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UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549



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FORM 10-K



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(Mark One)

|x | ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
|- | ------------------------------------------------------------------------------------



For the fiscal year ended December 31, 2003.



OR



| ̈ | TRANSITION REPORT UNDER SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934.
|- | -----------------------------------------------------------------------------------



For the transition period from  to



Commission file number: 0-21145



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COVALENT GROUP, INC.

(Exact name of registrant as specified in its charter)



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|                                                               |  |                                     
|-------------------------------------------------------------- |  | ------------------------------------
|Delaware                                                       |  | 56-1668867                          
|(State or other jurisdiction of incorporation or organization) |  | (I.R.S. Employer Identification No.)



|                                                                                    |  |           
|----------------------------------------------------------------------------------- |  | ----------
|One Glenhardie Corporate Center, 1275 Drummers Lane, Suite 100, Wayne, Pennsylvania |  | 19087     
|(Address of principal executive offices)                                            |  | (Zip Code)



Registrants
telephone number, including area code: 610-975-9533



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Securities registered under Section 12(b) of the Exchange Act: None.



Securities registered under Section 12(g) of the Exchange Act:



Common Stock, $.001 Par Value

(Title of Class)



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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 by check mark if disclosure
of delinquent filers pursuant to Item 405 of Regulation S-K is not contained herein, and will be not be contained, to the best of registrants knowledge, in definitive proxy or information statements incorporated by reference in Part III of
this Form 10-K or any amendment to this Form 10-K.    x



Indicate by check mark whether the registrant is an accelerated filer (as defined in Rule 12b-2 of the Act).    Yes ̈No  x



The aggregate market value of the common stock held by non-affiliates as of June 30, 2003 was $21,265,385.



As of March 9, 2004, there were 13,242,264 shares of common stock outstanding.



DOCUMENTS INCORPORATED BY REFERENCE



Portions of the definitive proxy statement to be filed with the Securities and Exchange
Commission relative to the Companys 2004 Annual Meeting of Stockholders are incorporated by reference into Part III of this Report.



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COVALENT GROUP, INC.



FORM 10-K ANNUAL
REPORT



INDEX



|                     |  |                                                                                                  |  |     
|-------------------- |  | ------------------------------------------------------------------------------------------------ |  | ----
|                     |  |                                                                                                  |  | Page
|PART I               |  |                                                                                                  |  |     
|                     |  |                                                                                                 
|Item 1.              |  | Description of Business                                                                          |  | 1   
|Item 2.              |  | Description of Property                                                                          |  | 21  
|Item 3.              |  | Legal Proceedings                                                                                |  | 21  
|Item 4.              |  | Submission of Matters to a Vote of Security Holders                                              |  | 21  
|                     |  |                                                                                                 
|PART II              |  |                                                                                                  |  |     
|                     |  |                                                                                                 
|Item 5.              |  | Market for Common Equity, Related Stockholder Matters, and Issuer Purchases of Equity Securities |  | 22  
|Item 6.              |  | Selected Financial Data                                                                          |  | 22  
|Item 7.              |  | Managements Discussion and Analysis of Results of Operations and Financial Condition            |  | 23  
|Item 7A.             |  | Quantitative and Qualitative Disclosures About Market Risk                                       |  | 32  
|Item 8.              |  | Financial Statements and Supplementary Data                                                      |  | 34  
|Item 9.              |  | Changes in and Disagreements with Accountants on Accounting and Financial Disclosure             |  | 34  
|Item 9A.             |  | Controls and Procedures                                                                          |  | 34  
|                     |  |                                                                                                 
|PART III             |  |                                                                                                  |  |     
|                     |  |                                                                                                 
|Item 10.             |  | Directors and Executive Officers of the Registrant                                               |  | 35  
|Item 11.             |  | Executive Compensation                                                                           |  | 35  
|Item 12.             |  | Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters   |  | 35  
|Item 13.             |  | Certain Relationships and Related Transactions                                                   |  | 35  
|Item 14.             |  | Principal Accountant Fees and Services                                                           |  | 35  
|Item 15.             |  | Exhibits, Financial Statement Schedules, and Reports on Form 8-K                                 |  | 35  
|                     | 
|FINANCIAL STATEMENTS |  | F-1                                                                                             



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FORWARD LOOKING STATEMENTS



When used in this Report on Form 10-K and in other public statements, both oral and written, by the Company and Company officers, the words
estimate, project, expect, intend, believe, anticipate and similar expressions are intended to identify forward-looking statements regarding events and trends that may affect
our future operating results and financial position. Such statements are subject to risks and uncertainties that could cause our actual results and financial position to differ materially. Such factors include, among others: (i) our success in
attracting new business and retaining existing clients and projects; (ii) the size, duration and timing of clinical trials; (iii) the termination, delay or cancellation of clinical trials; (iv) the timing difference between our receipt of contract
milestone or scheduled payments and our incurring costs to manage these trials; (v) outsourcing trends in the pharmaceutical, biotechnology and medical device industries; (vi) the ability to maintain profit margins in a competitive marketplace;
(vii) our ability to attract and retain qualified personnel; (viii) the sensitivity of our business to general economic conditions; and (ix) other economic, competitive, governmental and technological factors affecting our operations, markets,
products, services and prices. We undertake no obligation to publicly release the result of any revision of these forward-looking statements to reflect events or circumstances after the date they are made or to reflect the occurrence of
unanticipated events. Please refer to the section entitled Risk Factors that Might Affect our Business or Stock Price beginning on page 11 for a more complete discussion of factors which could cause our actual results and financial
position to change.



PART I



ITEM 1. Description of Business



General



In this discussion, the terms Company, we,
us and our refer to Covalent Group, Inc. and our consolidated subsidiaries, except where it is made clear otherwise.



We are a clinical research organization (CRO) who is a leader in the design and management of complex clinical trials for the pharmaceutical, biotechnology
and medical device industries. Our mission is to provide our clients with high quality, full-service support for their clinical trials. We offer therapeutic expertise, experienced team management and advanced technologies. Our headquarters is in
Wayne, Pennsylvania and our International operations are based in Guildford, Surrey, United Kingdom.



Our clients consist of many of the largest companies in the pharmaceutical, biotechnology and medical device industries. From protocol design and clinical program development, to proven patient recruitment, to
managing the regulatory approval process, we have the resources to directly implement or manage Phase I through Phase IV clinical trials and to deliver clinical programs on time and within budget. We have clinical trial experience across a wide
variety of therapeutic areas, such as cardiovascular, endocrinology/metabolism, diabetes, neurology, oncology, immunology, vaccines, infectious diseases, gastroenterology, dermatology, hepatology, womens health and respiratory medicine. We
have the capacity and expertise to conduct clinical trials on a global basis. As of December 31, 2003 we were managing studies in 22 countries, including the United States, Canada, Western and Eastern Europe, the Middle East, South Africa, Australia
and Scandinavia.



We were initially incorporated in August 1998 in Nevada. In
June 2002, we changed our state of incorporation to Delaware.



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Industry Overview



The CRO industry provides independent clinical trial and product development services for the pharmaceutical, biotechnology and medical device industries. Companies in
these industries often outsource product development services to CROs in order to manage the drug development process more efficiently and cost-effectively. Outsourcing also enables these companies to access expertise and experience beyond their
organizations. Historically, many companies in the pharmaceutical, biotechnology and medical device industries have performed the majority of their product development internally. Outsourcing drug development activities to CROs provides these
companies with a variable cost alternative to the fixed costs associated with internal drug development. Companies no longer need to staff for peak periods and can benefit from a CROs technical resources, therapeutic expertise, and the global
infrastructure required to conduct clinical trials on a worldwide basis.



At
the present time, we believe that the percentage of services required for product development that are being outsourced is increasing and will continue to increase in the future because of numerous factors, including: cost containment pressures;
attempts to overcome limitations on internal capacity; a desire to improve the timeline for evaluating and developing new drugs and/or devices; the desire to increase the percentage of development costs that are variable as compared to fixed costs;
the need to perform research relating to new drugs in multiple countries simultaneously; the response to increasingly stringent government regulations in various countries; and the desire to use external expertise to supplement internal design and
development capabilities.



As the investment required to develop new drugs
continues to increase, an opportunity is created to help speed the drug development process or make this process more efficient.



Our Strategy



Our strategy is to be a leader in the design and management of complex clinical trials by providing our clients with exceptional performance ensuring that they achieve their goals on-time, on-budget and with
superlative quality. Our competitive advantage is based upon our ability to deliver a knowledge-based and intellectually rich level of service that provides our clients a well-conceived protocol design and operational plan intended to maximize their
return on investment. We believe that many of the reported regulatory delays or rejections for prospective drugs can be directly attributed to underlying issues in protocol design and development. Our company is led by experienced executives with
significant prior success in the drug development and regulatory approval process. Unlike larger, more conventional CROs, we provide a value-added approach to the design and management of clinical trials. We believe that our leadership in the design
of complex clinical trials, our application of innovative technologies, our therapeutic expertise and our commitment to quality offer clients a means to more quickly and cost-effectively develop products through the clinical trial process.



In 2003, we experienced great success with the REVERSAL study. We were an
instrumental part of the team that designed, wrote, and conducted the trial for Pfizer. The results of this landmark study, which showed for the first time that aggressive pharmacological therapy could stabilize or even regress coronary artery
disease, were presented at the American Heart Association Scientific Sessions in November 2003 and subsequently published as the lead article in the Journal of the American Medical Association. The REVERSAL results have appeared on the front page of
the New York Times as well as in the Wall Street Journal, USA Today, and Time Magazine. The results were also featured on MSNBC and CNN. It is a major success story for Covalent and is a concrete example of what we can do from both and intellectual
and operational perspective.



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With our wholly-owned International subsidiary, Covalent Group, Ltd., we are able to meet many of the global drug
development needs of our clients. We recently formed Strategic Partnerships to broaden our geographic reach. These companies share our vision and values, and are known to produce quality deliverables. They are based in Moscow, Russia, Sofia,
Bulgaria, Sao Paulo, Brazil and Sydney, Australia  regions that were specifically targeted because we believe they have or will achieve strategic prominence over the next several years with respect to clinical trials. Overall, these
partnerships more than doubled the number of operational personnel that we can employ on global trials and allow us to better service the needs of the pharmaceutical and biotechnology industries.



Recognizing the dynamic nature of the pharmaceutical and medical device development process,
our size enables us to adapt our services to fit our clients specific needs. The distinguishing features of our services include the following:



Experienced Management. We are an established company led by a senior management team who average greater than 20 years of clinical research experience from both
the CRO and pharmaceutical/biotechnology industry perspective. Our company includes 10 individuals who hold a Ph.D. or M.D. degree. For example, our President and Chief Executive Officer, Dr. Kenneth M. Borow, is a Harvard-trained physician with
nearly 30 years of medical, academic and clinical trials experience at Merck, University of Chicago School of Medicine, Brigham and Womens Hospital, Boston Childrens Hospital, and Covalent. Dr. John Hall, Chief Medical Officer and
Managing Director International, has over 20 years experience in Drug Development in addition to 10 years in Clinical Medicine. He has served in senior positions at Eli Lilly and Company and as Medical Director at GlaxoSmithKline. Alison
ONeill has worked in the pharmaceutical industry for 22 years, 16 of these in clinical research for both pharmaceutical and CRO employers. Camille L. Orman, Ph.D., Vice President Global Data Services, has over 18 years of experience in the
pharmaceutical industry with a primary focus in biostatistics and data management. Dr. Orman began her career as a statistician at Syntex Laboratories and has held senior positions at Greenwich Pharmaceuticals and Premier Research. Patricia
Cleveland, B. Pharm., M.S., Ph.D., has eighteen years drug development experience, with thirteen years in Regulatory Affairs, including senior level positions within SmithKline Beecham and Celltech. She has extensive regulatory liaison experience
with the US FDA (CBER, CDER, CVM) and Canadian HPB, and is experienced with the European applications process.



Credibility in the clinical research marketplace. We have a strong client base with a high rate of repeat business. We have gained the confidence of our clients as demonstrated by their entrusting us with broad
responsibilities, including designing and implementing global clinical research programs for some of their most important products. Dr. Borow, Dr. Hall, and Dr. Pat Cleveland (Vice President, Global Regulatory Affairs) provide leadership in a wide
variety of therapeutic areas including cardiovascular, endocrinology/metabolism, diabetes, nephrology, neurology/psychiatry, oncology, immunology, vaccines, infectious diseases, gastroenterology, dermatology, hepatology, womens health, and
respiratory medicine.



Our TeleTrial® proprietary technology. The scope of our TeleTrial® system includes both interactive speech response and web-enabled capabilities. This system supports clinical trials 24 hours a day, seven days a week. The key benefits of our advanced technology include
project-wide efficiency, direct data entry, real-time data access, and just-in-time drug tracking and delivery. Moreover, TeleTrial®
helps create and maintain operational continuity and consistency in clinical trials being conducted on a global basis.



Global capabilities. In 2000, Covalent Group, Ltd., our wholly-owned international subsidiary, commenced operations, providing us with a strategically important
international presence. Covalent Group, Ltd. is not only building an international client base with their own clinical trials, but also assists us in conducting clinical trials in Western Europe, Eastern Europe, Scandinavia and elsewhere



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for our clients. Recently Covalent has established proprietary strategic partnerships with several highly experienced
regional CROs in order to strengthen and broaden our global offerings and our geographic reach. We have made a very determined effort to broaden and diversify our client list. This has resulted in an attractive mix of pharmaceutical and
biotechnology companies and we will continue to focus on expanding Covalents capabilities both in the United States and internationally. We believe that these capabilities better positions us to meet our clients global clinical trial
requirements.



Our bioterrorism vaccine program. During 2003, we began
the process of conducting a global Counter-Bioterrorism program focused on the development of vaccines against biological agents with potential military and terrorism applications. This program offers clients an inter-disciplinary group of clinical
development professionals with extensive experience working with vaccines, recombinant technology and immunotherapy products.



Our Services



We offer our clients on a global basis a broad range of clinical research and development services supporting Phase I through Phase IV clinical trials. Our services include study protocol design, clinical trials
management, global data management services, biostatistics, TeleTrial® system access, medical and regulatory affairs, and quality assurance and compliance.



Study Protocol Design



We specialize in complex clinical trials with a particular focus on understanding conceptual
issues and creating practical solutions. Much of the conceptual value-added work focuses on the design of an effective development program which includes individual clinical trial protocols. The study protocol is the critical document provided to
the study investigators that defines the study and details the procedures which must be followed for the proper conduct of the trial. The protocol defines the medical issues the study seeks to examine and the statistical tests that will be
conducted. The protocol also defines the frequency and type of laboratory and clinical measurements to be performed, tracked and analyzed. Also defined is the number of patients required to produce a statistically meaningful result, the period of
time over which they must be tracked, and the frequency and dosage of drug administration.



A properly designed protocol targets the correct primary efficacy variable (i.e. the key outcome being studied, such as a reduction in sitting diastolic or systolic blood pressure), is statistically sound, effectively
incorporates strategic marketing and product positioning issues, and proactively conforms to regulatory guidelines. We believe that many of the reported regulatory delays or rejections for prospective drugs can be directly attributed to underlying
issues in protocol design and study process. A significant value we provide to our clients is in designing the initial study protocol or in significantly enhancing the protocols design.



Clinical Trials Management



We serve our clients needs by conducting clinical trials through a project team. A
project manager leads and facilitates all aspects of the conduct of the clinical trial. Other members of our project team typically include representatives from clinical trials management, global data services, regulatory affairs, information
services, quality assurance, medical writing and field monitoring. Within this project-oriented structure, we can manage every aspect of clinical trials conducted in Phases I through Phase IV of the drug development process. Many of our current
projects involve Phase II, Phase III or Phase IIIb clinical trials, which are generally larger, longer and more complex than Phase I trials.



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We have adopted global standard operating procedures intended to satisfy regulatory requirements in the United States and
in many foreign countries and serve as tools for controlling and enhancing the quality of our clinical trials. All of our standard operating procedures are designed and maintained in compliance with Good Clinical Practice (GCP)
requirements and the International Conference on Harmonization (ICH) standards. The U.S. Food and Drug Administration (FDA) and the European union have adopted these standards. We compile, analyze, interpret and submit data
generated during clinical trials in report form to our clients, as well as, at our clients request, directly to the FDA or other relevant regulatory agencies for purposes of obtaining regulatory approval.



Clinical trials represent one of the most expensive and time-consuming parts of the overall
drug development process. The information generated during these trials is critical for gaining marketing approval from the FDA or other regulatory agencies. We assist our clients with one or more of the following steps:



| |  | Case Report Form Design. Once the study protocol has been finalized, the Case Report Form (CRF), must be developed. The CRF is the source document for
collecting the necessary clinical data as defined by the study protocol. The CRF for a single patient in a study may consist of 100 or more pages.
| | - | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  | Investigator Recruitment. The success of a clinical trial is dependent upon finding experienced investigators who are capable of performing clinical trials in
accordance with the highest ethical and scientific standards. During clinical trials, physicians (who are also referred to as investigators) at hospitals, clinics or other locations, supervise administration of the drug or study product to patients
or normal subjects. We recruit investigators who contract directly with either us or our clients to participate in clinical trials. Our global investigator database includes thousands of physician-investigators specializing in a multitude of
therapeutic areas.
| | - | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  | Patient Enrollment. The investigators, usually with our assistance, find and enroll patients suitable for the study. The speed at which trials can be completed is
significantly affected by the rate at which patients are enrolled. Prior to participating in a clinical trial, patients are required to review information about the study medication and its possible side effects, and sign an informed consent form to
record their knowledge and acceptance of potential side effects. Patients also undergo a medical examination by the investigator to determine whether they meet the requirements of the study protocol. Patients then receive the study medication and
are examined by the investigator as specified by the study protocol.
| | - | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  | Study Monitoring and Data Collection. As patients are examined and tests are conducted in accordance with the study protocol, data are recorded on CRFs. CRFs are
reviewed or monitored by specially trained clinical research associates (CRAs) or field monitors. Field monitors visit study sites regularly to ensure that the CRFs are completed correctly and that the data specified in the
protocol are obtained. The field monitors send completed CRFs to a data management group where they are reviewed for consistency and accuracy before the data is entered into a database. An alternative data flow process utilizes remote data entry
technology that frequently enhances the timeliness of clinical data collection while achieving cost savings to the Sponsor. We are currently involved in studies using both types of data flow processes.
| | - | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



Data Management Services



We have automated the data management process associated with clinical trial management
through our use and customization of industry standard software known as clinical trials management systems. We license Oracle Clinical®, Domain Clintrial®, and Datafax® as our clinical trials management



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systems. The software assists us in the collection, validation and reporting of clinical results to our clients. Our data
management professionals provide CRF review and tracking, data entry, integrated clinical/statistical reports, as well as writing manuscripts for publication.



Biostatistics



Our biostatisticians assist clients with all phases of drug development, including biostatistical consulting, database design, data analysis and statistical reporting.
These professionals help develop and review protocols, design appropriate analysis plans and design report formats to address the objectives of the study protocol, as well as the clients individual objectives. Frequently, our biostatisticians
represent clients in meetings with the FDA.



TeleTrial®



The TeleTrial® system is an automated database
system that supports storage and retrieval of clinical trials information on a 24 hours a day, seven days a week basis. The system combines the use of several technologies including: telephone-based interactive voice response (IVR)
and speech recognition, the Internet and e-mail. We designed TeleTrial® to overcome many of the problems associated with traditional IVR systems. Rather than being limited to only touch-tone entry, TeleTrial® also includes advanced speech recognition technology and Internet access. These features significantly enhance the
flexibility, and therefore user acceptance, of the system. TeleTrial® has been designed, developed and maintained according to accepted pharmaceutical industry practices. It contains the following four standard modules:



| |  | Study Management. This module maintains and tracks relevant information about study personnel including name, address, telephone number, facsimile and e-mail
addresses.
| | - | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  | Site Management. This module maintains and tracks relevant information about the study site including study-related identification numbers, site study personnel,
internal contacts for financial and regulatory issues, and site pharmacies, if relevant.
| | - | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  | Subject Management. This module facilitates subject enrollment from the screening phase of the study through randomization (a computer determined process in which
study subjects are assigned to different treatment options). TeleTrial® provides centralized enrollment and randomization 24 hours a day, seven days a week. Study sites are able to randomize a patient, dispense drugs at a visit, discontinue a patient, and review patient information. The
subject management module also has the ability to collect subjective patient data in the form of a questionnaire, survey or patient diary.
| | - | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  | Supplies Management. This module maintains and tracks drug inventory and allocates the study drug to subjects. The study medication allocation feature of this module
is directly linked to the subject enrollment database and has the capability to track the clinical and drug supplies available at the study site, the drugs which should be dispensed according to the subject randomization, and the time interval
between dispensing of drugs. A fax system provides hard copy reports used as source data at the study site or clinical pharmacy.
| | - | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



We are able to provide cost savings to our clients through TeleTrial® by reducing and better managing clinical supply requirements and controlling waste. In addition, real time data access expedites the clinical trial
process by offering clients precise and accurate information for quick analysis. We offer TeleTrial® both in conjunction with clinical trials we perform and as a stand-alone service.



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Medical and Regulatory Affairs



Typically, before a drug, biologic, or medical device can be sold in a particular country,
it must be approved by the regulatory agency in that country. We provide comprehensive regulatory product registration services for pharmaceutical, biotechnology products and medical devices in the United States and Europe. These services include
regulatory strategy formulation, New Drug Application (NDA) and Biologic License Application (BLA) document preparation and review, quality assurance and liaison with the FDA and other regulatory agencies.



