<PAGE>

================================================================================

                                 UNITED STATES
                      SECURITIES AND EXCHANGE COMMISSION
                            WASHINGTON, D.C.  20549

                                  FORM 10-Q/A

                               (Amendment No. 1)

( X )  QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
       EXCHANGE ACT OF 1934


                 For the quarterly period ended June 30, 2000

                                 OR

(   )  TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
       EXCHANGE ACT OF 1934


       For the transition period from ________________ to _______________

                        Commission File Number 0-18217



                           TRANSCEND SERVICES, INC.
            (Exact name of registrant as specified in its charter)



           Delaware                                         33-0378756
(State or other jurisdiction of                          (I.R.S Employer
incorporation or organization)                         Identification No.)

          945 East Paces Ferry Rd, Suite 1475, Atlanta, Georgia 30326
             (Address of principal executive offices and zip code)
       Registrant's telephone number, including area code: (404) 364-8000

          3353 Peachtree Rd, N.E., Suite 1000, Atlanta, Georgia 30326
                (Former name, former address, and former fiscal
                      year, if changed since last report)


     Indicate by check mark whether the Registrant (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
Registrant was required to file such reports), and (2) has been subject to such
filing requirements for the past 90 days.  Yes   X    No
                                               -----     -----


     Indicate the number of shares outstanding of the Registrant's common stock
as of the latest practicable date.

            Class                                Outstanding at November 7, 2000
            -----                                -------------------------------
     Common Stock, $.05 par value                         4,353,143 Shares

================================================================================
<PAGE>

                                 INDEX


                                                                 PAGE
                                                                 ----

PART I.  FINANCIAL INFORMATION


Item 1.  Financial Statements

            Consolidated Balance Sheets as of
            June 30, 2000 and December 31, 1999.................   3

            Consolidated Statements of Operations for the
            Three Months Ended and the Six Months Ended
            June 30, 2000 and 1999..............................   4

            Consolidated Statements of Cash Flows for the
            Six Months Ended June 30, 2000 and 1999.............   5

            Notes to Consolidated Financial Statements..........   6


Item 2.  Management's Discussion and Analysis of
            Financial Condition and Results of Operations.......   7

PART II. OTHER INFORMATION......................................  12

Item 6.  Exhibits and Reports on Form 8-K.......................  12

SIGNATURES......................................................  13

Exhibit Index...................................................  14

                                       2
<PAGE>

PART I.    FINANCIAL INFORMATION
Item 1.    Financial Statements

                           TRANSCEND SERVICES, INC.
                          CONSOLIDATED BALANCE SHEETS
                                  (Unaudited)

<TABLE>
<CAPTION>


                                                                                                 June 30, 2000   December 31, 1999
                                                                                                 -------------   -----------------
<S>                                                                                              <C>             <C>
                          ASSETS
                          ------
Current assets:
Cash and cash equivalents                                                                         $    162,000        $  4,387,000
Short-term investments                                                                               1,688,000                   -
Accounts receivable, net of allowance for doubtful accounts
  of $584,000 at June 30, 2000 and $703,000 at December 31, 1999                                     4,280,000           4,941,000
Prepaid expenses and other current assets                                                              545,000             232,000
                                                                                                  ------------        ------------
Total current assets                                                                                 6,675,000           9,560,000
                                                                                                  ------------        ------------

Property and equipment:
  Computer equipment                                                                                 4,408,000           5,114,000
  Software development                                                                                 836,000             836,000
  Furniture and fixtures                                                                               126,000             126,000
                                                                                                  ------------        ------------
  Property and equipment                                                                             5,370,000           6,076,000
  Accumulated depreciation                                                                          (1,815,000)         (1,746,000)
                                                                                                  ------------        ------------
Property and equipment, net                                                                          3,555,000           4,330,000
Notes Receivable                                                                                       431,000             722,000
Goodwill and other intangible assets, net of accumulated amortization of
  $507,000 at June 30, 2000 and $637,000 at December 31, 1999                                          556,000             606,000
Net assets from discontinued operations                                                                970,000           2,264,000
                                                                                                  ------------        ------------
Total assets                                                                                      $ 12,188,000        $ 17,482,000
                                                                                                  ============        ============
           LIABILITIES AND STOCKHOLDERS' EQUITY
           ------------------------------------
Current liabilities:
Current maturities of long-term debt                                                              $  5,028,000        $  2,280,000
Accounts payable                                                                                       756,000           2,177,000
Accrued compensation and benefits                                                                      338,000           2,000,000
Other accrued liabilities                                                                            1,760,000           3,722,000
Deferred income taxes                                                                                  112,000             112,000
                                                                                                  ------------        ------------
Total current liabilities                                                                            7,994,000          10,291,000

