation, Rite Aid Corporation, and Walgreen Co.; direct-to-consumer distributors of medical supplies such as Polymedica Corp., Edgepark Surgical, and Byram Healthcare; healthcare product distributors such as Henry Schein Inc., PSS World Medical Inc., and Patterson Companies, Inc.; pharmacy benefit management companies such as Caremark Inc., Medco Health Solutions Inc., and Express Scripts, Inc. and prescription drug plans with in-house pharmacies.

We believe that we can continue to effectively compete in this industry based on the advantages of the mail-order channel in addressing the needs of chronic patients as well as our differentiated marketing approach of targeting the healthcare professional and forging relationships with the key influencing agents for patients in their choice of medical suppliers. We believe this marketing approach also lowers our patient acquisition costs relative to our competitors and increases patient retention.

Government Regulation

As a healthcare supplier, we are subject to extensive government regulation, including numerous laws, regulations, and administrative requirements governing coverage, reimbursement, drug distribution, sales and marketing practices, and fraud and abuse. The marketing, billing, documenting and other practices of healthcare companies are all subject to extensive government scrutiny. To ensure compliance with Medicare and other regulations, health insurance carriers and government agencies routinely conduct audits by requesting patient records and other documents to support claims for products shipped to patients. Promotional materials are routinely scrutinized by government regulators to determine whether claims are in compliance with laws and regulations, are on-label, and are not false or misleading. Violations of federal and state requirements can result in significant expenses to implement corrective actions, as well as regulatory, civil and severe criminal penalties and sanctions, including exclusion from Medicare and other government reimbursement programs.

Healthcare is an area of rapid regulatory change. Changes in the laws and regulations and new interpretations of existing laws and regulations may affect permissible activities, the relative costs associated with doing business, and reimbursement amounts paid by federal, state and other third-party payors. We cannot predict changes in federal, state and local regulations or legislation, including Medicare and Medicaid statutes and regulations, which could have a material adverse impact on us.

Third-Party Reimbursement

Our products are generally prescribed by physicians and are eligible for third-party reimbursement by private payors as well as government payors, including Medicare and Medicaid. We believe that third-party payors will continue to focus on measures to contain or reduce their costs through managed care and other methods. Medicare policies impact all third-party reimbursement because private payors often model their policies after the Medicare program’s coverage and reimbursement policies.

The majority of the products that we provide are reimbursable by Medicare, and are therefore subject to extensive regulation. Medicare is a federally funded program that provides health insurance coverage for qualified persons age 65 or older and for some disabled persons. The Medicare program currently consists of four parts: Medicare Part A, which covers, among other things, inpatient hospital, skilled nursing facility, home healthcare and certain other types of healthcare services; Medicare Part B, which covers physicians’ services, outpatient services, items and services provided by medical suppliers, and a limited number of specifically designated prescription drugs; Medicare Part C, which generally allows beneficiaries to enroll in managed care programs beyond the traditional Medicare fee for service program (known as Medicare Advantage plans); and Medicare Part D, established by the Medicare Modernization Act, which provides a new prescription drug benefit effective January 2006.

Medicare payments are sometimes lower than the payments of other third-party payors, such as traditional indemnity insurance companies. Medicare requires separate documentation of certain supplies which must be renewed or reobtained on a regular basis. For example, Medicare requires patient verification before shipment of diabetes supplies. Medicare also requires that a physician who orders Medicare covered items keep certain documentation in his/her files. If Medicare conducts an audit, it will disallow payment to us for items ordered by a physician who fails to properly document medical necessity in the physician records. We assume responsibility for the patients’ billing and collection from government programs and other third-party payors on behalf of our patients. We process claims, accept payments and assume the risks of delay or nonpayment. We also employ the administrative personnel necessary to transmit claims for product reimbursement directly to Medicare and private health insurance carriers. Medicare reimburses a majority of the government determined fee schedule amount for reimbursable supplies, and we bill the remaining balance either to third-party payors or directly to patients.

Healthcare reform legislation in the Medicare area has focused on containing healthcare spending. In December 2003, the Medicare Modernization Act was passed. This legislation provides for revisions to payment methodologies and other standards for durable medical equipment under the Medicare program, including a temporary freeze on reimbursable amounts for durable medical equipment from 2004 to 2008. Furthermore, in April 2007, CMS issued a final rule implementing a new competitive bidding program. Under the final rule, beginning in April 2008, suppliers must be successful bidders to furnish certain durable medical equipment and supplies to Medicare beneficiaries in 10 geographic areas. Payment will be based on winning bid amounts rather than the Medicare fee schedule for items subject to bidding. CMS included mail-order diabetes supplies, but not retail diabetes supplies or glucose monitors, in the first round of the competitive bidding program, along with nine other categories of equipment and supplies. Additional types of equipment may be included in subsequent rounds of competitive bidding when the program is set to be expanded in 2009. The competitive bidding process may reduce the number of suppliers providing certain products and services to Medicare beneficiaries and the amounts paid for such products and services within a given geographic area. In addition, CMS may use payment information from regions subject to competitive bidding to reduce Medicare reimbursement in regions not subject to competitive bidding in the future.

Inclusion of any of our products in Medicare competitive bidding or other Medicare reimbursement reductions could have a material adverse effect on our results of operations. We are evaluating the competitive bidding criteria in order to formulate our strategy. As of this time we intend to participate in the bidding process.

As mandated by the Medicare Modernization Act, in August 2006, CMS issued quality standards for suppliers, which are being applied by independent accredited organizations approved by CMS. All Medicare suppliers must be accredited. We are accredited by the Community Health Accreditation Program and have been since 2005. Compliance with these quality standards could impact our business operations and the costs associated with participation in the Medicare program. Moreover, as mandated by the Medicare Modernization Act, CMS issued a proposed rule to implement new clinical conditions for payment of durable medical equipment in August 2004. At this time, we cannot predict what clinical conditions will be adopted, the timing of such adoption or the impact on our business of the new standards or any new clinical conditions that are adopted.

In addition, in 2005, CMS published a final rule implementing its “inherent reasonableness” authority, which allows CMS, or a Medicare contractor, to make adjustments to payment amounts by up to 15% per year for certain products and services covered by Medicare when the existing payment amount is determined by CMS to be grossly excessive or grossly deficient. CMS could invoke its inherent reasonableness authority to reduce reimbursement levels for certain of our products, which could have a material adverse effect on our results of operations. A reduction in payments received from, or a loss of coverage under, Medicare could result in similar actions being taken by private payors, which could have a material adverse effect on our results of operations.

With regard to prescription drugs, the Medicare Modernization Act instituted an “average sales price,” or ASP, methodology for Medicare Part B drugs, under which the reimbursement rate is set at average sales price plus 6%, instead of being based on average wholesale price. Physicians also have the option of participating in a Part B drug competitive acquisition program, CAP, under which physicians bill the Medicare program only for drug administration and a CAP vendor bills Medicare for the actual drug and collects applicable beneficiary copayments. The Medicare Modernization Act also established a voluntary Medicare Part D outpatient prescription drug coverage program, under which Medicare beneficiaries could enroll in their choice of drug plans offered by private health insurers. The health plans participating in Part D must make available certain drugs on their formularies, and they privately negotiate reimbursement for Part D drugs with drug manufacturers. There can be no assurances that future changes to Medicare drug coverage or reimbursement policies will not adversely affect our results of operations.

The Secretary of the Department of Health and Human Services is authorized to exclude from the Medicare and Medicaid programs any entity that submits, or causes to be submitted, claims for items or services “substantially-in-excess” of that entity’s “usual” charges unless good cause exists for such charges. Neither the statute nor the current regulations define the terms “substantially-in-excess” or “usual” charges. Although a final regulation has not been issued, the “substantially-in-excess” statutory provision could have the effect of limiting the circumstances in which suppliers can negotiate rates significantly below the Medicare fee schedules without a corresponding reduction in the supplier’s Medicare charges.

Fraud and Abuse

We are subject to various federal and state laws and regulations pertaining to healthcare fraud and abuse. Violations of these laws are punishable by criminal and civil sanctions, including, in some instances, exclusion from participation in federal and state healthcare programs, including Medicare, Medicaid, Veterans Administration health programs and TRICARE (the healthcare program for active duty military, retirees and their families managed by the Department of Defense). Because these laws and regulations are broad in scope and may change, we may be required to alter one or more of our practices to be in compliance with these laws. In addition, the occurrence of one or more violations of these laws or regulations, the challenge of our operations by a governmental authority under these laws or regulations or a change in the laws or regulations may have a material adverse effect on our financial condition and results of operations.

Anti-Kickback and Fraud Laws

Our operations are subject to federal and state anti-kickback laws. Certain provisions of the Social Security Act, commonly referred to as the Anti-Kickback Statute, prohibit persons from knowingly and willfully soliciting, receiving, offering or providing remuneration directly or indirectly to induce either the referral of an individual, or the furnishing, recommending, or arranging for a good or service, for which payment may be made under a federal healthcare program such as Medicare and Medicaid. The definition of “remuneration” has been broadly interpreted to include anything of value, including such items as gifts, discounts, waiver of payments, and providing anything at less than its fair market value. The U.S. Department of Health and Human Services, HHS, has issued safe harbors that set forth certain provisions which, if fully met, will assure healthcare providers and other parties that they will not be prosecuted under the Anti-Kickback Statute. Although full compliance with these provisions ensures against prosecution under the Anti-Kickback Statute, the failure of a transaction or arrangement to fit within a specific safe harbor does not necessarily mean that the transaction or arrangement is illegal or that prosecution under the Anti-Kickback Statute will be pursued. The penalties for violating the Anti-Kickback Statute include imprisonment for up to five years, fines of up to $25,000 per violation and possible exclusion from federal healthcare programs such as Medicare and Medicaid. Many states have adopted prohibitions similar to the Anti-Kickback Statute, some of

which apply to the referral of patients for healthcare services reimbursed by any source, not only by the Medicare and Medicaid programs.

The Health Insurance Portability and Accountability Act of 1996, or HIPAA, created two new federal crimes effective as of August 1996: healthcare fraud and false statements relating to healthcare matters. The healthcare fraud statute prohibits knowingly and willfully executing or attempting to execute a scheme or artifice to defraud any healthcare benefit program, including private payors. The false statements statute prohibits knowingly and willfully falsifying, concealing or covering up a material fact or making any materially false, fictitious or fraudulent statement or representation in connection with the delivery of or payment for healthcare benefits, items or services. HIPAA applies to any healthcare benefit plan, not just to entities submitting claims to Medicare and Medicaid. Additionally, HIPAA granted expanded enforcement authority to HHS and the U.S. Department of Justice, or DOJ, and provided enhanced resources to support the activities and responsibilities of the HHS Office of Inspector General and DOJ by authorizing large increases in funding for investigating fraud and abuse violations relating to healthcare delivery and payment. In addition, HIPAA mandates the adoption of standards for the electronic exchange of health information, as described below in greater detail under “— Federal Privacy and Transaction Law and Regulations.”

False Claims Laws

Under separate statutes, submissions of claims for payment that are “not provided as claimed” may lead to civil monetary penalties, criminal fines and/or imprisonment, and/or exclusion from participation in Medicare, Medicaid and other federally funded state health programs. These false claims statutes include the federal False Claims Act, which prohibits knowingly filing a false claim or knowingly using false statements to obtain payment from the federal government. When an entity is determined to have violated the False Claims Act, it must pay three times the actual damages sustained by the government, plus mandatory civil penalties of between $5,500 and $11,000 for each separate false claim. Suits filed under the False Claims Act, known as “qui tam” actions, can be brought by any individual on behalf of the government and such individuals may share in any amounts paid by the entity to the government in fines or settlement. In addition, certain states have enacted laws modeled after the federal False Claims Act. Qui tam actions have increased significantly in recent years, causing greater numbers of healthcare companies to have to defend a false claim action, pay fines or be excluded from Medicare, Medicaid or other federal or state healthcare programs as a result of an investigation arising out of such action.

Compliance Department

Our Compliance Department works to ensure that we are compliant with applicable fraud and abuse laws and regulations and if violations occur, to promote early and accurate detection and prompt resolution. These objectives are achieved through education, monitoring, disciplinary action and other remedial measures we believe to be appropriate. Each employee receives a compliance manual that has been developed to communicate our code of conduct, standards of conduct and compliance policies and procedures, as well as policies for monitoring, reporting and responding to compliance issues. We provide all of our employees and our patients with a toll-free number in order to report any compliance or privacy concerns. The Compliance Department, along with the Legal Department, also works to ensure compliance with all federal, state and local laws and regulations applicable to our businesses, including licensing and certification requirements and requirements applicable to our businesses as federal healthcare program providers.

Governmental Audits

Because we participate in governmental programs as a supplier of medical devices, our operations are subject to periodic surveys and audits by governmental entities or contractors for compliance with Medicare and Medicaid standards and requirements. To maintain our billing privileges, we are required to comply with certain supplier standards, including licensure and documentation requirements for our claims submissions. From time to time in the ordinary course of business, we, like other healthcare companies, are audited by, or receive claims documentation requests from, governmental entities, which may identify certain deficiencies based on our alleged failure to comply with applicable supplier standards or other requirements. Medicare contractors and Medicaid agencies periodically conduct pre- and post-payment reviews and other audits of claims and are under increasing pressure to

more closely scrutinize healthcare claims and supporting documentation. We have historically been subject to pre-payment and post-payment reviews as well as audits of claims and may experience such reviews and audits of claims in the future. We review and assess such audits or reports and attempt to take appropriate corrective action. We are also subject to surveys of our facilities for compliance with the supplier standards. The failure to effect corrective action to address identified deficiencies or to obtain, renew or maintain any of the required regulatory approvals, certifications or licenses could adversely affect our business, results of operations or financial condition and could result in our inability to offer our products and services to patients insured by the programs.

Federal Privacy and Transaction Law and Regulations

Other recent federal legislation has required major changes in the transmission and retention of health information. HIPAA mandates, among other things, the adoption of standards for the electronic exchange of health information that may require significant and costly changes to current practices. Sanctions for failure to comply with HIPAA include civil and criminal penalties. HHS has released three rules to date mandating the use of new standards with respect to certain healthcare transactions and health information. The first rule requires the use of uniform standards for common healthcare transactions, including healthcare claims information, plan eligibility, referral certification and authorization, claims status, plan enrollment and disenrollment, payment and remittance advice, plan premium payments, and coordination of benefits. The second rule released by HHS imposes standards relating to the privacy of individually identifiable health information. These standards require certain of our divisions to comply with rules governing the use and disclosure of protected health information and also to obtain satisfactory assurances through written business associate agreements that any business associate to whom such information is disclosed will safeguard the information. The third rule released by HHS establishes minimum standards for the security of electronic health information.

The Food, Drug and Cosmetic Act, Prescription Drug Marketing Act of 1987, Safe Medical Devices Act of 1990, Controlled Substances Act and Various State Regulations

Our business is subject to regulation under the Federal Food, Drug and Cosmetic Act, the Prescription Drug Marketing Act of 1987, the Safe Medical Devices Act of 1990, and state laws applicable to the manufacture, importation and distribution of medical devices and over-the-counter pharmaceutical products, as well as the distribution of prescription pharmaceutical products. In addition, we are subject to regulations issued by the U.S. Food and Drug Administration, or FDA, the Drug Enforcement Administration, or DEA, and comparable state agencies.