Quality Assurance and Compliance



We conduct field inspections that include investigator audits, pre-submission protocol
compliance audits and GCP audits. Our staff also provides training sessions to our personnel, as well as to study site employees. Finally, our Quality Assurance and Compliance group performs audits of study documents as well as data contained in our
clinical trials databases.



Report
Writing



The statistical analysis findings for data collected during the
trial, together with other clinical data, can be included in a final study report to be included in a regulatory filing or as a final deliverable to the client.



Clients and Marketing



We provide a broad range of clinical research and consulting services to the pharmaceutical, biotechnology and medical device industries. Our clients consist of many of
the largest companies in the pharmaceutical, biotechnology and medical device industries. In 2003, we provided services to 19 different clients covering 39 separate studies or projects. We have in the past derived, and may in the future derive, a
significant portion of our revenues from a core group of major clients. We are likely to continue to experience client concentration in future years. In 2003, our three largest clients accounted for 69% of our net revenues, with the three largest
representing 41%, 21% and 7% of our net revenues, respectively. In 2002, our three largest clients accounted for 86% of our net revenues, with the three largest representing 46%, 30% and 10% of our net revenues, respectively.



We are generally awarded contracts based upon our response to requests for proposals received
from pharmaceutical, biotechnology and medical device companies. Our business development and marketing strategy is based on expanding our relationships with our existing clients as well as gaining new clients. Our senior executives and project team
leaders all share responsibility for maintaining and enhancing client relationships and business development activities. Our business development program is supported by a marketing and communications program that includes selective advertising in
trade publications, management of the corporate web site, development of marketing materials, and related activities.



Contractual Arrangements



Most of our contracts with our clients are based on a fixed price with the option for additional variable components (i.e. change of scope). Therefore, we generally bear
the risk of cost overruns, but we may also benefit if the costs are lower than we anticipated. Contracts may range from a few months to several years depending on the nature of the work performed. In general, for multi-year contracts, a portion of
the contract fee, typically 10-20%, is paid at the time the trial is started, with the balance of the contract fee payable in installments over the trial duration. In some cases, the installments are tied



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to meeting specific performance milestones, while others have an agreed upon fixed payment plan independent of
performance milestones. For example, installment payments for clinical trial projects may be related to investigator recruitment or patient enrollment. Several of our older contracts contain payment schedules that are weighted towards the later
stages of the contract. As is typical in the CRO industry, when a client requests a change in the scope of a trial or in the services to be provided by us, we prepare a work order. An executed work order becomes an amendment to the original
contract. Work orders resulting from changes of scope often produce additional revenue for us. We are at risk for any work performed outside the scope of the study or in advance of signing a new work order. We attempt to negotiate contract
amendments with the client to cover any services provided outside the terms of the original contract. There can be no assurance that the client will agree to the proposed amendments, and we ultimately bear the risk of cost overruns.



Most of our contracts may be terminated by the client at any time with prior notice. Our
contracts frequently entitle us to receive the costs of winding down the terminated project, as well as all fees earned by us up to the time of termination. Contracts may be terminated or delayed for several reasons, including unexpected results or
adverse patient reactions to the drug, inadequate patient enrollment or investigator recruitment, manufacturing problems resulting in shortages of the drug, budget constraints of clients or decisions by the client to de-emphasize or terminate a
particular trial, development efforts on a particular drug, or our failure to properly perform our obligations.



Backlog



Our backlog consists of anticipated net revenue from uncompleted projects which have been authorized by the customer, through a written contract, verbal commitment or letter of intent. Many of our studies and projects
are performed over an extended period of time, which may be several years. Amounts included in backlog have not yet been recognized as net revenue in our consolidated statements of operations. Once contracted work begins, net revenue is recognized
over the life of the contract on a proportional performance basis. The recognition of net revenue reduces our backlog while the awarding of new business increases our backlog. In 2003, we obtained $21.7 million of new business awards as compared to
$18.6 million in 2002, a 17% increase. The first nine months of 2003 were characterized by a downturn in the pharmaceutical and biotechnology industries, which resulted in a decrease in short-term R&D expenditures and reduced outsourcing. This
clearly had an adverse effect on our ability to sign new contracts for the first three quarters of 2003. The backlog is also affected by the termination of contracts. During the fourth quarter of 2003, three studies were significantly scaled back
and/or terminated. A few of our larger studies completed in the fourth quarter of 2003 and it is customary in our industry that a financial reconciliation is completed at the end of a study. These reconciliations resulted in a reduction to backlog
due to changes in the requirements of the contracts. In addition, there was a contract which was canceled by the sponsor due to internal budget constraints. Our backlog was $13 million at December 31, 2003, compared to $19 million at December 31,
2002. We expect most of this backlog will be recognized in 2004.



We believe
that our backlog as of any date may not necessarily be a meaningful predictor of future results because backlog can be affected by a number of factors including the size and duration of contracts, many of which are performed over several years.
Additionally, contracts may be subject to early termination by the client or delay for many reasons, as described above. Also, the scope of a contract can change during the course of a study. For these reasons, we might not be able to fully realize
our entire backlog as net revenue.



Competition



The contract research organization industry is highly fragmented, consisting of several
hundred small, limited-service providers and a limited number of mid-sized and large CROs with global capabilities.



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Newer, smaller firms with specialty focuses, such as those aligned with a specific disease or therapeutic area, may
compete against established CROs for clients. We primarily compete against full-service and limited service contract research organizations, mid-sized CROs, in-house research and development departments of pharmaceutical and biotechnology companies
and, to a lesser extent, universities and teaching hospitals. CROs generally compete on the basis of a number of factors, including the following: expertise and experience in specific therapeutic areas; the ability to design sound protocols or
enhance the design; reputation for on-time quality performance; scope of service offerings; price; ability to enroll patients and recruit investigators; data management capabilities; strengths in various geographic markets; technological expertise
and efficient drug development processes; the ability to acquire, process, analyze and report data in a timely and accurate manner; the ability to manage large-scale clinical trials both domestically and internationally; and organizational size.
Although there can be no assurance that we will continue to do so, we believe that we compete favorably in these areas.



Some of our largest competitors include Quintiles Transnational Corporation, Covance, Inc., Parexel International Corporation, Pharmaceutical Product Development, Inc.,
Icon Clinical Research and Kendle International, Inc. In general, the CRO industry is not capital-intensive and the financial costs of entry into the industry are relatively low. Newer, smaller entities with specialty focuses, such as those aligned
to a specific disease or therapeutic area, may compete aggressively against us for clients. Furthermore, clients may also choose to limit the CROs with whom they are willing to work. Increased competition might lead to heightened price and other
forms of competition that may adversely affect our operating results.



Government Regulation



The development and clinical research
of new drugs is highly regulated by government agencies. The standards for the conduct of clinical research and development studies are embodied in governmental regulations and in guidelines such as the ICHs Guideline on GCP. The standards
stipulate procedures designed to ensure the quality and integrity of data obtained from clinical testing and to protect the rights and safety of clinical subjects. The FDA and similar regulatory authorities require that test results submitted to
such authorities be based on studies conducted in accordance with GCP and regulations providing protections for research participants.



Our obligations under GCP may include, but are not limited to, the following: assuring the selection of investigators who are qualified and have adequate staff and
facilities to conduct the trial properly and safely; obtaining specific written commitments from the investigators; verifying that adequate informed consent of trial subjects has been obtained; monitoring clinical trials to ensure that the rights
and well-being of trial subjects are protected and that the reported trial data are accurate, complete, and verifiable from source documents; ensuring that adverse drug reactions are medically evaluated and reported; verifying drug or device
accountability; implementing quality assurance and quality control systems; instructing investigators and study staff to maintain proper records and reports; and permitting appropriate governmental authorities access to source documents for their
review. We must also maintain reports for each study for specified periods for auditing by the study sponsor and by the FDA or similar regulatory authorities. Noncompliance with GCP can result in disqualification of the data collected during the
clinical trial and we could be required to redo the trial under the terms of our contract at no further cost to our customer, but at substantial cost to us. CROs are also typically contractually obligated to comply with GCP and other patient
protection regulations. Failure to comply could expose the CRO to contractual liability to its clients.



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Development of New Drugs



Before a new drug may be marketed, the drug must undergo extensive testing and regulatory
review in order to determine that the drug is safe and effective. The following discussion focuses on the FDA approval process. Similar procedures must be followed for clinical trials in other countries as well as for the approval of biologics and
medical devices. The following provides a broad summary of the stages of this development process:



| |  | Preclinical research (1 to 4 years). This phase includes in vitro (test tube) and animal studies to establish the relative toxicity of the drug over a wide
range of doses and to detect any potential to cause any serious adverse effects. If results warrant continuing development of the drug, the sponsor of the drug will file for an Investigational New Drug Application (IND), upon which the
FDA may grant permission to begin human clinical trials.
| | - | --------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  | Clinical Trials (4 to 6 years).
| | - | -------------------------------



Phase I (6 months to 2 years). Phase I includes basic safety and pharmacology testing in approximately 20 to 80 human subjects, usually healthy
volunteers. Phase I work also includes studies to determine metabolic and pharmacologic action of the drug in humans, if it is safe, how it is affected by other drugs, where it goes in the body, how long it remains active, and how it is broken down
and eliminated from the body.



Phase II (1 to 2 years).
Phase II trials test basic efficacy (effectiveness) and potential dosing ranges in approximately 100 to 200 patients afflicted with the specific disease or condition for which the study medication is intended for use. Phase II trials help to
determine the best effective dose, determine frequency of dosing, establish that the study medication has at least some effect, and provide additional safety data. If the Phase II study yields satisfactory results and no hold is placed by the FDA on
further studies, a Phase III study of the drug may begin.



Phase III (2 to 3 years). Phase III trials are larger, more complex and expensive than earlier phase studies and involve properly powered efficacy and safety evaluations in hundreds to thousands of patients afflicted with a specific
disease or condition. These patients receive their medical care during the clinical trials at investigational sites, typically hospitals, clinics, or private practice settings. The objective of the Phase III study is to collect enough data for a
statistically valid test of safety and effectiveness as required by the FDA, and to provide a basis for the labeling of the drug. The studies may be placebo-controlled trials, in which the study medication under investigation is compared with a
sugar pill, or active-comparator studies that test the safety and effectiveness of the study medication against one or more drugs with established safety and efficacy profiles in the same therapeutic category.



The FDA receives reports on the progress of each phase of clinical testing
and may require the modification, suspension, or termination of clinical trials if, among other things, an unreasonable risk is presented to patients or if the design of the trial is insufficient to meet its stated objective.



| |  | NDA Preparation and Submission. Upon the completion of the Phase III trials, the sponsor of the study medication assembles the statistically analyzed data from all
phases of development into a single large submission: the NDA. An NDA may be submitted as a paper document (which may contain tens of thousands of pages) or in an electronic format.
| | - | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  | FDA Review and Approval (approximately 12 months). The staff of the FDA will carefully scrutinize the data from all phases of development to confirm that the applicant
has complied with regulations and that the drug is safe and effective for the specific use or indication under study. The FDA may refuse to accept the NDA for filing and substantive review if certain administrative and content criteria are not
satisfied. After accepting the submission for review, the FDA may require additional testing or information before approval of an NDA. The FDA will deny approval of the NDA if applicable regulatory requirements are not ultimately satisfied.
| | - | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



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| |  | Post-Marketing Surveillance and Phase IV Studies. Federal regulation requires the marketer of the drug to collect and periodically report to the FDA additional safety
and efficacy data on the drug for as long as the drug is marketed (post-marketing surveillance). If the drug is marketed outside the United States, the reports must include data from all countries in which the drug is sold. Phase IV
(post-FDA approval) studies may be undertaken after initial approval to find new uses for the drug (broadening the label), to test new dosage formulations, or to confirm selected non-clinical benefits (e.g. increased cost-effectiveness
or improved quality of life). Product approval may be withdrawn if compliance with regulatory standards is not maintained or if problems occur following initial marketing.
| | - | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



In providing our clinical research services to our clients, we are obligated to comply with regulatory requirements governing the drug
development process. We have established standard operating procedures that are designed to comply with regulations and guidelines appropriate to the region and the nation where the clinical trials will be conducted. We strive to perform all
clinical research in accordance with the GCP and ICH guidelines and the requirements of the applicable country. Although the U.S. is a signatory to the ICH Guidelines, the FDA has not adopted all of these guidelines. From an international
perspective, we have implemented common standard operating procedures across regions to assure consistency wherever appropriate to do so.



Intellectual Property



We have developed certain computer software and technically derived procedures, such as TeleTrial®, that provide separate services and are intended to maximize the quality and effectiveness of our services. Our intellectual property rights are
important to us. We also believe that factors such as technical expertise, knowledge, ability and experience of our professionals are important and provide significant benefits to our clients.



Employees



At December 31, 2003, we employed 116 full time personnel, of which 16 were based outside of the United States. Of our staff, 10 held Ph.D.
or M.D. degrees and approximately 21 held masters or other post graduate degrees. None of our employees are subject to a collective bargaining agreement. We believe that our relations with our employees are good. In addition, during 2003, we
supplemented our employee base with contractors on an as-needed basis.



Risk
Factors that Might Affect our Business or Stock Price



Failure to
develop new business in our intensely competitive industry will cause our revenues to decline.



The market for contract research services is highly competitive. We primarily compete against in-house departments of pharmaceutical, biotechnology and medical device companies and other contract research
organizations. Competitors in our industry range from small, limited-service providers to full service, global contract research organizations. Many of our competitors have an established global presence, including: Quintiles Transnational Corp.,
Covance, Inc., Parexel International Corporation, Pharmaceutical Product Development, Inc., Icon Clinical Research, and Kendle International, Inc. These competitors have substantially greater financial and other resources than we do. Significant
factors in determining whether we will be able to compete successfully include: our consultative and clinical trials design capabilities; our reputation for on-time quality performance; our expertise and



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experience in specific therapeutic areas; the scope of our service offerings; our ability to recruit investigators and
study subjects in a timely manner; our strength in various geographic markets; the price of our services; our ability to acquire, process, analyze and report data in a time-saving and accurate manner through our TeleTrial® technology; our global data services capabilities; our ability to manage
large-scale clinical trials both domestically and internationally; and our size.



If our services are not competitive based on these or other factors and we are unable to develop an adequate level of new business, our business, backlog position, financial condition and results of operations will be materially and
adversely affected. In addition, we may compete for fewer customers arising out of consolidation within the pharmaceutical industry and the growing tendency of drug companies to outsource to a smaller number of preferred contract research
organizations.



Our services may from time to time experience periods of
increased price competition that could have a material adverse effect on our profitability and revenues. Additionally, the CRO industry is not highly capital-intensive, and the financial costs of entry into the industry are relatively low.
Therefore, as a general matter, the industry has few barriers to entry. Newer, smaller entities with specialty focuses, such as those aligned to a specific disease or therapeutic area, may compete aggressively against us for clients.



We depend on a small number of industries and clients for our business, and the loss of
one of our significant clients could cause revenues to drop quickly and unexpectedly.



We provide services to the pharmaceutical, biotechnology and medical device industries and our revenue is highly dependent on expenditures by clients in these industries. Our operations could be materially and
adversely affected if:



| |  | our clients reduce their research and development expenditures or reduce the rate of growth in their research and development expenditures;
| | - | -------------------------------------------------------------------------------------------------------------------------------------------



| |  | consolidation in the pharmaceutical, biotechnology or medical device industries leads to a smaller client base for us;
| | - | ----------------------------------------------------------------------------------------------------------------------



| |  | one or more significant studies are terminated as a result of the failure of the product to satisfy safety requirements, unexpected or undesired clinical results, or other reasons;
or
| | - | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



| |  | our clients businesses experience financial problems or are affected by a general economic downturn.
| | - | -----------------------------------------------------------------------------------------------------



Three of our clients account for a significant percentage of our revenues. For the year ended
December 31, 2003, net revenues from our three largest clients amounted to 69% of our net revenues, with the three largest clients representing 41%, 21%, and 7% of net revenues, respectively. For the year ended December 31, 2002, net revenues from
our three largest clients amounted to 86% of our net revenues, with the three largest clients representing 46%, 30%, and 10% of net revenues, respectively. For the year ended December 31, 2001, net revenues from our three largest clients amounted to
85% of our net revenues, with the three largest clients representing 55%, 18%, and 12% of net revenues, respectively. We expect that a relatively small number of customers will continue to represent a significant percentage of our net revenue. Our
contracts with these clients generally can be terminated on short notice. The loss of business from any one of these significant clients or failure of us to continue to obtain new business would have a material and adverse effect on our business and
revenues.



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Loss of key personnel, or failure to attract and retain additional personnel, may cause the success and growth of
our business to suffer.



Our future success depends on the personal
efforts and abilities of the principal members of our senior management and scientific team to provide strategic direction, develop business, provide service to our clients, manage our operations and finances, and maintain a cohesive and stable
environment. Specifically, we are substantially dependent upon the efforts of Kenneth M. Borow, M.D., our President and Chief Executive Officer. In addition, we depend on John Hall, M.D., our Chief Medical Officer and Managing Director 
International and Alison ONeill, Senior Vice President, Global Operations. Although we have an employment agreement with Dr. Borow, this does not mean Dr. Borow will remain with us. We currently do not have an employment agreement with Dr.
Hall or Ms. ONeill. The loss of services of any of our key executives would have a material and adverse affect on our business operations and our results of operations.



Our performance also depends on our ability to attract and retain management and qualified professional, scientific and technical operating
staff. Competition for these skilled personnel, particularly those with a medical degree, a Ph.D. or equivalent degrees, is intense. We compete with contract research organizations, pharmaceutical and biotechnology companies, and academic and
research institutions to recruit skilled personnel. Our inability to continue to attract and retain qualified staff could have a material and adverse affect on our business plan, results of operations and financial condition.



The fixed price nature of the companys contracts could have a negative impact on
our operating results.



The majority of our contracts are at fixed
prices. As a result, we bear the risk of cost overruns. If we fail to adequately price our contracts, fail to effectively estimate the cost to complete contracts, or if we experience significant cost overruns, our operating results and financial
condition could be materially and adversely affected. In 2003, we had to commit unanticipated resources to complete projects, resulting in higher costs and lower operating margins on those projects. We might experience similar situations in the
future, which would have a material and adverse impact on our operating results.



We may bear financial losses because our contracts may be delayed or terminated or reduced in scope for reasons beyond our control.



As described in our discussion of contractual arrangements in the description of our business, our contracts generally may be terminated or reduced in scope either
immediately or upon notice. Clients may terminate or delay their contracts for a variety of reasons, including, but not limited to: the failure of products to satisfy safety requirements; unexpected or undesired clinical results; merger or potential
merger related activities; the clients budget constraints; the clients decision to terminate the development of a particular product or to end a particular study; insufficient patient enrollment in a study; insufficient investigator
recruitment; manufacturing problems resulting in shortages of the product; or our failure to perform our obligations under the contract. This risk of loss or delay of contracts potentially has greater effect as we pursue larger outsourcing
arrangements with global pharmaceutical companies. Also, over the past two years we have observed that customers may be more willing to delay, cancel or reduce contracts more rapidly than in the past. If this trend continues, it could become more
difficult for us to balance our resources with demands for our services and our financial results could be adversely affected.



In addition, companies may proceed with fewer clinical trials or conduct them without assistance of contract research organizations as a result of changing priorities or
other internal considerations. These factors may cause such companies to cancel contracts with CROs.



In general, our contracts entitle us to receive the costs of winding down the terminated project, as well as all fees earned by us up to the time of termination. The loss, reduction in scope or delay of a significant
contract or the loss or delay of multiple contracts could materially and adversely affect our business and results of operations.



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If we are unable to attract suitable willing volunteers for the clinical trials of our clients, our results could
be materially and adversely affected.



One of the factors on which we
compete is the ability to recruit volunteers for the clinical studies we manage on behalf of our clients. These clinical trials rely upon the ready accessibility and willing participation of volunteer subjects. These subjects generally include
volunteers from the communities in which the studies are conducted, which to date have provided an adequate pool of potential subjects for research studies. Many of our contracts include specific milestone payments directly tied to the recruitment
of study subjects. The trials we manage and our operating results could be materially and adversely affected if we are unable to attract suitable and willing volunteers on a consistent basis.



Our drug or biologics development programs could result in potential liability to
us



We also contract with physicians to serve as investigators in
conducting clinical trials. Such testing creates risk of liability for personal injury to or death of volunteers, particularly to volunteers with life-threatening illnesses, resulting from adverse reactions to the drugs administered during testing.
It is possible third parties could claim that we should be held liable for losses arising from any professional malpractice of the investigators with whom we contract or in the event of personal injury to or death of persons participating in
clinical trials. We do not believe we are legally accountable for the medical care rendered by third party investigators, and we would vigorously defend any such claims. However, such claims may still be brought against us requiring us to incur
legal defense costs, and it is possible we cold be found liable for these types of losses.



Changes in outsourcing trends in the pharmaceutical and biotechnology industries could materially and adversely affect our operating results and growth rate.