Long-term debt, net of current maturities                                                                    -           3,123,000

Convertible notes to related parties                                                                         -           1,500,000
Commitments and contingencies

Stockholders' equity:
Preferred stock, $.01 par value; 21,000,000 shares authorized;
  Series A convertible preferred stock, 212,800 shares issued at June 30, 2000
     and December 31, 1999                                                                               2,000               2,000
  Series B convertible preferred stock, 60,000 shares issued at June 30, 2000                            1,000                   -
Common Stock, $.05 par value; 6,000,000 shares authorized,
  4,400,000 shares issued at June 30, 2000  and  December 31, 1999                                     221,000             220,000
Additional paid-in capital                                                                          28,533,000          26,945,000
Retained deficit                                                                                   (23,891,000)        (23,979,000)
Unrealized gain/loss                                                                                   (52,000)
Less Treasury stock, at cost, 100,000 shares                                                          (620,000)           (620,000)
Total stockholders' equity                                                                           4,518,000           2,568,000
                                                                                                  ------------        ------------
Total liabilities and stockholders' equity                                                        $ 12,188,000        $ 17,482,000
                                                                                                  ============        ============
 The accompanying notes are an integral part of these consolidated balance sheets.

</TABLE>

                                       3
<PAGE>

                           TRANSCEND SERVICES, INC.
                     CONSOLIDATED STATEMENTS OF OPERATIONS
                                  (Unaudited)

<TABLE>
<CAPTION>
                                                         Three Months Ended June 30   Six Months Ended June 30
                                                         --------------------------  --------------------------
                                                             2000          1999          2000           1999
                                                         -----------  -------------  -----------   ------------
<S>                                                       <C>          <C>            <C>           <C>
Net revenues                                              $7,378,000  $ 12,355,000   $14,952,000   $ 25,107,000
Direct costs                                               6,125,000    11,407,000    12,638,000     22,661,000
                                                          ----------  ------------   -----------   ------------
     Gross profit                                          1,253,000       948,000     2,314,000      2,446,000

Marketing and sales expenses                                  93,000       427,000       185,000        826,000
General and administrative expenses                          814,000     1,815,000     1,636,000      2,986,000
Research and development expenses                             82,000        48,000       170,000        155,000
Amortization expenses                                         15,000        46,000        30,000         92,000
                                                          ----------  ------------   -----------   ------------
    Income (loss) from operations                            249,000    (1,388,000)      293,000     (1,613,000)
                                                          ----------  ------------   -----------   ------------

Other expense:
    Interest expense, net                                    139,000       217,000       251,000        408,000
    Other                                                          -             -             -              -
                                                          ----------  ------------   -----------   ------------

Income (loss) before taxes from continuing operations        110,000    (1,605,000)       42,000     (2,021,000)
Income taxes                                                       -             -             -              -
                                                          ----------  ------------   -----------   ------------
Income (loss) from continuing operations                     110,000    (1,605,000)       42,000     (2,021,000)

Income from discontinued operations                           14,000        61,000       282,000         59,000
                                                          ----------  ------------   -----------   ------------
Net income (loss)                                         $  124,000   $(1,544,000)  $   324,000    $(1,962,000)
                                                          ==========   ===========   ===========    ===========

Dividends on preferred stock                                 120,000       120,000       240,000        240,000
                                                          ==========   ===========   ===========    ===========
Net income (loss) to common stockholders                  $    4,000   $(1,664,000)  $    34,000    $(2,202,000)
                                                          ==========   ===========   ===========    ===========

Basic income (loss) per share:
    From continuing operations                            $     0.00   $     (0.39)  $     (0.05)   $     (0.51)
    From discontinued operations                                0.00          0.01          0.07           0.01
                                                          ==========   ===========   ===========    ===========
Net income (loss)                                         $     0.00   $     (0.38)  $      0.02    $     (0.50)
                                                          ==========   ===========   ===========    ===========

Weighted average shares outstanding                        4,322,000     4,411,000     4,325,000      4,366,000
                                                          ==========   ===========   ===========    ===========