The Federal Food, Drug, and Cosmetic Act generally regulates the manufacture and importation of drugs and medical devices shipped via interstate commerce, including such matters as labeling, packaging, storage, and handling of such products. The Prescription Drug Marketing Act of 1987, which amended the Federal Food, Drug and Cosmetic Act, establishes certain requirements applicable to the wholesale distribution of prescription drugs, including the requirement that wholesale drug distributors be registered with the Secretary of Health and Human Services or be licensed in each state in which business is conducted in accordance with federally established guidelines on storage, handling, and records maintenance. The Safe Medical Devices Act of 1990 imposes certain reporting requirements on distributors in the event of an incident involving serious illness, injury, or death caused by a medical device. We are also required to maintain licenses and permits for the distribution of pharmaceutical products and certain medical devices under the laws of the states in which we operate.

State Pharmacy Regulation

Many of the states into which we deliver prescription drugs have laws and regulations that require out-of-state pharmacies to register with that state’s board of pharmacy or similar regulatory body. To the extent some of these states have specific requirements for out-of-state pharmacies that apply to us, we believe that we are in material compliance with them. Also, some states have proposed laws to regulate on-line pharmacies, and we may be subject to such legislation in the future. We currently do not process on-line orders.

Other Regulation

Numerous federal, state and local laws relating to controlled drug substances, safe working conditions, environmental protection, fire hazard control and disposal of hazardous or potentially hazardous substances apply to portions of our operations. For example, the DEA regulates controlled drug substances, such as narcotics, under the Controlled Substances Act and the Controlled Substances Import and Export Act. Manufacturers, distributors and dispensers of controlled substances must be registered and inspected by the DEA, and are subject to inspection, labeling and packaging, export, import, security, production quota, record keeping and reporting requirements. To the extent we engage in new activities or expand current activities into new states, the cost of compliance with applicable regulations and licensing requirements could be significant.

Impact of Changes in Healthcare Legislation

Federal, state and foreign laws and regulations regarding the sale and distribution of medical devices, medical supplies, over-the-counter and prescription pharmaceutical products are subject to change. We cannot predict what impact, if any, such changes might have on our business. Any new legislation or regulations, or new interpretations of existing statutes and regulations, governing the manner in which we conduct our business could have a material adverse impact and could adversely affect our profitability.

The extensive federal and state laws and regulations described above apply not only to us, but also to the manufacturers which supply the products we distribute. For instance, medical product and device manufacturers are subject to design, manufacturing, labeling, promotion and advertising standards and requirements. Likewise, pharmaceutical manufacturers are subject to development, manufacturing and distribution regulation by the FDA, the DEA, and other federal, state and local authorities. Failure of a manufacturer to comply with these requirements, or changes in such requirements, could result in recalls, seizures, manufacturing suspensions or other interruptions in the production, supply, and sale of its products. Such interruptions may result in a material adverse impact on our business. Similarly, changes in the extensive regulations or in their interpretation or enforcement, applicable to the patients we serve could adversely impact our business in ways which are difficult to predict.

Medicare Prescription Drug, Improvement, and Modernization Act of 2003

The Medicare Modernization Act became effective on January 1, 2006. The Medicare Modernization Act also created new guidelines for Medicare HMOs, termed Medicare Advantage Plans, which offer both an outpatient prescription drug benefit and health care coverage.

Medicare beneficiaries who elect Part D coverage pay a monthly premium for the covered outpatient drug benefit. Assistance with premiums and cost sharing are provided to eligible low-income beneficiaries. The voluntary outpatient prescription drug benefit requires coverage of essentially the same pharmaceuticals that are approved for the Medicaid program, although selection may be restricted through a formulary. The new outpatient prescription drug benefit is offered on an insured basis by prescription drug plans, or PDPs, in 34 regions across the United States and by Medicare Advantage Plans, along with health care coverage, in 26 regions across the United States.

We are neither a PDP nor a Medicare Advantage Plan; however, we contract with PDPs and Medicare Advantage Plans, collectively Part D Plans, to provide various products to patients including pharmaceutical products covered by Medicare Part D. In our capacity as a subcontractor with certain Part D Plan clients, we are indirectly subject to certain federal rules, regulations, and sub-regulatory guidance pertaining to the operation of Medicare Part D. If CMS determines that we have not performed satisfactorily as a subcontractor, CMS may request our PDP or Medicare Advantage Plan client to revoke our Part D activities or responsibilities under the subcontract. While we believe that we provide satisfactory level of service, under our respective subcontracts, we can give no assurances that CMS or a Part D Plan will not terminate our business relationships insofar as they pertain to Medicare Part D.

Among other things, PDPs and Medicare Advantage Plans are subject to provisions of the Medicare Modernization Act intended to deter “fraud, waste and abuse” and are strictly monitored by CMS and its contracted Medicare Drug Integrity Contractors, or MEDICs, to ensure that Part D program funds are not spent inappropriately. In April 2006, CMS issued a final chapter to the Medicare Prescription Drug Benefit Manual interpreting the fraud, waste and abuse provisions of Part D, referred to as the FWA Guidance. The FWA Guidance cites the following examples of potential fraud, waste and abuse risks in connection with Part D: prescription drug switching, unlawful

remuneration, inappropriate formulary decisions, prescription drug splitting or shorting, and failure to offer negotiated prices. CMS has offered additional sub-regulatory guidance regarding some of these risk areas, particularly with respect to the Part D formulary decision making process which is highly regulated by CMS.

Telemarketing Laws and Do-Not-Call Registry

The Federal Telemarketing and Consumer Fraud and Abuse Prevention Act of 1994, The Telephone Consumer Protection Act of 1991, Federal Trade Commission, or FTC, and Federal Communications Commission, or FCC, regulations and related state laws and regulations prohibit deceptive, unfair or abusive practices in telemarketing sales. The FTC, the FCC and states’ attorneys general have authority to prevent certain telemarketing activities deemed by them to violate the laws and related regulations they are charged with enforcing.

In 2003, the FTC established the national Do-Not-Call Registry. Both the FTC and the FCC have adopted rules to enforce restrictions on companies marketing their goods and services to consumers by telephone. Subject to certain limited exemptions, telemarketers may not initiate telephone solicitations to individuals who have registered their numbers on the national Do-Not-Call Registry. Those who disregard the national Do-Not-Call Registry can be fined up to $11,000 per call. Companies are also required to maintain their own lists of consumers who have stated that they do not wish to receive future marketing calls, and must not solicit such consumers by telephone, even if the call falls within the scope of one of the exemptions to the national do-not-call rules.

The Do-Not-Call Registry has not had a material adverse effect on the sale of our supplemental benefit programs. We have continued to meet our enrollment targets.

There can be no assurance that federal or state laws regulating telemarketing will not materially impact our business in the future. In addition, some states have enacted laws, and others are considering enacting laws, even more stringent than federal laws targeted directly at regulating telemarketing practices. There can be no assurance that any such laws or possible amendments to federal law will not adversely affect or limit our current or future operations. Compliance with these laws and regulations is ultimately the responsibility of the companies on behalf of whom telemarketing sales calls are being made and companies can be liable for any breach of relevant laws by their marketers and subcontractors.

Network Access Legislation

A majority of states now have some form of legislation affecting a company’s ability to limit access to a pharmacy provider network or remove network providers. Such legislation may require plans or others to admit any retail pharmacy willing to meet the plan’s price and other terms for network participation, or may prohibit the removal of a provider from a network except in compliance with certain procedures or may prohibit days’ supply limitations or co-payment differentials between mail and retail pharmacy providers. Many states have exceptions to the applicability of these statutes for managed care arrangements or other government benefit programs. As a dispensing pharmacy, however, such legislation benefits our operations by ensuring our access to all networks in those states.

Employees

We believe that our success depends on our ability to identify, attract and retain capable employees. As of March 31, 2007, we had 1,434 employees.

Legal Proceedings

We are currently a party to various claims and legal actions that arise in the ordinary course of business. We believe such claims and legal actions, individually and in the aggregate, will not have a material adverse effect on our business, financial condition or results of operations.

Properties

Our principal executive offices are located in Clearwater, Florida and consist of approximately 127,463 square feet of office space, a call center and distribution facilities under leases where 67,463 sq ft. expire June 30, 2008 and

60,000 sq. ft. expire December 31, 2011. We also own approximately 32,000 square feet of space in Tampa, Florida, which consists of office space, a call center and distribution facilities. We lease our other distribution facilities, call centers and office space, which are located in Roanoke, Virginia (31,436 sq. ft.), Santa Ana, California (8,649 sq. ft.), Denver, Colorado (13,585 sq. ft.) and Lawrenceville, Georgia (29,370 sq. ft.) and office space and a call center located in New Albany, Ohio (103,606 sq. ft.). We lease an additional 37 properties in 17 states, which consist of offices and sales facilities.

We believe that our leased and owned properties are in good operating condition, are sufficient to meet our present needs and we do not anticipate any difficulty in renewing existing leases as they expire or in securing additional space, as needed, on acceptable terms.

MANAGEMENT

The following table sets forth certain information concerning our executive officers and our directors as of May 10, 2007:


Name	Age		Position

Joseph H. Capper		43	President, Chief Executive Officer and Director
Stephen M. Saft		36	Chief Financial Officer
Michael Geldart		44	Executive Vice President, Corporate Development
David Quick		42	Executive Vice President, Sales & Marketing
Michael O’Connor		46	Executive Vice President, Operations
Daniel Wisniewski		43	Chief Information Officer
Joel Ackerman		41	Director
Steven Cosler		51	Director
David Wenstrup		42	Director

Joseph H. Capper joined us in March 2003 as President and was subsequently named Chief Executive Officer in September 2003. Mr. Capper has over 17 years of executive management experience. Since joining CCS Medical, Mr. Capper has led the organization through substantial organic growth, five acquisitions, a sale of the company and a merger with a direct competitor. Prior to joining us, Mr. Capper served as the Director of Sales of Bayer Corporation’s Diagnostics Division (focused on diabetes devices and ancillary products) from September 1994 to March 2003. Previously, Mr. Capper served nine years as a U.S. Naval Officer, where he was a combat-decorated Naval Flight Officer, served as a staff officer assigned to Joint Chiefs of Staff and a Congressional Liaison Officer supporting congressional committees. Mr. Capper holds a Bachelor of Science in Accounting from West Chester University and a Masters in Business Administration from George Washington University.

Stephen M. Saft joined us in May 2006 as Chief Financial Officer and Treasurer. Before joining us, Mr. Saft served as the Chief Financial Officer and Treasurer of Priority Healthcare Corporation from January 2002 to October 2005. From August 2001 to January 2002, he was Vice President of Finance of Priority Healthcare Corporation. From February 2001 to August 2001, he was employed by Deloitte & Touche LLP, an international accounting firm. During such time, Mr. Saft was a senior manager in the National Health Care and Life Science Practice. From September 1994 to February 2001, Mr. Saft was employed by PricewaterhouseCoopers LLP, an international accounting firm. Mr. Saft holds a Bachelor of Science degree and a Master of Accounting from the University of Florida.

Michael Geldart joined us in July 2002 and currently serves as Executive Vice President, Corporate Development. From October of 2004 to December 2006, Mr. Geldart served as our Chief Operating Officer and from July 2002 to October 2004 he served as our General Counsel. Mr. Geldart has over 14 years of executive management experience, most recently as a Partner and Co-Chair of the National Health Law Practice Group of Holland & Knight LLP, a global law firm with over 1,000 lawyers. Mr. Geldart has been responsible for coordinating and managing all aspects of a large-scale company integration, beginning in July 2004. Mr. Geldart holds a Bachelor of Arts degree in chemistry from the University of South Florida and a Juris Doctor degree from Stetson University College of Law.

David Quick joined us in April 2004 and currently serves as Executive Vice President of Sales and Marketing. Mr. Quick is responsible for the strategic direction of marketing, the direct sales force and for business development. Before joining us, Mr. Quick spent worked at Roche Diagnostics Corporation from December 1996 to April 2004 in various sales, marketing and business development roles, most recently responsible for a start-up venture involving continuous body monitoring. Mr. Quick has over 11 years of sales and marketing experience in the medical diagnostic marketplace, working for companies including Bayer Corporation, Johnson & Johnson, Boehringer-Mannheim and Roche Diagnostics Corporation. He is a graduate of the U.S. Naval Academy and served eight years active duty as a Surface Warfare Officer, including deployment during Desert Storm. He holds a Masters degree in education and attended the London Business School Executive Program.

Michael O’Connor joined us in 1996 and currently serves as Executive Vice President, Operations. From January 2006 through December 2006, Mr. O’Connor served as Chief Operating Officer of Specialty Products, where he was in charge of overseeing our daily operations in Tampa, Atlanta and Denver. From October 2002 to December 2006, Mr. O’Connor served as the Executive Vice President of MP TotalCare, Inc. and from March 1996 to September 2002, Mr. O’Connor served as the Vice President of Sales and Marketing of MP TotalCare, Inc. Mr. O’Connor holds a Bachelor of Science degree from the University of Wyoming.

Daniel Wisniewski joined us in 2000 as our Chief Information Officer. From 1995 to 2000, he provided all of our IT support as a consultant until joining us full time in 2000 as our Chief Information Officer. Mr. Wisniewski experience includes both software development and network support. Mr. Wisniewski spent seven years developing systems for the nuclear power industry while employed by many firms. From 1997 to 2000, Mr. Wisniewski served as Vice President of Information Systems for Financial Information Technologies where he was responsible for all computer systems, phone systems, disaster planning and sales support. Mr. Wisniewski holds a Bachelor of Science degree in Electrical Engineering from the Virginia Military Institute and received continued education at the Naval Officer Nuclear Power School and Naval Nuclear Prototype Training Unit, S8G.

Joel Ackerman joined us in September 2005 as a director. Mr. Ackerman is a general partner of Warburg Pincus & Co. and a managing director of Warburg Pincus LLC, where he has been employed since 1993. Mr. Ackerman is a director of Coventry Health Care, Inc., Medical Staffing Network and Spheris, Inc. He is also a director of several privately held companies. Mr. Ackerman received a Bachelor of Arts degree in physics from Columbia University and a Masters degree in physics from Harvard University.

Steven Cosler joined us in 2006 as a director. Prior to joining us, Mr. Cosler served as the Chief Executive Officer of Priority Healthcare Corporation. From 1996 to 2005, Mr. Cosler served in various high level capacities at Priority Healthcare, including Vice President, President, Chief Operating Officer and Chief Executive Officer. Mr. Cosler is currently an Operating Partner of Water Street Healthcare Partners, a private equity firm focused exclusively on middle-market healthcare service companies. Mr. Cosler has over 20 years of management experience with specialization in the healthcare services industry. Mr. Cosler is currently a director of Access Mediquip, Inc. and Cydex, Inc. as well as a member of the Board of Trustees for Claymore Securities. Mr. Cosler has previously served as a director of Priority Healthcare Corporation and Cima Labs, Inc. Mr. Cosler holds a Bachelor of Science degree in industrial management from Purdue University.