Industry trends and economic factors that affect our clients in the pharmaceutical,
biotechnology and medical device industries also affect our business. Our revenues depend greatly on the expenditures made by the pharmaceutical, biotechnology and medical device industries in research and development. The practice of many companies
in these industries has been to hire outside organizations like us to conduct clinical research projects. This practice has grown significantly in the last decade, and we have benefited from this trend. However, if this trend were to change and
companies in these industries were to reduce the number of research and development projects they outsource, our business could be materially and adversely affected. For example, over the past year, mergers and other factors in the pharmaceutical
industry appear to have slowed decision-making by pharmaceutical companies and delayed drug development projects. Continuation or increase of these trends could have a negative affect on our business.



Additionally, numerous governments and managed care organizations have undertaken efforts to
control growing healthcare costs through legislation, regulation and voluntary agreements with medical care providers and pharmaceutical companies. If future regulatory cost containment efforts limit the profits that can be derived on new drugs, our
clients might reduce their research and development spending, which could reduce our business.



Failure to comply with existing regulations could harm our reputation and our operating results.



Any failure on our part to comply with applicable regulations could result in the termination of on-going clinical research or the disqualification of data for submission
to regulatory authorities. For example, if we were to fail to verify that patient participants were fully informed and have fully consented to a particular clinical trial, the data collected from that trial could be disqualified. If this were to
happen, we could be contractually required to repeat the trial at no further cost to our client,



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but at a substantial cost to us. The issuance of a notice from the FDA based upon a finding of a material violation by us
of GCP requirements could result in contractual liability to our clients and/or the termination of ongoing studies which could materially and adversely affect our results of operations. Furthermore, our reputation and prospects for future work could
be materially and adversely diminished.



Our business has experienced
substantial expansion in the past and we must properly manage that expansion.



Our business has expanded substantially in the past. Rapid expansion could strain our operational, systems, human and financial resources. If we fail to properly manage our expansion, our results of operations and financial condition might
be adversely affected. In order to manage expansion, we must: continue to improve our operating, administrative and information systems; accurately predict our future personnel and resource needs to meet client contract commitments; effectively
track and manage the progress of on-going client projects; provide adequate training and appropriate quality assurance procedures; and attract and retain qualified management, sales, professional, scientific and technical operating personnel.



We will face additional risks in expanding our foreign operations.
Specifically, we might find it difficult to: assimilate differences in foreign business practices and regulations; hire and retain qualified personnel; and overcome language and cultural barriers. In addition, global and regional economic conditions
may impact our success growing the international aspect of our business.



Our backlog may not be indicative of future results.



As of December 31, 2003, our backlog was $13 million. The backlog represents anticipated net revenue from uncompleted projects with our clients. We cannot be certain that the backlog we have reported will be indicative of our future
results. A number of factors may affect our backlog, including: the ability of clients to reduce or expand the size and duration of the projects (some are performed over several years); the termination or delay of projects; and a change in the scope
of work during the course of a project.



Also, if clients delay projects, the
projects will remain in backlog, but will not generate revenue at the rate originally expected. Accordingly, historical indications of the relationship of backlog to revenues may not be indicative of future results.



If we are unable to successfully develop and market new services in the U.S. and
internationally, our results could be materially and adversely affected.



An element of our growth strategy is the successful development and marketing of new services that complement or expand our existing business. If we are unable to develop new services and create demand for those newly developed services, we
may not be able to implement this element of our growth strategy, and our future business, results of operations and financial condition could be materially and adversely affected. For example, we have invested in the creation and administrative
set-up of our International subsidiary, Covalent Group, Ltd. We may need to make additional investments in this subsidiary in the future in order for it to achieve our objectives. The profitability of this subsidiary depends, in part, on client
acceptance and use of its services. There can be no assurance that this subsidiary will be profitable in the future or that any revenue resulting from it will be sufficient to recover our investment in the subsidiary. If our International subsidiary
does not develop as anticipated, our business, financial condition and results of operations may be materially and adversely affected.



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Changes in governmental regulation could reduce the need for the services we provide, which would negatively affect
our future business opportunities.



In recent years the United States
Congress and state legislatures have considered various types of health care reform in order to control growing health care costs. The United States Congress and state legislatures may again address health care reform in the future. We are unable to
predict what legislative proposals will be adopted in the future, if any. Similar reform movements have occurred in Europe and Asia.



Implementation of health care reform legislation that results in additional costs to develop new drugs could limit the profits that can be made by our clients from the
development of new products. This could adversely affect our clients research and development expenditures, which could in turn decrease the business opportunities available to us both in the United States and elsewhere in the world. In
addition, new laws or regulations may create a risk of liability, increase our costs or limit our service offerings. We cannot predict the likelihood of any of these events.



Governmental agencies throughout the world, but particularly in the United States, strictly regulate the drug development and approval
process. Our business involves helping pharmaceutical, biotechnology and medical device companies navigate the regulatory drug approval process. Changes in regulation, such as relaxation in regulatory requirements or the introduction of simplified
drug approval procedures or an increase in regulatory requirements that we have difficulty satisfying, could eliminate or substantially reduce the need for our services. These and other changes in regulation could have an impact on the business
opportunities available to us. As a result, our business, results of operations and financial condition could be materially and adversely affected.



Proposed and future laws and regulations, including the confidentiality of patient information, might increase the cost of our business, increase our risks of
liability or limit our service offerings.



Federal or state
authorities might adopt healthcare legislation or regulations that are more burdensome than existing regulations. These changes in regulation could increase our expenses or limit our ability to offer some of our products or services. For example,
the confidentiality of patient specific information and the circumstances under which it may be released for inclusion in our databases or used in other aspects of our business are subject to substantial government regulation. Additional legislation
governing the possession, use and dissemination of medical record information and other personal health information has been proposed at both the state and national levels. Proposed federal regulations governing patient specific health information
might require us to implement new security measures that require substantial expenditures or limit our ability to offer some of our products and services. These regulations might also increase our costs by creating new privacy requirements and
mandating additional privacy procedures for our business, thereby materially and adversely affecting our results of operations and financial condition.



Our operating results have fluctuated between quarters and years and may continue to fluctuate in the future.



Our quarterly and annual operating results have varied, and will continue to vary as a
result of a variety of factors, many of which are beyond our control. Factors that may cause these variations include: the commencement, completion or cancellation of large contracts; the progress of on-going projects; changes in the mix of services
offered; our ability to successfully negotiate contract amendments in a timely manner; and the timing and amount of start-up costs incurred in connection with the introduction of new products, services or subsidiaries.



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A significant percentage our operating costs are fixed. The timing of the completion, delay or loss of contracts, or the
progress of client projects, can cause our operating results to vary substantially between reporting periods. We believe that operating results for any particular quarter are not necessarily a meaningful indication of future results. While
fluctuations in our quarterly or annual operating results could negatively impact the market price of our common stock, these fluctuations may not be related to our future overall operating performance.



Our operations may be interrupted by the occurrence of a natural disaster or other
catastrophic event.



We depend upon our customers, study sites and our
facilities, as well as the ability to readily travel among these, for the continued operation of our business. We also depend upon the continuous, effective, reliable and secure operation of our computer hardware, software, networks,
telecommunications networks, Internet servers and related infrastructure. We have contingency plans in effect for natural disasters or other catastrophic events. However, catastrophic events, including terrorist attacks, could still disrupt our
operations, those of our customers or study sites, or our ability to travel among these locations, which would also affect us. Although we carry business interruption insurance, we might suffer losses as a result of business interruptions that
exceed the coverage available under our insurance policies. Any natural disaster or catastrophic event affecting our facilities could have a material and adverse affect on our business and results of operations.



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We may have exposure to substantial personal injury claims and may not have adequate insurance to cover such
claims.



Our business primarily involves the testing of experimental
drugs and biologics or other regulated FDA products on consenting human volunteers pursuant to a study protocol. These tests create a risk of liability for personal injury to or death of volunteers resulting from negative reactions to the drugs
administered or from improper care provided by third party investigators, particularly to volunteers with life-threatening illnesses. In connection with many clinical trials, we contract with physicians to serve as investigators in conducting
clinical trials to test new drugs on human volunteers. We do not believe that we are legally accountable for the medical care rendered by third party investigators, and we seek to limit our liability with our clients, third party investigators and
others. Although our contracts with clients generally include indemnity provisions and we have loss insurance, our financial condition and results of operations could be materially and adversely affected if we had to pay damages or incur defense
costs in connection with a claim that is outside the scope of an indemnity or insurance coverage. Additionally, our financial condition could be adversely affected if our liability exceeds the amount of its insurance.



We believe that our risks are generally reduced by the following: contracts with our clients
and, where applicable, investigators containing provisions entitling us to be indemnified by them; insurance maintained by our clients, investigators, where applicable, and by us; and various regulatory requirements we must follow in connection with
our business.



Contractual indemnifications generally do not protect us against
liability arising from certain of our own actions, such as negligence. Our financial condition and results of operations could be materially and adversely affected if we were required to pay damages or bear the cost of defending any claim which is
not covered by a contractual indemnification provision, in the event that a party who must indemnify us does not fulfill its indemnification obligations or which is beyond the level of our insurance coverage. In addition, we may not be able to
continue to maintain adequate insurance coverage on terms acceptable to us.



Our success depends on our ability to keep pace with rapid technological changes that could make our products and services less competitive or obsolete.



The clinical research aspects of the pharmaceutical, biotechnology and medical device industries are subject to increasingly rapid
technological changes. Our competitors or others might develop technologies, products or services that are more effective or commercially attractive than our current or future technologies, products or services, or render our technologies, products
or services less competitive or obsolete. For example, if our TeleTrial® system were to become less competitive or obsolete, our ability to develop new business and our operating results would be adversely affected. If competitors introduce superior technologies, products or services and we
cannot make enhancements to our technologies, products and services necessary for us to remain competitive, our competitive position, and in turn our business, results of operations and financial condition, would be materially and adversely
affected.



Our revenues and earnings are exposed to exchange rate
fluctuations as well as international economic, political and other risks.



In 2003, approximately 6% of our net revenues were derived from contracts denominated in currencies other than U.S. dollars. Our financial statements are denominated in U.S. dollars. As a result, factors associated with international
operations, including changes in foreign currency exchange rates, could affect our results of operations and financial condition.



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We offer many of our services on a worldwide basis and we are therefore subject to risks associated with doing business
internationally. We anticipate that net revenues from international operations will grow in the future and will represent a greater percentage of total net revenues. As a result, our future results could be negatively affected by a variety of
factors, including: changes in a specific countrys political or economic conditions; potential negative consequences from changes in tax laws; difficulty in staffing and managing widespread operations; and unfavorable labor regulations
applicable to our International operations.



Future acquisitions could
disrupt our ongoing business, distract our management and employees, increase our expenses and adversely affect our business.



The majority of our growth is expected to be generated internally. In addition, current market conditions may provide us with the opportunity to partner with other
quality institutions in the CRO market. As such, acquisitions that make financial sense, fill a strategic need, are of a manageable size, and complement our core competencies would be considered as a means to further supplement our internal growth.
Although we may attempt to grow our business through acquisitions, we may not be able to identify acceptable businesses to acquire or be successful in negotiating mutually agreeable terms; and if we are successful in acquiring businesses, we may not
be successful in integrating the acquired business with our existing operations and we may not realize the benefits anticipated from the acquisition of businesses. Although we have not previously used acquisitions as a means to expand our business,
we may consider strategic acquisitions in the future. However, we may not be able to identify suitable acquisition opportunities or obtain any necessary financing on acceptable terms. Further, any future acquisitions could involve other risks, such
as the assumption of additional expenses and liabilities, the dilution of earnings or dilution of our existing shareholders percentage of ownership, potential losses resulting from undiscovered liabilities of the acquired business not covered by
indemnification we may obtain from the seller, and the diversion of managements attention from other business concerns.



If we were to close an acquisition, we would need to integrate the acquisition into our business operations. In doing so, we may face difficulties in coordinating and
assimilating geographically separated units or organizations and integrating, motivating and retaining personnel with diverse business backgrounds. Further, we may not be able to successfully implement appropriate operational, financial and
management systems and controls to achieve the anticipated benefits from an acquisition. In addition, our ability to integrate an acquisition could be affected by factors beyond our control, including regulatory developments, general economic
conditions, and increased competition. The integration of an acquisition may also result in disruption to our existing business and the loss of existing key personnel and clients, or the loss of the acquired business key personnel or clients.



An acquisition of a foreign business may involve still more risks, including
not being able to successfully assimilate differences in foreign business practices and overcoming language barriers.



The occurrence of one or more of the above, or other factors, may adversely affect our ability to achieve the benefits anticipated from an acquisition. As a result, our
financial condition or results of operations may be materially and adversely affected and we may not be able to grow our business in the manner we desire.



Our stock price may be volatile and could experience substantial declines.



The market price of our common stock has experienced historical volatility and might continue to experience volatility in the future in
response to quarter-to-quarter variations in: operating results;



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changes in backlog and new business results; the issuance of analysts reports; market conditions in the industry;
prospects of health care reform; changes in governmental regulations; and changes in general conditions in the economy or the financial markets.



The general equity markets have also experienced significant fluctuations in value. This volatility and the market variability has affected the market prices of
securities issued by many companies, often for reasons unrelated to their operating performance, and may adversely affect the price of our common stock.



We have never declared a cash dividend on our common stock and do not anticipate paying cash dividends in the foreseeable future. Instead, we intend to retain future
earnings for reinvestment in our business.



Failure to satisfy NADSAQ
SmallCap Market maintenance criteria could negatively impact the liquidity and market price of our common stock.



Our common stock began trading on the NASDAQ SmallCap Market in December 1997. There are several requirements for continued listing on the NASDAQ SmallCap Market
including, but not limited to, a minimum stock price of $1.00 per share and either (a) $2.0 million or more in tangible net worth, (b) market capitalization of $35.0 million or more, or (c) net income in the last fiscal year, or two of the last five
fiscal years, of $500,000 or more.



If our common stock price closes below
$1.00 per share for 30 consecutive days, we may receive notification from NASDAQ that our common stock will be delisted from the NASDAQ SmallCap Market unless the stock closes at or above $1.00 per share for at least ten consecutive days during the
90-day period following such notification. In the future, our common stock price or tangible net worth may fall below the NASDAQ SmallCap Market listing requirements, or we may not comply with other listing requirements, with the result being that
our common stock might be delisted. If our common stock is delisted, we may list our common stock for trading over-the-counter. Delisting from the NASDAQ SmallCap Market could adversely affect the liquidity and price of our common stock and it could
have a long-term impact on our ability to raise future capital through a sale of our common stock. In addition, it could make it more difficult for investors to obtain quotations or trade our stock.



Our common stock may not continue to qualify for exemption from the penny
stock restrictions, which may make it more difficult for you to sell your shares.



The SEC has adopted regulations which define a penny stock to be any equity security that has a market price of less than $5.00 per share, or with an exercise price of less than $5.00 per share, subject to
certain exceptions. For any transaction involving a penny stock, unless exempt, these rules require delivery, prior to any transaction in a penny stock, of a disclosure schedule relating to the penny stock market. Disclosure is also required to be
made about current quotations for the securities and about commissions payable to both the broker-dealer and the registered representative. Finally, broker-dealers must send monthly statements to purchasers of penny stocks disclosing recent price
information for the penny stock held in the account and information on the limited market in penny stocks. These penny stock restrictions will not apply to our shares of common stock as long as: (1) they continue to be listed on the NASDAQ SmallCap
Market; (2) certain price and volume information is publicly available about our shares on a current and continuing basis; and (3) we meet certain minimum net tangible assets or average revenue criteria. Our common stock may not continue to qualify
for an exemption from the penny stock restrictions. If our shares of common stock were subject to the rules on penny stocks, the liquidity of our common stock would be adversely affected.



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ITEM 2. DESCRIPTION OF PROPERTY



As of December
31, 2003, we leased approximately 34,026 square feet of administrative and corporate offices from an independent landlord in Wayne, Pennsylvania, under a lease expiring in December 2010. The rent in 2003 was $72,305 per month.



We lease approximately 1,350 square feet of office space from an independent landlord for our
International operations in the Surrey Research Park, Guilford, Surrey, United Kingdom. The lease expires in 2005 with rent of £2,947 per month (or approximately $5,000).



ITEM 3. LEGAL PROCEEDINGS



The Company is involved
in litigation and other legal matters which have arisen in the normal course of business. Although the ultimate results of these matters are not currently determinable, management does not expect that they will have a material adverse effect on the
Companys consolidated financial position, results of operations or cash flows.



ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS



No matters were submitted to a vote of security holders in the fourth quarter of 2003.



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PART II



ITEM 5. MARKET FOR COMMON EQUITY, RELATED STOCKHOLDER MATTERS, AND ISSUER PURCHASES OF EQUITY SECURITIES



Our common stock is quoted in the NASDAQ Small Cap Market under the symbol CVGR. The following table indicates the high and low bid sale prices per share for
each quarter over the last two fiscal years.



|              |  |          |      |         |   |          |  |         |      |  |   |     
|------------- |  | -------- | ---- | ------- | - | -------- |  | ------- | ---- |  | - | ----
|              |  | 2003     |      | 2002   
|Quarter Ended |  | High Bid |      | Low Bid |   | High Bid |  | Low Bid
|March 31      |  | $        | 2.85 |         | $ | 1.75     |  | $       | 4.90 |  | $ | 2.76
|June 30       |  |          | 2.85 |         |   | 1.86     |  |         | 5.50 |  |   | 3.40
|September 30  |  |          | 3.05 |         |   | 2.10     |  |         | 3.85 |  |   | 2.13
|December 31   |  |          | 2.79 |         |   | 2.11     |  |         | 2.96 |  |   | 1.79



As of March 9, 2004, there were more
than 630 holders of record of our common stock, however, we believe that there are approximately 3,600 additional shareholders in street name who beneficially own our common stock in various brokerage accounts.



We have never declared a cash dividend on our common stock and do not anticipate paying cash
dividends in the foreseeable future.



On July 31, 2003, Dr. Borow, our
President and Chief Executive Officer, exercised an employee stock option to acquire 500,000 shares of our common stock. The option had a grant date of August 6, 1998, an expiration date of August 5, 2003 and an exercise price of $0.6875. As payment
for the shares issued and related withholding taxes, we received from Dr. Borow 140,432 Covalent common shares that were owned by him. The shares received are included as treasury stock in our Consolidated Balance Sheet at December 31, 2003.



ITEM 6. SELECTED FINANCIAL DATA



The following
table represents selected historical consolidated financial data. The statement of operations data for the years ended December 31, 2001, 2002 and 2003 and balance sheet data at December 31, 2002 and 2003 are derived from our audited consolidated
financial statements included elsewhere in this report. The statement of operations data for each of the years ended December 31, 1999 and 2000, and the balance sheet data at December 31, 1999, 2000 and 2001 are derived from audited consolidated
financial statements not included in this report. The historical results are not necessarily indicative of the operating results to be expected in the future. The selected data should be read together with Item 7. Managements Discussion
and Analysis of Financial Condition and Results of Operations and our financial statements and notes to the financial statements.