Diluted income (loss) per share
    From continuing operations                            $     0.00   $     (0.39)  $     (0.05)   $     (0.51)
    From discontinued operations                                0.00          0.01          0.07           0.01
                                                          ==========   ===========   ===========    ===========
Net income (loss)                                         $     0.00   $     (0.38)  $      0.02    $     (0.50)
                                                          ==========   ===========   ===========    ===========

Weighted average shares outstanding                        4,322,000     4,411,000     4,325,000      4,366,000
                                                          ==========   ===========   ===========    ===========
</TABLE>

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

                                       4
<PAGE>

                           TRANSCEND SERVICES, INC.
                     CONSOLIDATED STATEMENTS OF CASH FLOWS
                                  (Unaudited)
<TABLE>
<CAPTION>
                                                                                                       Six Months Ended June 30
                                                                                                    ----------------------------
                                                                                                          2000         1999
                                                                                                    ----------------------------
<S>                                                                                                   <C>           <C>
Cash flows from operating activities:
Net income (loss)                                                                                     $    84,000    $(2,202,000)
Adjustments to reconcile net income (loss) to net cash provided by (used in) operating activities:
     Depreciation and amortization                                                                        744,000      1,220,000
     Gain from discontinued operations                                                                   (282,000)       (59,000)
      Non-cash operating expenses                                                                         553,000              -
     Preferred stock dividends                                                                            240,000        240,000
Changes in assets and liabilities:
     Accounts receivable, net                                                                             661,000      1,755,000
     Prepaid expenses                                                                                    (313,000)       186,000
     Deposits and other assets                                                                            291,000        (73,000)
     Accounts payable                                                                                  (1,421,000)      (526,000)
     Accrued liabilities                                                                               (3,625,000)       322,000
                                                                                                      -----------    -----------
     Total adjustments                                                                                 (3,153,000)     3,065,000
                                                                                                      -----------    -----------
Net cash used in continuing operations                                                                 (3,069,000)       863,000
Net cash provided by (used in) discontinued operations                                                   (161,000)       333,000
                                                                                                      -----------    -----------
Net cash provided by (used in) operating activities                                                    (3,230,000)     1,196,000
                                                                                                      -----------    -----------

Cash flows from investing activities:
Capital expenditures                                                                                     (470,000)    (1,020,000)
                                                                                                      -----------    -----------
Net cash used in investing activities                                                                    (470,000)    (1,020,000)
                                                                                                      -----------    -----------

Cash flows from financing activities:
     Borrowings under line of credit agreement                                                           (204,000)     1,018,000
     Principle payments on long-term debt                                                                (171,000)      (179,000)
     Preferred stock dividends                                                                           (240,000)      (240,000)
     Net proceeds- stock options and other issuances                                                       90,000          5,000
                                                                                                      -----------    -----------
Net cash provided by (used in) financing activities                                                      (525,000)       604,000
                                                                                                      -----------    -----------

Net decrease in cash and cash equivalents                                                              (4,225,000)       780,000
Cash and cash equivalents, at beginning of period                                                       4,387,000        450,000
                                                                                                      -----------    -----------


Cash and cash equivalents, at end of period                                                           $   162,000   $  1,230,000
                                                                                                      ===========   ============

Supplemental cash flow information:
Cash paid for interest expense                                                                        $   329,000   $    453,000
Conversion of convertible notes to Series B Preferred Stock                                           $ 1,500,000              -
</TABLE>
The accompanying notes are an integral part of these consolidated statements.

                                       5
<PAGE>

                           TRANSCEND SERVICES, INC.
                  NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
                            JUNE 30, 2000 and 1999
                                  (Unaudited)

(1) The accompanying consolidated financial statements are unaudited and have
been prepared by management of Transcend Services, Inc. (the "Company") in
accordance with the rules and regulations of the Securities and Exchange
Commission.  The unaudited financial information furnished herein in the opinion
of management reflects all adjustments, which were of a normal recurring nature,
which are necessary to fairly state the Company's financial position, the
results of its operations and its cash flows.  For further information refer to
the consolidated financial statements and footnotes thereto included in the
Company's Form 10-K for the year ended December 31, 1999. Footnote disclosure
which would substantially duplicate the disclosure contained in those documents
has been omitted.

(2) Short term investments are deemed by management to be available for sale and
are reported at fair market value based on quoted market prices.  Net unrealized
gains and losses are reported as adjustments to retained earnings.