David Wenstrup joined us in September 2005 as a director. Mr. Wenstrup is a general partner of Warburg Pincus & Co. and a managing director of Warburg Pincus LLC, where he has been employed since 1997. He is a director of Medical Staffing Network Holdings, Inc. and Spheris, Inc. He is also a director of various privately held companies. Mr. Wenstrup received a Bachelor of Science degree in electrical engineering from Northwestern University, a Masters degree in electrical engineering and an Masters in Business Administration, both from Massachusetts Institute of Technology.

Board Composition

Our board of directors will be divided into three staggered classes of directors of the same or nearly the same number. At each annual meeting of stockholders, a class of directors will be elected for a three-year term to succeed the directors of the same class whose terms are then expiring. The terms of the directors will expire upon election and qualification of successor directors at the Annual Meeting of Stockholders to be held during 2008 for the Class I directors, 2009 for the Class II directors and 2010 for the Class III directors.


	•	Our Class I directors will be ;

	•	Our Class II directors will be ; and

	•	Our Class III directors will be .

Our amended and restated certificate of incorporation and bylaws, which will be in effect upon the completion of this offering, will provide that the number of our directors shall be fixed from time to time by a resolution of the majority of our board of directors. Any additional directorships resulting from an increase in the number of directors will be distributed among the three classes so that, as nearly as possible, each class shall consist of one-third of the

directors. The division of our board of directors into three classes with staggered three-year terms may delay or prevent a change of our management or a change in control.

In addition, under the terms of our stockholders’ agreement, for so long as Warburg Pincus and its affiliates beneficially own at least 10% of our outstanding shares of common stock, we are required to nominate and use our best efforts to have elected to our board of directors two individuals designated by Warburg Pincus. In addition, under the terms of our stockholders’ agreement, for so long as Warburg Pincus and its affiliates beneficially own at least 5% but less than 10% of our outstanding shares of common stock, we are required to nominate and use our best efforts to have elected to our board of directors one individual designated by Warburg Pincus.

Because Warburg Pincus will own more than 50% of the voting power of our common stock after this offering, we are considered to be a “controlled company” for the purposes of the Nasdaq listing requirements. As such, we are permitted, and have elected, to opt out of the Nasdaq listing requirements that would otherwise require our board of directors to be comprised of a majority of independent directors. Accordingly, you may not have the same protections afforded to stockholders of companies that are subject to all of the Nasdaq corporate governance requirements.

Term of Executive Officers

Each executive officer serves at the discretion of the board of directors and holds office until his or her successor is appointed or until his or her earlier resignation or removal.

Committees of the Board of Directors

As of the completion of this offering, our board of directors will have an audit committee, a compensation committee and a nominating and corporate governance committee, each of which has or will have the composition and responsibilities described below.

Audit Committee

Our audit committee oversees a broad range of issues surrounding our accounting and financial reporting processes and audits of our financial statements. Our audit committee will (i) assist our board of directors in monitoring the integrity of our financial statements, our compliance with legal and regulatory requirements, our independent registered public accounting firm’s qualifications and independence, and the performance of our internal audit function and independent registered public accounting firm, (ii) assume direct responsibility for the appointment, compensation, retention and oversight of the work of any independent registered public accounting firm engaged for the purpose of performing any audit, review or attest services and for dealing directly with any such accounting firm, (iii) provide a medium for consideration of matters relating to any audit issues and (iv) prepare the audit committee report that the SEC rules require be included in our annual proxy statement or annual report on Form 10-K. We believe the composition of our audit committee will comply with all applicable Nasdaq rules, including the requirement that at least one member of the audit committee have accounting or related financial management expertise.

Our board of directors will adopt a written charter for the audit committee, which will be available on our website upon completion of this offering.

Compensation Committee

Our compensation committee will review and recommend policy relating to compensation and benefits of our officers and employees, including reviewing and approving corporate goals and objectives relevant to the compensation of our Chief Executive Officer and other senior officers, evaluating the performance of these officers in light of those goals and objectives and setting compensation of these officers based on such evaluations. The compensation committee will review and evaluate, at least annually, the performance of the compensation committee and its members, including compliance of the compensation committee with its charter. Our compensation committee will have sole discretion concerning administration of our stock option plans, including selection of individuals to receive awards, types of awards, the terms and conditions of the awards and the time at which

awards will be granted. Because Warburg Pincus will own more than 50% of the voting power of our common stock after this offering, we will be considered to be a “controlled company” for the purposes of the Nasdaq listing requirements. As such, we are permitted, and have elected, to opt out of the Nasdaq listing requirements that would otherwise require our compensation committee to be comprised entirely of independent directors.

Our board of directors will adopt a written charter for the compensation committee, which will be available on our website upon completion of this offering.

Nominating and Corporate Governance Committee

Upon the completion of this offering, we will establish a nominating and corporate governance committee. The nominating and corporate governance committee will oversee and assist our board of directors in identifying, reviewing and recommending nominees for election as directors; evaluate our board of directors and our management; develop, review and recommend corporate governance guidelines and a corporate code of business conduct and ethics; and generally advise our board of directors on corporate governance and related matters. Because Warburg Pincus will own more than 50% of the voting power of our common stock after this offering, we are considered to be a “controlled company” for the purposes of the Nasdaq listing requirements. As such, we are permitted, and have elected, to opt out of the Nasdaq listing requirements that would otherwise require our nominating and corporate governance committee to be comprised entirely of independent directors.

Our board of directors will adopt a written charter for the nominating and corporate governance committee, which will be available on our website upon completion of this offering.

Our board of directors may from time to time establish other committees.

Compensation Committee Interlocks and Insider Participation

None of the members of the compensation committee is an officer or employee of our company. None of our executive officers currently serves, or in the past year has served, as a member of the board of directors or compensation committee of any entity that has one or more executive officers serving as a member of our board of directors or compensation committee.

COMPENSATION DISCUSSION AND ANALYSIS

Compensation Policies and Objectives

Compensation decisions with respect to our named executive officers have generally been based on the goal of achieving performance at levels necessary to provide meaningful returns to our stockholders. To that end, in addition to the typical need to attract, motivate and retain talented executives, our compensation programs were specifically designed to incentivize our named executive officers to achieve short- and long-term performance goals with the objective of substantially increasing our equity value. Our compensation programs are weighted toward performance-based compensation, with particular emphasis in equity-based compensation, such that our named executive officers will see returns primarily based upon the returns achieved by our stockholders, and with respect to certain equity awards described below, specifically the returns achieved by principal stockholder upon an exit event.

Determination of Compensation

Our compensation committee is responsible for establishing and making decisions with respect to our compensation and benefit plans applicable to our named executive officers, other than welfare and retirement benefit plans. Our compensation committee meets at least annually to determine adjustments, if any, to all elements of compensation, including base salary, annual bonus compensation, and long-term equity awards. For 2006, the compensation committee did not operate under a charter, but will adopt a charter in connection with this offering. In determining the levels and mix of compensation, the compensation committee does not generally rely on formulaic guidelines but rather maintains a flexible compensation program that allows it to adapt components and levels of compensation to motivate and reward individual executives within the context of our desire to attain certain strategic and financial goals. This necessarily requires that we make reasoned subjective determinations about compensation levels. Subjective factors considered in compensation determinations include an executive’s skills and capabilities, contributions as a member of the executive management team, contributions to our overall performance, and whether the total compensation potential and structure is sufficient to ensure the retention of an executive when considering the compensation potential that may be available elsewhere. In addition, with respect to our named executive officers other than our Chief Executive Officer, the compensation committee seeks the input and recommendation of the Chief Executive Officer. In making its determination, our compensation committee does not undertake any formal benchmarking or review any formal surveys of compensation for our competitors.

Components of Compensation for 2006

For 2006, the compensation provided to our named executive officers consisted of the same elements generally available to our non-executive employees, including base salary, annual bonus, equity-based compensation and other perquisites and benefits, each of which is described in more detail below. We believe that the mix of cash- and equity-based compensation, as well as the relationship of fixed to performance-based compensation, is well balanced and provides us with an effective means to attract, motivate, and retain our named executives.

Base Salary

The base salary payable to each named executive officer is intended to provide a fixed component of compensation reflecting the executive’s skill set, experience, role and responsibilities. Base salary is set by our compensation committee in advance of each year, with our Chief Executive Officer providing recommendations to the compensation committee for each named executive officer other than himself. In determining base salary for any particular year, the compensation committee considers individual performance for the prior year, the mix of fixed compensation to overall compensation, and subjective determination relating to cost of living adjustments and value to us.

Annual Bonuses

The annual bonuses are intended to compensate executives for achieving our annual financial goals, with target bonus amounts established for the term of employment under each named executive officer’s employment agreement described below.

For 2006, the annual bonuses were determined in the discretion of the compensation committee. In making such determination, the compensation committee considered overall company performance and an executive’s individual performance during the year. Actual 2006 bonus amounts paid to our named executive officers are set forth in the Summary Compensation Table.

Long-Term Equity Compensation

To date, all of the long-term equity incentives granted to our named executive officers have been in the form of restricted stock, which we believe effectively links the executives’ interests to our performance, provides an effective retention mechanism as a result of the applicable vesting mechanics of the awards, and, subject to the named executives making certain tax elections, provides a tax-efficient equity-based awards for our named executives, as a result of a named executive’s ability to achieve capital gain treatment on appreciation.

In 2006, we granted shares of restricted stock to each of our named executive officers, with the exception of Mr. Ronald Drabik, our former Chief Financial Officer. The number of shares of restricted stock granted to each executive was determined by our compensation committee and was based primarily upon the executive’s relative position within the company, contribution to our operating results, and expected future contribution. One-half of the restricted stock granted to each executive (or 43% in the case of Mr. Capper) is subject to “time-based” vesting, 25% of which vested on September 30, 2006 and the remaining 75% vests pro rata on each monthly anniversary thereafter over the subsequent 3-year period. We believe that this restricted stock subject to time-based vesting provides a valuable incentive for our executives to remain with us and profit from any appreciation in share price during the applicable vesting period. The remaining one-half of the restricted stock granted to each executive (or 57% in the case of Mr. Capper) is subject to “exit-based” vesting, such that upon the achievement of predetermined internal rates of return to our primary stockholder on certain exit events (such as certain sales or distributions of our equity by our principal stockholder or a change in control transaction), all or a portion of the exit-based restricted stock will vest. The number of shares of restricted stock that are eligible to vest upon any exit event is based upon the amount of our equity sold by our principal stockholder in such exit event, with all restricted stock eligible to vest upon a change in control transaction. This offering will not result in a change in control for purposes of the restricted stock granted to each of our named executive officers. In order for shares of exit-based restricted stock to vest, our principal stockholder must achieve an internal rate of return in excess of 20%, with all eligible shares of restricted stock vesting upon achievement of an internal rate of return of 30%. We believe that the exit-based restricted stock is an effective compensation element by tying the compensation payable to our named executive officers directly to the return achieved by our principal stockholder.

Other Benefits

Our named executive officers are eligible to receive the same benefits, including life and health benefits, which are available to all employees.

Severance Benefits

Certain of our named executive officers are entitled to receive severance benefits upon certain qualifying terminations of employment, pursuant to the provision of such executive’s employment agreement. These severance arrangements are primarily intended to retain our named executives, as the named executives will forego the right to receive a significant payment if they voluntarily terminate their employment without good reason.

Summary Compensation Table

The following table shows information regarding the compensation earned during the fiscal year ended December 31, 2006, by our Chief Executive Officer, each executive that served as our Chief Financial Officer during 2006 and our three other most highly compensated executive officers who were employed by us as of December 31, 2006, and whose total compensation exceeded $100,000 during that fiscal year.


										All Other
			Salary		Bonus			Stock Awards		Compensation			Total
Name and Principal Position	Year		($)		($)			($)(1)		($)			($)

Joseph H. Capper		2006	$	375,000	$	125,000		$	27,235	$	0		$	527,235
Chief Executive Officer
Stephen M. Saft		2006	$	169,230	$	150,000	(3)	$	10,055	$	707		$	329,992
Chief Financial Officer(2)
Daniel Wisniewski		2006	$	250,000	$	50,000		$	8,378	$	6,010		$	314,388
Chief Information Officer
Michael Geldart		2006	$	250,000	$	50,000		$	9,640	$	3,894		$	313,534
Executive Vice President, Corporate Development
Michael O’Connor		2006	$	247,307	$	50,000		$	32,290	$	55,637	(4)	$	385,234
Executive Vice President, Operations
Ronald Drabik		2006	$	124,808		—			—	$	148,077	(6)	$	272,885
Former Chief Financial Officer(5)


(1)		Represents the compensation cost we recognized for financial statement reporting purposes with respect to the applicable fiscal year in accordance with FAS 123(R). For additional information on the calculation of the compensation expense including the valuation assumptions used within the option-pricing model, please refer to note 9 of the Chronic Care Solutions Holding, Inc. consolidated financial statements.

(2)		Mr. Saft commenced employment as our Chief Financial Officer on May 8, 2006. No compensation was paid to Mr. Saft prior to such date.

(3)		Includes a $25,000 signing bonus.

(4)		Consists of a $47,587 payment for grossed up relocation expenses.

(5)		Mr. Drabik served as our Chief Financial Officer through May 8, 2006, and remained an employee through May 31, 2006, after which his employment was terminated.

(6)		Consists of $148,077 in severance payments made to Mr. Drabik during 2006.

Grants of Plan-Based Awards Table


			All Other Stock
			Awards: Number of		Grant Date Fair
			Shares of Stock or		Value of Stock
Name	Grant Date		Units (#)		Awards(1)

Joseph H. Capper		10/16/2006		7,119	$	106,785
Stephen M. Saft		10/16/2006		2,278	$	34,170
Daniel Wisniewski		10/16/2006		1,898	$	28,470
Michael Geldart		10/16/2006		2,183	$	32,745
Michael O’Connor		10/16/2006		1,898	$	28,470
Ronald Drabik		—		—		—


(1)		Represents the grant date fair value of the restricted stock granted, determined pursuant to FAS 123(R). The amounts listed represent the total share-based compensation to be recognized by us over the vesting periods of the restricted stock.

Narrative Disclosure Relating to Summary Compensation Table and Grants of Plan-Based Awards Table

Employment Agreements

We are a party to employment agreements with each of our named executive officers, other than Mr. Drabik, which agreements are substantially the same other than differences in base salary, target annual bonus percentages and severance. The agreements do not have specified terms and may be terminated by us or the executive at any time or for any reason, subject to certain notice and payment obligations depending on the reason for termination.

Under the agreements, each executive is entitled to an enumerated base salary, subject to increase but not decrease, is eligible to receive an annual bonus with a target bonus equal to an enumerated percentage of base salary (100% for Mr. Capper, 75% for Mr. Saft, and 60% for Messrs. Wisniewski, Geldart, and O’Connor), and is entitled to participate in the employee benefit plans and arrangements that we generally maintain for our senior executives.