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|                                                                              |  |                                       |        |   |      |   |        |      |  |   |        |   |      |   |        |  |   |       
|----------------------------------------------------------------------------- |  | ------------------------------------- | ------ | - | ---- | - | ------ | ---- |  | - | ------ | - | ---- | - | ------ |  | - | ------
|                                                                              |  | Year Ended December 31,              
|                                                                              |  | 2003                                  |        |   | 2002 |   |        | 2001 |  |   | 2000   |   | 1999
|                                                                              |  | (in thousands, except per share data)
|Net revenue                                                                   |  | $                                     | 20,836 |   |      | $ | 24,677 |      |  | $ | 18,353 |   |      | $ | 12,027 |  | $ | 14,747
|Operating expenses (1)                                                        |  |                                       | 21,946 |   |      |   | 20,607 |      |  |   | 14,804 |   |      |   | 10,088 |  |   | 12,573
|                                                                              |  |                                       |        |   |      |   |        |      |  |   |        |   |      |   |        |  |   |       
|Income(Loss) from operations                                                  |  |                                       | (1,110 | ) |      |   | 4,070  |      |  |   | 3,549  |   |      |   | 1,939  |  |   | 2,174 
|Other income(expense)                                                         |  |                                       | 4      |   |      |   | (11    | )    |  |   | (56    | ) |      |   | 31     |  |   | 108   
|                                                                              |  |                                       |        |   |      |   |        |      |  |   |        |   |      |   |        |  |   |       
|Income(Loss) before income taxes                                              |  |                                       | (1,106 | ) |      |   | 4,060  |      |  |   | 3,493  |   |      |   | 1,970  |  |   | 2,283 
|Income tax provision(benefit)                                                 |  |                                       | (544   | ) |      |   | 1,605  |      |  |   | 1,458  |   |      |   | 834    |  |   | 845   
|                                                                              |  |                                       |        |   |     
|Cumulative effect of change in accounting for revenue recognition, net of tax |  |                                       |       |   |      |   |       |      |  |   |       |   |      |   | 136    |  |   |      
|                                                                              |  |                                       |        |   |      |   |        |      |  |   |        |   |      |   |        |  |   |       
|Net income(loss)                                                              |  | $                                     | (562   | ) |      | $ | 2,454  |      |  | $ | 2,035  |   |      | $ | 1,000  |  | $ | 1,438 
|                                                                              |  |                                       |        |   |      |   |        |      |  |   |        |   |      |   |        |  |   |       
|Net income(loss) per common share:                                            |  |                                       |        |   |      |   |        |      |  |   |        |   |      |   |        |  |   |       
|Basic                                                                         |  | $                                     | (0.04  | ) |      | $ | 0.19   |      |  | $ | 0.16   |   |      | $ | 0.08   |  | $ | 0.12  
|Diluted                                                                       |  | $                                     | (0.04  | ) |      | $ | 0.19   |      |  | $ | 0.16   |   |      | $ | 0.08   |  | $ | 0.12  
|Weighted average common and common equivalent shares outstanding              |  |                                       |        |   |      |   |        |      |  |   |        |   |      |   |        |  |   |       
|Basic                                                                         |  |                                       | 12,747 |   |      |   | 12,591 |      |  |   | 12,420 |   |      |   | 12,168 |  |   | 12,059
|Diluted                                                                       |  |                                       | 12,747 |   |      |   | 13,199 |      |  |   | 12,963 |   |      |   | 12,932 |  |   | 12,485
|                                                                              |  |                                       |        |   |     
|Consolidated Balance Sheet Data:                                              |  |                                       |        |   |      |   |        |      |  |   |        |   |      |   |        |  |   |       
|Cash and cash equivalents                                                     |  | $                                     | 2,070  |   |      | $ | 2,121  |      |  | $ | 3,455  |   |      | $ | 87     |  | $ | 559   
|Working capital (2)                                                           |  |                                       | 10,511 |   |      |   | 10,772 |      |  |   | 7,898  |   |      |   | 5,203  |  |   | 3,644 
|Total assets                                                                  |  |                                       | 20,385 |   |      |   | 20,836 |      |  |   | 15,113 |   |      |   | 9,311  |  |   | 8,742 
|Long term debt                                                                |  |                                       | 87     |   |      |   | 3      |      |  |   | 62     |   |      |   | 75     |  |   |      
|Total liabilities                                                             |  |                                       | 9,043  |   |      |   | 9,108  |      |  |   | 6,223  |   |      |   | 3,071  |  |   | 3,985 
|Shareholders equity                                                          |  |                                       | 11,342 |   |      |   | 11,728 |      |  |   | 8,889  |   |      |   | 6,240  |  |   | 4,758 

---

|(1) | Excludes the impact of reimbursement for out-of-pocket expenses.
|--- | ----------------------------------------------------------------

|(2) | Working capital is calculated as current assets minus current liabilities.
|--- | --------------------------------------------------------------------------



ITEM 7. MANAGEMENTS DISCUSSION AND ANALYSIS OF RESULTS OF OPERATIONS AND FINANCIAL CONDITION



General



We are a clinical research organization who is a leader in the design and management of complex clinical trials for the pharmaceutical, biotechnology and medical device industries. Our mission is to provide our
clients with high quality, full-service support for their clinical trials. We offer therapeutic expertise, experienced team management and advanced technologies. Our headquarters is in Wayne, Pennsylvania and our International operations are based
in Guildford, Surrey, United Kingdom.



Net revenue is derived principally from
the design, management and monitoring of clinical research studies. Clinical research service contracts generally have terms ranging from several months to several years. A portion of the contract fee is generally payable upon execution of the
contract, with the balance payable in installments over the life of the contract. Several of our older contracts contain payment schedules that are weighted towards the later stages of the contract. The majority of our net revenue is recognized from
fixed-price contracts on a proportional performance basis. To measure the



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performance, we compare actual direct costs incurred to estimated total contract direct costs, which is the best
indicator of the performance of the contract obligations as the costs relate to the labor hours incurred to perform the service.



Contracts generally may be terminated by clients immediately or with short notice. Clinical trials may be terminated or delayed for several reasons including, among
others, unexpected results or adverse patient reactions to the drug, inadequate patient enrollment or investigator recruitment, manufacturing problems resulting in shortages of the drug, client budget constraints or decisions by the client to
de-emphasize or terminate a particular trial or development efforts on a particular drug. Depending on the size of the trial in question, a clients decision to terminate or delay a trial in which we participate could have a material and
adverse effect on our backlog, future revenue and results from operations. In 2003, we experienced contract cancellations as discussed in Item 1.



Critical Accounting Policies and Estimates



The following discussion should be read in conjunction with the consolidated financial statements and notes thereto.



Our consolidated financial statements have been prepared in conformity with accounting
principles generally accepted in the United States of America. The preparation of these financial statements requires management to make certain estimates, judgments and assumptions that affect the reported amounts of assets and liabilities at the
date of the financial statements and the reported amounts of revenues and expenses during the periods presented. On an ongoing basis, management evaluates its judgments and estimates. Management bases its judgments and estimates on historical
experience and on various other factors that are believed to be reasonable under the circumstances. Actual results may differ from these estimates under different assumptions or conditions. Management considers the following policies to be most
critical in understanding the more complex judgments that are involved in preparing our consolidated financial statements and the uncertainties that could affect our results of operations and financial condition.



Revenue Recognition



The majority of our net revenue is recognized from fixed-price contracts on a proportional
performance basis. To measure the performance, we compare actual direct costs incurred to estimated total contract direct costs, which is the best indicator of the performance of the contract obligations as the costs relate to the labor hours
incurred to perform the service. Total direct costs are incurred for each contract and compared to estimated total direct costs for each contract to determine the percentage of the contract that is completed. This percentage is multiplied by the
estimated total contract value to determine the amount of net revenue recognized. A formal project review process takes place quarterly although most projects are evaluated on an ongoing basis. Management reviews the estimated total direct costs on
each contract to determine if estimated amounts are correct, and estimates are adjusted as needed. If we determine that a loss will result from the performance of a fixed-price contract, the entire amount of the estimated loss is charged against
income in the period in which such determination is made. Because of the inherent uncertainties in estimating direct costs required to complete a project, particularly complex, multi-year studies, it is possible that the estimates used will change
and could result in a material change to our estimates. Original estimates might also be changed due to changes in the scope of work. We attempt to negotiate contract amendments with the client to cover these services provided outside the terms of
the original contract. There can be no assurance that the client will agree to the proposed amendments, and we ultimately bear the risk of cost overruns. During 2003 we performed services and incurred expense related to several changes in scope for
a large clinical development program for which the related contract amendments were not signed until March 2004. We have recognized the costs for such services during 2003, however, we expect to



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recognize the related revenues for these services in the first quarter 2004. For terminated studies, our contracts
frequently entitle us to receive the costs of winding down the terminated project, as well as all fees earned by us up to the time of termination.



Costs and estimated earnings in excess of related billings on uncompleted contracts represents net revenue recognized to date that is currently unbillable to the client
pursuant to contractual terms. In general, amounts become billable upon the achievement of milestones or in accordance with predetermined payment schedules set forth in the contracts with our clients. Several of our older contracts contain payment
schedules that are weighted towards the later stages of the contract. Billings in excess of related costs and estimated earnings on uncompleted contracts represent amounts billed in excess of net revenue recognized at the balance sheet date.



Reimbursable Out-of-Pocket Expenses



On behalf of our clients, we pay fees to investigators and other out-of-pocket costs for
which we are reimbursed at cost, without mark-up or profit. In connection with the required implementation on January 1, 2002, of Financial Accounting Standards Board Emerging Issues Task Force Rule No. 01-14 (EITF 01-14), Income
Statement Characterization of Reimbursements Received for Out-of-Pocket Expenses Incurred, out-of-pocket costs are included in Operating Expenses, while the reimbursements received are reported separately as Reimbursement Revenue
in the Consolidated Statements of Operations.



As is customary in the industry,
we exclude from revenue and expense in the Consolidated Statement of Operations fees paid to investigators and the associated reimbursement since we act as agent on behalf of our clients with regard to investigators. These investigator fees are not
reflected in our Net Revenue, Reimbursement Revenue, Reimbursement Out-of-Pocket Expenses, and/or Direct Expenses. The amounts of these investigator fees were $10.5 million, $8.1 million, and $4.7 million for the years ended December 31, 2003, 2002,
and 2001 respectively.



Concentration of Credit Risk



Our accounts receivable and costs and estimated earnings in excess of related billings on
uncompleted contracts are concentrated with a small number of companies within the pharmaceutical, biotechnology and medical device industries. The significant majority of this exposure is to large, well established firms. Credit losses have
historically been minimal. As of December 31, 2003, the total of accounts receivable and costs and estimated earnings in excess of related billings on uncompleted contracts was $14.5 million. Of this amount, the exposure to our three largest clients
was 72% of the total, with the three largest clients representing 37%, 30%, and 5% of total exposure, respectively. As of December 31, 2002, the total of accounts receivable and costs and estimated earnings in excess of related billings on
uncompleted contracts was $16.6 million. Of this amount, the exposure to our three largest clients was 89% of the total, with the three largest clients representing 41%, 40%, and 8% of total exposure, respectively.



Operating Expenses



Direct expenses include amounts incurred during the period that are directly related to the management or completion of a clinical trial or
related project and generally include direct labor and related benefit charges, other direct costs and certain allocated expenses. Direct costs as a percentage of net revenues tend to fluctuate from one period to another as a result of changes in
the mix of services provided and the various studies conducted during any time period. Selling, general and administrative expenses include the salaries, wages and benefits of all administrative, finance and business development personnel, and all
other support expenses not directly related to specific contracts.



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Stock-Based Compensation



The company has adopted equity incentive plans that provide for the granting of stock options to employees, directors, advisors and consultants. We account for grants
of options to employees and directors under these plans applying the intrinsic value method provided for in Accounting Principles Board (APB) Opinion No. 25 Accounting for Stock Issued to Employees and related
interpretations. No stock-based compensation expense is reflected in net income as all options granted under the plan had an exercise price equal to the market value of the underlying common stock on the date of the grant. In addition to APB Opinion
No. 25, we provide the disclosures required by Statement of Financial Accounting Standards (SFAS) No. 123 Accounting for Stock-Based Compensation and by SFAS No. 148 Accounting for Stock-Based Compensation 
Transition and Disclosure.



Results of Operations



The following table sets forth amounts for certain items in our consolidated statements of
operations expressed as a percentage of net revenue. The following table excludes revenue and costs related to reimbursable out-of-pocket expenses because they are not generated by the services we provide, do not yield any gross profit to us, and do
not have any impact on our net income. We believe this information is useful to our investors because it presents the net revenue and expenses that are directly attributable to the services we provide to our clients and provides a more accurate
picture of our operating results and margins.



Percentage of
Net Revenue, Excluding Reimbursable Out-of-Pocket Expenses



|                                    |  |                         |    |  |       |   |  |       |  
|----------------------------------- |  | ----------------------- | -- |  | ----- | - |  | ----- | -
|                                    |  | Year Ended December 31, |   
|                                    |  | 2003                    |    |  | 2002  |   |  | 2001  |  
|Net revenue                         |  | 100.0                   | %  |  | 100.0 | % |  | 100.0 | %
|Operating Expenses                  |  |                         |    |  |       |   |  |       |  
|Direct                              |  | 74.0                    | %  |  | 60.0  | % |  | 52.4  | %
|Selling, general and administrative |  | 27.1                    | %  |  | 20.9  | % |  | 25.5  | %
|Depreciation                        |  | 4.2                     | %  |  | 2.6   | % |  | 2.8   | %
|Income(Loss) from Operations        |  | (5.3                    | )% |  | 16.5  | % |  | 19.3  | %
|Net Income(Loss)                    |  | (2.7                    | )% |  | 9.9   | % |  | 11.1  | %



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Year Ended December 31, 2003 Compared With Year Ended December 31, 2002



Net revenue for 2003 decreased 16% to $20.8 million as compared to $24.7 million for 2002.
The decrease in net revenue was a result of a lower than anticipated level of, and delay in obtaining, new business awards as well as the fact that several projects were winding down as they entered the later stages of their development schedules.
Also reducing net revenue were increases in the estimate of the cost to complete for several projects. New business awards and changes of scope for 2003 were approximately $21.7 million as compared to approximately $18.6 million for 2002, an
increase of 17%. If we are not able to increase our level of new business production, our business, financial condition and results of operations would be materially and adversely affected. We have announced $4.8 million in new contracts for the
current calendar year. For the year ended December 31, 2003, net revenue from our three largest clients amounted to 69% of our net revenue, with the three largest clients representing 41%, 21%, and 7% of net revenue, respectively. For the year ended
December 31, 2002, net revenue from our three largest clients amounted to 86% of our net revenue, with the three largest clients representing 46%, 30%, and 10% of net revenue, respectively.



Reimbursement revenue consisted of reimbursable out-of-pocket expenses incurred on behalf of
our clients. Reimbursements are made at cost, without mark-up or profit, and therefore have no impact on net income.



Direct expenses included compensation and other expenses directly related to conducting clinical studies. These costs increased by $600 thousand to $15.4 million for the
year ended December 31, 2003 from $14.8 million for the year ended December 31, 2002. The increase in direct expenses resulted principally from higher personnel costs to handle project requirements. Direct expenses as a percentage of net revenue
were 74% for the year ended December 31, 2003 as compared to 60% for the year ended December 31, 2002. The increase in the ratio was principally due to the lower level of net revenue reported during 2003 against an existing base of fixed direct
expenses.



Selling, general, and administrative expenses included the salaries,
wages and benefits of all administrative, financial and business development personnel and all other support expenses not directly related to specific contracts. Selling, general and administrative expenses for the year ended December 31, 2003 were
$5.7 million, or 27% of net revenue, as compared to $5.1 million, or 21% of net revenue, for the year ended December 31, 2002. The increase of $600 thousand primarily reflected higher rent expense. The increase as a percentage of net revenue
generally reflects the impact of increased rent expense against a lower level of net revenue.



Depreciation and amortization expense increased to $878 thousand for the year ended December 31, 2003 from $643 thousand for the year ended December 31, 2002, primarily as a result of having a full year of
depreciation expense for leasehold improvements added during late 2002.



Income
from operations decreased by $5.2 million, to a loss from operations of $1.1 million, primarily for the reasons noted in the preceding paragraphs.



Net interest income for the year ended December 31, 2003 was $4 thousand compared to net interest expense of $11 thousand for the year ended December 31, 2002, largely
the result of having more cash to invest.



The effective income tax rate
(benefit) for the year ended December 31, 2003 and 2002 was (49)% and 40%, respectively. The 2003 credit rate reflects a loss from operations in the U.S. and positive earnings from outside the United States that still benefit from the utilization of
a tax loss carryforward.



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The net income (loss) for the year ended December 31, 2003 decreased to $(562) thousand, or $(.04) per diluted share, as
compared to $2.5 million, or $0.19 per diluted share for the year ended December 31, 2002, primarily for the reasons noted above.



The operating results for the year ended December 31, 2003 included in this Annual Report on Form 10-K reflect some minor changes from the results reported in the
Companys announcement of its operating results on March 10, 2004. The principal changes increased the net loss by approximately $100 thousand, as compared to the results previously reported, relating primarily to the reversal of a portion of
the tax benefit. In addition, compared to the results previously reported, net revenues increased by $69 thousand with $145 thousand of offsetting operating expense increases. These changes increased the loss from operations $77 thousand and
increased the net loss by $29 thousand. The other change was a reclassification of $64 thousand of franchise taxes to operating expense, which resulted in a slight increase in the tax benefit. On a per share basis (basic and diluted), these changes
increased the net loss by $.01 from ($.03) to ($.04) per share. In addition, reimbursement revenue (and the related expense) increased by $597 thousand as compared to the previously reported results, but these items do not impact the Companys
net operating results. These changes also resulted in some minor changes to related items on the Companys consolidated balance sheet and statement of cash flows at and for the year ended December 31, 2003. The consolidated balance sheet as of
December 31, 2003 also includes some adjustments to current liabilities primarily related to investigator payments, which did not impact results of operations for the year ended December 31, 2003.



Year Ended December 31, 2002 Compared With Year Ended December 31, 2001



Net revenue for 2002 increased 34% to $24.7 million as compared to $18.4 million for 2001.
The increase of $6.3 million resulted from new business awards and changes of scope as well as an increase in the average size and number of Phase I through Phase IV trials being conducted. In 2002, there were approximately 35 clinical trials and
other studies conducted as compared to 27 in 2001. New business awards and changes of scope in 2002 were $18.6 million as compared to $24.4 million in 2001. During the 3rdquarter, two studies, aggregating $3.7 million, were terminated by two separate sponsors due to a combination of the sponsors internal budget
constraints and safety and efficacy issues identified during the course of the study. The termination of these studies did not have a material impact on net revenues in 2002. During the 4thquarter, two changes of scope for services previously provided contributed approximately $1.1 million to net revenue. Net revenue from our three largest
clients amounted to 86% of our net revenue, with the three largest clients representing 46%, 30%, and 10% of net revenue, respectively. For 2001, net revenue from our three largest clients amounted to 85% of our net revenue, with the three largest
clients representing 55%, 18%, and 12% of net revenue, respectively.



Reimbursement revenue consisted of reimbursable out-of-pocket expenses incurred on behalf of our clients. Reimbursements are made at cost, without mark-up or profit, and therefore have no impact on net income.



Direct expenses included compensation and other expenses directly related to conducting
clinical studies. These costs increased by $5.2 million to $14.8 million in 2002 from $9.6 million in 2001. The increase in direct expenses resulted principally from the increase in personnel costs associated with a higher average size and number of
Phase I through Phase IV trials being conducted. Direct expenses as a percentage of net revenue were 60% for 2002 as compared to 52% for 2001. The increase was principally due to the mix of levels of personnel involved in the contracts performed,
variations in the utilization of personnel and the mix of contracts being performed during each period. In addition, during the third quarter of 2002, we made an adjustment to cost and revenue estimates on a significant contract, the effect of which
was to reduce income from operations by $564 thousand and to increase the ratio of direct expense to net revenue.



Selling, general, and administrative expenses included the salaries, wages and benefits of all administrative, financial and business development personnel and all other
support expenses not directly related to specific contracts. Selling, general and administrative expenses for 2002 were $5.1 million, or 21% of net revenue, as compared to $4.7 million, or 25% of net revenue, for 2001. The increase of $475 thousand
reflects increased staff expenses, rent and insurance expenses. The decrease as a percentage of net revenue reflects obtaining reimbursements for a larger portion of out-of-pocket expenses in 2002 as well as greater control over administrative
expenses.



Depreciation and amortization expense increased to $643 thousand for
2002 from $522 thousand for 2001 as a result of additional purchases of office and computer equipment.



Income from operations of $4.1 million increased by $521 thousand, or 15%, primarily for the reasons noted in the preceding paragraphs.



Net interest expense for 2002 was $11 thousand compared to net interest expense of $56 thousand for 2001, a positive change of $45 thousand,
largely the result of having a lower amount of capital leases and less short term indebtedness outstanding.



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The effective income tax rate for 2002 and 2001 was 40% and 42%, respectively. The decrease of 2% is largely the result
of the ability to utilize carryforwards available as the result of prior losses generated outside the United States.



Net income for the year ended December 31, 2002 increased 21% to $2.5 million, or $0.19 per diluted share, as compared to $2.0 million, or $0.16 per diluted share for
2001, primarily for the reasons noted in the preceding paragraphs.



Liquidity and Capital Resources



The clinical research
organization industry is generally not considered capital intensive. We expect to continue to fund our operations from existing cash resources, cash flow from operations and borrowings under our line of credit. We expect that our principal cash
requirements on both a short and long-term basis will be for the funding of our operations and capital expenditures. We expect to continue expanding our operations through internal growth, expansion of our existing services, continued expansion of
our international operational capabilities, and the development of new products and services for the pharmaceutical, biotechnology and medical device industries. We believe that our existing cash resources, cash generated from operations, and the
borrowing availability under our line of credit will provide sufficient liquidity for the foreseeable future. However, in the event that we make significant acquisitions in the future, we may need to raise additional funds through additional
borrowings or the issuance of debt or equity securities.



Our contracts usually
require a portion of the contract amount to be paid at the time the contract is initiated. Additional payments are generally made upon completion of negotiated performance milestones, or on a regularly scheduled basis, throughout the life of the
contract. Several of our older contracts contain payment schedules that are weighted towards the later stages of the contract. Accordingly, cash receipts do not necessarily correspond to costs incurred and revenue recognized. For terminated studies,
our contracts frequently entitle us to receive the costs of winding down the terminated project, as well as all fees earned by us up to the time of termination.



Net revenue is recognized on a proportional performance basis. We typically receive a low volume of large-dollar receipts. As a result, the number of days net revenue
outstanding in accounts receivable, costs and estimated earnings in excess of related billings, customer advances, and billings in excess of related costs will fluctuate due to the timing and size of billings and cash receipts. At December 31, 2003,
the net days revenue outstanding was 188 days compared to 130 days at December 31, 2002. Compared to December 31, 2002, accounts receivable decreased $1.9 million to $5.7 million at December 31, 2003, primarily due to the timing of billings and
progress payments for clinical trials. Of the accounts receivable balance at December 31, 2003, 3% of the total was over 60 days past invoice date.



Compared to December 31, 2002, costs and estimated earnings in excess of related billings on uncompleted contracts decreased $300 thousand to $8.7 million at December 31,
2003. The decrease primarily represents timing differences between the net revenue recognized on the trials being managed and the billing milestones or payment schedules contained in the contracts with our clients. The balance at December 31, 2003
primarily consisted of 4 clinical trials, which individually constituted 41%, 19%, 11% and 9% of the balance. These clinical trials are expected to be billed during 2004. The decrease in the liability account billings in excess of related costs and
estimated earnings on uncompleted contracts of $600 thousand to $1.2 million as of December 31, 2003 from $1.8 million as of December 31, 2002, resulted from continued progress on several contracts with billing schedules weighted toward the earlier
phases of the study. The decrease in customer advances of $600 thousand to $3.0 million as of December 31, 2003 from $3.6 million as of December 31, 2002 resulted primarily from the net utilization of customer advances for investigator payments.



