<PAGE>

                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                    FORM 10-K

            [X] Annual Report Pursuant to Section 13 or 15(d) of the
                         Securities Exchange Act of 1934

                      For the Year Ended December 31, 2003

                                       OR

          ( ) Transition report pursuant to Section 13 or 15(d) of the
                         Securities Exchange Act of 1934

Commission File Number 000-23019

                            KENDLE INTERNATIONAL INC.

Ohio                                             IRS Employer ID
(State or other jurisdiction                     No. 31-1274091
of incorporation or organization)

                        441 Vine Street, 1200 Carew Tower
                             Cincinnati, Ohio 45202
                                  513-381-5550

           Securities Registered Pursuant to Section 12(b) of the Act:
                                      None

           Securities Registered Pursuant to Section 12(g) of the Act:
                           Common Stock, No Par Value

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 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. [ ]

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

The aggregate market value of the Registrant's Common Stock at June 30, 2003
held by non-affiliates was $56,116,757 (based on the closing price of the
Company's Common Stock on The Nasdaq National Market on June 30, 2003 of $6.19).
Shares of Common Stock held by each Executive Officer and Director and by any
person who owns 10% or more of the outstanding Common Stock have been excluded
in that such person might be deemed to be an affiliate.

As of February 27, 2004, 13,099,789 shares of no par value Common Stock were
issued and 13,079,892, shares of no par value Common Stock were outstanding.

                       Documents Incorporated by Reference

Portions of the Registrant's Proxy Statement to be filed with the Commission for
its 2004 Annual Meeting of Shareholders to be held May 6, 2004 are incorporated
by reference into Part III.

See Exhibit Index on page 19.



<PAGE>

                            KENDLE INTERNATIONAL INC.
                             INDEX TO ANNUAL REPORT
                                  ON FORM 10-K
<TABLE>
<CAPTION>
                                                                                    Page
<S>                                                                                 <C>
Part I

     Item 1 - Business..........................................................      3
     Item 2 - Properties........................................................      4
     Item 3 - Legal Proceedings.................................................      4
     Item 4 - Submission of Matters to a Vote of Security Holders...............      4

Part II

     Item 5 - Market for Registrant's Common Equity and Related
              Shareholder Matters...............................................      4
     Item 6 - Selected Financial Data...........................................      5
     Item 7 - Management's Discussion and Analysis of Financial
              Condition and Results of Operations...............................      6
     Item 7A- Quantitative and Qualitative Disclosures about Market Risk........      16
     Item 8 - Financial Statements and Supplementary Data.......................      17
     Item 9 - Changes in and Disagreements with Accountants on Accounting
              and Financial Disclosure..........................................      17
     Item 9A- Controls and Procedure............................................      17

Part III

     Item 10 - Directors and Executive Officers of the Registrant...............      17
     Item 11 - Executive Compensation...........................................      18
     Item 12 - Security Ownership of Certain Beneficial Owners and Management ..      18
     Item 13 - Certain Relationships and Related Transactions...................      20
     Item 14 - Principal Accounting Fees and Services...........................      20

Part IV

     Item 15 - Exhibits, Financial Statement Schedules and Reports on Form 8-K..      20
Signatures
</TABLE>

                                        2

<PAGE>

                                     PART I

ITEM 1.

                                    BUSINESS

Kendle International Inc. (the "Company") , an Ohio corporation established in
1989, is a contract research organization (CRO) that provides a broad range of
Phase I through IV clinical research and drug development services to the
pharmaceutical and biotechnology industries. The Company augments the research
and development activities of pharmaceutical and biotechnology companies by
offering high quality, value added clinical research services and proprietary
information technology designed to reduce drug development time and expense. The
Company is managed in one reportable segment encompassing Phase I through IV
contract services.