If an executive’s employment is terminated by us without “cause” or by the executive for “good reason” (as such terms are defined in the employment agreements), in addition to any accrued but unpaid salary and benefits through the date of termination, the executive will be entitled to, subject to executing a general release in our favor, (i) any unpaid bonus for any completed fiscal year, (ii) for each executive other than Mr. Capper, a pro rata annual bonus for the year in which the termination occurs, (iii) an amount equal to the executive’s annual base salary, (iv) for Mr. Capper only, an amount equal to the annual bonus paid or payable with respect to the immediately prior fiscal year, (v) continuation of health benefits at the same cost applicable to active employees for 12 months following such termination, or until the date on which the executive is eligible to receive such benefits from a new employer, if earlier, and (vi) if such termination occurs within one year following a change in control, vesting of all shares of time-based restricted stock.

The agreements also contain covenants intended to protect against the disclosure of confidential information during and following an executive’s employment with us, as well as restrictions on engaging in competition with us, soliciting our employees or otherwise interfering with our business relationships, which extend through the first anniversary of the date of an executive’s termination of employment for any reason. If any executive breaches any of the covenants contained in the employment agreement, all of the severance payments and benefits described above will immediately cease, and we will have no further obligations to make any severance payments or benefits.

We were a party to an employment agreement with Mr. Drabik, which was substantially similar to the employment agreements with our other named executive officers described above. Mr. Drabik tendered his resignation for good reason, effective as of May 31, 2006. Pursuant to the terms of his employment agreement, Mr. Drabik was entitled to receive, in addition to any accrued but unpaid salary and benefits through the date of termination, (i) any unpaid bonus for any completed fiscal year, (ii) an amount equal to his annual base salary, and (iii) continuation of health benefits at the same cost applicable to active employees for 12 months following such termination, or until the date on which he is eligible to receive such benefits from a new employer, if earlier. For a

more detailed description of the payments made to Mr. Drabik upon his termination of employment, please see the section titled “— Potential Payments Upon Termination or Change in Control” below. Mr. Drabik is restricted from engaging in competition with us, soliciting our employees or otherwise interfering with our business until the first anniversary of his termination. If Mr. Drabik breaches these covenants, all severance payments and benefits will cease and we will have no further obligation to Mr. Drabik.

Stock Incentive Plan/Award Agreements

Effective as of September 30, 2005, we adopted our Stock Incentive Plan, pursuant to which 24,680 shares of our common stock, and 3,167 shares of our series A preferred stock were reserved for issuance under the plan, in each case, subject to adjustment in the event of any stock dividend or split, reorganization, recapitalization, merger, share exchange or any other similar corporate transaction or event. For purposes of determining the remaining shares of common stock available for grant under the plan, to the extent that an award expires or is canceled, forfeited, settled in cash or otherwise terminated without a delivery to the participant of the full number of shares of common stock to which the award related, the undelivered shares of common stock will again be available for grant. Similarly, shares of common stock withheld in payment of the exercise price or taxes relating to an award and shares equal to the number surrendered in payment of any exercise price or taxes relating to an award shall be deemed to constitute shares not delivered to the participant and shall be deemed to again be available for awards under the plan. In order to qualify certain awards under the plan as “performance-based compensation” within the meaning of Section 162(m) of the Internal Revenue Code of 1986, as amended, or the Code, as of the first date required by Section 162(m) of the Code, no employee shall be eligible to be granted options or stock appreciation rights covering more than 8,000 shares of our common stock during any calendar year.

The plan permits the compensation committee to grant awards to participants, including nonqualified stock options, restricted stock, restricted preferred stock and other awards that are valued by reference to, or otherwise based on, the fair market value of our common stock, although restricted preferred stock awards were limited to awards granted in connection with our acquisition of MPTC Holdings, Inc. as substitute awards for options to purchase MPTC Holdings, Inc. that were cancelled in the merger. The compensation committee establishes vesting and performance requirements that must be met at the time of the grant of an award, as well as other terms and conditions relating to such award, although the plan specifically contemplates the grant of time-based and exit-based awards as discussed above. See “— Long-Term Equity Compensation.” Options granted under the plan will expire no later than the 10th anniversary of the applicable date of grant of the options, and will have an exercise price of not less than the fair market value of our common stock on the date of grant.

Pursuant to the terms of the applicable award agreements with our named executive officers, time-based restricted stock granted to our named executive officers in 2006 is subject to vesting, such that 25% of the shares vested on September 30, 2006, and an additional 2 1/12% vested/will vest on each monthly anniversary thereafter. A portion of the exit-based restricted stock granted to our named executives in 2006 will be eligible to vest upon the occurrence of an exit event, which generally consists of either a change in control or a partial sale of our securities by our principal stockholder. The number of shares that will actually vest upon any exit event depends on both the number of shares sold by our principal stockholder and the internal rate of return achieved by our principal stockholder in such transaction. The number of shares eligible to vest on any exit event will equal the number of shares originally granted to our named executive multiplied by the percentage of our principal stockholder’s original equity ownership position sold in such exit event, with one hundred percent of the named executive’s stock becoming eligible to vest if such exit event is deemed to be a change in control. The actual number of shares that will vest depends on the internal rate of return achieved by our principal stockholder in such exit event. If our principal stockholder achieves an internal rate of return upon such exit event of 21%, 10% of the eligible exit-based restricted stock shall vest upon such exit event, and an additional 10% of the eligible exit-based restricted stock will vest for each whole percentage that our principal stockholder’s internal rate of return exceeds 21%, with all shares eligible to vest upon such exit event vesting upon achievement of a 30% internal rate of return by our principal stockholder.

Generally, the compensation committee may, in its sole discretion, provide for the termination of an award upon the consummation of the change in control and the payment of a cash amount in exchange for the cancellation of an award, and/or the issuance of substitute awards that will substantially preserve the otherwise applicable terms of any affected award. The compensation committee is not permitted to provide for payment or substitution of any

exit-based award upon a change in control to the extent that such award was not vested, or does not vest, upon the change in control. All exit-based awards that are not vested immediately following a change in control will automatically be forfeited.

Our board of directors has the ability to amend or terminate the plan at any time, provided that no amendment or termination will be made that impairs the rights of the holder of any award outstanding on the date of such amendment or termination.

Stock acquired in connection with awards under the plan are generally subject to prohibitions on transfer, voting restrictions, drag-along rights, and repurchase upon a termination of employment, each of which will generally expire upon or within 180 days following completion of this offering.

Outstanding Equity Awards at Fiscal Year-End


	Stock Awards
	Number of Shares of		Market Value of Shares
	Common Stock That Have		of Common Stock That
	Not Vested		Have Not Vested
Name	(#)(1)		($)(2)

Joseph H. Capper		6,155	$	92,325
Stephen M. Saft		1,922	$	28,830
Daniel Wisniewski		1,602	$	24,030
Michael Geldart		1,842	$	27,630
Michael O’Connor		1,602	$	24,030
Ronald Drabik		—		—


(1)		See Narrative Disclosure Relating to Summary Compensation Table and Grants of Plan-Based Awards Table for a description of the applicable vesting conditions.

(2)		The market value of the shares assumes a price of $15 per share, which is equal to our share price as of December 31, 2006.

Stock Vested During Fiscal Year


	Number of Shares of
	Common Stock
	Acquired on Vesting
Name	(#)		Value Realized on Vesting ($)(1)

Joseph H. Capper		964	$	14,460
Stephen M. Saft		356	$	5,340
Daniel Wisniewski		296	$	4,440
Michael Geldart		341	$	5,115
Michael O’Connor		296	$	4,440
Ronald Drabik		—		—


(1)		The market value of the shares acquired upon vesting is based on a share price of $15 per share for each of September 30, 2006, October 30, 2006, November 30, 2006 and December 30, 2006.

Potential Payments Upon Termination or Change in Control

Pursuant to the employment agreements with our named executive officers, upon certain terminations of employment, our named executive officers are entitled to payments of compensation and benefits. The table below reflects the amount of compensation and benefits payable to each named executive officer, other than Mr. Drabik, in the event of (i) termination for cause or without good reason, or voluntary termination, (ii) termination other than for cause or with good reason, or involuntary termination, (iii) an involuntary termination within one year of a change in control, (iv) termination by reason of an executive’s death, (v) a termination by reason of an executive’s disability,

and (vi) a change in control. The amounts shown assume that the applicable triggering event occurred on December 31, 2006, and therefore, are estimates of the amounts that would be paid to the named executive officers upon the occurrence of such triggering event.


							Involuntary
							Termination
							within One
							Year
							Following a
	Type of	Voluntary		Involuntary			Change in						Change in
Name	Payment(1)(2)(3)	Termination		Termination			Control		Death		Disability		Control(4)

Joseph H. Capper	Cash Severance	$	—	$	500,000		$	500,000	$	125,000	$	125,000	$	—
	Continued Benefits	$	—	$	16,692		$	16,692	$	—	$	—	$	—
	Equity Acceleration	$	—	$	—		$	31,830	$	—	$	—	$	60,510
	Total	$	—	$	516,692		$	548,522	$	25,000	$	125,000	$	60,510
Stephen M. Saft	Cash Severance	$	—	$	444,230	(5)	$	444,230	$	125,000	$	125,000	$	—
	Continued Benefits	$	—	$	16,692		$	16,692	$	—	$	—	$	—
	Equity Acceleration	$	—	$	—		$	11,790	$	—	$	—	$	17,085
	Total	$	—	$	460,922		$	472,712	$	125,000	$	125,000	$	17,085
Daniel Wisniewski	Cash Severance	$	—	$	300,000		$	300,000	$	50,000	$	50,000	$	—
	Continued Benefits	$	—	$	16,692		$	16,692	$	—	$	—	$	—
	Equity Acceleration	$	—	$	—		$	9,825	$	—	$	—	$	14,235
	Total	$	—	$	316,692		$	326,517	$	50,000	$	50,000	$	14,235
Michael Geldart	Cash Severance	$	—	$	300,000		$	300,000	$	50,000	$	50,000	$	—
	Continued Benefits	$	—	$	16,692		$	16,692	$	—	$	—	$	—
	Equity Acceleration	$	—	$	—		$	11,295	$	—	$	—	$	16,365
	Total	$	—	$	316,692		$	326,517	$	50,000	$	50,000	$	16,365
Michael O’Connor	Cash Severance	$	—	$	300,000	(6)	$	300,000	$	50,000	$	50,000	$	—
	Continued Benefits	$	—	$	16,692		$	16,692	$	—	$	—	$	—
	Equity Acceleration	$	—	$	—		$	9,825	$	—	$	—	$	14,235
	Total	$	—	$	316,692		$	326,517	$	50,000	$	50,000	$	14,235


(1)		The calculation of cash severance assumes the bonus component of the cash severance payment is equal to the bonus reported on the Summary Compensation Table for 2006 for each named executive officer, except with respect to Mr. Saft, where $125,000 was used to calculate the bonus component of his cash severance.

(2)		The calculation of continued benefits assumes a monthly cost of coverage to equal $1,391, which represents the monthly premiums to obtain coverage pursuant to the Consolidated Omnibus Budget Reconciliation Act.

(3)		The value of the equity acceleration is determined by calculating the number of shares of restricted stock that would vest in connection with the applicable event and multiplying it by $15 per share, the value of our common stock on December 31, 2006, as determined by the board of directors in a manner consistent with the requirements of Section 409A of the Code.

(4)		This calculation assumes the change in control results in the achievement of an internal rate of return for our primary stockholder in excess of 30% and assumes that no liquidity events occurred prior to the date of the change in control.

(5)		This calculation assumes that Mr. Saft’s annual base salary is $275,000, which is the amount pursuant to his employment agreement.

(6)		This calculation assumes that Mr. O’Connor’s annual base salary is $250,000 which is the amount pursuant to his employment agreement.

Pursuant to the terms of his employment agreement, we will continue to pay Mr. Drabik his base salary through May 31, 2007. The total amount of the cash severance that will be paid to Mr. Drabik is $272,885, of which $148,077 was paid during 2006. Additionally, Mr. Drabik is eligible to participate in our health benefit plans through May 31, 2007, a benefit which is valued at $16,692. The total value of the payments made, or to be made, to Mr. Drabik as a result of his termination of employment equals $289,577.

Director Compensation

The following table sets forth a summary of the compensation we paid to our non-employee directors in 2006:


	Fees Earned or
	Paid in Cash		Stock Awards		Total
Name	($)		($)(1)		($)

Howard Deutsch(2)	$	37,500	$	13,774	$	51,274
Joel Ackerman		—		—		—
Steven Cosler	$	24,602	$	122	$	24,724
David Wenstrup		—		—		—


(1)		Represents the compensation cost we recognized for financial statement reporting purposes with respect to the applicable fiscal year in accordance with FAS 123(R). For additional information on the calculation of the compensation expense, including the valuation assumptions used within the option-pricing model, please refer to note 9 of the Chronic Care Solutions Holding, Inc. consolidated financial statements. The aggregate grant date fair market value of the stock awards granted to Mr. Deutsch in 2006 was $28,470, which represents a value of $15 per share on the grant date.

(2)		Prior to March 3, 2006, Mr. Deutsch did not receive any compensation for services provided as a member of our board of directors. Instead, during the period between January 1, 2006 and March 3, 2006, Mr. Deutsch was paid $72,115 in cash compensation for services as Executive Chairman pursuant to the terms of an employment agreement with us.

Messrs. Ackerman and Wenstrup did not receive any compensation for service as a member of our board of directors or board committees in 2006.

Upon completion of this offering, directors who are also our employees will receive no compensation for service as members of either the board of directors or board committees. However, we expect directors who are not our employees will receive compensation, however, we have not yet determined the amount.

Director Agreement

We are a party to a director agreement with Howard Deutsch, pursuant to which he served as a member of our board of directors. The director agreement does not have a specified term and may be terminated by us or Mr. Deutsch at any time or for any reason.

Prior to entering into the director agreement, Mr. Deutsch served as the executive chairman of our board of directors pursuant to the terms of an employment agreement. During his service as the executive chairman, Mr. Deutsch did not receive any additional compensation for his services as a member of our board of directors and was compensated exclusively for his role as an executive. Effective as of March 3, 2006, Mr. Deutsch resigned from his position as our executive chairman and his employment agreement was terminated. In connection with his resignation, we paid Mr. Deutsch $117,000, which represented the portion of his annual bonus attributable to the fourth quarter of our 2005 fiscal year, and agreed to continue Mr. Deutsch’s health benefits for up to 18 months.

Under the director agreement, Mr. Deutsch is entitled to an annual fee of $50,000 and was granted 1,898 shares of our restricted stock, which vests in substantially equal monthly installments over a three-year period that commenced on April 3, 2006, subject to acceleration upon a change in control. In the event that Mr. Deutsch’s engagement is terminated for any reason other than by us for “cause” (as defined in the director agreement), subject to Mr. Deutsch’s compliance with the restrictive covenants discussed below, his restricted stock will continue to vest as if his engagement had not terminated.

The director agreement also contains covenants intended to protect against the disclosure of confidential information during and following Mr. Deutsch’s engagement with us, as well as restrictions on engaging in competition with us, soliciting our employees or otherwise interfering with our business relationships, which extend until the later of (i) September 3, 2007, or (ii) the date that is six months following the date on which Mr. Deutsch’s

engagement with us terminates for any reason. If Mr. Deutsch breaches any of the covenants contained in the director agreement, all vesting with respect to his restricted stock will cease.

In the event that any payments or benefits to Mr. Deutsch constitute an excess parachute payment and subject Mr. Deutsch to an excise tax under Section 4999 of the Code, Mr. Deutsch will be entitled to a gross-up payment so that he receives an amount equal to the amount that he would have received but for the excise tax.