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Our net cash provided by operating activities was $428 thousand for the year ended December 31, 2003, compared with net
cash used by operating activities of $987 thousand for the year ended December 31, 2002. The primary factors underlying this change was the decrease in our costs and estimated earnings in excess of related billings on uncompleted contracts relative
to the end of the prior year and a significant increase in cash collections of receivables. Net cash used by investing activities, consisting principally of purchases of property, equipment and leasehold improvements, was $581 thousand for the year
ended December 31, 2003, compared with net cash used by investing activities of $664 thousand for the year ended December 31, 2002. Purchases and leasehold improvements for the year ended December 31, 2003 included leasehold improvements, software
and hardware, including host servers and computers for our corporate office and field-based personnel. Net cash provided by financing activities was $3 thousand for the year ended December 31, 2003, compared with net cash provided by financing
activities of $300 thousand for the year ended December 31, 2002. The primary difference related to the scheduled repayment of capital lease obligations. As a result of these cash flows, our cash and cash equivalents balance at December 31, 2003 was
$2.1 million as compared to $2.1 million at December 31, 2002.



We maintain a
demand line of credit with a bank under which maximum borrowings are the lesser of $2.5 million or 75% of eligible accounts receivable, as defined in the loan agreement, and bear interest at the LIBOR Market Index Rate plus 2.65%. As of December 31,
2003, there were no borrowings under the line of credit, and the maximum available under the terms of the line of credit was $2.3 million. The line of credit was renewed on June 17, 2003 and expires on June 30, 2004. Borrowings under the line of
credit are secured by substantially all of our assets. Our agreement with the bank provides that we maintain a minimum tangible net worth of $10.75 million and a ratio of total liabilities to tangible net worth of not more than 1.25 to 1.00. As of
December 31, 2003, we were in compliance with these covenants.



Off Balance
Sheet Financing Arrangements



As of December 31, 2003, we did not have any
off-balance sheet financing arrangements or any equity ownership interests in any variable interest entity or other minority owned ventures.



Contractual Obligations and Commitments



For 2003, we entered into new capital lease obligations totaling $123 thousand as compared to $0 in new capital lease obligations in 2002. These leases were recorded as
assets and in general were for peripheral office equipment. We are committed under a number of non-cancelable operating leases, primarily related to office space and other office equipment.



30



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##### Table of Contents

Below is a summary of our future payment commitments by year under contractual obligations as of December 31, 2003.
Actual amounts paid under these agreements could be higher or lower than the amounts shown below as a result of changes in volume and other variables:



|                                 |  |      |            |      |   |           |  |      |           |      |   |            |  |       |         |  |   |           |  |   |           
|-------------------------------- |  | ---- | ---------- | ---- | - | --------- |  | ---- | --------- | ---- | - | ---------- |  | ----- | ------- |  | - | --------- |  | - | ----------
|                                 |  | 2004 |            | 2005 |   | 2006      |  | 2007 |           | 2008 |   | Thereafter |  | Total
|Obligations under capital leases |  | $    | 24,268     |      | $ | 23,709    |  | $    | 26,314    |      | $ | 29,204     |  | $     | 7,791   |  | $ |          |  | $ | 111,286   
|Operating Leases                 |  |      | 961,777    |      |   | 960,171   |  |      | 921,018   |      |   | 937,259    |  |       | 952,728 |  |   | 1,956,495 |  |   | 6,689,448 
|Employment agreements            |  |      | 403,000    |      |   | 325,000   |  |      | 81,250    |      |   |           |  |       |        |  |   |          |  |   | 809,250   
|Service agreements               |  |      | 8,926,000  |      |   |          |  |      |          |      |   |           |  |       |        |  |   |          |  |   | 8,926,000 
|                                 |  |      |            |      |   |           |  |      |           |      |   |            |  |       |         |  |   |           |  |   |           
|Total                            |  | $    | 10,315,045 |      | $ | 1,308,880 |  | $    | 1,028,582 |      | $ | 966,463    |  | $     | 960,519 |  | $ | 1,956,495 |  | $ | 16,535,984
|                                 |  |      |            |      |   |           |  |      |           |      |   |            |  |       |         |  |   |           |  |   |           



In 2004, we anticipate capital
expenditures of approximately $150 thousand - $250 thousand for leasehold improvements, software applications, workstations, personal computer equipment and related assets. A significant portion of our service agreement commitments, which are
primarily comprised of investigator payments, are expected to be reimbursed under agreements with clients.



Recently Issued Accounting Standards



In June 2001, the Financial Accounting Standards Board (FASB) issued SFAS No. 143, Accounting for Asset Retirement Obligations. This Statement addresses financial accounting and reporting for obligations associated
with the retirement of tangible long-lived assets and the associated asset retirement costs. This Statement requires that the fair value of a liability for an asset retirement obligation be recognized in the period in which it is incurred if a
reasonable estimate of fair value can be made. SFAS No. 143 is effective for financial statements issued for fiscal years beginning after June 15, 2002. Adoption of SFAS No. 143 did not have a material impact on our financial statements.



In July 2002, the FASB issued SFAS No. 146, Accounting for Costs Associated with
Exit or Disposal Activities. SFAS No. 146 requires companies to recognize costs associated with exit or disposal activities when they are incurred rather than at the date of a commitment to an exit or disposal plan. Previous accounting
guidance was provided by EITF No. 94-3, Liability Recognition for Certain Employee Termination Benefits and Other Costs to Exit an Activity (including Certain Costs Incurred in a Restructuring). SFAS No. 146 replaces EITF No. 94-3 and is
to be applied prospectively to exit or disposal activities initiated after December 31, 2002. Adoption of SFAS No. 146 did not have a material impact on our financial statements.



In November 2002, the EITF finalized its tentative consensus on EITF Issue 00-21, Revenue Arrangements with Multiple
Deliverables, which provides guidance on the timing and method of revenue recognition for sales arrangements that include the delivery of more than one product or service. EITF 00-21 is effective prospectively for arrangements entered into in
fiscal periods beginning after June 15, 2003. Adoption of EITF Issue 00-21 did not have a material impact on our financial statements.



In December 2002, the FASB issued SFAS No. 148, Accounting for Stock-Based Compensation  Transition and Disclosure. SFAS No. 148 amends SFAS No. 123,
Accounting for Stock-Based Compensation, to provide for alternative methods of transition for a voluntary change to the fair value based method of accounting for stock-based employee compensation. SFAS No. 148 also requires disclosure of
comparable information for all companies, regardless of whether they have adopted the fair value or intrinsic value method of accounting for stock-based employee compensation. SFAS No. 148 is effective for financial statements issued for fiscal
years ending after December 15, 2002, and interim periods beginning after December 15, 2002. Adoption of SFAS No. 148 did not have a material impact on our financial statements, other than expanding our disclosures.



In January 2003, the FASB issued Interpretation No. 46, Consolidation of Variable
Interest Entities. Interpretation No. 46 provides an interpretation of Accounting Research Bulletin No. 51, Consolidated Financial Statements with respect to the consolidation of variable interest entities. Interpretation No. 46
requires existing unconsolidated variable interest entities to be consolidated by



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their primary beneficiaries if the entities do not effectively disperse risks among the parties involved. In December
2003, the FASB issued a revision to FIN 46, or FIN 46R, to clarify some of the provisions of FIN 46. We currently have no entities which have the characteristics of a variable interest entity. Furthermore, we do not expect that the adoption of the
remaining provision of FIN 46R in the quarter ending March 31, 2004 will have an impact on our financial statements.



In April 2003, the FASB issued SFAS No. 149, Amendment of Statement 133 on Derivative Instruments and Hedging Activities. SFAS No. 149 amends and clarifies
financial accounting and reporting for derivative instruments, including certain derivative instruments embedded in other contracts (collectively referred to as derivatives) and for hedging activities under SFAS No. 133, Accounting for
Derivative Instruments and Hedging Activities. SFAS No. 149 is effective for contracts entered into or modified after June 30, 2003, except as stated below and for hedging relationships designated after June 30, 2003. The provisions of SFAS
No. 149 that relate to Statement 133 Implementation Issues that have been effective for fiscal quarters that began prior to June 15, 2003, should continue to be applied in accordance with their respective effective dates. The Company has not entered
into any derivative transactions and therefore the adoption of this standard has not had a material impact on our financial statements.



In May 2003, the FASB issued SFAS No. 150, Accounting for Certain Financial Instruments with Characteristics of both Liabilities and Equity, which establishes
standards for how an issuer classifies and measures certain financial instruments with characteristics of both liabilities and equity. SFAS No. 150 requires that an issuer classify a financial instrument that is within its scope, which may have
previously been reported as equity, as a liability (or an asset in some circumstances). This statement is effective for financial instruments entered into or modified after May 31, 2003, and otherwise is effective at the beginning of the first
interim period beginning after June 15, 2003. Adoption of SFAS No. 150 has not had a material impact on our financial statements. The FASB is addressing certain implementation issues associated with the application of SFAS No. 150 including those
related to mandatorily redeemable financial instruments representing noncontrolling interesting subsidiaries included in consolidated financial statements. The Company will monitor the actions of the FASB and assess the impact, if any, that these
actions may have on its financial statements.



ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK



Market Risk



The fair value of cash and
cash equivalents, restricted cash, accounts receivable, costs and estimated earnings in excess of related billings on uncompleted contracts, accounts payable, accrued expenses and billings in excess of related costs and estimated earnings on
uncompleted contracts were not materially different than their carrying amounts as reported at December 31, 2003 and December 31, 2002.



As of December 31, 2003, the Company was not a counterparty to any forward foreign exchange contracts or any other transaction involving a derivative financial
instrument.



Foreign Currency Exchange Risk



The Company is exposed to foreign currency exchange risk through its international
operations. For the year ended December 31, 2003, approximately 6%, of our net revenue was derived from contracts denominated in other than U.S. Dollars. Our financial statements are denominated in U.S. Dollars. As a result, factors associated with
international operations, including changes in foreign currency exchange rates, could affect our results of operations and financial condition. Contracts entered into in



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the United States are denominated in U.S. Dollars. Contracts entered into by our international subsidiary are generally
denominated in pounds sterling or Euros. To date, we have not engaged in any derivative or contractual hedging activities related to our foreign exchange exposures. We believe that these exposures are limited by virtue of their size relative to our
overall operations as well as the partial natural hedge afforded by our local currency expenditures to service these local currency contracts.



Assets and liabilities of the Companys international operations are translated into U.S. Dollars at exchange rates in effect on the balance sheet date and equity
accounts are translated at historical exchange rates. Revenue and expense items are translated at average exchange rates in effect during the quarter. Gains or losses from translating foreign currency financial statements are recorded in other
comprehensive income. The cumulative translation adjustment included in other comprehensive income for the years ended December 31, 2003, December 31, 2002 and December 31, 2001 was $99 thousand, $18 thousand, and $9 thousand respectively.



We believe that the effects of inflation generally have not had a material
adverse impact on our operations or financial condition.



33



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##### Table of Contents

ITEM 8. FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA



Our financial statements listed below are contained herein beginning at page F-1:



(a) Financial Statements



|                                                |  |    
|----------------------------------------------- |  | ---
|                                                | 
|Independent Auditors Report                    |  | F-2
|                                                | 
|Consolidated Statements of Operations           |  | F-3
|                                                | 
|Consolidated Balance Sheets                     |  | F-4
|                                                | 
|Consolidated Statements of Stockholders Equity |  | F-5
|                                                | 
|Consolidated Statements of Cash Flows           |  | F-6
|                                                | 
|Notes to Consolidated Financial Statements      |  | F-7



(b)
Financial Statements Schedules



All schedules have
been omitted because either they are not required or are not applicable or because the required information has been included elsewhere in the Financial Statements or the notes thereto.



ITEM 9. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE



None.



ITEM 9A. CONTROLS AND PROCEDURES



Our management,
including our principal executive officer and principal financial officer, has evaluated the effectiveness of our disclosure controls and procedures as of December 31, 2003. Our disclosure controls and procedures are designed to provide reasonable
assurance that the information required to be disclosed in this annual report on Form 10-K has been appropriately recorded, processed, summarized and reported. Based on that evaluation, our principal executive and principal financial officers have
concluded that our disclosure controls and procedures are effective at the reasonable assurance level. Our management, including our principal executive and principal financial officers, has evaluated any changes in our internal control over
financial reporting that occurred during the year ended December 31, 2003, and has concluded that there was no change that occurred during the year ended December 31, 2003 that has materially affected, or is reasonably likely to materially affect,
our internal control over financial reporting.



34



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##### Table of Contents

PART III



ITEM 10. DIRECTORS AND EXECUTIVE OFFICERS OF REGISTRANT



Information concerning Directors, Executive Officers, Promoters and Control Persons; Compliance with Section 16(a) of the Exchange Act, is incorporated herein by reference to the similarly titled section in our definitive proxy materials
for our 2004 Annual Meeting of Stockholders.



ITEM 11. EXECUTIVE COMPENSATION



Information
concerning Executive Compensation is incorporated herein by reference to the similarly titled section in our definitive proxy materials for our 2004 Annual Meeting of Stockholders.



ITEM 12. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS



Information concerning Security Ownership of Certain Beneficial Owners and Management and Related Stockholder Matters is incorporated herein by reference to the similarly
titled section in our definitive proxy materials for our 2004 Annual Meeting of Stockholders.



ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS



Information concerning Certain Relationships and Related Transactions is incorporated herein by reference to the similarly titled section in our definitive proxy materials for our 2004 Annual Meeting of Stockholders.



ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES



Information concerning Principal Accountant Fees and Services is incorporated herein by reference to the similarly titled section in our definitive proxy materials for our 2004 Annual Meeting of Stockholders.



ITEM 15. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS ON FORM 8-K



(a) Exhibits



|     |  |                                                                                                                                                                        
|---- |  | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------
|3.1  |  | Certificate of Incorporation of Covalent Group, Inc., a Delaware corporation, filed with the Secretary of State of the State of Delaware on April 16, 2002.(1)         
|     | 
|3.2  |  | Bylaws of Covalent Group, Inc., a Delaware corporation.(1)                                                                                                             
|     | 
|10.1 |  | Covalent Group, Inc. 2002 Equity Incentive Plan.(2)                                                                                                                    
|     | 
|10.2 |  | Amended and Restated Covalent Group, Inc. 1996 Stock Incentive Plan.(3)                                                                                                
|     | 
|10.3 |  | 1995 Stock Option Plan.(4)                                                                                                                                             
|     | 
|10.4 |  | Lease between Dean Witter Realty Income Partnership II and Covalent Group, Inc. dated November 14, 1996.(4)                                                            
|     | 
|10.5 |  | Fourth Amendment to Lease between FV Office Partners, L.P. (successor to Dean Witter Realty Income Partnership II) and Covalent Group, Inc. dated November 27, 2001.(5)
|     | 
|10.6 |  | Fifth Amendment to Lease between FV Office Partners, L.P. and Covalent Group, Inc. dated December 13, 2002.(6)                                                         
|     | 
|10.7 |  | Loan Agreement with Wachovia Bank, National Association dated June 17, 2003.(7)                                                                                        



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|      |  |                                                                                                                                                                  
|----- |  | -----------------------------------------------------------------------------------------------------------------------------------------------------------------
|10.8  |  | Employment Agreement between Covalent Group, Inc. and Kenneth M. Borow, M.D.(6)                                                                                  
|      | 
|10.9  |  | Form of Indemnification Agreement between Covalent Group, Inc., a Delaware Corporation, and its officers and directors.(8)                                       
|      | 
|10.10 |  | Amended and Restated Employment Agreement between Covalent Group, Inc. and Brian Dickson, M.D.(9)                                                                
|      | 
|21    |  | Subsidiaries of the Registrant.                                                                                                                                  
|      | 
|23    |  | Consent of Deloitte & Touche LLP.                                                                                                                                
|      | 
|31.1  |  | Certification of Chief Executive Officer required by Rule 13a-14(a) or Rule 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.     
|      | 
|31.2  |  | Certification of Principal Accounting Officer required by Rule 13a-14(a) or Rule 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
|      | 
|32.1  |  | Certification pursuant to 18 U.S.C. § 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.                                                
|      | 
|32.2  |  | Certification pursuant to 18 U.S.C. § 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.                                                

---

|(1) | Filed as an Exhibit on Form 8-K (No. 0-21145) filed with the Securities & Exchange Commission on July 2, 2002 and incorporated herein by reference.
|--- | ---------------------------------------------------------------------------------------------------------------------------------------------------

|(2) | Incorporated by reference to Appendix E of the Proxy Statement for the 2002 Annual Meeting of Stockholders.
|--- | -----------------------------------------------------------------------------------------------------------

|(3) | Incorporated by reference to Annex A of the Proxy Statement for the 2000 Annual Meeting of Stockholders.
|--- | --------------------------------------------------------------------------------------------------------

|(4) | Filed as an Exhibit to our Annual Report on Form 10-KSB (No. 0-21145) filed with the Securities and Exchange Commission on March 30, 1998 and incorporated herein by reference.
|--- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(5) | Filed as an Exhibit to our Annual Report on Form 10-KSB (No. 0-21145) filed with the Securities and Exchange Commission on April 1, 2002 and incorporated herein by reference.
|--- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(6) | Filed as an Exhibit to our Annual Report on Form 10-KSB (No. 0-21145) filed with the Securities and Exchange Commission on March 31, 2003 and incorporated herein by reference.
|--- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(7) | Filed as an Exhibit to our Quarterly Report on Form 10-Q (No. 0-21145) filed with the Securities & Exchange Commission on August 13, 2003 and incorporated herein by reference.
|--- | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(8) | Filed as an Exhibit to our Quarterly Report on Form 10-QSB (No. 0-21145) filed with the Securities & Exchange Commission on August 13, 2002 and incorporated herein by reference.
|--- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

|(9) | Filed as an Exhibit to our Quarterly Report on Form 10-Q (No. 0-21145) filed with the Securities & Exchange Commission on November 13, 2003 and incorporated herein by reference.
|--- | ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------



|(b) | Form 8-K
|--- | --------



None.



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##### Table of Contents

COVALENT GROUP, INC.

CONSOLIDATED FINANCIAL STATEMENTS

YEARS ENDED DECEMBER 31, 2003, 2002 and 2001



INDEX



|                                               |  |     
|---------------------------------------------- |  | ----
|                                               |  | Page
|Independent Auditors Report                   |  | F-2 
|                                               | 
|Consolidated Statement of Operations           |  | F-3 
|                                               | 
|Consolidated Balance Sheets                    |  | F-4 
|                                               | 
|Consolidated Statement of Stockholders Equity |  | F-5 
|                                               | 
|Consolidated Statement of Cash Flows           |  | F-6 
|                                               | 
|Notes to Consolidated Financial Statements     |  | F-7 



F-1



---

##### Table of Contents

INDEPENDENT AUDITORS REPORT



The Board of
Directors and Stockholders of:

Covalent Group, Inc.

Wayne,
Pennsylvania



We have audited the accompanying consolidated balance sheets of
Covalent Group, Inc. and subsidiaries (the Company) as of December 31, 2003 and 2002, and the related consolidated statements of operations, stockholders equity, and cash flows for each of the three years in the period ended
December 31, 2003. These financial statements are the responsibility of the Companys management. Our responsibility is to express an opinion on these financial statements based on our audits.



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



In our
opinion, such consolidated financial statements present fairly, in all material respects, the financial position of Covalent Group, Inc. and subsidiaries as of December 31, 2003 and 2002, and the results of their operations and their cash flows for
each of the three years in the period ended December 31, 2003, in conformity with accounting principles generally accepted in the United States of America.



/s/ Deloitte & Touche LLP



Philadelphia, Pennsylvania

March 29, 2004



F-2



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##### Table of Contents

Covalent Group, Inc.