(3) On January 15, 2000, the Company converted $1,500,000 in convertible notes
held by certain directors and executive officers of the Company into 60,000
shares of Transcend Series B Convertible Preferred Stock (the "Preferred B
Shares").  The Preferred B Shares have a stated value of $25.00 per share.  The
Preferred B Shares do not pay dividends and have voting rights equal to the
number of shares of Transcend common stock into which the Preferred B Shares may
be converted from time to time.  Each share is convertible, at the option of the
holder, at any time into 6.9 unregistered shares of Transcend Common Stock. The
Series B Preferred Shares were issued pursuant to the exemption from
registration contained in Section 4(2) of the Securities Act of 1933.

On January 14, 2000, the Company completed a 1 for 5 reverse split of its common
stock, and increased the par value of the common stock from $.01 per share to
$.05 per share.

(4) The Company follows SFAS No. 128, "Earnings per Share."  That statement
requires the disclosure of basic net income (loss) per share and diluted net
income (loss) per share.  Basic net income (loss) per share is computed by
dividing net income (loss) available to common shareholders by the weighted-
average number of common shares outstanding during the period and does not
include any other potentially dilutive securities.  Diluted net income (loss)
per share gives effect to all potentially dilutive securities.  In 2000 and
1999, all potentially dilutive securities were antidilutive and therefore are
not included in diluted net income (loss) per share.

(5) The Company has modified the way certain software revenue was recorded in
its Cascade subsidiary for the second quarter of 2000. Cascade's results are
included in the "income from discontinued operations" line item in its statement
of operations. Going forward, the Company will recognize revenue at time of
delivery as opposed to a breakdown between time of contract and time of system
implementation.

                                       6
<PAGE>

ITEM 2.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS

  Certain information included in this Quarterly Report on Form 10-Q contains,
and other reports or materials filed or to be filed by the Company with the
Securities and Exchange Commission (as well as information included in oral
statements or other written statements made or to be made by the Company or its
management) contain or will contain, "forward-looking statements" within the
meaning of Section 21E of the Securities Exchange Act of 1934, as amended,
Section 27A of the Securities Act of 1933, as amended and pursuant to the
Private Securities Litigation Reform Act of 1995.  Such forward-looking
statements may relate to financial results and plans for future business
activities, and are thus prospective.  Such forward-looking statements are
subject to risks, uncertainties and other factors which could cause actual
results to differ materially from future results expressed or implied by such
forward-looking statements. Potential risks and uncertainties include, but are
not limited to, general economic conditions, competition and other uncertainties
detailed in this report and detailed from time to time in other filings by the
Company with the Securities and Exchange Commission (as well as information
included in oral statements or other written statements made or to be made by
the Company or its management).  Any forward-looking statements are made
pursuant to the Private Securities Litigation Reform Act of 1995 and, as such
speak only as of the date made.

Overview
--------

Transcend Services, Inc. delivers patient information services to the healthcare
industry. Powered by its web-based voice and data distribution technology, the
Company's home-based medical transcription professionals document patient care
by converting physicians' voice recordings into electronic medical record
documents. The Company's remote coding service ("CodeRemote"), helps healthcare
providers improve their cash flow and reduce their risk by improving coding
accuracy and reducing their billing cycle.  The Company's facility management
service ("Co-Sourcing") provides on-site management of medical records
operations to hospitals. The Company's subsidiary, Cascade Health Information
Software, Inc. ("Cascade"), provides state-of-the-art software for the coding
and abstracting of patient medical records.

The Company has announced that it has entered into a letter of intent to sell
its Co-Sourcing and CodeRemote operations for approximately $7,500,000 in cash
and other consideration.  The letter of intent is not binding and closing of the
proposed transaction is subject to the execution of a definitive agreement and
the completion of a due diligence investigation by the buyer.

Results of Operations

Results of operations include the continuing operations of Transcend Services,
Inc. and its subsidiaries. Results have been restated with Cascade and Transcend
Case Management, Inc. results reported as discontinued operations.