Effective as of April 19, 2007, Mr. Deutsch ceased serving as the Chairman of our board of directors. Mr. Deutsch will continue to receive payments and benefits in accordance with the terms of the director agreement described above.

CERTAIN RELATIONSHIPS AND RELATED PERSON TRANSACTIONS

The Mergers

We were formed in September 2005 at the direction of Warburg Pincus, whereby through a series of mergers we acquired Chronic Care Solutions, Inc. and MPTC Holdings, Inc. and certain related entities.

CCS Medical, Inc. (f/k/a CCS Acquisition, Inc.) and CCS Merger Sub, Inc., each our wholly owned subsidiaries, entered into a merger agreement with Chronic Care Solutions, Inc., pursuant to which CCS Merger Sub, Inc. was merged with and into Chronic Care Solutions, Inc. Upon consummation of the merger on September 30, 2005, the separate existence of CCS Merger Sub, Inc. ceased, and Chronic Care Solutions, Inc. became our indirect wholly owned subsidiary.

CCS Medical, Inc. and MPTC Merger Sub, Inc., each our wholly owned subsidiaries, entered into a merger agreement with MPTC Holdings, Inc., pursuant to which MPTC Merger Sub, Inc. was merged with and into MPTC Holdings, Inc. Upon consummation of the merger on September 30, 2005, the separate existence of MPTC Merger Sub, Inc. ceased, and MPTC Holdings, Inc. became our indirect wholly owned subsidiary. The mergers are sometimes referred to in this prospectus as the “Mergers.”

In addition, in connection with the Mergers, certain employees rolled over then-existing options with an aggregate intrinsic value of $1,298,191 to purchase shares of our restricted preferred stock. Furthermore, in connection with the transaction, certain individuals, including Howard Deutsch, and certain of our executive officers, used a portion of their proceeds from the transactions to purchase shares of series A preferred stock.

Series A Preferred Stock

On August 23, 2006 and November 23, 2006, we issued 10,106 and 1,244, respectively, shares of our series A preferred stock to Warburg Pincus, each pursuant to the terms of a securities purchase agreement. Upon the completion of this offering, all of the outstanding shares of series A preferred stock will automatically convert to shares of our common stock.

Stockholders’ Agreement

In connection with the Mergers, we entered into a stockholders’ agreement with Warburg Pincus and certain of our other holders of our capital stock, including certain of our executive officers, directors and employees. Effective upon the completion of this offering, substantially all of the operative provisions of the stockholders’ agreement will terminate. However, under the terms of the stockholders’ agreement, our obligation to nominate and use our best efforts to have elected to our board of directors certain individuals designated by Warburg Pincus will remain in effect following the completion of this offering. Specifically, so long as Warburg Pincus and its affiliates beneficially own at least 10% of the outstanding shares of our common stock, we are required to nominate and use our best efforts to have elected to our board of directors two individuals designated by Warburg Pincus. In addition, under the terms of our stockholders’ agreement, for so long as Warburg Pincus and its affiliates beneficially own at least five percent but less than 10% of the outstanding shares of our common stock, we are required to nominate and use our best efforts to have elected to our board of directors one individual designated by Warburg Pincus.

Registration Rights Agreement

In connection with the Mergers, we entered into a registration rights agreement with Warburg Pincus and certain of our executive officers, directors and employees under the terms of which we have, among other things:


	•	agreed to use our best efforts to effect up to two registered offerings upon request from Warburg Pincus;

	•	agreed to use our best efforts to qualify for registration on Form S-3, following which Warburg Pincus will have the right to request an unlimited number of registrations on Form S-3; and


	•	granted incidental or “piggyback” registration rights with respect to any registrable securities held by any party to the registration rights agreement.

Our obligation to effect any demand for registration by Warburg Pincus is subject to certain conditions, including that the registrable securities to be included in any such registration have an anticipated aggregate offering price in excess of $25 million (in the case of any demand for registration other than a demand for registration on Form S-3) and $10 million (in the case of any demand for registration on Form S-3). In connection with any registration effected pursuant to the terms of the registration rights agreement, we will be required to pay for all of the fees and expenses incurred in connection with such registration, including registration fees, filing fees and printing fees. However, the underwriting discounts and selling commissions payable in respect of registrable securities included in any registration will be paid by the persons including such registrable securities in any such registration. We have also agreed to indemnify the holders of registrable securities against all claims, losses, damages and liabilities with respect to each registration effected pursuant to the registration rights agreement.

Employment and Director Agreements

We have entered into employment agreements with our executive officers, as described more fully in “Compensation Discussion and Analysis — Employment Agreements.” In addition, our directors and officers are provided indemnification protections in our Amended and Restated Certificate of Incorporation. See “Description of Capital Stock — Limitation on Liability of Directors and Indemnification.”

We are a party to a director agreement with Howard Deutsch, pursuant to which he served as the a member of our board of directors. See “Compensation Discussion and Analysis — Director Agreement.”

Participation in Directed Share Program

We expect that our directors, officers, employees and other individuals associated with us, and members of their respective families and friends, will purchase at the offering price an aggregate of up to shares in the directed share program. Please see “Underwriting — Directed Share Program” for more information regarding the directed share program.

PRINCIPAL STOCKHOLDERS

The table below sets forth information regarding beneficial ownership of our common stock as of March 31, 2007, as adjusted to reflect the sale of shares of common stock in this offering, for:


	•	each stockholder that we know beneficially owns more than 5% of our outstanding shares of common stock;

	•	each of our directors;

	•	each of our named executive officers; and

	•	all of our directors and executive officers as a group.

The number of shares owned and percentage of ownership in the following table is based on (1) shares of common stock outstanding as of April 20, 2007 (without giving effect to the for stock split that we expect to effect immediately prior to the completion of this offering), (2) the automatic conversion of the outstanding shares of our preferred stock into shares of common stock (without giving effect to the for stock split that will occur immediately prior to the completion of this offering) assuming an initial public offering price of $ per share, which is the midpoint of the price range set forth on the cover page of this prospectus, and (3) the issuance of shares by us in this offering.

Beneficial ownership is determined in accordance with the rules and regulations of the SEC. The number of shares outstanding used in calculating the percentage of beneficial ownership for each person listed below includes the shares underlying options held by such person that are exercisable within 60 days of April 20, 2007, but excludes shares underlying options held by any other person. Except as indicated in the footnotes to this table and subject to applicable community property laws, the persons named in the table have sole voting and investment power with respect to all shares of common stock listed as beneficially owned by them. As of April 20, 2007, there were holders of our common stock. Unless otherwise indicated, the principal address for each of the stockholders below is c/o CCS Medical Holdings, Inc., 14255 49th Street North, Suite 301, Clearwater, FL 33762.

Shares Beneficially Owned

Prior to this Offering(1)

After this Offering

Assuming the Underwriters’

Number of

Option is

Shares of

Not Exercised

Exercised in Full

Name of Beneficial Owner

Common Stock*

Percentage

Number

Percentage

Number

Percentage

Warburg Pincus Private Equity IX, L.P.(2)

Joseph H. Capper

Stephen M. Saft

Michael O’Connor

Michael Geldart

Daniel Wisniewski

David Quick

Joel Ackerman(3)

Steven Cosler

David Wenstrup(3)

All officers and directors as a group (9 persons)


*		The number of shares of common stock beneficially owned by holders of Series A preferred stock is determined based on the offering price.

(1)		The information in the table does not reflect the for stock split that will occur immediately prior to the completion of this offering or the conversion of the series A preferred stock into shares of our common stock.

(2)		The stockholder is Warburg Pincus Private Equity IX, L.P., or Warburg Pincus. Warburg Pincus IX, LLC, or WP IX LLC, an indirect subsidiary of Warburg Pincus & Co., or WP, is the sole general partner of Warburg Pincus. Warburg Pincus Partners LLC, or WP Partners, a direct subsidiary of WP, is the sole member of WP IX


		LLC. Warburg Pincus is managed by Warburg Pincus LLC, or WP LLC. The address of the Warburg Pincus entities is 466 Lexington Avenue, New York, New York 10017.

(3)		Joel Ackerman and David Wenstrup, are partners of WP and managing directors and members of WP LLC. All shares indicated as owned by Messrs. Ackerman and Wenstrup are included because of their affiliation with the Warburg Pincus entities. Messrs. Ackerman and Wenstrup disclaim beneficial ownership of all shares owned by the Warburg Pincus entities. Charles R. Kaye and Joseph P. Landy are Managing General Partners of WP and Managing Members and Co-Presidents of WP LLC and may be deemed to control the Warburg Pincus entities. Messrs. Kaye and Landy disclaim beneficial ownership of all shares held by the Warburg Pincus entities.

DESCRIPTION OF CAPITAL STOCK

General

The following summary describes the material terms of our capital stock. However, you should refer to the actual terms of the capital stock contained in our amended and restated certificate of incorporation referenced below and applicable law. We intend to amend and restate our certificate of incorporation and bylaws in connection with this offering. A copy of our amended and restated certificate of incorporation and bylaws will be filed as exhibits to the registration statement of which this prospectus is a part. The following descriptions refer to the terms of our amended and restated certificate of incorporation and bylaws to be in effect after this offering and gives effect to the changes to our capital structure that will occur upon the completion of this offering. Our amended and restated certificate of incorporation will provide that our authorized capital stock will consist of shares of common stock, $0.01 par value, and shares of preferred stock, $0.01 par value, that are undesignated as to series.

Common Stock

The holders of common stock will be entitled to one vote per share in all matters to be voted on by our stockholders will not be entitled to cumulative voting rights. Accordingly, holders of a majority of the outstanding shares of common stock entitled to vote in any election of directors may elect all of the directors standing for election. Subject to the rights of the holders of any preferred stock that may from time to time be outstanding, holders of common stock are entitled to receive ratably such dividends, if any, as may be declared from time to time by our board of directors out of funds legally available therefor. In the event of our liquidation, dissolution or winding-up, holders of common stock will be entitled to share ratably in all assets remaining after payment of our liabilities and the liquidation preference, if any, of any outstanding preferred stock. Holders of shares of common stock have no preemptive, subscription or conversion rights. There are no redemption or sinking fund provisions applicable to our common stock. All of the outstanding shares of common stock will be fully paid and non-assessable. The rights, preferences and privileges of holders of common stock are subject to, and may be adversely affected by, the rights of the holders of shares of any series of preferred stock that we may designate and issue in the future.

Preferred Stock

Under our amended and restated certificate of incorporation, our board of directors will have the authority, without action by our stockholders, to designate and issue any authorized but unissued shares of preferred stock in one or more series and to designate the rights, preferences and privileges of each series, any or all of which may be greater than the rights of our common stock. It is not possible to state the actual effect of the issuance of any shares of preferred stock upon the rights of holders of our common stock until our board of directors determines the specific rights of the holders of preferred stock. However, the effects might include, among other things, restricting dividends on the common stock, diluting the voting power of the common stock, impairing the liquidation rights of the common stock and delaying or preventing a change in control without further action by our stockholders.

Options

Upon completion of this offering, and after giving effect to the for stock split that we intend to effect immediately prior to the completion of this offering, we will have outstanding under our stock option plan options to purchase an aggregate of shares of common stock, with exercise prices ranging from $ to $ , and a weighted average exercise price of $ per share. All outstanding options provide for anti-dilution adjustments in the event of certain mergers, consolidations, reorganizations, recapitalizations, stock dividends, stock splits or other changes in our corporate structure.

Registration Rights

shares of our series A preferred stock. See “Certain Relationships and Related Person Transactions — Registration Rights Agreement.”

Anti-takeover Provisions of Delaware law

We are subject to Section 203 of the Delaware General Corporation Law. In general, Section 203 prohibits a publicly held Delaware corporation from engaging in a business combination with an interested stockholder for a period of three years following the date the person became an interested stockholder, unless the business combination or the transaction in which the person became an interested stockholder is approved in a prescribed manner. Generally, a business combination includes a merger, asset or stock sale, or other transaction resulting in a financial benefit to the interested stockholder. Generally, an interested stockholder is a person who, together with affiliates and associates, owns or, in the case of affiliates or associates of the corporation, within three years prior to the determination of interested stockholder status, owned 15% or more of a corporation’s voting stock. The existence of this provision could have anti-takeover effects with respect to transactions not approved in advance by our board of directors, such as discouraging takeover attempts that might result in a premium over the market price of our common stock. For these purposes, Warburg Pincus and its affiliates will not constitute “interested stockholders.”

Charter and Bylaws Anti-takeover Provisions

Our amended and restated certificate of incorporation will provide that our board of directors will be divided into three classes of directors, with the number of directors in each class to be as nearly equal as possible. Our classified board will stagger the terms of the three classes and will be implemented through one-, two- and three-year terms for the initial three classes, followed in each case by full three-year terms. With a classified board, only one-third of the members of our board of directors will be elected each year. This classification of directors will have the effect of making it more difficult for stockholders to change the composition of our board of directors. Our amended and restated certificate of incorporation and bylaws will provide that the number of directors will be fixed from time to time exclusively pursuant to a resolution adopted by our board of directors, but must consist of not less than three directors. This provision will prevent stockholders from circumventing the provisions of our classified board. In addition, under the terms of our stockholders’ agreement, and subject to certain minimum share ownership requirements, we are required to nominate and use our best efforts to have elected to our board of directors certain individuals designated by Warburg Pincus. See “Management — Board Composition.”

Our amended and restated bylaws that will provide for an advance notice procedure for stockholders wishing to bring matters before special stockholder meetings, including proposed nominations of persons for election to our board of directors and bringing business matters or stockholder proposals. These procedures will specify the information stockholders must include in their notice and the timeframe in which they must give us notice. At a special stockholder meeting, stockholders may only consider nominations or proposals specified in the notice of meeting. A special stockholder meeting for any purpose may only be called by our board of directors, our Chairman or our Chief Executive Officer, and will be called by our Chief Executive Officer at the request of the holders of a majority of our outstanding shares of capital stock.

Our amended and restated bylaws will not give the board of directors the power to approve or disapprove stockholder nominations of candidates or proposals regarding other business to be conducted at a meeting. However, our amended and restated bylaws may have the effect of precluding the conduct of that item of business at a meeting if the proper procedures are not followed. These provisions may discourage or deter a potential third party from conducting a solicitation of proxies to elect its own slate of directors or otherwise attempting to obtain control of our company.

The foregoing provisions of our amended and restated certificate of incorporation, our amended and restated bylaws and the Delaware General Corporation Law may have the effect of deterring or discouraging hostile takeovers or delaying changes in control.

Limitation on Liability of Directors and Indemnification

Our amended and restated certificate of incorporation will limit our directors’ and officers’ liability to the fullest extent permitted under Delaware corporate law. Specifically, our directors and officers will not be liable to us or our stockholders for monetary damages for any breach of fiduciary duty by a director or officer, except for liability:


	•	for any breach of the director’s or officer’s duty of loyalty to us or our stockholders;

	•	for acts or omissions not in good faith or which involve intentional misconduct or a knowing violation of law;

	•	under Section 174 of the Delaware General Corporation Law; or

	•	for any transaction from which a director or officer derives an improper personal benefit.