Consolidated Statements of Operations



|                                                                 |  |                         |            |   |      |   |            |      |  |   |            |  
|---------------------------------------------------------------- |  | ----------------------- | ---------- | - | ---- | - | ---------- | ---- |  | - | ---------- | -
|                                                                 |  | Year Ended December 31, |           
|                                                                 |  | 2003                    |            |   | 2002 |   |            | 2001 | 
|Net revenue                                                      |  | $                       | 20,835,742 |   |      | $ | 24,677,061 |      |  | $ | 18,353,481 |  
|Reimbursement revenue                                            |  |                         | 5,793,459  |   |      |   | 4,510,425  |      |  |   | 1,593,172  |  
|                                                                 |  |                         |            |   |      |   |            |      |  |   |            |  
|Total Revenue                                                    |  |                         | 26,629,201 |   |      |   | 29,187,486 |      |  |   | 19,946,653 |  
|                                                                 |  |                         |            |   |      |   |            |      |  |   |            |  
|Operating Expenses                                               |  |                         |            |   |      |   |            |      |  |   |            |  
|Direct                                                           |  |                         | 15,417,144 |   |      |   | 14,817,692 |      |  |   | 9,611,407  |  
|Reimbursement out-of-pocket expenses                             |  |                         | 5,793,459  |   |      |   | 4,510,425  |      |  |   | 1,593,172  |  
|Selling, general and administrative                              |  |                         | 5,650,693  |   |      |   | 5,146,286  |      |  |   | 4,671,212  |  
|Depreciation and amortization                                    |  |                         | 877,623    |   |      |   | 642,833    |      |  |   | 521,811    |  
|                                                                 |  |                         |            |   |      |   |            |      |  |   |            |  
|Total Operating Expenses                                         |  |                         | 27,738,919 |   |      |   | 25,117,236 |      |  |   | 16,397,602 |  
|                                                                 |  |                         |            |   |      |   |            |      |  |   |            |  
|Income (Loss) from Operations                                    |  |                         | (1,109,718 | ) |      |   | 4,070,250  |      |  |   | 3,549,051  |  
|                                                                 |  |                         |           
|Interest Income                                                  |  |                         | 16,545     |   |      |   | 10,935     |      |  |   | 11,275     |  
|Interest Expense                                                 |  |                         | (12,962    | ) |      |   | (21,536    | )    |  |   | (67,729    | )
|                                                                 |  |                         |            |   |      |   |            |      |  |   |            |  
|Net Interest Income (Expense)                                    |  |                         | 3,583      |   |      |   | (10,601    | )    |  |   | (56,454    | )
|                                                                 |  |                         |            |   |      |   |            |      |  |   |            |  
|Income (Loss) before Income Taxes                                |  |                         | (1,106,135 | ) |      |   | 4,059,649  |      |  |   | 3,492,597  |  
|                                                                 |  |                         |           
|Income Tax Provision (Benefit)                                   |  |                         | (544,032   | ) |      |   | 1,605,335  |      |  |   | 1,457,964  |  
|                                                                 |  |                         |            |   |      |   |            |      |  |   |            |  
|Net Income (Loss)                                                |  | $                       | (562,103   | ) |      | $ | 2,454,314  |      |  | $ | 2,034,633  |  
|                                                                 |  |                         |            |   |      |   |            |      |  |   |            |  
|Net Income (Loss) per Common Share                               |  |                         |            |   |      |   |            |      |  |   |            |  
|                                                                 |  |                         |           
|Basic                                                            |  | $                       | (0.04      | ) |      | $ | 0.19       |      |  | $ | 0.16       |  
|Diluted                                                          |  | $                       | (0.04      | ) |      | $ | 0.19       |      |  | $ | 0.16       |  
|                                                                 |  |                         |           
|Weighted Average Common and Common Equivalent Shares Outstanding |  |                         |            |   |      |   |            |      |  |   |            |  
|Basic                                                            |  |                         | 12,746,973 |   |      |   | 12,591,229 |      |  |   | 12,420,388 |  
|Diluted                                                          |  |                         | 12,746,973 |   |      |   | 13,199,483 |      |  |   | 12,962,628 |  



The accompanying notes
are an integral

part of these consolidated financial statements.



F-3



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##### Table of Contents

Covalent Group, Inc.

Consolidated Balance Sheets



|                                                                                                                                 |  |              |            |   |      |   |            |  
|-------------------------------------------------------------------------------------------------------------------------------- |  | ------------ | ---------- | - | ---- | - | ---------- | -
|                                                                                                                                 |  | December 31, |           
|                                                                                                                                 |  | 2003         |            |   | 2002 |  
|Assets                                                                                                                           |  |              |            |   |      |   |            |  
|Current Assets                                                                                                                   |  |              |            |   |      |   |            |  
|Cash and cash equivalents                                                                                                        |  | $            | 2,069,687  |   |      | $ | 2,121,439  |  
|Restricted cash                                                                                                                  |  |              | 604,185    |   |      |   | 419,791    |  
|Accounts receivable                                                                                                              |  |              | 5,709,326  |   |      |   | 7,586,575  |  
|Prepaid expenses and other                                                                                                       |  |              | 166,322    |   |      |   | 380,404    |  
|Prepaid taxes                                                                                                                    |  |              | 1,267,501  |   |      |   |            |  
|Costs and estimated earnings in excess of related billings on uncompleted contracts                                              |  |              | 8,740,964  |   |      |   | 9,024,854  |  
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Total Current Assets                                                                                                             |  |              | 18,557,985 |   |      |   | 19,533,063 |  
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Property and Equipment, Net                                                                                                      |  |              | 1,805,331  |   |      |   | 1,281,149  |  
|Other Assets                                                                                                                     |  |              | 21,665     |   |      |   | 22,265     |  
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Total Assets                                                                                                                     |  | $            | 20,384,981 |   |      | $ | 20,836,477 |  
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Liabilities and Stockholders Equity                                                                                             |  |              |            |   |      |   |            |  
|Current Liabilities                                                                                                              |  |              |            |   |      |   |            |  
|Accounts payable                                                                                                                 |  | $            | 3,545,039  |   |      | $ | 2,755,520  |  
|Accrued expenses                                                                                                                 |  |              | 263,664    |   |      |   | 403,735    |  
|Income tax payable                                                                                                               |  |              |           |   |      |   | 111,646    |  
|Obligations under capital leases                                                                                                 |  |              | 24,268     |   |      |   | 59,418     |  
|Billings in excess of related costs and estimated earnings on uncompleted contracts                                              |  |              | 1,181,426  |   |      |   | 1,817,697  |  
|Customer advances                                                                                                                |  |              | 3,032,758  |   |      |   | 3,612,856  |  
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Total Current Liabilities                                                                                                        |  |              | 8,047,155  |   |      |   | 8,760,872  |  
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Long Term Liabilities                                                                                                            |  |              |            |   |      |   |            |  
|Obligations under capital leases                                                                                                 |  |              | 87,018     |   |      |   | 2,907      |  
|Other liabilities                                                                                                                |  |              | 698,050    |   |      |   |           |  
|Deferred income tax                                                                                                              |  |              | 211,040    |   |      |   | 344,225    |  
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Total Long Term Liabilities                                                                                                      |  |              | 996,108    |   |      |   | 347,132    |  
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Total Liabilities                                                                                                                |  |              | 9,043,263  |   |      |   | 9,108,004  |  
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Stockholders Equity                                                                                                             |  |              |            |   |      |   |            |  
|Common stock, $.001 par value 25,000,000 shares authorized, 13,235,483 and 12,664,583 shares issued and outstanding
respectively |  |              | 13,235     |   |      |   | 12,665     |  
|Additional paid-in capital                                                                                                       |  |              | 11,372,674 |   |      |   | 10,887,759 |  
|Retained earnings                                                                                                                |  |              | 289,918    |   |      |   | 852,021    |  
|Accumulated other comprehensive income                                                                                           |  |              | 124,865    |   |      |   | 26,344     |  
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Less:                                                                                                                            |  |              | 11,800,692 |   |      |   | 11,778,789 |  
|Treasury stock, at cost, 152,932 and 12,500 shares, respectively                                                                 |  |              | (458,974   | ) |      |   | (50,316    | )
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Total Stockholders Equity                                                                                                       |  |              | 11,341,718 |   |      |   | 11,728,473 |  
|                                                                                                                                 |  |              |            |   |      |   |            |  
|Total Liabilities and Stockholders Equity                                                                                       |  | $            | 20,384,981 |   |      | $ | 20,836,477 |  
|                                                                                                                                 |  |              |            |   |      |   |            |  



The accompanying notes
are an integral

part of these consolidated financial statements.



F-4



---

##### Table of Contents

COVALENT GROUP, INC.

CONSOLIDATED STATEMENTS OF STOCKHOLDERS EQUITY



|                                                      |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   |            |  
|----------------------------------------------------- |  | ---------------------- |  | --------- | ------ | -------------------------- | - | ---------------------------------- |  | - | ---------------------------------------- | - |  | ---------------------- | ------- | - | -------------------------- | - | -------- | - |  | - | ---------- | -
|                                                      |  | Numberof Common Shares |  | Par Value |        | Additional Paid-In Capital |   | Retained Earnings (Accum. Deficit) |  |   | Accum. Other Comprehensive Income (Loss) |   |  | Treasury Stock at Cost |         |   | Total Stockholders Equity |  
|Balance at December 31, 2000                          |  | 12,213,309             |  | $         | 12,213 |                            | $ | 9,915,656                          |  | $ | (3,636,926                               | ) |  | $                      | (595    | ) |                            | $ | (50,316  | ) |  | $ | 6,240,032  |  
|                                                      |  |                        |  |           |        |                            |  
|Net income                                            |  |                        |  |           |        |                            |   |                                    |  |   | 2,034,633                                |   |  |                        |         |   |                            |   |          |   |  |   | 2,034,633  |  
|Other comprehensive income:                           |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   |            |  
|Foreign currency translation adjustment               |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        | 8,978   |   |                            |   |          |   |  |   | 8,978      |  
|                                                      |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   |            |  
|Total comprehensive income                            |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   | 2,043,611  |  
|Issuance of common shares - exercise of stock options |  | 189,404                |  |           | 190    |                            |   | 330,576                            |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   | 330,766    |  
|Exercise of stock warrants                            |  | 100,000                |  |           | 100    |                            |   | 274,900                            |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   | 275,000    |  
|                                                      |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   |            |  
|Balance at December 31, 2001                          |  | 12,502,713             |  | $         | 12,503 |                            | $ | 10,521,132                         |  | $ | (1,602,293                               | ) |  | $                      | 8,383   |   |                            | $ | (50,316  | ) |  | $ | 8,889,409  |  
|                                                      |  |                        |  |           |        |                            |  
|Net income                                            |  |                        |  |           |        |                            |   |                                    |  |   | 2,454,314                                |   |  |                        |         |   |                            |   |          |   |  |   | 2,454,314  |  
|Other comprehensive income:                           |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   |            |  
|Foreign currency translation adjustment               |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        | 17,961  |   |                            |   |          |   |  |   | 17,961     |  
|                                                      |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   |            |  
|Total comprehensive income                            |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   | 2,472,275  |  
|Issuance of common shares - exercise of stock options |  | 161,870                |  |           | 162    |                            |   | 366,627                            |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   | 366,789    |  
|                                                      |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   |            |  
|Balance December 31, 2002                             |  | 12,664,583             |  | $         | 12,665 |                            | $ | 10,887,759                         |  | $ | 852,021                                  |   |  | $                      | 26,344  |   |                            | $ | (50,316  | ) |  | $ | 11,728,473 |  
|                                                      |  |                        |  |           |        |                            |  
|Net loss                                              |  |                        |  |           |        |                            |   |                                    |  |   | (562,103                                 | ) |  |                        |         |   |                            |   |          |   |  |   | (562,103   | )
|Other comprehensive income:                           |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   |            |  
|Foreign currency translation adjustment               |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        | 98,521  |   |                            |   |          |   |  |   | 98,521     |  
|                                                      |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   |            |  
|Total comprehensive income                            |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   | (463,582   | )
|Issuance of common shares - exercise of stock options |  | 570,900                |  |           | 570    |                            |   | 484,915                            |  |   |                                          |   |  |                        |         |   |                            |   | (408,658 | ) |  |   | 76,827     |  
|                                                      |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   |            |  
|Balance December 31, 2003                             |  | 13,235,483             |  | $         | 13,235 |                            | $ | 11,372,674                         |  | $ | 289,918                                  |   |  | $                      | 124,865 |   |                            | $ | (458,974 | ) |  | $ | 11,341,718 |  
|                                                      |  |                        |  |           |        |                            |   |                                    |  |   |                                          |   |  |                        |         |   |                            |   |          |   |  |   |            |  



The accompanying notes
are an integral

part of these consolidated financial statements.



F-5



---

##### Table of Contents

Covalent Group, Inc.

Consolidated Statements of Cash Flows



|                                                                                                |  |                         |            |   |      |   |            |      |  |   |            |  
|----------------------------------------------------------------------------------------------- |  | ----------------------- | ---------- | - | ---- | - | ---------- | ---- |  | - | ---------- | -
|                                                                                                |  | Year Ended December 31, |           
|                                                                                                |  | 2003                    |            |   | 2002 |   |            | 2001 | 
|Operating Activities:                                                                           |  |                         |            |   |      |   |            |      |  |   |            |  
|Net income (loss)                                                                               |  | $                       | (562,103   | ) |      | $ | 2,454,314  |      |  | $ | 2,034,633  |  
|Adjustments to reconcile net income (loss) to net cash provided (used) by operating activities: |  |                         |            |   |      |   |            |      |  |   |            |  
|Depreciation and amortization                                                                   |  |                         | 877,623    |   |      |   | 642,833    |      |  |   | 521,811    |  
|Changes in assets and liabilities;                                                              |  |                         |            |   |      |   |            |      |  |   |            |  
|Restricted cash                                                                                 |  |                         | (184,394   | ) |      |   | 232,256    |      |  |   | (39,525    | )
|Accounts receivable                                                                             |  |                         | 1,877,249  |   |      |   | (5,493,721 | )    |  |   | (440,367   | )
|Prepaid expenses and other                                                                      |  |                         | 214,082    |   |      |   | (83,202    | )    |  |   | (189       | )
|Prepaid Taxes                                                                                   |  |                         | (1,267,501 | ) |      |   |            |      |  |   |            |  
|Costs and estimated earnings in excess of related billings on uncompleted contracts             |  |                         | 283,890    |   |      |   | (1,706,912 | )    |  |   | (1,768,485 | )
|Other assets                                                                                    |  |                         | 600        |   |      |   | 15,805     |      |  |   | (3,997     | )
|Accounts payable                                                                                |  |                         | 789,519    |   |      |   | 1,173,272  |      |  |   | 1,129,605  |  
|Accrued expenses                                                                                |  |                         | (140,071   | ) |      |   | (157,865   | )    |  |   | 119,599    |  
|Income taxes payable                                                                            |  |                         | (111,646   | ) |      |   | (517,252   | )    |  |   | (91,362    | )
|Deferred taxes                                                                                  |  |                         | (133,185   | ) |      |   | 100,000    |      |  |   | 323,186    |  
|Billings in excess of related costs and estimated earnings on uncompleted contracts             |  |                         | (636,271   | ) |      |   | 1,622,575  |      |  |   | (336,519   | )
|Customer advances                                                                               |  |                         | (580,098   | ) |      |   | 730,496    |      |  |   | 2,068,386  |  
|                                                                                                |  |                         |            |   |      |   |            |      |  |   |            |  
|Net Cash Provided by (Used) In Operating Activities                                             |  |                         | 427,694    |   |      |   | (987,401   | )    |  |   | 3,516,776  |  
|                                                                                                |  |                         |            |   |      |   |            |      |  |   |            |  
|Investing Activities:                                                                           |  |                         |            |   |      |   |            |      |  |   |            |  
|Purchases of property and equipment                                                             |  |                         | (580,755   | ) |      |   | (663,785   | )    |  |   | (722,566   | )
|                                                                                                |  |                         |            |   |      |   |            |      |  |   |            |  
|Net Cash Used In Investing Activities                                                           |  |                         | (580,755   | ) |      |   | (663,785   | )    |  |   | (722,566   | )
|                                                                                                |  |                         |            |   |      |   |            |      |  |   |            |  
|Financing Activities:                                                                           |  |                         |            |   |      |   |            |      |  |   |            |  
|Net repayments and borrowings under capital leases                                              |  |                         | (74,039    | ) |      |   | (66,668    | )    |  |   | (41,388    | )
|Proceeds from exercise of stock options                                                         |  |                         | 76,827     |   |      |   | 366,789    |      |  |   | 605,766    |  
|                                                                                                |  |                         |            |   |      |   |            |      |  |   |            |  
|Net Cash Provided By Financing Activities                                                       |  |                         | 2,788      |   |      |   | 300,121    |      |  |   | 564,378    |  
|                                                                                                |  |                         |            |   |      |   |            |      |  |   |            |  
|Effect of Exchange Rate Changes on Cash and Cash Equivalents                                    |  |                         | 98,521     |   |      |   | 17,961     |      |  |   | 8,978      |  
|Net Increase (Decrease) In Cash and Cash Equivalents                                            |  |                         | (51,752    | ) |      |   | (1,333,104 | )    |  |   | 3,367,566  |  
|Cash and Cash Equivalents, Beginning of Period                                                  |  |                         | 2,121,439  |   |      |   | 3,454,543  |      |  |   | 86,977     |  
|                                                                                                |  |                         |            |   |      |   |            |      |  |   |            |  
|Cash and Cash Equivalents, End of Period                                                        |  | $                       | 2,069,687  |   |      | $ | 2,121,439  |      |  | $ | 3,454,543  |  
|                                                                                                |  |                         |            |   |      |   |            |      |  |   |            |  



The accompanying notes
are an integral

part of these consolidated financial statements.



F-6



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##### Table of Contents

Covalent Group, Inc.

Notes To Consolidated Financial Statements



|1. | DESCRIPTION OF BUSINESS:
|-- | ------------------------



In this discussion, the terms, Company, we, us, and our, refer to Covalent Group, Inc. and subsidiaries,
except where it is made clear otherwise.



We are a clinical
research organization who is a leader in the design and management of complex clinical trials for the pharmaceutical, biotechnology and medical device industries. Our mission is to provide our clients with high quality, full-service support for
their clinical trials. We offer therapeutic expertise, experienced team management and advanced technologies. Our headquarters is based in Wayne, Pennsylvania and our International operations are in Guildford, Surrey, United Kingdom.



Our clients consist of many of the largest companies in the pharmaceutical,
biotechnology and medical device industries. From protocol design and clinical program development, to proven patient recruitment, to managing the regulatory approval process, we have the resources to directly implement or manage Phase I through
Phase IV clinical trials and to deliver clinical programs on time and within budget. We have clinical trial experience across a wide variety of therapeutic areas such as cardiovascular, endocrinology/metabolism, diabetes, neurology, oncology,
immunology, vaccines, infectious diseases, gastroenterology, dermatology, hepatology, womens health and respiratory medicine. We have the capacity and expertise to conduct clinical trials on a global basis. As of December 31, 2003 we were
managing studies in 22 countries, including the United States, Canada, Western and Eastern Europe, the Middle East, South Africa, Australia and Scandinavia.



In November 2000, we established Covalent Group, Ltd., a wholly-owned subsidiary in the United Kingdom, to support existing contracts on clinical trials
and expand our presence internationally. We were incorporated in August 1989 in Nevada and in June 2002, the Company changed its state of incorporation to Delaware.



|2. | SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES:
|-- | -------------------------------------------



Use of Estimates



The preparation of consolidated financial statements in conformity with accounting principles generally accepted in the United States of America
(generally accepted accounting principles) require management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial
statements and the reported amounts of revenues and expenses during the period. Actual results could differ from those estimates.



Consolidation



The consolidated financial statements for 2003, 2002 and 2001 include our accounts and the accounts of our wholly-owned subsidiaries. Intercompany
transactions and balances have been eliminated in consolidation.



Cash and Cash Equivalents



We consider all
highly liquid debt instruments purchased with an original maturity of three months or less to be cash equivalents.



F-7



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##### Table of Contents

Restricted Cash



We received advance payments from one of our clients as part of a long-term contract, which includes a separate restricted
cash account to be utilized for payment of investigator fees. As of December 31, 2003 and 2002, this restricted cash amount was $604 thousand and $420 thousand, respectively. This amount is also included in customer advances in the accompanying
balance sheets.



Revenue Recognition



The majority of our net revenue is recognized from fixed-price contracts on
a proportional performance basis. To measure the performance, we compare actual direct costs incurred to estimated total contract direct costs, which is the best indicator of the performance of the contract obligations as the costs relate to the
labor hours incurred to perform the service. Total direct costs are incurred for each contract and compared to estimated total direct costs for each contract to determine the percentage of the contract that is completed. This percentage is
multiplied by the estimated total contract value to determine the amount of net revenue recognized. A formal project review process takes place quarterly although most projects are evaluated on an ongoing basis. Management reviews the estimated
total direct costs on each contract to determine if estimated amounts are correct, and estimates are adjusted as needed. If we determine that a loss will result from the performance of a fixed-price contract, the entire amount of the estimated loss
is charged against income in the period in which such determination is made. Because of the inherent uncertainties in estimating direct costs required to complete a project, particularly complex, multi-year studies, it is possible that the estimates
used will change and could result in a material change to our estimates. Original estimates might also be changed due to changes in the scope of work. We attempt to negotiate contract amendments with the client to cover these services provided
outside the terms of the original contract. There can be no assurance that the client will agree to the proposed amendments, and we ultimately bear the risk of cost overruns. For terminated studies, our contracts frequently entitle us to receive the
costs of winding down the terminated project, as well as all fees earned by us up to the time of termination.



Costs and estimated earnings in excess of related billings on uncompleted contracts represents net revenue recognized to date that is currently unbillable
to the client pursuant to contractual terms. In general, amounts become billable upon the achievement of milestones or in accordance with predetermined payment schedules set forth in the contracts with our clients. Billings in excess of related
costs and estimated earnings on uncompleted contracts represent amounts billed in excess of net revenue recognized at the balance sheet date.



Reimbursable Out-of-Pocket Expenses



On behalf of our clients, we pay fees to investigators and other out-of-pocket costs for which we are reimbursed at cost, without mark-up or profit.
Effective January 1, 2002, in connection with the required implementation of Financial Accounting Standards Board (FASB) Emerging Issues Task Force Rule No. 01-14 (EITF 01-14), Income Statement Characterization of
Reimbursements Received for Out-of-Pocket Expenses Incurred, out-of-pocket costs are included in Operating Expenses, while the reimbursements received are reported separately as Reimbursement Revenue in the Consolidated Statements
of Operations.