                                       7
<PAGE>

Three Months Ended June 30, 2000 Compared to Three Months Ended June 30, 1999

<TABLE>
<CAPTION>
            In Thousands                     Three Months Ended March 31
------------------------------------------------------------------------------
                                        2000      1999       Change   % Change
<S>                                    <C>       <C>        <C>       <C>
------------------------------------------------------------------------------
Net revenues                           $7,378    $12,355    $(4,977)    (40%)
------------------------------------------------------------------------------
Gross profit                            1,253        948        305      32%
------------------------------------------------------------------------------
Gross margin                             17.0%       7.7%       9.3%
------------------------------------------------------------------------------
Marketing and sales expenses               93        427       (334)    (78%)
------------------------------------------------------------------------------
General and administrative expenses       814      1,815     (1,001)    (55%)
------------------------------------------------------------------------------
Research and development expenses          82         48         34      71%
------------------------------------------------------------------------------
Amortization expenses                      15         46        (31)    (68%)
------------------------------------------------------------------------------
Income (loss) from operations          $  249    $(1,388)   $ 1,637
------------------------------------------------------------------------------
</TABLE>

<TABLE>
<CAPTION>
                                         Three Months Ended March 31
--------------------------------------------------------------------------
                                          2000      1999       Change
<S>                                      <C>        <C>        <C>
--------------------------------------------------------------------------
Net revenues                             100.0%    100.0%         --
--------------------------------------------------------------------------
Direct costs                              83.0%     92.3%       (9.3%)
--------------------------------------------------------------------------
Gross profit                              17.0%      7.7%        9.3%
--------------------------------------------------------------------------
Marketing and sales expenses               1.3%      3.5%       (2.2%)
--------------------------------------------------------------------------
General and administrative expenses       11.2%     14.7%       (3.5%)
--------------------------------------------------------------------------
Research and development                   1.1%      0.4%        0.7%
--------------------------------------------------------------------------
Amortization expense                       0.2%      0.4%       (0.2%)
--------------------------------------------------------------------------
Income  (loss) from operations             3.4%    (11.2%)      14.6%
--------------------------------------------------------------------------
</TABLE>


  Net revenues decreased 40% to $7,378,000 for the three months ended June
30,2000 ("the Second Quarter 2000") from $12,355,000 in the comparable 1999
period ("Second Quarter 1999"), a decrease of $4,977,000.  The decrease results
primarily from a reduction in Co-Sourcing revenues where certain unprofitable or
marginally profitable contracts were terminated during 1999, and from the
restructuring of the transcription operations in the fall of 1999.

  During the three months ended June 30, 2000, transcription and coding
accounted for  $3,683,000 or 50% of net revenues compared to $6,500,000, or 53%
of net revenues for the comparable 1999 period, a decrease of 43%. During the
fourth quarter of 1999, the Company terminated 21 transcription contracts with
annual revenues of approximately $3.3 million after determining that the
conversion of those accounts to the Company's new technology was not prudent. In
November 1999, the Company sold four transcription contracts with annual
revenues of approximately $1.4 million. Effective December 1, 1999, the Company
sold its Utah and Northeast transcription operations with combined annual
revenues of approximately $6.1 million.  Excluding the sold and terminated
operations and contracts referred to above, the year-over-year transcription and
coding declined 3% resulting from terminations, new contracts, and new sales
from CodeRemote, whose operations commenced in April 1999.   As of December 31,
1999 all of the Company's transcription operations had been converted to the
Company's standard technology platform.

  During the three months ended June 30, 2000, Co-Sourcing revenues accounted
for $3,695,000, or 50% net revenues compared to $5,855,000, or 47% of 1999
revenues, a decrease of 37%.  The decrease in Co-Sourcing revenues primarily
resulted from the conversion of some contracts to transcription services only,
and the termination of unprofitable and low margin contracts.

  Gross profit increased 32.2% to $1,253,000 for the three months ended June 30,
2000 from $948,000 in the comparable period in 1999. Gross profit margins for
the Second Quarter 2000 increased to 17.0% of net revenues in 2000 from 7.7% in
1999.   The increase in gross profit margins was primarily attributable to
efficiencies gained from the new transcription platform as well as from
improvements related to the elimination of unprofitable Co-Sourcing contracts.

                                       8
<PAGE>

  Marketing and sales expenses decreased 78% to $93,000 in the Second Quarter
2000 from $427,000 in the Second Quarter 1999, and decreased as a percentage of
net revenues to 1.3% in 2000 compared to 3.5% in 1999. The decrease of $334,000
is attributable to the Company's restructuring of its operations to focus on
medical transcription and coding resulting in a reduction in sales staffing.