If the Delaware General Corporation Law is amended to authorize corporate action further eliminating or limiting the personal liability of directors or officers, then the liability of a director or officer of our company will be eliminated or limited to the fullest extent permitted by the Delaware General Corporation Law, as so amended.

The provision regarding indemnification of our directors and officers in our amended and restated certificate of incorporation will generally not limit liability under state or federal securities laws.

Delaware law and our amended and restated certificate of incorporation that will be in effect upon the completion of this offering provide that we will, in certain situations, indemnify any person made or threatened to be made a party to a proceeding by reason of that person’s former or present official capacity with our company against judgments, penalties, fines, settlements and reasonable expenses, including reasonable attorneys’ fees. Any person is also entitled, subject to certain limitations, to payment or reimbursement of reasonable expenses in advance of the final disposition of the proceeding. In addition, the employment agreements to which we are a party provide for the indemnification of our employees who are parties thereto.

The limitation of liability and indemnification provisions in our amended and restated certificate of incorporation may discourage stockholders from bringing a lawsuit against directors for breach of their fiduciary duty. These provisions may also have the effect of reducing the likelihood of derivative litigation against directors and officers, even though such an action, if successful, might otherwise benefit us and our stockholders. In addition, your investment may be adversely affected to the extent that, in a class action or direct suit, we pay the costs of settlement and damage awards against directors and officers pursuant to these indemnification provisions.

Transfer Agent and Registrar

Our transfer agent and registrar for our common stock is .

Nasdaq Global Market

We intend to apply to have our common stock included for quotation on the Nasdaq Global Market under the symbol “CCSM.”

SHARES ELIGIBLE FOR FUTURE SALE

Prior to this offering, there has not been any public market for our common stock, and we cannot predict what effect, if any, market sales of shares of common stock or the availability of shares of common stock for sale will have on the market price of our common stock. Nevertheless, sales of substantial amounts of common stock, including shares issued upon the exercise of outstanding options, in the public market, or the perception that such sales could occur, could materially and adversely affect the market price of our common stock and could impair our future ability to raise capital through the sale of our equity or equity-related securities at a time and price that we deem appropriate.

Upon the completion of this offering, we will have outstanding shares of our common stock. Of the outstanding shares, the shares sold in this offering, including any shares sold in this offering in connection with the exercise by the underwriters of their option to purchase additional shares, will be freely tradable without restriction or further registration under the Securities Act, of 1933, as amended, or the Securities Act, except that any shares purchased in this offering by our “affiliates,” as that term is defined under Rule 144 of the Securities Act, may be sold only in compliance with the limitations described below. The remaining outstanding shares of common stock that are not sold in this offering will be deemed “restricted securities” as that term is defined under Rule 144. Restricted securities may be sold in the public market only if they are registered or if they qualify for an exemption from registration under the Securities Act, such as under Rule 144 or 144(k) under the Securities Act, which are summarized below.

Certain holders of our common stock and certain persons holding options to purchase shares of our common stock are entitled to certain registration rights for the shares of common stock held by them (or that can be acquired by them upon exercise of such options) pursuant to the registration rights agreement. See “Certain Relationships and Related Person Transactions — Registration Rights Agreement.” We do not have any other contractual obligations to register our common stock.

Taking into account the lock-up agreements described below, and assuming that the underwriters do not release any parties from these agreements, that there is no extension of the lock-up period, that no stockholders that hold the registration rights described below exercise those rights, and that the underwriters do not exercise their option to purchase additional shares (after giving effect to the automatic conversion of all outstanding shares of preferred stock upon the completion of this offering):


	•	an aggregate of shares of our common stock will be available for sale 180 days after the date of this prospectus; and

	•	shares will be available for sale on the first anniversary of the date of this prospectus.

Rule 144

In general, under Rule 144 as currently in effect, a person (or persons whose shares are required to be aggregated), including an affiliate, who has beneficially owned shares of our common stock for at least one year is entitled to sell in any three-month period a number of shares that does not exceed the greater of:


	•	1% of the then-outstanding shares of common stock; and

	•	the average weekly reported volume of trading in the common stock on the Nasdaq Global Market during the four calendar weeks preceding the date on which notice of sale is filed, subject to restrictions.

Sales under Rule 144 are also subject to manner of sale provisions and notice requirements and to the availability of current public information about us.

In addition, after the completion of this offering, certain of the persons party to the stockholders’ agreement will be subject to additional restrictions on their ability to transfer shares of our common stock owned by them. See “Certain Relationships and Related Person Transactions — Stockholders’ Agreement.”

Rule 144(k)

In addition, a person who is not deemed to have been an affiliate of ours at any time during the 90 days preceding a sale, and who has beneficially owned the shares proposed to be sold for at least two years, would be entitled to sell those shares under Rule 144(k) without regard to the manner of sale, public information, volume limitation or notice requirements of Rule 144. To the extent that our affiliates sell their shares, other than pursuant to

Rule 144 or a registration statement, the purchaser’s holding period for the purpose of effecting a sale under Rule 144 commences on the date of transfer from the affiliate.

Lock-up Agreements

We, all of our directors and executive officers and certain of our stockholders have agreed, subject to certain exceptions that, without the prior written consent of Lehman Brothers Inc. and Goldman, Sachs & Co., we and they will not directly or indirectly (1) offer for sale, sell, pledge or otherwise dispose of (or enter into any transaction or device that is designed to, or could be expected to, result in the disposition by any person at any time in the future of) any shares of common stock (including, without limitation, shares of common stock that may be deemed to be beneficially owned by us or them in accordance with the rules and regulations of the Securities and Exchange Commission and shares of common stock that may be issued upon exercise of any options or warrants) or securities convertible into or exercisable or exchangeable for common stock, (2) enter into any swap or other derivatives transaction that transfers to another, in whole or in part, any of the economic consequences of ownership of the common stock, (3) make any demand for or exercise any right or file or cause to be filed a registration statement, including any amendments thereto, with respect to any shares of common stock or securities convertible, exercisable or exchangeable into common stock or any of our other securities, or (4) publicly disclose the intention to do any of the foregoing for a period of 180 days after the date of this prospectus.

The 180-day restricted period described in the preceding paragraph will be automatically extended if:


	•	during the last 17 days of the 180-day restricted period, we issue an earnings release, or material news or a material event relating to us occurs; or

	•	prior to the expiration of the 180-day restricted period, we announce that we will release earnings results during the 16-day period beginning on the last day of the 180-day period,

in which case the restrictions described in the preceding paragraph will continue to apply until the expiration of the 18-day period beginning on the issuance of the earnings release or the announcement of the material news or the occurrence of a material event, unless such extension is waived in writing by Lehman Brothers Inc. and Goldman, Sachs & Co.

Lehman Brothers Inc. and Goldman, Sachs & Co., in their sole discretion, may release the common stock and other securities subject to the lock-up agreements described above in whole or in part at any time with or without notice. When determining whether or not to release common stock and other securities from lock-up agreements, Lehman Brothers Inc. and Goldman, Sachs & Co. will consider, among other factors, the holder’s reasons for requesting the release, the number of shares of common stock and other securities for which the release is being requested and market conditions at the time.

Stock Options

We intend to file one or more registration statements on Form S-8 under the Securities Act following this offering to register the common stock that is issuable upon exercise of stock options outstanding or issuable under our stock option plan. These registration statements are expected to become effective upon filing. Shares covered by these registration statements will then be eligible for sale in the public markets, subject to any applicable lock-up agreements and to Rule 144 limitations applicable to affiliates.

In general, under Rule 701 of the Securities Act as currently in effect, each of our employees, consultants or advisors who purchase shares from us in connection with a compensatory stock plan or other written agreement is eligible to resell such shares 90 days after the effective date of this offering in reliance on Rule 144, but without compliance with certain restrictions, including the holding period contained in Rule 144.

Registration Rights

Pursuant to a Registration Rights Agreement, certain of our stockholders have the right to require us to register shares of our common stock held by them, or that can be acquired by them, among other things, upon conversion of shares of our series A preferred stock. See “Certain Relationships and Related Person Transactions — Registration Rights Agreement.”

CERTAIN U.S. TAX CONSIDERATIONS FOR NON-U.S. HOLDERS

The following is a general discussion of the material U.S. federal income and, to a limited extent, certain U.S. federal estate tax consequences of the ownership and disposition of our common stock by a beneficial owner that is a “non-U.S. holder,” other than a non-U.S. holder that owns, or has owned, actually or constructively, more than 5% of our common stock. A “non-U.S. holder” is a person or entity that, for U.S. federal income tax purposes, is a:


	•	non-resident alien individual, other than certain former citizens and residents of the United States subject to tax as expatriates;

	•	foreign corporation; or

	•	foreign estate or trust.

A “non-U.S. holder” does not include an individual who is present in the United States for 183 days or more in the taxable year of disposition and is not otherwise a resident of the United States for U.S. federal income tax purposes. Such an individual is urged to consult his or her own tax advisor regarding the U.S. federal income tax consequences of the sale, exchange or other disposition of common stock.

This discussion is based on the Internal Revenue Code of 1986, as amended, or the Code, and administrative pronouncements, judicial decisions and final, temporary and proposed Treasury Regulations, changes to any of which subsequent to the date of this prospectus may affect the tax consequences described herein. This discussion does not address all aspects of U.S. federal income and estate taxation that may be relevant to non-U.S. holders in light of their particular circumstances and does not address alternative minimum taxes or any tax consequences arising under the laws of any state, local or foreign jurisdiction. Prospective holders are urged to consult their tax advisors with respect to the particular tax consequences to them of owning and disposing of common stock, including the consequences under the laws of any state, local or foreign jurisdiction.

Dividends

In general, dividends we pay, if any, to a non-U.S. holder will be subject to U.S. withholding tax at a rate of 30% on the gross amount of such dividends. The withholding tax might not apply or might apply at a reduced rate under the terms of an applicable income tax treaty between the United States and the non-U.S. holder’s country of residence. A non-U.S. holder must demonstrate its entitlement to treaty benefits by certifying, among other things, its nonresident status. A non-U.S. holder generally can meet this certification requirement by providing an Internal Revenue Service Form W-8BEN (or any successor form) to us or our paying agent. Also, special rules apply to dividends received in connection with a trade or business carried on by a non-U.S. holder within the United States and, if a treaty applies, are attributable to a permanent establishment of the non-U.S. holder within the United States. Dividends effectively connected with this U.S. trade or business, and, if a treaty applies, attributable to such a permanent establishment of a non-U.S. holder, generally will not be subject to U.S. withholding tax if the non-U.S. holder provides certain forms, including Internal Revenue Service Form W-8ECI (or any successor form), to the payor of the dividend. A non-U.S. holder generally will be subject to U.S. federal income tax on a net income basis (in the same manner as if the non-U.S. holder were a resident of the United States) with respect to any such effectively connected dividends. A non-U.S. holder that is a corporation may be subject to an additional “branch profits tax” at a rate of 30% (or a reduced rate as may be specified by an applicable income tax treaty) on the repatriation from the United States of its “effectively connected earnings and profits,” subject to certain adjustments. A non-U.S. holder of shares of our common stock eligible for a reduced rate of U.S. withholding tax pursuant to an income tax treaty may obtain a refund of any excess amounts withheld by filing an appropriate claim for refund with the Internal Revenue Service.

Gain on Sale or Other Disposition of Common Stock

In general, a non-U.S. holder will not be subject to U.S. federal income tax on any gain realized upon the sale or other disposition of the holder’s shares of our common stock unless:


	•	the gain is effectively connected with a trade or business carried on by the non-U.S. holder within the United States and, if required by an applicable income tax treaty, the gain is attributable to a permanent establishment of the non-U.S. holder maintained in the United States, in which case such non-U.S. holder will be subject to U.S. federal income tax on any gain realized upon the sale or other disposition on a net income basis, in the same manner as if the non-U.S. holder were a resident of the United States (the branch profits tax discussed above may also apply if the non-U.S. holder is a corporation); or

	•	we are or have been a “United States real property holding corporation,” or a USRPHC, for U.S. federal income tax purposes at any time within the shorter of the five-year period preceding the disposition and the non-U.S. holder’s holding period. Generally, a corporation is a USRPHC if the fair market value of its “United States real property interest” equals 50% or more of the sum of the fair market values of (a) its worldwide real property interests and (b) its other assets used or held for use in a trade or business.

We do not believe that we are or have been a USRPHC, and we do not anticipate becoming a USRPHC, however, no assurance can be given that we will not become a USRPHC. If we have been in the past or were to become a USRPHC at any time during this period, generally gains realized upon a disposition of shares of our common stock by a non-U.S. holder would not be subject to U.S. federal income tax, provided that our common stock is “regularly traded on an established securities market.” Our common stock will be treated as regularly traded on an established securities market during any period in which it is listed on a registered national securities exchange or any over-the-counter market and certain minimum trading volume requirements are met.

Federal Estate Taxes

Common stock owned or treated as owned by an individual who is a non-U.S. holder (as specifically defined for U.S. federal estate tax purposes) at the time of death will be included in the individual’s gross estate for U.S. federal estate tax purposes and may be subject to U.S. federal estate tax, unless an applicable estate tax treaty provides otherwise.

Backup Withholding and Information Reporting

Information returns will be filed with the Internal Revenue Service in connection with payments of dividends and the proceeds from a sale or other disposition of common stock. You may have to comply with certification procedures to establish that you are not a United States person in order to avoid information reporting and backup withholding tax requirements. The certification procedures required to claim a reduced rate of withholding under a treaty will satisfy the certification requirements necessary to avoid the backup withholding tax as well. Backup withholding is not an additional tax. The amount of any backup withholding from a payment to you will be allowed as a credit against your United States federal income tax liability and may entitle you to a refund, provided that the required information is furnished to the Internal Revenue Service.

The foregoing discussion of certain U.S. federal income and estate tax considerations is for general information only and is not tax advice. Accordingly, each prospective non-U.S. holder of shares of our common stock should consult his, her or its own tax advisor with respect to the federal, state, local and foreign tax consequences of the acquisition, ownership and disposition of common stock.

UNDERWRITING

Lehman Brothers Inc. and Goldman, Sachs & Co. are acting as representatives of the underwriters and joint book-running managers of this offering and Wachovia Capital Markets, LLC and Raymond James & Associates, Inc. are acting as co-managers of this offering. Under the terms of an underwriting agreement, which will be filed as an exhibit to the registration statement, each of the underwriters named below has severally agreed to purchase from us the respective number of shares of common stock shown opposite its name below:


		Number of
Underwriters		Shares

Lehman Brothers Inc.
Goldman, Sachs & Co.
Wachovia Capital Markets, LLC
Raymond James & Associates, Inc.


Total

The underwriting agreement provides that the underwriters’ obligation to purchase shares of common stock depends on the satisfaction of the conditions contained in the underwriting agreement, including:


	•	the obligation to purchase all of the shares of common stock offered hereby (other than those shares of common stock covered by their option to purchase additional shares as described below), if any of the shares are purchased;

	•	the representations and warranties made by us to the underwriters are true;

	•	there is no material change in our business or the financial markets; and

	•	we deliver customary closing documents to the underwriters.