F-8



---

##### Table of Contents

As is customary in the industry, we exclude from revenue and expense in the Consolidated Statement of
Operations fees paid to investigators and the associated reimbursement since we act as agent on behalf of our clients with regard to investigators. These investigator fees are not reflected in our Net Revenue, Reimbursement Revenue, Reimbursement
Out-of-Pocket Expenses, and/or Direct Expenses. The amounts of these investigator fees were $10.5 million, $8.1 million, and $4.7 million for the years ended December 31, 2003, 2002, and 2001 respectively.



Accounts Receivable



Accounts receivable and costs and estimated earnings in excess of related
billings on completed contracts represent amounts due from our customers who are concentrated primarily in the pharmaceutical, biotechnology and medical device industries. Included in accounts receivable are amounts due from customers in connection
with unbilled out-of-pocket pass-through costs in the amount of $1.3 million as of December 31, 2003 and $947 thousand as of December 31, 2002.



Concentration of Credit Risk



Our accounts receivable and costs and estimated earnings in excess of related billings on uncompleted contracts are concentrated with a small number of
companies within the pharmaceutical, biotechnology and medical device industries. The significant majority of this exposure is to large, well established firms. Credit losses have historically been minimal. As of December 31, 2003, the total of
accounts receivable and costs and estimated earnings in excess of related billings on uncompleted contracts was $14.5 million. Of this amount, the exposure to our three largest clients was 72% of the total, with the three largest clients
representing 37%, 30%, and 5% of total exposure, respectively. As of December 31, 2002, the total of accounts receivable and costs and estimated earnings in excess of related billings on uncompleted contracts was $16.6 million. Of this amount, the
exposure to our three largest clients was 89% of the total, with the three largest clients representing 41%, 40%, and 8% of total exposure, respectively.



Financial Instruments



The fair value of cash and cash equivalents, restricted cash, accounts receivable, costs and estimated earnings in excess of related billings on
uncompleted contracts, accounts payable, accrued expenses and billings in excess of related costs and estimated earnings on uncompleted contracts were not materially different than their carrying amounts as reported at December 31, 2003 and December
31, 2002.



As of December 31, 2003, the Company was not a
counterparty to any forward foreign exchange contracts or any other transaction involving a derivative financial instrument.



Property and Equipment



Property and equipment are recorded at cost. Depreciation is provided using the straight-line method over the estimated useful lives of the assets, which
range from 3 to 8 years for equipment and furniture and fixtures and the remaining lease term for leasehold improvements and assets under capital lease. Depreciation and amortization for the years ended December 31, 2003 and 2002 was $878 thousand
and $643 thousand, respectively. Expenditures for maintenance and repairs are charged to expense as incurred. When assets are sold or retired, the cost and accumulated depreciation are removed from the accounts, and any gain or loss is included in
operations.



F-9



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##### Table of Contents

Operating Expenses



Direct expenses include amounts incurred during the period that are directly related to the management or completion of a
clinical trial or related project and generally include direct labor and related benefit charges, other direct costs and certain allocated expenses. Direct costs as a percentage of net revenues tend to fluctuate from one period to another, as a
result of changes in the mix of services provided and the various studies conducted during any time period. Selling, general and administrative expenses include the salaries, wages and benefits of all administrative, finance and business development
personnel, and all other support expenses not directly related to specific contracts.



Stock-Based Compensation



The company has adopted equity incentive plans that provide for the granting of stock options to employees, directors, advisors and consultants. We account for grants of options to employees and directors under these plans applying the
intrinsic value method provided for in Accounting Principles Board (APB) Opinion No. 25 Accounting for Stock Issued to Employees and related interpretations. No stock-based compensation expense is reflected in net income as
all options granted under the plan had an exercise price equal to the market value of the underlying common stock on the date of the grant. In addition to APB Opinion No. 25, we provide the disclosures required by Statement of Financial Accounting
Standards (SFAS) No. 123 Accounting for Stock-Based Compensation and by SFAS No. 148 Accounting for Stock-Based Compensation  Transition and Disclosure. See Note 10.



The following table illustrates the effect on net income and earnings per
share if the Company had applied the fair value recognition provisions of SFAS No. 123, Accounting for Stock-Based Compensation to stock-based employee compensation:



|                                                                                                                      |  |                         |            |   |      |   |           |      |  |   |            |  
|--------------------------------------------------------------------------------------------------------------------- |  | ----------------------- | ---------- | - | ---- | - | --------- | ---- |  | - | ---------- | -
|                                                                                                                      |  | Year Ended December 31, |           
|                                                                                                                      |  | 2003                    |            |   | 2002 |   |           | 2001 | 
|Net Income (Loss) - as reported                                                                                       |  | $                       | (562,103   | ) |      | $ | 2,454,314 |      |  | $ | 2,034,633  |  
|Deduct: Pro forma stock-based compensation expense determined under the fair value method, net of related tax effects |  |                         | (477,056   | ) |      |   | (860,285  | )    |  |   | (1,227,773 | )
|                                                                                                                      |  |                         |            |   |      |   |           |      |  |   |            |  
|Pro forma Net Income (Loss)                                                                                           |  | $                       | (1,039,159 | ) |      | $ | 1,594,029 |      |  | $ | 806,860    |  
|                                                                                                                      |  |                         |            |   |      |   |           |      |  |   |            |  
|Net Income (Loss) Per Share                                                                                           |  |                         |            |   |      |   |           |      |  |   |            |  
|Basic - as reported                                                                                                   |  | $                       | (0.04      | ) |      | $ | 0.19      |      |  | $ | 0.16       |  
|Basic - pro forma                                                                                                     |  | $                       | (0.08      | ) |      | $ | 0.13      |      |  | $ | 0.06       |  
|Diluted - as reported                                                                                                 |  | $                       | (0.04      | ) |      | $ | 0.19      |      |  | $ | 0.16       |  
|Diluted - pro forma                                                                                                   |  | $                       | (0.08      | ) |      | $ | 0.12      |      |  | $ | 0.06       |  



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##### Table of Contents

Foreign Currency Translations



Assets and liabilities of the Companys international operations are translated into U.S. dollars at exchange rates in
effect on the balance sheet date and equity accounts are translated at historical exchange rates. Revenue and expense items are translated at average exchange rates in effect during the year. Gains or losses from translating foreign currency
financial statements are recorded in other comprehensive income. The cumulative translation adjustment included in other comprehensive income for the years ended December 31, 2003, December 31, 2002 and December 31, 2001 was $99 thousand, $18
thousand, and $9 thousand respectively.



Income Taxes



Income taxes are computed using the asset and liability
approach, which requires the recognition of deferred tax assets and liabilities for the expected future tax consequences of events that have been recognized in the Companys financial statements or tax returns. In estimating future tax
consequences, the Company generally considers all expected future events other than enactment of changes in tax law or rates. If it is more likely than not that some portion or all of a deferred tax asset will not be realized, a valuation allowance
is recorded.



Earnings (Loss) Per Share



Earnings (loss) per share is calculated in accordance with SFAS No. 128,
Earnings Per Share. Basic earnings (loss) per share is computed by dividing net income (loss) for the period by the weighted average number of common shares outstanding during the period. Diluted earnings (loss) per share is computed by
dividing net income (loss) by the weighted average number of common shares plus the dilutive effect of warrants and outstanding stock options under the Companys equity incentive plans. For 2003, diluted net loss per common share is the same as
basic net loss per common share, since the effects of potentially dilutive securities are antidilutive.



Supplemental Cash Flow Information



Cash paid for income taxes net of refunds for the years ended December 31, 2003, 2002, and 2001 was $1.0 million, $2.0 million, and $1.2 million,
respectively. Cash paid for interest for the years ended December 31, 2003, 2002, and 2001 was $13 thousand, $22, and $68 thousand, respectively. We entered into capital leases with obligations totaling $123 thousand, $0, and $73 thousand during the
years ended December 31, 2003, 2002, and 2001, respectively.



The acquisition of property and equipment through lease incentives totaled $814 for year ended December 31, 2003. During 2002 and 2001 there were no acquisitions of property and equipment through lease incentives.



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##### Table of Contents

On July 31, 2003, Dr. Borow, President and Chief Executive Officer of Covalent Group, Inc., exercised an
employee stock option to acquire 500,000 shares of Covalent common stock. The option had a grant date of August 6, 1998, an expiration date of August 5, 2003 and an exercise price of $0.6875. As payment for the shares issued and related withholding
taxes, Covalent Group, Inc. received from Dr. Borow 140,432 Covalent common shares that were owned by him. The shares received by the Company are included as treasury stock in our Consolidated Balance Sheet at December 31, 2003.



Reclassifications



Certain prior year balances have been reclassified to conform to the current
year presentation.



Recently Issued Accounting Standards



In June 2001, the Financial Accounting Standards Board
(FASB) issued SFAS No. 143, Accounting for Asset Retirement Obligations. This Statement addresses financial accounting and reporting for obligations associated with the retirement of tangible long-lived assets and the
associated asset retirement costs. This Statement requires that the fair value of a liability for an asset retirement obligation be recognized in the period in which it is incurred if a reasonable estimate of fair value can be made. SFAS No. 143 is
effective for financial statements issued for fiscal years beginning after June 15, 2002. Adoption of SFAS No. 143 did not have a material impact on our financial statements.



In July 2002, the FASB issued SFAS No. 146, Accounting for Costs Associated with Exit or Disposal Activities.
SFAS No. 146 requires companies to recognize costs associated with exit or disposal activities when they are incurred rather than at the date of a commitment to an exit or disposal plan. Previous accounting guidance was provided by EITF No. 94-3,
Liability Recognition for Certain Employee Termination Benefits and Other Costs to Exit an Activity (including Certain Costs Incurred in a Restructuring). SFAS No. 146 replaces EITF No. 94-3 and is to be applied prospectively to exit or
disposal activities initiated after December 31, 2002. Adoption of SFAS No. 146 did not have a material impact on our financial statements.



In November 2002, the EITF finalized its tentative consensus on EITF Issue 00-21, Revenue Arrangements with Multiple Deliverables, which
provides guidance on the timing and method of revenue recognition for sales arrangements that include the delivery of more than one product or service. EITF 00-21 is effective prospectively for arrangements entered into in fiscal periods beginning
after June 15, 2003. Adoption of EITF Issue 00-21 did not have a material impact on our financial statements.



In December 2002, the FASB issued SFAS No. 148, Accounting for Stock-Based Compensation  Transition and Disclosure. SFAS No. 148 amends
SFAS No. 123, Accounting for Stock-Based Compensation, to provide for alternative methods of transition for a voluntary change to the fair value based method of accounting for stock-based employee compensation. SFAS No. 148 also requires
disclosure of comparable information for all companies, regardless of whether they have adopted the fair value or intrinsic value method of accounting for stock-based employee compensation. SFAS No. 148 is effective for financial statements issued
for fiscal years ending after December 15, 2002, and interim periods beginning after December 15, 2002. Adoption of SFAS No. 148 did not have a material impact on our financial statements, other than expanding our disclosures.



F-12



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##### Table of Contents

In January 2003, the FASB issued Interpretation No. 46, Consolidation of Variable Interest
Entities. Interpretation No. 46 provides an interpretation of Accounting Research Bulletin No. 51, Consolidated Financial Statements with respect to the consolidation of variable interest entities. Interpretation No. 46 requires
existing unconsolidated variable interest entities to be consolidated by their primary beneficiaries if the entities do not effectively disperse risks among the parties involved. In December 2003, the FASB issued a revision to FIN 46, or FIN 46R, to
clarify some of the provisions of FIN 46. We currently have no entities which have the characteristics of a variable interest entity. Furthermore, we do not expect that the adoption of the remaining provision of FIN 46R in the quarter ending March
31, 2004 will have an impact on our financial statements.



In
April 2003, the FASB issued SFAS No. 149, Amendment of Statement 133 on Derivative Instruments and Hedging Activities. SFAS No. 149 amends and clarifies financial accounting and reporting for derivative instruments, including certain
derivative instruments embedded in other contracts (collectively referred to as derivatives) and for hedging activities under SFAS No. 133, Accounting for Derivative Instruments and Hedging Activities. SFAS No. 149 is effective for
contracts entered into or modified after June 30, 2003, except as stated below and for hedging relationships designated after June 30, 2003. The provisions of SFAS No. 149 that relate to Statement 133 Implementation Issues that have been effective
for fiscal quarters that began prior to June 15, 2003, should continue to be applied in accordance with their respective effective dates. The Company has not entered into any derivative transactions and therefore the adoption of this standard has
not had a material impact on our financial statements.



In May 2003, the FASB issued SFAS No. 150, Accounting for Certain Financial Instruments with Characteristics of both Liabilities and Equity, which establishes standards for how an issuer classifies and measures certain financial
instruments with characteristics of both liabilities and equity. SFAS No. 150 requires that an issuer classify a financial instrument that is within its scope, which may have previously been reported as equity, as a liability (or an asset in some
circumstances). This statement is effective for financial instruments entered into or modified after May 31, 2003, and otherwise is effective at the beginning of the first interim period beginning after June 15, 2003. Adoption of SFAS No. 150 has
not had a material impact on our financial statements. The FASB is addressing certain implementation issues associated with the application of SFAS No. 150 including those related to mandatorily redeemable financial instruments representing
noncontrolling interests in subsidiaries included in consolidated financial statements. The Company will monitor the actions of the FASB and assess the impact, if any, that these actions may have on its financial statements.



|3. | PROPERTY & EQUIPMENT:
|-- | ---------------------



|                                                |  |              |            |   |      |   |            |  
|----------------------------------------------- |  | ------------ | ---------- | - | ---- | - | ---------- | -
|                                                |  | December 31, |           
|                                                |  | 2003         |            |   | 2002 |  
|Property & equipment consists of the following: |  |              |            |   |      |   |            |  
|Equipment                                       |  | $            | 2,935,501  |   |      | $ | 2,664,968  |  
|Furniture & fixtures                            |  |              | 549,305    |   |      |   | 530,585    |  
|Leasehold improvements                          |  |              | 1,168,441  |   |      |   | 168,622    |  
|Equipment under capital lease                   |  |              | 316,265    |   |      |   | 193,265    |  
|                                                |  |              |            |   |      |   |            |  
|                                                |  |              | 4,969,512  |   |      |   | 3,557,440  |  
|Accumulated depreciation                        |  |              | (3,164,181 | ) |      |   | (2,276,291 | )
|                                                |  |              |            |   |      |   |            |  
|Property and equipment, net                     |  | $            | 1,805,331  |   |      | $ | 1,281,149  |  
|                                                |  |              |            |   |      |   |            |  



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##### Table of Contents

|4. | PREPAID EXPENSES AND OTHER:
|-- | ---------------------------



Prepaid expenses and other includes loans to non-executive officer employees at December 31, 2003 and 2002 of approximately $3 thousand and $61 thousand,
respectively.



|5. | INCOME TAXES:
|-- | -------------



The components of the income tax provision are as follows:



|          |  |                         |          |   |      |   |           |  |   |          
|--------- |  | ----------------------- | -------- | - | ---- | - | --------- |  | - | ---------
|          |  | Year Ended December 31,
|          |  | 2003                    |          |   | 2002 |   | 2001     
|Current:  |  |                         |          |   |      |   |           |  |   |          
|Federal   |  | $                       | (406,859 | ) |      | $ | 1,260,625 |  | $ | 1,016,432
|State     |  |                         | (3,988   | ) |      |   | 244,710   |  |   | 197,307  
|          |  |                         |          |   |      |   |           |  |   |          
|          |  |                         | (410,847 | ) |      |   | 1,505,335 |  |   | 1,213,739
|          |  |                         |          |   |      |   |           |  |   |          
|Deferred: |  |                         |          |   |      |   |           |  |   |          
|Federal   |  |                         | (96,103  | ) |      |   | 83,744    |  |   | 204,523  
|State     |  |                         | (37,082  | ) |      |   | 16,256    |  |   | 39,702   
|          |  |                         |          |   |      |   |           |  |   |          
|          |  |                         | (133,185 | ) |      |   | 100,000   |  |   | 244,225  
|          |  |                         |          |   |      |   |           |  |   |          
|          |  | $                       | (544,032 | ) |      | $ | 1,605,335 |  | $ | 1,457,964
|          |  |                         |          |   |      |   |           |  |   |          



Income tax expense
differs from the amount currently payable because certain expenses, primarily depreciation and accruals, are reported in different periods for financial reporting and income tax purposes.



The federal statutory income tax rate is reconciled to the effective income tax rate as follows:





|                                           |  |                         |    |  |      |   |  |      |  
|------------------------------------------ |  | ----------------------- | -- |  | ---- | - |  | ---- | -
|                                           |  | Year Ended December 31, |   
|                                           |  | 2003                    |    |  | 2002 |   |  | 2001 |  
|Federal statutory rate                     |  | (34.0                   | )% |  | 34.0 | % |  | 34.0 | %
|State income taxes, net of federal benefit |  | (3.0                    | )% |  | 4.2  | % |  | 4.4  | %
|Adjustment to prior year accrual           |  | (12.0                   | )% |  |     |   |  |     |  
|Other                                      |  | (.2                     | )% |  | 1.2  | % |  | 3.3  | %
|                                           |  |                         |    |  |      |   |  |      |  
|                                           |  | (49.2                   | )% |  | 39.4 | % |  | 41.7 | %
|                                           |  |                         |    |  |      |   |  |      |  



F-14



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##### Table of Contents

The components of the net current and long-term deferred tax assets and liabilities, measured under SFAS
No. 109, are as follows:



|                           |  |                         |          |   |      |   |          |      |  |   |          |  
|-------------------------- |  | ----------------------- | -------- | - | ---- | - | -------- | ---- |  | - | -------- | -
|                           |  | Year Ended December 31, |         
|                           |  | 2003                    |          |   | 2002 |   |          | 2001 | 
|Deferred Tax Asset         |  |                         |          |   |      |   |          |      |  |   |          |  
|Long Term contract revenue |  | $                       |         |   |      | $ | 82,467   |      |  | $ | 202,061  |  
|Investment valuation       |  |                         |         |   |      |   | 96,679   |      |  |   | 96,628   |  
|Net Operating Losses       |  |                         | 61,029   |   |      |   |         |      |  |   |         |  
|Other                      |  |                         |         |   |      |   | 68,857   |      |  |   |         |  
|                           |  |                         |          |   |      |   |          |      |  |   |          |  
|                           |  |                         | 61,029   |   |      |   | 248,003  |      |  |   | 298,689  |  
|                           |  |                         |          |   |      |   |          |      |  |   |          |  
|Deferred tax liabilities   |  |                         |          |   |      |   |          |      |  |   |          |  
|Depreciation               |  |                         | (79,339  | ) |      |   | (144,902 | )    |  |   | (92,791  | )
|Accrual                    |  |                         | (192,730 | ) |      |   | (447,326 | )    |  |   | (447,326 | )
|Other                      |  |                         |         |   |      |   |         |      |  |   | (2,794   | )
|                           |  |                         |          |   |      |   |          |      |  |   |          |  
|                           |  |                         | (272,069 | ) |      |   | (592,228 | )    |  |   | (542,911 | )
|                           |  |                         |          |   |      |   |          |      |  |   |          |  
|Net deferred tax liability |  | $                       | (211,040 | ) |      | $ | (344,225 | )    |  | $ | (244,222 | )
|                           |  |                         |          |   |      |   |          |      |  |   |          |  



As of December 31,
2003, we had state operating loss carryforwards of $1,017,146 which expire in various periods through 2023.



|6. | LINE OF CREDIT:
|-- | ---------------



We maintain a demand line of credit with a bank under which maximum borrowings are the lesser of $2.5 million or 75% of eligible accounts receivable, as
defined in the loan agreement, and bear interest at the LIBOR Market Index Rate plus 2.65%. As of December 31, 2003, there were no borrowings under the line of credit, and the maximum available under the terms of the line of credit was $2.3 million.
The line of credit was renewed on June 17, 2003 and expires on June 30, 2004. Borrowings under the line of credit are secured by substantially all of our assets. Our agreement with the bank provides that we maintain a minimum tangible net worth of
$10.75 million and a ratio of total liabilities to tangible net worth of not more than 1.25 to 1.00. As of December 31, 2003, we were in compliance with these covenants.



|7. | EARNINGS(LOSS) PER SHARE:
|-- | -------------------------



Earnings(loss) per share is calculated in accordance with SFAS No. 128, Earnings Per Share. Basic earnings(loss) per share is computed by
dividing net income(loss) for the period by the weighted average number of common shares outstanding during the period. Diluted earnings(loss) per share is computed by dividing net income(loss) by the weighted average number of common shares plus
the dilutive effect of outstanding stock options under the Companys equity incentive plans. For 2003, diluted net loss per common share is the same as basic net loss per share, since the effects of potentially dilutive securities are
anit-dilutive. Stock options outstanding that are not included in the table below because of their anti-dilutive effect for the year ended December 31, 2003 were 1,351,946, for the year ended December 31, 2002 were 913,400 and for the year ended
December 31, 2001 were 1,023,200.