The Company believes that the outsourcing of drug development activities by
pharmaceutical and biotechnology companies has been increasing and will continue
to increase as these companies strive to increase revenues through faster drug
development while also dealing with cost containment pressures. The CRO
industry, by specializing in clinical trial management, is often able to perform
the needed services with a higher level of expertise or specialization, more
quickly and at a lower cost than a customer could perform the services
internally.

The Company's strategy is to continue to enhance its reputation as a
high-quality provider of a full range of CRO services. The Company's strategy
consists of the following key elements: (i) continue to expand its broad range
of therapeutic expertise; (ii) offer its customers a full range of services that
encompass the clinical research process and complement the research and
development departments of its customers; (iii) expedite the drug development
process through a variety of innovative information technology platforms such as
the Company's proprietary TrialWare(R) software including TrialWeb(TM), its
clinical trial information web service; (iv) continue to build a brand presence
that portrays high-quality work; and (v) supplement internal growth through
strategic acquisitions that expand the Company's geographic presence and add to
the Company's clinical development capabilities in existing or new therapeutic
areas or service offerings.

In October 2003, the Company acquired Estadisticos y Clinicos Asociados, S.A.
(ECA). ECA is a Phase I-IV contract research organization located in Mexico
City, Mexico. The Company acquired substantially all the assets and assumed
certain liabilities of ECA for a purchase price of approximately $3.6 million in
cash, including acquisition costs.

Revenues from the top five customers accounted for approximately 47% of the
Company's total net service revenues for the year ended December 31, 2003. The
Company's net service revenues from Pfizer Inc. accounted for approximately 27%
of the Company's net service revenues for the year ended December 31, 2003. No
other customer accounted for more than 10% of the Company's net service revenues
for the year.

Segment and geographic information of the Company is contained in Note 16 to the
Consolidated Financial Statements.

Backlog

Backlog is based on signed contracts and letters of intent. Backlog at December
31, 2003 was approximately $119 million compared to approximately $156 million
at December 31, 2002. Total backlog plus verbally awarded business at December
31, 2003 was approximately $186 million compared to approximately $192 million
at December 31, 2002. No assurance can be given that the Company will be able to
realize the net service revenues that are included in the backlog and verbal
awards. Backlog and verbal awards are not necessarily meaningful indicators of
future results for a variety of reasons, including, but not limited to, the
following: (i) contracts vary in size and duration, with revenue from some
studies realized over a number of years; (ii) the scope of contracts may change,
either increasing or decreasing the value of the contract; and (iii) studies may
be terminated or delayed by the sponsor or by regulatory authorities.

Competition

The Company competes primarily against in-house research and development
departments of pharmaceutical and biotechnology companies, universities,
teaching hospitals and other full-service CROs, some of which possess
substantially greater capital, technical and other resources than the Company.
CROs generally compete on the basis of previous experience, medical and
scientific expertise in specific therapeutic areas, the quality of services
provided, the ability to manage large-scale trials on a global basis, medical
database management capabilities, the ability to provide statistical and
regulatory services, the ability to recruit investigators, the ability to
recruit patients into studies, the ability to integrate information technology
with systems to improve the efficiency of contract research, an international
presence with strategically located facilities, financial viability and price.

                                        3

<PAGE>

The CRO industry is highly fragmented with several hundred CROs ranging from
small, limited-service providers to full-service, global drug development
corporations. Some of the full-service CROs competing with the Company include
Covance, Inc., PAREXEL International Corporation, Pharmaceutical Product
Development, Inc., ICON plc, Inveresk, and Quintiles Transnational Corporation.

Employees

As of February 29, 2004, the Company had approximately 1,680 employees. None of
the Company's employees are covered by a collective bargaining agreement.

Available Information

The Company maintains a website at the address www.kendle.com. The Company is
not including the information contained on its website as a part of, or
incorporating it by reference into, this Annual Report on Form 10-K. The Company
makes available free of charge through its website its Annual Reports on Form
10-K, Quarterly Reports on Form 10-Q and Current Reports on Form 8-K, and
amendments to these reports, as soon as reasonably practicable after it
electronically files such material with, or furnishes such material to, the
Securities and Exchange Commission.