Commissions and Expenses

The following table summarizes the underwriting discounts and commissions we will pay to the underwriters. These amounts are shown assuming both no exercise and full exercise of the underwriters’ option to purchase additional shares. The underwriting fee is the difference between the initial price to the public and the amount the underwriters pay to us for the shares.


	No Exercise	Full Exercise

Per share
Total

The representatives of the underwriters have advised us that the underwriters propose to offer the shares of common stock directly to the public at the public offering price on the cover of this prospectus and to selected dealers, which may include the underwriters, at such offering price less a selling concession not in excess of $ per share. After the offering, the representatives may change the offering price and other selling terms.

The expenses of this offering that are payable by us are estimated to be $ (excluding underwriting discounts and commissions).

Option to Purchase Additional Shares

We have granted the underwriters an option, exercisable for 30 days after the date of this prospectus, to purchase, from time to time, in whole or in part, up to an aggregate of shares at the public offering price less underwriting discounts and commissions. This option may be exercised if the underwriters sell more than shares in connection with this offering. To the extent that this option is exercised, each underwriter will be obligated, subject to certain conditions, to purchase its pro rata portion of these additional shares based on such underwriter’s underwriting commitment in this offering as indicated in the table at the beginning of this underwriting section.

Lock-Up Agreements

We, all of our directors and executive officers and certain of our stockholders have agreed, subject to certain exceptions, that, without the prior written consent of Lehman Brothers Inc. and Goldman, Sachs & Co., we and they will not directly or indirectly (1) offer for sale, sell, pledge or otherwise dispose of (or enter into any transaction or device that is designed to, or could be expected to, result in the disposition by any person at any time in the future of) any shares of common stock (including, without limitation, shares of common stock that may be deemed to be beneficially owned by us or them in accordance with the rules and regulations of the Securities and Exchange Commission and shares of common stock that may be issued upon exercise of any options or warrants) or securities convertible into or exercisable or exchangeable for common stock, (2) enter into any swap or other derivatives transaction that transfers to another, in whole or in part, any of the economic consequences of ownership of the common stock, (3) make any demand for or exercise any right or file or cause to be filed a registration statement, including any amendments thereto, with respect to any shares of common stock or securities convertible, exercisable or exchangeable into common stock or any of our other securities, or (4) publicly disclose the intention to do any of the foregoing for a period of 180 days after the date of this prospectus.

The 180-day restricted period described in the preceding paragraph will be automatically extended if:


	•	during the last 17 days of the 180-day restricted period, we issue an earnings release, or material news or a material event relating to us occurs; or

	•	prior to the expiration of the 180-day restricted period, we announce that we will release earnings results during the 16-day period beginning on the last day of the 180-day period,

As described below under “— Directed Share Program,” any participants in the Directed Share Program shall be subject to a 180-day lock-up period with respect to any shares sold to them pursuant to that program. Any shares sold in the Directed Share Program to our directors or officers shall be subject to the lock-up agreement described above.

Offering Price Determination

Prior to this offering, there has been no public market for our common stock. The initial public offering price will be negotiated between the representatives and us. In determining the initial public offering price of our common stock, the representatives will consider:


	•	the history and prospects for the industry in which we compete;

	•	our financial information;

	•	the ability of our management and our business potential and earning prospects;

	•	the prevailing securities markets at the time of this offering; and

	•	the recent market prices of, and the demand for, publicly traded shares of generally comparable companies.

Indemnification

We and CCS Medical, Inc. have agreed to indemnify the underwriters against certain liabilities, including liabilities under the Securities Act and liabilities incurred in connection with the Directed Share Program referred to below, and to contribute to payments that the underwriters may be required to make for these liabilities.

Directed Share Program

At our request, the underwriters have reserved for sale at the initial public offering price up to shares offered hereby for officers, directors, employees and certain other persons associated with us. The number of shares available for sale to the general public will be reduced to the extent such persons purchase such reserved shares. Any reserved shares not so purchased will be offered by the underwriters to the general public on the same basis as the other shares offered hereby. Any participants in this program shall be prohibited from selling, pledging or assigning any shares sold to them pursuant to this program for a period of 180 days after the date of this prospectus. This 180-day lock-up period shall be extended with respect to our issuance of an earnings release or if material news or a material event relating to us occurs, in the same manner as described above under “— Lock-Up Agreements.”

Stabilization, Short Positions and Penalty Bids

The representatives may engage in stabilizing transactions, short sales and purchases to cover positions created by short sales, and penalty bids or purchases for the purpose of pegging, fixing or maintaining the price of the common stock, in accordance with Regulation M under the Exchange Act:


	•	Stabilizing transactions permit bids to purchase the underlying security so long as the stabilizing bids do not exceed a specified maximum.

	•	A short position involves a sale by the underwriters of shares in excess of the number of shares the underwriters are obligated to purchase in the offering, which creates the syndicate short position. This short position may be either a covered short position or a naked short position. In a covered short position, the number of shares involved in the sales made by the underwriters in excess of the number of shares they are obligated to purchase is not greater than the number of shares that they may purchase by exercising their option to purchase additional shares. In a naked short position, the number of shares involved is greater than the number of shares in the underwriters’ option to purchase additional shares. The underwriters may close out any short position by either exercising their option to purchase additional shares and/or purchasing shares in the open market. In determining the source of shares to close out the short position, the underwriters will consider, among other things, the price of shares available for purchase in the open market as compared to the price at which they may purchase shares through their option to purchase additional shares. A naked short position is more likely to be created if the underwriters are concerned that there could be downward pressure on the price of the shares in the open market after pricing that could adversely affect investors who purchase in the offering.

	•	Syndicate covering transactions involve purchases of the common stock in the open market after the distribution has been completed in order to cover syndicate short positions.

	•	Penalty bids permit the representatives to reclaim a selling concession from a syndicate member when the common stock originally sold by the syndicate member is purchased in a stabilizing or syndicate covering transaction to cover syndicate short positions.

These stabilizing transactions, syndicate covering transactions and penalty bids may have the effect of raising or maintaining the market price of our common stock or preventing or retarding a decline in the market price of the common stock. As a result, the price of the common stock may be higher than the price that might otherwise exist in the open market. These transactions may be effected on the Nasdaq Global Market or otherwise and, if commenced, may be discontinued at any time.

Neither we nor any of the underwriters make any representation or prediction as to the direction or magnitude of any effect that the transactions described above may have on the price of the common stock. In addition, neither

we nor any of the underwriters make any representation that the representatives will engage in these stabilizing transactions or that any transaction, once commenced, will not be discontinued without notice.

Electronic Distribution

A prospectus in electronic format may be made available on the Internet sites or through other online services maintained by one or more of the underwriters and/or selling group members participating in this offering, or by their affiliates. In those cases, prospective investors may view offering terms online and, depending upon the particular underwriter or selling group member, prospective investors may be allowed to place orders online. The underwriters may agree with us to allocate a specific number of shares for sale to online brokerage account holders. Any such allocation for online distributions will be made by the representatives on the same basis as other allocations.

Other than this prospectus in electronic format, the information on any underwriter’s or selling group member’s web site and any information contained in any other web site maintained by an underwriter or selling group member is not part of this prospectus or the registration statement of which this prospectus forms a part, has not been approved and/or endorsed by us or any underwriter or selling group member in its capacity as underwriter or selling group member and should not be relied upon by investors.

Nasdaq Global Market

We intend to apply to list our shares of common stock for quotation on the Nasdaq Global Market under the symbol “CCSM.”

Discretionary Sales

The underwriters have informed us that they do not intend to confirm sales to discretionary accounts that exceed 5% of the total number of shares offered by them.

Stamp Taxes

If you purchase shares of common stock offered in this prospectus, you may be required to pay stamp taxes and other charges under the laws and practices of the country of purchase, in addition to the offering price listed on the cover page of this prospectus.

Relationships

Certain of the underwriters and their affiliates have performed investment banking, commercial banking and advisory services for us and certain of our affiliates, including Warburg Pincus, for which they have received customary fees and expenses. An affiliate of Wachovia Capital Markets, LLC is a lender and agent under and has received fees in connection with our existing senior secured credit facilities and will receive a portion of the net proceeds from this offering. Raymond James & Associates, Inc. advised us in connection with the acquisition of our company in 2005, for which it received customary fees and expenses. In connection with the completion of this offering, we will enter into a new senior secured credit facility with a group of lenders that will include affiliates of some of the underwriters. The underwriters may in the future perform investment banking, commercial banking and advisory services for us and certain of our affiliates, including Warburg Pincus, from time to time for which they may in the future receive customary fees and expenses.

Selling Restrictions

European Economic Area

In relation to each Member State of the European Economic Area that has implemented the Prospectus Directive (each, a Relevant Member State), with effect from and including the date on which the Prospectus Directive is implemented in that Relevant Member State (the Relevant Implementation Date), an offer of shares described in this prospectus may not be made to the public in that Relevant Member State prior to the publication of a prospectus in relation to the shares that has been approved by the competent authority in that Relevant Member State or, where appropriate, has been approved in another Relevant Member State and notified the competent authority in that Relevant Member State, all in accordance with the Prospectus Directive, except that with effect from and including the Relevant Implementation Date, an offer of shares to the public may be made in that Relevant Member State at any time:


	•	to legal entities that are authorised or regulated to operate in the financial markets or, if not so authorised or regulated, whose corporate purpose is solely to invest in securities;

	•	to any legal entity that has two or more of (1) an average of at least 250 employees during the last financial year; (2) a total balance sheet of more than €43,000,000 and (3) an annual net turnover of more than €50,000,000, as shown in its last annual or consolidated accounts;

	•	to fewer than 100 natural or legal persons (other than qualified investors as defined in the Prospectus Directive) subject to obtaining the prior consent of the representatives for any such offer; or

	•	in any other circumstances that do not require the publication by the Issuer of a prospectus pursuant to Article 3 of the Prospectus Directive.

For the purposes of this provision, the expression “offer of shares to the public” in relation to any shares in any Relevant Member State means the communication in any form and by any means of sufficient information on the terms of the offer and the shares to be offered so as to enable an investor to decide to purchase or subscribe the shares, as the same may be varied in that Relevant Member State by any measure implementing the Prospectus Directive in that Relevant Member State, and the expression, “Prospectus Directive” means Directive 2003/71/EC and includes any relevant implementing measure in each Relevant Member State.

The sellers of the shares have not authorized and do not authorize the making of any offer of shares through any financial intermediary on their behalf, other than offers made by the underwriter with a view to the final placement of the shares as contemplated in this prospectus. Accordingly, no purchaser of the shares, other than the underwriter, is authorized to make any further offer of the shares on behalf of the sellers or the underwriter.

United Kingdom

This prospectus has only been communicated or caused to have been communicated and will only be communicated or caused to be communicated as an invitation or inducement to engage in investment activity (within the meaning of Section 21 of the Financial Services and Markets Act of 2000 (as amended), or FMSA) as received in connection with the issue or sale of the shares in circumstances in which Section 21(1) of the FSMA does not apply to the Issuer. All applicable provisions of the FSMA will be complied with in respect to anything done in relation to the shares in, from or otherwise involving the United Kingdom.

Hong Kong

The shares may not be offered or sold by means of any document other than (i) in circumstances that do not constitute an offer to the public within the meaning of the Companies Ordinance (Cap.32, Laws of Hong Kong), or (ii) to “professional investors” within the meaning of the Securities and Futures Ordinance (Cap.571, Laws of Hong Kong) and any rules made thereunder, or (iii) in other circumstances that do not result in the document constituting a “prospectus” within the meaning of the Companies Ordinance (Cap.32, Laws of Hong Kong), and no advertisement, invitation or document relating to the shares may be issued or may be in the possession of any person for the purpose of issue (in each case whether in Hong Kong or elsewhere) that is directed at, or the contents of which are likely to be accessed or read by, the public in Hong Kong (except if permitted to do so under the laws of Hong Kong)

100

other than with respect to shares that are or are intended to be disposed of only to persons outside Hong Kong or only to “professional investors” within the meaning of the Securities and Futures Ordinance (Cap. 571, Laws of Hong Kong) and any rules made thereunder.

Singapore

This prospectus has not been registered as a prospectus with the Monetary Authority of Singapore. Accordingly, this prospectus and any other document or material in connection with the offer or sale of, or invitation for subscription for, or purchase of, the shares may not be circulated or distributed, nor may the shares be offered or sold, or be made the subject of an invitation for subscription or purchase, whether directly or indirectly, to persons in Singapore other than (i) to an institutional investor under Section 274 of the Securities and Futures Act, Chapter 289 of Singapore (the “SFA”), (ii) to a relevant person, or any person pursuant to Section 275(1A), and in accordance with the conditions specified in Section 275 of the SFA or (iii) otherwise pursuant to, and in accordance with the conditions of, any other applicable provision of the SFA.

Where the shares are subscribed for or purchased under Section 275 by a relevant person that is (a) a corporation (that is not an accredited investor) the sole business of which is to hold investments and the entire share capital of which is owned by one or more individuals, each of whom is an accredited investor; or (b) a trust (where the trustee is not an accredited investor) whose sole purpose is to hold investments and each beneficiary is an accredited investor, shares, debentures and units of shares and debentures of that corporation or the beneficiaries’ rights and interest in that trust shall not be transferable for six months after that corporation or that trust has acquired the shares under Section 275 except (1) to an institutional investor under Section 274 of the SFA or to a relevant person, or any person pursuant to Section 275(1A), and in accordance with the conditions specified in Section 275 of the SFA; (2) where no consideration is given for the transfer; or (3) by operation of law.

Japan

The securities have not been and will not be registered under the Securities and Exchange Law of Japan (the Securities and Exchange Law) and will not be offered or sold, directly or indirectly, in Japan or to, or for the benefit of, any resident of Japan (which term as used herein means any person resident in Japan, including any corporation or other entity organized under the laws of Japan), or to others for re-offering or resale, directly or indirectly, in Japan or to a resident of Japan, except pursuant to an exemption from the registration requirements of, and otherwise in compliance with, the Securities and Exchange Law and any other applicable laws, regulations and ministerial guidelines of Japan.

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LEGAL MATTERS

The validity of the shares of common stock being offered in this offering will be passed upon for us by Willkie Farr & Gallagher LLP, New York, New York. Weil, Gotshal & Manges LLP, New York, New York, advised the underwriters in connection with the offering of the common stock.

EXPERTS

The consolidated financial statements of Chronic Care Solutions Holding, Inc. at December 31, 2006 and 2005 and for the year ended December 31, 2006 and the three months ended December 31, 2005, and the consolidated financial statements of Chronic Care Solutions, Inc. at September 30, 2005 and 2004 and for each of the two years in the period ended September 30, 2005 included in this Prospectus and Registration Statement have been audited by Ernst & Young LLP, independent registered public accounting firm, as set forth in their reports appearing elsewhere herein, and are included in reliance upon such report given on the authority of such firm as experts in accounting and auditing.

The consolidated financial statements of MPTC Holdings, Inc. and subsidiaries at September 30, 2005 and December 31, 2004 and for the nine months ended September 30, 2005 and for the year ended December 31, 2004 included in this Prospectus and Registration Statement have been so included in reliance upon the report of PricewaterhouseCoopers LLP, an independent registered certified public accounting firm, given on the authority of said firm as experts in accounting and auditing.