F-15



---

##### Table of Contents

The net income and weighted average common and common equivalent shares outstanding for purposes of
calculating net income per common share were computed as follows:



|                                                                                                |  |                         |            |   |      |   |            |  |   |           
|----------------------------------------------------------------------------------------------- |  | ----------------------- | ---------- | - | ---- | - | ---------- |  | - | ----------
|                                                                                                |  | Year Ended December 31,
|                                                                                                |  | 2003                    |            |   | 2002 |   | 2001      
|Net Income (Loss)                                                                               |  | $                       | (562,103   | ) |      | $ | 2,454,314  |  | $ | 2,034,633 
|                                                                                                |  |                         |            |   |      |   |            |  |   |           
|Weighted average number of common shares outstanding used in computing basic earnings per share |  |                         | 12,746,973 |   |      |   | 12,591,229 |  |   | 12,420,338
|Dilutive effect of stock options outstanding                                                    |  |                         |           |   |      |   | 608,254    |  |   | 542,240   
|Weighted average shares used in computing diluted earnings per share                            |  |                         | 12,746,973 |   |      |   | 13,199,483 |  |   | 12,962,628
|                                                                                                |  |                         |            |   |      |   |            |  |   |           
|Basic earnings (loss) per share                                                                 |  | $                       | (0.04      | ) |      | $ | 0.19       |  | $ | 0.16      
|Diluted earnings (loss) per share                                                               |  | $                       | (0.04      | ) |      | $ | 0.19       |  | $ | 0.16      
|                                                                                                |  |                         |            |   |      |   |            |  |   |           



|8. | STOCKHOLDERS EQUITY:
|-- | ---------------------



Treasury Stock



We have 152,932 common shares in treasury. The shares are valued using the cost method of accounting for treasury stock.



|9. | EXERCISE OF EMPLOYEE STOCK OPTION
|-- | ---------------------------------



On July 31, 2003, Dr. Borow, President and Chief Executive Officer of Covalent Group, Inc., exercised an employee stock option to acquire 500,000 shares
of Covalent common stock. The option had a grant date of August 6, 1998, an expiration date of August 5, 2003 and an exercise price of $0.6875. As payment for the shares issued and related withholding taxes, Covalent Group, Inc. received from Dr.
Borow 140,432 Covalent common shares that were owned by him. The shares received by the Company are included as treasury stock in our Consolidated Balance Sheet at December 31, 2003.



|10. | STOCK-BASED COMPENSATION:
|--- | -------------------------



We have adopted equity incentive plans that provide for the granting of stock options to employees, directors, advisors and consultants. We account for
grants of options to employees and directors under these plans applying the intrinsic value method provided for in Accounting Principles Board (APB) Opinion No. 25 Accounting for Stock Issued to Employees and related
interpretations. No stock-based compensation expense is reflected in net income as all options granted under the plan had an exercise price equal to the market value of the underlying common stock on the date of the grant. In addition to APB Opinion
No. 25, we provide the disclosures required by SFAS No. 123 Accounting for Stock-Based Compensation and by SFAS No. 148 Accounting for Stock-Based Compensation  Transition and Disclosure. See Note 2 for disclosure of
Pro Forma Net Income and Net Income Per Share.



F-16



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##### Table of Contents

For purposes of determining the pro forma amounts in Note 2, the fair value of each option grant is
estimated on the date of grant using the Black-Scholes option pricing model with the following assumptions:



|                        |  |                         |  |               |  |              
|----------------------- |  | ----------------------- |  | ------------- |  | -------------
|                        |  | Year Ended December 31,
|                        |  | 2003                    |  | 2002          |  | 2001         
|Risk-free interest rate |  | 2.11% - 3.54%           |  | 2.61% - 4.74% |  | 3.50% - 5.75%
|Expected dividend yield |  | -                       |  | -             |  | -            
|Expected life           |  | 5 years                 |  | 5 years       |  | 5 years      
|Expected volatility     |  | 49%                     |  | 58%           |  | 87%          



Based upon the above
assumptions, the weighted average fair value of the stock options granted for the years ended December 31, 2003, 2002, and 2001 was $1.01, $1.82, and $1.60 respectively. As of December 31, 2003, the weighted average remaining contractual life of
stock options outstanding was 2.4 years. Because additional option grants are expected to be made each year, the above pro forma disclosures are not representative of pro forma effects on reported net income for future years.



2002 Equity Incentive Plan



In March 2002, the Board of Directors approved the 2002 Equity Incentive
Plan, which was approved by the shareholders in June 2002. Upon adoption, a total of 1,000,000 shares were available for grant under this plan. The plan provides for the granting of incentive and non-qualified stock options for the purchase of
shares of common stock to directors, officers, employees, advisors and consultants, as defined under the provisions of the plan.



1996 Equity Incentive Plan



The Companys 1996 Stock Incentive Plan and 1995 Stock Option Plan provide for the granting of incentive and non-qualified stock options for the
purchase of shares of common stock to directors, officers, employees and consultants, as defined under the provisions of the plans. The 1996 Stock Incentive Plan was amended in 2000 to increase the number of common shares available for grant from
2,500,000 to 3,000,000. The stock incentive plan provides for the granting of incentive and non-qualified stock options for the purchase of shares of common stock to directors, employees and non-employee consultants, as defined under the provisions
of the plan.



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---

##### Table of Contents

Aggregate stock option activities for all plans for the years ended December 31, 2003, 2002, and 2001
were as follows:



|                                         |  |                 |   |  |                                 |             |                                       |   |     
|---------------------------------------- |  | --------------- | - |  | ------------------------------- | ----------- | ------------------------------------- | - | ----
|                                         |  | Number ofShares |   |  | Range ofExercisePrices perShare |             | WeightedAverageExercisePrice perShare
|Options outstanding at December 31, 2000 |  | 2,134,300       |   |  | $                               | 0.69 - 4.88 |                                       | $ | 2.74
|                                         |  |                 |  
|Granted                                  |  | 903,400         |   |  |                                 | 1.63 - 3.50 |                                       |   | 2.55
|Exercised                                |  | (189,400        | ) |  |                                 | 0.69 - 2.86 |                                       |   | 1.75
|Canceled                                 |  | (420,200        | ) |  |                                 | 1.56 - 4.88 |                                       |   | 3.61
|                                         |  |                 |  
|Options outstanding at December 31, 2001 |  | 2,428,100       |   |  | $                               | 0.69 - 4.47 |                                       | $ | 2.56
|                                         |  |                 |  
|Granted                                  |  | 394,175         |   |  |                                 | 2.05 - 4.49 |                                       |   | 3.37
|Exercised                                |  | (161,870        | ) |  |                                 | 1.25 - 4.38 |                                       |   | 2.25
|Canceled                                 |  | (256,133        | ) |  |                                 | 0.69 - 4.38 |                                       |   | 2.93
|                                         |  |                 |  
|Options outstanding at December 31, 2002 |  | 2,404,272       |   |  | $                               | 0.69 - 4.49 |                                       | $ | 2.68
|                                         |  |                 |  
|Granted                                  |  | 354,000         |   |  |                                 | 2.05 - 2.59 |                                       |   | 2.2 
|Exercised                                |  | (570,900        | ) |  |                                 | 0.69 - 2.19 |                                       |   | 0.85
|Canceled                                 |  | (438,376        | ) |  |                                 | 1.94 - 4.47 |                                       |   | 2.78
|                                         |  |                 |  
|Options outstanding at December 31, 2003 |  | 1,748,996       |   |  | $                               | 1.80 - 4.49 |                                       | $ | 3.15
|                                         |  |                 |  
|Exercisable options outstanding at:      |  |                 |   |  |                                 |             |                                       |   |     
|                                         |  |                 |  
|December 31, 2001                        |  | 1,332,575       |   |  | $                               | 0.69 - 4.47 |                                       | $ | 2.26
|December 31, 2002                        |  | 1,403,920       |   |  | $                               | 0.69 - 4.49 |                                       | $ | 2.33
|December 31, 2003                        |  | 984,225         |   |  | $                               | 1.80 - 4.49 |                                       | $ | 3.36



F-18



---

##### Table of Contents

The following table summarizes information regarding stock options outstanding at December 31, 2003:



|                         |  |                                      |  |                                                 |  |                                       |      |                                   |         |                              |   |     
|------------------------ |  | ------------------------------------ |  | ----------------------------------------------- |  | ------------------------------------- | ---- | --------------------------------- | ------- | ---------------------------- | - | ----
|Options Outstanding      |  | Options Exercisable                 
|Range of Exercise Prices |  | NumberOutstanding AtDecember 31,2003 |  | WeightedAverageRemainingContractualLife inYears |  | WeightedAverageExercisePrice perShare |      | NumberExercisableDecember 31,2003 |         | WeightedAverageExercisePrice
|$1.80                    |  | 5,000                                |  | 2.2                                             |  | $                                     | 1.80 |                                   | 3,000   |                              | $ | 1.80
|1.94                     |  | 137,650                              |  | 2.1                                             |  |                                       | 1.94 |                                   | 84,590  |                              |   | 1.94
|2.05-2.54                |  | 362,125                              |  | 3.5                                             |  |                                       | 2.30 |                                   | 94,708  |                              |   | 2.42
|2.57-2.90                |  | 429,821                              |  | 3.0                                             |  |                                       | 2.80 |                                   | 229,407 |                              |   | 2.81
|3.00-3.90                |  | 172,000                              |  | 2.9                                             |  |                                       | 3.41 |                                   | 86,600  |                              |   | 3.42
|4.00-4.49                |  | 642,400                              |  | 1.3                                             |  |                                       | 4.06 |                                   | 485,920 |                              |   | 4.04
|                         |  |                                      |  |                                                 |  |                                       |      |                                   |         |                              |   |     
|                         |  | 1,748,996                            |  | 2.4                                             |  | $                                     | 3.15 |                                   | 984,225 |                              | $ | 3.36
|                         |  |                                      |  |                                                 |  |                                       |      |                                   |         |                              |   |     



As of December 31,
2003, there were 1,101,850 stock options available for grant under our stock option plans.



|11. | EMPLOYEE BENEFIT PLAN:
|--- | ----------------------



The Company sponsors a 401(k) retirement savings plan that is available to substantially all its U.S. based full-time employees who elect to participate.
Effective January 1, 2003, the Company began providing a matching contribution equal to 50% on the first 2% of the participants compensation (excluding bonus payments). In 2003 company matching contributions were $71 thousand. Matching
contributions are determined each payroll period. The matching contribution is credited to the participant using a graded vesting schedule with six or more years of service required to become fully vested. The method for crediting vesting service is
the plan year.



|12. | SEGMENT DISCLOSURES:
|--- | --------------------



The Company has adopted the provisions of SFAS No. 131, Disclosures About Segments of an Enterprise and Related Information which establishes
standards for reporting business segment information. The Company operates in one segment predominantly in the clinical research industry providing a broad range of clinical research services on a global basis to the pharmaceutical, biotechnology
and medical device industries.



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##### Table of Contents

The following table summarizes the distribution of net revenue and contracts with significant clients:



|                  |  |                         |   |      |                    |      |                       |   |  |                    |  |                       |   |  |                   
|----------------- |  | ----------------------- | - | ---- | ------------------ | ---- | --------------------- | - |  | ------------------ |  | --------------------- | - |  | ------------------
|                  |  | Year Ended December 31,
|                  |  | 2003                    |   | 2002 |                    | 2001
|                  |  | Percentage ofRevenues   |   |      | Number ofContracts |      | Percentage ofRevenues |   |  | Number ofContracts |  | Percentage ofRevenues |   |  | Number ofContracts
|Client A          |  | 41                      | % |      | 12                 |      | 46                    | % |  | 14                 |  | 18                    | % |  | 8                 
|Client B          |  | 21                      |   |      | 3                  |      | 30                    |   |  | 4                  |  | 55                    |   |  | 4                 
|Client C          |  | 7                       |   |      | 1                  |      | 10                    |   |  | 3                  |  | 12                    |   |  | 3                 
|                  |  |                         |   |      |                    |      |                       |   |  |                    |  |                       |   |  |                   
|Top Three Clients |  | 69                      | % |      | 16                 |      | 86                    | % |  | 21                 |  | 85                    | % |  | 15                
|                  |  |                         |   |      |                    |      |                       |   |  |                    |  |                       |   |  |                   

Client A, B and C in the table above represent the three largest clients for each year, but do not
necessarily represent the same client for each year shown.



The significant clients above represented 83% and 94%, respectively, of the balance of cost and estimated earnings in excess of related billings on uncompleted contracts at December 31, 2003 and 2002.



The following table summarizes the distribution of net revenues from
external clients by geographical area:



|       |  |                         |            |      |   |            |  |   |           
|------ |  | ----------------------- | ---------- | ---- | - | ---------- |  | - | ----------
|       |  | Year Ended December 31,
|       |  | 2003                    |            | 2002 |   | 2001      
|U.S.   |  | $                       | 19,678,729 |      | $ | 23,826,702 |  | $ | 18,252,613
|Europe |  |                         | 1,157,013  |      |   | 850,359    |  |   | 100,868   
|       |  |                         |            |      |   |            |  |   |           
|Total  |  | $                       | 20,835,742 |      | $ | 24,677,061 |  | $ | 18,353,481
|       |  |                         |            |      |   |            |  |   |           



|13. | CAPITAL AND OPERATING LEASE COMMITMENTS:
|--- | ----------------------------------------



We entered into new capital lease obligations totaling $123 thousand during 2003. Leased equipment accounted for as a capital lease at December 31, 2003
totaled $316,265 with associated accumulated amortization of $206,450.



Future minimum lease payments on capital lease obligations at December 31, 2003 are as follows:



|                                        |  |   |         |  
|--------------------------------------- |  | - | ------- | -
|For the year ending December 31:        |  |   |         |  
|2004                                    |  | $ | 34,645  |  
|2005                                    |  |   | 31,704  |  
|2006                                    |  |   | 31,704  |  
|2007                                    |  |   | 31,704  |  
|2008                                    |  |   | 7,926   |  
|                                        |  |   |         |  
|Total                                   |  | $ | 137,683 |  
|Less amount representing interest       |  |   | (26,397 | )
|                                        |  |   |         |  
|Present value of capital lease payments |  | $ | 111,286 |  
|                                        |  |   |         |  



We are committed
under a number of non-cancelable operating leases, primarily related to office space and other office equipment. Total lease expense was $987 thousand for the year ended December 31, 2003, $695 thousand for the year ended December 31, 2002, and $470
thousand for the year ended December 31, 2001.



F-20



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##### Table of Contents

Future minimum lease payments on operating lease obligations at December 31, 2003, are as follows:



|                 |  |      |         |      |   |         |  |      |         |      |   |            |  |       |         |  |   |           |  |   |          
|---------------- |  | ---- | ------- | ---- | - | ------- |  | ---- | ------- | ---- | - | ---------- |  | ----- | ------- |  | - | --------- |  | - | ---------
|                 |  | 2004 |         | 2005 |   | 2006    |  | 2007 |         | 2008 |   | Thereafter |  | Total
|Operating leases |  | $    | 961,777 |      | $ | 960,171 |  | $    | 921,018 |      | $ | 937,259    |  | $     | 952,728 |  | $ | 1,956,495 |  | $ | 6,689,448
|                 |  |      |         |      |   |         |  |      |         |      |   |            |  |       |         |  |   |           |  |   |          



|14. | OTHER LIABILITIES
|--- | -----------------



As of January 1, 2003, the Company increased by approximately 12,700 to 34,000 the amount of square feet under lease in the same building. The term of the
lease was also extended to 2010 and monthly lease payments increased from $50 thousand to $72 thousand. As an incentive for the Company to acquire the additional space, the lessor granted the Company $814 thousand in lease incentives that were used
to pay for architectural fees, renovations and improvement costs for the new space. The lease incentives were capitalized as if the Company incurred the costs to make the improvements and are included in Property and Equipment. These assets and the
related liability are amortized over the remaining life of the lease at a rate of approximately $116 thousand per year as an additional amortization expense and a reduction in rent expense, respectively. The accounting for these lease incentives has
no impact on net income, stockholders equity or cash flow.



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##### Table of Contents

|15. | QUARTERLY FINANCIAL DATA (UNAUDITED):
|--- | -------------------------------------



|                                  |  |                       |           |         |   |              |  |   |             |   |  |   |            |  
|--------------------------------- |  | --------------------- | --------- | ------- | - | ------------ |  | - | ----------- | - |  | - | ---------- | -
|                                  |  | For the Quarter Ended |          
|                                  |  | March 31              |           | June 30 |   | September 30 |  |   | December 31 |  
|2003                              |  |                       |           |         |   |              |  |   |             |   |  |   |            |  
|Net Revenues                      |  | $                     | 6,387,062 |         | $ | 5,732,295    |  | $ | 3,876,593   |   |  | $ | 4,839,792  |  
|Income(Loss) From Operations      |  |                       | 806,995   |         |   | 110,492      |  |   | (987,516    | ) |  |   | (1,039,689 | )
|Net Income(Loss)                  |  |                       | 482,093   |         |   | 70,899       |  |   | (392,284    | ) |  |   | (722,811   | )
|Net Income(Loss) Per Common Share |  |                       |           |         |   |              |  |   |             |   |  |   |            |  
|Basic                             |  | $                     | 0.04      |         | $ | 0.01         |  | $ | (0.03       | ) |  | $ | (0.06      | )
|Diluted                           |  | $                     | 0.04      |         | $ | 0.01         |  | $ | (0.03       | ) |  | $ | (0.06      | )
|                                  |  |                       |           |        
|2002                              |  |                       |           |         |   |              |  |   |             |   |  |   |            |  
|Net Revenue                       |  | $                     | 5,444,561 |         | $ | 6,195,726    |  | $ | 6,001,436   |   |  | $ | 7,035,338  |  
|Income From Operations            |  |                       | 1,082,409 |         |   | 1,239,329    |  |   | 573,194     |   |  |   | 1,175,318  |  
|Net Income                        |  |                       | 631,474   |         |   | 773,067      |  |   | 380,137     |   |  |   | 669,636    |  
|Net Income Per Common Share       |  |                       |           |         |   |              |  |   |             |   |  |   |            |  
|Basic                             |  | $                     | 0.05      |         | $ | 0.06         |  | $ | 0.03        |   |  | $ | 0.05       |  
|Diluted                           |  | $                     | 0.05      |         | $ | 0.06         |  | $ | 0.03        |   |  | $ | 0.05       |  



|16. | COMMITMENTS AND CONTINGENCIES:
|--- | ------------------------------



We have entered into an employment agreement with one of our officers that calls for specified minimum annual compensation of $325,000 per year over a
three-year period and includes provisions for continuation of salary upon termination as defined in the agreement.



The Company is involved in litigation and other legal matters which have arisen in the normal course of business. Although the ultimate results of these
matters are not currently determinable, management does not expect that they will have a material adverse effect on the Companys consolidated financial position, results of operations or cash flows.



The contract research organization industry is subject to legislation and
regulations that are revised or amended on an on-going basis. The impact of complying with such legislation and regulations could materially affect our business.



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##### Table of Contents

SIGNATURES



In accordance with Section 13 or 15(d) of the Exchange Act, the registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.



|                      |  |                      |  |                                                                       
|--------------------- |  | -------------------- |  | ----------------------------------------------------------------------
|                      |  | COVALENT GROUP, INC.
|Dated: March 26, 2004 |  |                      |  |                                                                       
|                      |  | By:                  |  | /s/ Kenneth M. Borow, M.D.                                            
|                      |  |                      |  | Kenneth M. Borow, M.D. President, Chief Executive Officer and Director



In accordance with the Exchange Act,
this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.



|                      |  |     |  |                                                                                                   
|--------------------- |  | --- |  | --------------------------------------------------------------------------------------------------
|Dated: March 26, 2004 |  |     |  |                                                                                                   
|                      |  | By: |  | /s/ Kenneth M. Borow, M.D.                                                                        
|                      |  |     |  | Kenneth M. Borow, M.D. President, Chief Executive Officer and Director                            
|Dated: March 26, 2004 |  |     |  |                                                                                                   
|                      |  | By: |  | /s/ Daniel W. Hood, CPA                                                                           
|                      |  |     |  | Daniel W. Hood, CPA Controller and Principal Accounting Officer (financial and accounting officer)
|Dated: March 26, 2004 |  |     |  |                                                                                                   
|                      |  | By: |  | /s/ Thomas E. Hodapp                                                                              
|                      |  |     |  | Thomas E. Hodapp Director                                                                         
|Dated: March 26, 2004 |  |     |  |                                                                                                   
|                      |  | By: |  | /s/ Scott M. Jenkins                                                                              
|                      |  |     |  | Scott M. Jenkins Director                                                                         
|Dated: March 26, 2004 |  |     |  |                                                                                                   
|                      |  | By: |  | /s/ Earl M. Collier, Jr.                                                                          
|                      |  |     |  | Earl M. Collier, Jr. Director                                                                     



S-1



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##### Table of Contents

EXHIBIT INDEX



|        |  |                                                                                                                                                             
|------- |  | ------------------------------------------------------------------------------------------------------------------------------------------------------------
|Exhibit |  | Description                                                                                                                                                 
|        | 
|21      |  | Subsidiaries of the Registrant.                                                                                                                             
|        | 
|23      |  | Consent of Deloitte & Touche LLP.                                                                                                                           
|        | 
|31.1    |  | Certification of Chief Executive Officer required by Rule 13a-14(a) or Rule 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
|        | 
|31.2    |  | Certification of Chief Financial Officer required by Rule 13a-14(a) or Rule 15d-14(a), as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
|        | 
|32.1    |  | Certification pursuant to 18 U.S.C. § 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.                                           
|        | 
|32.2    |  | Certification pursuant to 18 U.S.C. § 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.