  General and administrative expenses decreased 55% to $814,000 in the Second
Quarter 2000 from $1,815,000 in the Second Quarter 1999, a decrease of
$1,001,000.  Excluding a $500,000 charge for bad debt expense during the Second
Quarter 1999, general and administrative expenses declined $501,000.  During the
second half of 1999, the Company restructured its operations, and reduced its
general and administrative personnel, thereby reducing annual costs.

  Research and development expenses increased 71% to $82,000 in the Second
Quarter 2000 compared to $48,000 in the Second Quarter 1999.  The increase
relates to costs for the transcription platform development.

  Amortization expenses decreased to $15,000 in the Second Quarter 2000 from
$46,000 in the Second Quarter 1999 reflecting the impact of the sale of certain
transcription operations in December 1999.

  Net interest expense decreased to $139,000 in the Second Quarter 2000 from
$217,000 for the Second Quarter 1999, primarily due to reduced borrowings and
interest income from cash invested in money market accounts.

  The Company reported income from continuing operations of $110,000 in the
Second Quarter 2000 compared to a loss of  $1,605,000 in the Second Quarter
1999, an improvement of $1,715,000. After adjusting for the $500,000 bad debt
charge in 1999, the improvement was $1,215,000 resulting from higher profit
margins, lower selling, general and administrative costs, and lower amortization
and interest costs.

  The Company reported income from discontinued operations of $14,000 in the
Second Quarter 2000, compared to a gain of $61,000 in the prior year period.
Income from discontinued operations in the Second Quarter 2000 is attributable
solely to the operations of Cascade Health Information Software, Inc. Results
for the Second Quarter 1999 included a loss from Transcend Case Management
("TCM") of $26,000. The Company has closed its TCM operations. The Company has
modified the way certain software revenue was recorded in discontinued
operations, which are primarily comprised of its Cascade subsidiary, for the
second quarter of 2000.

Six Months Ended June 30, 2000 Compared to Six Months Ended June 30, 1999

<TABLE>
<CAPTION>
            In Thousands                        Six Months Ended June 30
----------------------------------------------------------------------------------
                                         2000      1999       Change     % Change
<S>                                    <C>       <C>        <C>         <C>
----------------------------------------------------------------------------------
Net revenues                           $14,952   $ 25,107    $(10,155)     (40%)
----------------------------------------------------------------------------------
Gross profit                             2,314      2,446        (132)      (5%)
----------------------------------------------------------------------------------
Gross margin                              15.5%       9.7%
----------------------------------------------------------------------------------
Marketing and sales expenses               185        826        (641)     (77%)
----------------------------------------------------------------------------------
General and administrative expenses      1,636      2,986      (1,350)     (45%)
----------------------------------------------------------------------------------
Research and development expenses          170        155          15       10%
----------------------------------------------------------------------------------
Amortization expenses                       30         92         (62)     (67%)
----------------------------------------------------------------------------------
Income (loss) from operations          $   293    $(1,613)  $   1,906
----------------------------------------------------------------------------------
</TABLE>

<TABLE>
<CAPTION>
                                         Three Months Ended June 30
----------------------------------------------------------------------
                                          2000      1999     Change
<S>                                    <C>       <C>        <C>
----------------------------------------------------------------------
Net revenues                             100.0%    100.0%         --
----------------------------------------------------------------------
Direct costs                              84.5%     90.3%       (5.8%)
----------------------------------------------------------------------
Gross profit                              15.5%      9.7%        5.8%
----------------------------------------------------------------------
Marketing and sales expenses               1.2%      3.3%       (2.1%)
----------------------------------------------------------------------
General and administrative expenses       10.9%     11.9%        1.0%
----------------------------------------------------------------------
Research and development                   1.1%      0.6%        0.5%
----------------------------------------------------------------------
Amortization expense                       0.2%      0.4%       (0.2%)
----------------------------------------------------------------------
Income  (loss) from operations             2.0%     (6.4%)       8.4%
----------------------------------------------------------------------
</TABLE>

                                       9
<PAGE>

  Net revenues decreased 40% to $14,952,000 for the six months ended June
30, 2000 (the "Year to Date") from $25,107,000 in the comparable 1999 period, a
decrease of $10,155,000.  The decrease results primarily from a reduction in Co-
Sourcing revenues where certain unprofitable or marginally profitable contracts
were terminated during 1999, and from the restructuring of the transcription
operations in the fall of 1999.