The consolidated financial statements of the Pharmacy and Supplies Division of Matria Healthcare, Inc. at June 30, 2004 and for the six-month period ended June 30, 2004 included in this Prospectus and Registration Statement have been audited by KPMG LLP, an independent registered public accounting firm, as set forth in their report appearing elsewhere herein, and are included in reliance upon such report given on the authority of such firm as experts in accounting and auditing.

WHERE YOU CAN FIND MORE INFORMATION

We have filed with the Securities and Exchange Commission, or SEC, under the Securities Act, a registration statement on Form S-1 relating to the common stock to be sold in the offering. The registration statement, including the attached exhibits and schedules, contains additional relevant information about us and our capital stock. This prospectus does not contain all of the information set forth in the registration statement and the exhibits and schedules thereto. The rules and regulations of the SEC allow us to omit from this prospectus certain information included in the registration statement. For further information about us and our common stock, you should refer to the registration statement, including the exhibits and schedules filed with the registration statements. Statements contained in this prospectus regarding the contents of any contract or any other document to which reference is made are not necessarily complete, and, in each instance where a copy of a contract or other document has been filed as an exhibit to the registration statement, reference is made to the copy so filed, each of those statements being qualified in all respects by the reference. You may inspect a copy of the registration statement and the exhibits and schedules filed with the registration statement without charge at the Public Reference Room of the Securities and Exchange Commission at 100 F Street, N.E., Room 1580, Washington, D.C. 20549. You may obtain copies of all or any part of the registration statement from such offices at prescribed rates. You may also obtain information on the operation of the Public Reference Room by calling the SEC at 1-800-SEC-0330. The SEC maintains an Internet site at http://www.sec.gov that contains reports, proxy and information statements and other information regarding issuers, including CCS Medical Holdings, Inc., that file electronically with the SEC.

Prior to this offering, we were not required to file reports with the SEC. Upon completion of this offering, we will become subject to the information and periodic reporting requirements of the Exchange Act, and, accordingly, will file periodic reports, proxy statements and other information with the SEC. Such periodic reports, proxy statements and other information will be available for inspection and copying at the public reference room and website of the SEC referred to above. You may access our annual report on Form 10-K, quarterly reports on Form 10-Q, current reports on Form 8-K, and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Exchange Act with the SEC free of charge at this website as soon as reasonably practicable after such material is electronically filed with, or furnished to, the SEC. The reference to this web address does not constitute incorporation by reference of the information contained in this site.

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Form 10-Q, current reports on Form 8-K, and amendments to those reports filed or furnished pursuant to Section 13(a) or 15(d) of the Exchange Act with the SEC free of charge at this website as soon as reasonably practicable after such material is electronically filed with, or furnished to, the SEC. The reference to this web address does not constitute incorporation by reference of the information contained in this site.

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Index to the Financial Statements


Chronic Care Solutions Holding, Inc.
Report of Independent Registered Public Accounting Firm			F-2
Consolidated Statements of Operations for the Year Ended December 31, 2006 and for the Three-Month Period Ended December 31, 2005			F-3
Consolidated Balance Sheets at December 31, 2006 and 2005			F-4
Consolidated Statements of Changes in Stockholders’ Equity for the Year Ended December 31, 2006 and for the Three-Month Period Ended December 31, 2005			F-5
Consolidated Statements of Cash Flows for the Year Ended December 31, 2006 and for the Three-Month Period Ended December 31, 2005			F-6
Notes to Consolidated Financial Statements			F-8

Chronic Care Solutions, Inc.
Report of Independent Registered Public Accounting Firm			F-27
Consolidated Statements of Operations for the Years Ended September 30, 2005 and 2004			F-28
Consolidated Balance Sheets at September 30, 2005 and 2004			F-29
Consolidated Statements of Changes in Stockholders’ (Deficit) Equity for the Years Ended September 30, 2005 and 2004			F-30
Consolidated Statements of Cash Flows for the Years Ended September 30, 2005 and 2004			F-31
Notes to Consolidated Financial Statements			F-33

MPTC Holdings, Inc.
Report of Independent Registered Certified Public Accounting Firm			F-51
Consolidated Statements of Income for the Nine-Month Period Ended September 30, 2005 and for the Year Ended December 31, 2004			F-52
Consolidated Balance Sheets at September 30, 2005 and December 31, 2004			F-53
Consolidated Statements of Changes in Stockholders’ Equity for the Nine-Month Period Ended September 30, 2005 and for the Year Ended December 31, 2004			F-54
Consolidated Statements of Cash Flows for the Nine-Month Period Ended September 30, 2005 and for the Year Ended December 31, 2004			F-55
Notes to Consolidated Financial Statements			F-56

Pharmacy and Supplies Division of Matria Healthcare, Inc.
Independent Auditors’ Report			F-69
Statement of Operations for the Six-Month Period Ended June 30, 2004			F-70
Balance Sheet at June 30, 2004			F-71
Statement of Divisional Equity for the Six-Month Period Ended June 30, 2004			F-72
Statement of Cash Flows for the Six-Month Period Ended June 30, 2004			F-73
Notes to Financial Statements			F-74

Financial Statement Schedule
Valuation and qualifying accounts for the year ended December 31, 2006 and the three months ended December 31, 2005 (Successor)			Schedule I
Valuation and qualifying accounts for the years ended September 30, 2004 and September 30, 2005 (Predecessor)			Schedule II
Valuation and qualifying accounts for the year ended December 31, 2004 and the nine months ended September 30, 2005 (Predecessor)			Schedule III

F-1

Report of Independent Registered Public Accounting Firm

The Board of Directors and Stockholders of

Chronic Care Solutions Holding, Inc.

We have audited the accompanying consolidated balance sheets of Chronic Care Solutions Holding, Inc. (the Company) as of December 31, 2006 and 2005, and the related consolidated statements of operations, changes in stockholders’ equity, and cash flows for the year ended December 31, 2006 and the three-month period ended December 31, 2005. Our audits also included the financial statement schedule included in the Registration Statement as Schedule I. These financial statements and schedule are the responsibility of the Company’s management. Our responsibility is to express an opinion on these financial statements and schedule based on our audits.

We conducted our audits in accordance with the standards of the Public Company Accounting Oversight Board (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. We were not engaged to perform an audit of the Company’s internal control over financial reporting. Our audits included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion. An audit also includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, assessing the accounting principles used and significant estimates made by management, and evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

In our opinion, the financial statements referred to above present fairly, in all material respects, the consolidated financial position of Chronic Care Solutions Holding, Inc. at December 31, 2006 and 2005, and the consolidated results of its operations and its cash flows for the year ended December 31, 2006 and the three-month period ended December 31, 2005, in conformity with U.S. generally accepted accounting principles. Also, in our opinion, the related financial statement schedule, when considered in relation to the basic financial statements taken as a whole, presents fairly in all material respects the information set forth therein.

As discussed in Note 2 to the consolidated financial statements, the Company adopted Statement of Financial Accounting Standards No. 123R, Share-Based Payment, effective January 1, 2006.

/s/ Ernst & Young LLP

Certified Public Accountants

Tampa, Florida

March 28, 2007,

except for Notes 12, 13, 14, and 15, as to which the date is

April 19, 2007

F-2

Chronic Care Solutions Holding, Inc.

Consolidated Statements of Operations


				For the Three-Month
	For the Year Ended			Period Ended
	December 31,			December 31,
	2006			2005

Net revenues	$	432,429,991		$	103,700,527
Costs and expenses:
Cost of goods sold		244,767,411			55,034,013
Operating, selling, general and administrative expenses		110,864,333			29,947,302
Provision for uncollectible accounts		25,680,280			8,267,223
Depreciation expense		12,833,367			3,465,174
Amortization expense		10,717,342			2,627,330

		404,862,733			99,341,042

Income from operations		27,567,258			4,359,485
Interest income		(449,831	)		(101,841	)
Interest expense		51,159,642			11,890,991

Loss before income taxes		(23,142,553	)		(7,429,665	)
Income taxes		3,639,172			985,683

Net loss before preferred stock dividends		(26,781,725	)		(8,415,348	)
Preferred stock dividends		(14,002,305	)		(3,240,000	)

Net loss attributable to common stock	$	(40,784,030	)	$	(11,655,348	)

Weighted-average number of common shares outstanding:
Basic and diluted		744			—

Net loss per common share:
Basic and diluted	$	(54,817	)	$	—

See accompanying notes.

F-3

Chronic Care Solutions Holding, Inc.

Consolidated Balance Sheets


	December 31
	2006			2005

Assets
Current assets:
Cash and cash equivalents	$	—		$	4,501,963
Accounts receivable, net of allowance for uncollectible accounts of $30,963,060 and $8,267,223, respectively		64,892,456			51,134,591
Inventories		22,008,464			15,133,166
Income tax receivable		588,911			5,277,399
Prepaids and other current assets		4,571,848			15,690,716

Total current assets		92,061,679			91,737,835
Property and equipment, net		18,172,152			20,914,806
Goodwill		520,678,279			512,155,885
Intangible assets, net		35,951,087			42,572,126
Deferred financing costs, net		8,413,018			9,915,104
Other assets		2,350,819			856,818

Total assets	$	677,627,034		$	678,152,574


Liabilities and stockholders’ equity
Current liabilities:
Accounts payable and accrued expenses	$	32,368,827		$	38,531,718
Current maturities of long-term debt		3,200,000			3,200,000
Current maturities of capital lease obligations		180,655			285,316

Total current liabilities		35,749,482			42,017,034
Long-term debt, less current maturities		496,379,234			480,555,139
Capital lease obligations, less current maturities		110,590			250,143
Deferred taxes		4,624,855			985,683
Accrued preferred dividends		17,242,305			3,240,000
Other liabilities		59,300			138,508

Total liabilities		554,165,766			527,186,507
Stockholders’ equity:
Common stock, $0.01 par, 500,000 shares authorized, 3,025 and -0- shares issued and outstanding, respectively		30			—
Convertible preferred stock, Series A, $0.01 par, 200,000 shares authorized, 173,276 and 162,000 shares issued and outstanding, respectively		1,733			1,620
Additional paid-in capital		156,468,376			158,758,380
Retained deficit		(35,197,073	)		(8,415,348	)
Accumulated other comprehensive income		2,188,202			621,415

Total stockholders’ equity		123,461,268			150,966,067

Total liabilities and stockholders’ equity	$	677,627,034		$	678,152,574

See accompanying notes.

F-4

Chronic Care Solutions Holding, Inc.

Consolidated Statements of Changes in Stockholders’ Equity


					Series A												Accumulated
					Convertible						Additional						Other		Total
	Common Stock				Preferred Stock						Paid-In			Retained			Comprehensive		Stockholders’
	Shares		Amount		Shares			Amount			Capital			Deficit			Income		Equity

Balance at October 1, 2005		—	$	—		—		$	—		$	—		$	—		$	—	$	—
Capital contributions — Series A convertible preferred stock		—		—		162,000			1,620			161,998,380			—			—		162,000,000
Accrued preferred dividends		—		—		—			—			(3,240,000	)		—			—		(3,240,000	)
Net loss		—		—		—			—			—			(8,415,348	)		—		(8,415,348	)
Unrealized gain on interest rate swap agreements		—		—		—			—			—			—			621,415		621,415

Total comprehensive income (loss)		—		—		—			—			—			(8,415,348	)		621,415		(7,793,933	)

Balance at December 31, 2005		—		—		162,000			1,620			158,758,380			(8,415,348	)		621,415		150,966,067

Vesting of stock compensation awards		3,025		30		177			2			613,566			—			—		613,598
Capital contributions — Series A convertible preferred stock		—		—		11,350			113			11,349,887			—			—		11,350,000
Repurchase stock		—		—		(251	)		(2	)		(251,152	)		—			—		(251,154	)
Accrued preferred dividends		—		—		—			—			(14,002,305	)		—			—		(14,002,305	)
Net loss		—		—		—			—			—			(26,781,725	)		—		(26,781,725	)
Unrealized gain on interest rate swap agreements		—		—		—			—			—			—			1,566,787		1,566,787

Total comprehensive income (loss)		—		—					—			—			(26,781,725	)		1,566,787		(25,214,938	)

Balance at December 31, 2006		3,025	$	30		173,276		$	1,733		$	156,468,376		$	(35,197,073	)	$	2,188,202	$	123,461,268

See accompanying notes.

F-5

Chronic Care Solutions Holding, Inc.

Consolidated Statements of Cash Flows


				For the
	For the			Three-Month
	Year Ended			Period Ended
	December 31,			December 31,
	2006			2005

Operating activities
Net loss	$	(26,781,725	)	$	(8,415,348	)
Adjustments to reconcile net loss to net cash provided by (used in) operating activities:
Depreciation		12,833,367			3,465,174
Amortization of deferred financing costs		1,502,086			384,896
Amortization of intangibles		10,717,342			2,627,330
In-kind interest		7,524,095			1,755,139
Deferred taxes		3,639,172			985,683
Gain on disposal of fixed assets		4,880			—
Stock-based compensation		369,593			—
Provision for uncollectible accounts		25,680,280			8,267,223
Change in operating assets and liabilities:
Accounts receivable		(39,438,145	)		(9,834,527	)
Inventories		2,915,193			100,868
Income tax receivable/payable		5,482,767			(608,124	)
Prepaids and other current assets		11,191,654			(10,680,080	)
Accounts payable and accrued expenses		(7,329,228	)		(1,518,124	)

Net cash provided by (used in) operating activities		8,311,331			(13,469,890	)
Investing activities
Purchase of MPTC Holdings, Inc., net of $8,541,467 cash acquired		—			(266,576,742	)
Purchase of Chronic Care Solutions, Inc., net of $5,684,659 cash acquired		—			(345,751,824	)
Purchase of business assets, net of liabilities assumed		(19,555,929	)		—
Purchase of customer lists		(16,300	)		—
Purchases of property and equipment		(12,395,697	)		(3,229,313	)

Net cash used in investing activities		(31,967,926	)		(615,557,879	)
Financing activities
Issuance of Series A convertible preferred stock		11,350,000			162,000,000
Repurchase of Series A convertible preferred stock		(251,154	)		—
Proceeds from term debt		—			485,000,000
Proceeds from revolving debt		60,500,000			2,000,000
Payments of revolving debt		(49,000,000	)		—
Payments of term debt		(3,200,000	)		(5,000,000	)
Payment of deferred financing costs		—			(10,300,000	)
Payments on capital lease obligations		(244,214	)		(170,268	)

Net cash provided by financing activities		19,154,632			633,529,732

Net (decrease) increase in cash		(4,501,963	)		4,501,963
Cash and cash equivalents at beginning of period		4,501,963			—

Cash and cash equivalents at end of period	$	—		$	4,501,963

Continued on next page.

F-6

Chronic Care Solutions Holding, Inc.

Consolidated Statements of Cash Flows — (Continued)


			For the
	For the		Three-Month
	Year Ended		Period Ended
	December 31,		December 31,
	2006		2005

Supplemental disclosures of cash flow information
Cash paid for interest	$	43,209,882	$	9,353,725

Cash paid for income taxes	$	340,433	$	318,100

Supplemental schedule of noncash investing and financing activities
Purchase of MPTC Holdings, Inc.:

CCS Medical Holdings, Inc. S-1