  During the six months ended June 30, 2000, transcription and coding
accounted for  $7,891,000 or 53% of net revenues compared to $13,134,000, or 52%
for the comparable 1999 period net revenues, a decrease of 40%. During the
fourth quarter of 1999, the Company terminated 21 transcription contracts with
annual revenues of approximately $3.3 million after determining that the
conversion of those accounts to the Company's new technology was not prudent. In
November 1999, the Company sold four transcription contracts with annual
revenues of approximately $1.4 million. Effective December 1, 1999, the Company
sold its Utah and Northeast transcription operations with combined annual
revenues of approximately $6.1 million.  Excluding the sold and terminated
operations and contracts referred to above, the year-over-year transcription and
coding revenue growth rate was 2.4% resulting from new contracts, net of
terminations, and new sales from CodeRemote, whose operations commenced in April
1999.

  During the six months ended June 30, 2000, Co-Sourcing revenues accounted for
$7,061,000, or 47% of net revenues compared to $11,973,000, or 48% of 1999
revenues, a decrease of 41%.  The decrease in Co-Sourcing revenues primarily
resulted from the conversion of some contracts to transcription services only,
and the termination of unprofitable and low margin contracts.

  Gross profit decreased 5.4% to $2,314,000 for the six months ended June 30,
2000 from $2,446,000 in the comparable period in 1999. Gross profit margins for
the period increased to 15.5% of net revenues in 2000 from 9.7% in 1999. The
increase in gross profit margins was primarily attributable to efficiencies
gained from the new transcription platform as well as from improvements related
to the elimination of unprofitable Co-Sourcing contracts.

  Marketing and sales expenses decreased 78% to $185,000 Year to Date 2000 from
$826,000 in 1999, and decreased as a percentage of net revenues to 1.2% in 2000
compared to 3.3% in 1999.  The decrease of $641,000 is attributable to the
Company's restructuring of its operations to focus on medical transcription and
coding resulting in a reduction in sales staffing.

  General and administrative expenses decreased 45% to $1,636,000 Year to Date
in 2000 from $2,986,000 in the comparable period in 1999, a decrease of
$1,350,000.  During the second half of 1999, the Company restructured its
operations, and reduced its general and administrative personnel, thereby
reducing annual costs.

  Research and development expenses increased 10% to $170,000 Year to Date 2000
compared to $155,000 in the comparable period in 1999.

  Amortization expenses decreased to $30,000 Year to Date 2000 from $92,000 in
the comparable period in 1999 reflecting the impact of the sale of certain
transcription operations in December 1999.

  Net interest expense decreased to $251,000 Year to Date 2000 from $408,000 in
the comparable period in 1999, primarily due to reduced borrowings and interest
income from cash invested in money market accounts.

  The Company reported income from operations of $293,000 Year to Date 2000
compared to a loss of  $1,613,000 in the comparable period in 1999, an
improvement of $1,906,000. The improvement was due to the Company's overall
efforts to restructure its business, convert to its new technology, and pursue
its new strategy resulting in higher profit margins, lower selling, general and
administrative costs, and lower amortization and interest costs.

  Income from discontinued operations of $282,000 Year to Date 2000 includes a
one-time gain on the favorable settlement of an arbitration case of $460,000.
Excluding the one-time gain, the loss from discontinued operations was $178,000
Year To Date 2000 compared to net income of $59,000 for the comparable period in
1999. The Company has

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<PAGE>

modified the way certain software revenue was recorded in its Cascade subsidiary
for the second quarter of 2000. Cascade's results are included in the "income
from discontinued operations" line item in its statements of operations.

Liquidity and Capital Resources

  The Company's cash flows from continuing operations used cash of $3,069,000
for the six months ended June 30, 2000 primarily due to a reduction in accrued
liabilities and accounts payable, offset by net income and other changes in
assets and liabilities.  Discontinued operations used $161,000 of cash.  The
Company's net working capital decreased to a deficit of $1,319,000 during the
six months ended June 30, 2000, from a deficit of $731,000 at December 31, 1999,
primarily due to the re-classification of the Company's borrowings with Coast
Business Credit (see below) as current liabilities from long-term liabilities.

  The Company's cash flows from investing activities used cash of $470,000 in
the six months ended June 30, 2000 for the purchase of capital equipment.
Capital expenditures were primarily for investments in electronic document
management systems for a Co-Sourcing customer and workstations, servers,
dictation equipment and software for transcription operations.

  Cash flows from financing activities used cash of  $525,000 in  the six
months ended June 30, 2000 primarily due to repayments of $204,000 on its credit
facility and $171,000 on other long term debt, payments of preferred stock
dividends of $120,000, offset by proceeds from stock option exercises and other
issuances.

  The Company has a $3.0 million credit agreement with Coast Business Credit
("Coast"), an asset-based lender (and a division of Southern Pacific Thrift and
Loan Association) which matures May 31, 2001.  The agreement provides the
Company with a $2.7 million working capital facility and a $300,000 capital
expenditure facility secured by substantially all of the Company's assets.
These Coast facilities do not contain any financial covenants but restrict
payment of dividends and entry into financing arrangements without consent.
Coast has consented to the payment of dividends related to the preferred stock.
Funding limits under the Coast agreement are determined by a funding formula.
The funding formula is based on 1.5 to 2.0 times monthly contractual revenues,
plus 80% of all medical transcription receivables less than 90 days old under
the working capital facility, and up to $300,000 on new capital expenditures
under the capital expenditure facility. The minimum borrowing requirement under
this agreement is 40% of the credit facility.

  The Coast facilities are priced at prime plus 2.25% declining to prime plus
1.75% upon two consecutive quarters of achievement and on-going maintenance of a
debt service coverage ratio of not less than 1.5 measured on an earnings before
interest, taxes, and amortization ("EBITA") basis.  EBITA is used by Coast as an
indicator of a company's ability to incur and service debt.  EBITA should not be
considered an alternative to operating income, net income, cash flows, or any
other measure of performance as determined in accordance with accounting
principles generally accepted in the United States, as an indicator of operating
performance, or as a measure of liquidity.  These facilities are secured by a
first security interest on all of the Company's assets.

  The Company also has a $10.0 million equipment loan facility with DVI
Financial Services, Inc.  This facility provides additional financing for
electronic patient record systems and transcription systems required for new
contracts.  The facility calls for monthly payments which amortize the cost of
the equipment over the life of the customer contract, not to exceed 60 months,
at fixed interest rates based on the treasury bill rates in effect at the time
of the loan advance.

Recent Developments

  On August 14, 2000 the Company entered into bridge loan agreements with Larry
G. Gerdes, Chief Executive Officer and Director, and Walter S. Huff, Director,
to provide short term capital to retire its convertible debentures which mature
August 15, 2000.  The unsecured loans total $1,600,000, bear interest at
10.75%, which approximates the Coast interest rate, and mature upon the earlier
of November 15, 2000 or upon closing of the proposed sale of the Co-Sourcing and
CodeRemote businesses.  The Company has also secured agreements with certain
debenture holders to extend the maturity date of their debentures, which total
$350,000, until the earlier of November 15, 2000 or upon closing of the proposed
sale of the Co-Sourcing and CodeRemote business.

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<PAGE>

  The Company anticipates that cash on hand, together with internally generated
funds, cash collected from discontinued operations, cash from the bridge loan,
and cash available under its working capital facility and equipment loan
facility described above should be sufficient to finance continuing operations,
make capital investments in the normal and ordinary course of its business, and
meet its convertible debenture retirement requirements during 2000.

  The Company will require additional funds to repay the bridge notes and
debentures maturing in November 2000 should the proposed sale of its Co-Sourcing
and CodeRemote businesses not close prior to that date.



PART II.    OTHER INFORMATION

Item 6.  Exhibits and Reports on Form 8-K.

 The following exhibits are filed herewith:

Exhibit 27 - Financial Data Schedule for the six months ended June 30, 2000 (for
             SEC use only)

Reports on Form 8-K:  There were no reports filed on Form 8-K during the
-------------------
quarter.

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<PAGE>

                                  SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the
registrant has duly caused this report to be signed on its behalf by the
undersigned hereunto duly authorized.


                                 TRANSCEND SERVICES, INC.



November 14, 2000                By: /s/ Larry G. Gerdes
                                     -------------------------------------------
                                     Larry G. Gerdes,
                                     President, Chief Executive Officer and
                                     Chief Financial Officer
                                     (Principal Executive and Financial Officer)



November 14, 2000                By: /s/ Mary V. Bates
                                     -------------------------------------------
                                     Mary V. Bates
                                     Chief Accounting Officer
                                     (Principal Accounting Officer)

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