Required filings by the Company's officers and directors with respect to the
Company furnished in electronic form are also made available on our website as
are the Company's proxy statements for its meetings of shareholders. These
filings also my be read or copied at the SEC's Public Reference Room at 450
Fifth Street, N.W., Washington, D.C. 70549. The SEC also maintains an Internet
site (http://www.SEC.gov) that contains reports, proxy and other information
statements and other information regarding issuers that file electronically with
the SEC.

ITEM 2.

                                   PROPERTIES

The Company leases all of its facilities with the exception of the Company-owned
facility in Ely, United Kingdom. The Company's principal executive offices are
located in Cincinnati, Ohio, where it leases approximately 115,000 square feet
under a lease expiring in 2009. The Company also maintains offices in various
other North American, European and Australian locations.

Management believes that such offices are sufficient to meet its present needs
and does not anticipate any difficulty in securing additional space, as needed,
on terms acceptable to the Company.

ITEM 3.

                                LEGAL PROCEEDINGS

The Company currently is not a party to any pending material litigation, nor, to
the Company's knowledge, is any material litigation currently threatened against
the Company.

ITEM 4.

               SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

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

                                     PART II

ITEM 5.

                         MARKET FOR REGISTRANT'S COMMON
                     EQUITY AND RELATED SHAREHOLDER MATTERS

Shares of the Company's Common Stock are listed on the Nasdaq Stock Market(R)
and are traded under the symbol "KNDL". The following table sets forth the high
and low prices for shares of the Company's Common Stock for the periods
indicated.

                                        4

<PAGE>

<TABLE>
<CAPTION>
                                               First    Second   Third    Fourth
                                               ------   ------   ------   ------
<S>                                            <C>      <C>      <C>      <C>
2003 Quarter
Ranges of stock price
    High                                       $10.10   $ 6.80   $ 7.24   $ 7.50
    Low                                          3.05     3.35     4.43     5.25

2002 Quarter
Ranges of stock price
    High                                        20.35    18.65    13.98    10.76
    Low                                         13.92     9.75     6.49     6.47
</TABLE>

The number of holders of record of Kendle International Inc. common stock was
192 as of February 27, 2004. This total excludes shares held under beneficial
ownership in nominee name or within clearinghouse positions of brokerage firms
or banks. The Company has not paid dividends on its Common Stock since its
initial public offering in August 1997. The Company does not currently intend to
pay dividends in the foreseeable future, but instead intends to reinvest
earnings in its business.

Securities Authorized Under Equity Compensation Plans:

The information required for Securities Authorized Under Equity Compensation
Plans can be found in Part III, Item 12, Security Ownership of Certain
Beneficial Owners and Management of this Annual Report on Form 10-K.

Recent Sales of Unregistered Securities:

On April 4, 2003, Philip Beekman, Robert Simpson, Donald Harrison, Steven Geis,
Timothy Johnson and Frederick Russ, the non-employee directors of the Company at
the time, were each issued 815 shares of Common Stock in exchange for their
services as directors of the Company pursuant to the 1997 Directors'
Compensation Plan. These issuances were exempt from registration under the
Securities Act of 1933 pursuant to Section 4 (2) as transactions by an issuer
not involving any public offering.

ITEM 6.

                             SELECTED FINANCIAL DATA

(in thousands, except per share data)
FOR THE YEARS ENDED DECEMBER 31,
CONSOLIDATED STATEMENTS OF OPERATIONS(1)

<TABLE>
<CAPTION>
                                                          2003         2002         2001          2000        1999
                                                        ---------    ---------    ---------    ---------    ---------
<S>                                                     <C>          <C>          <C>          <C>          <C>
Net service revenues                                    $ 156,221    $ 165,173    $ 154,302    $ 120,487    $ 117,151
Reimbursable out-of-pocket revenues                        53,436       48,841       40,197       35,651       33,441
                                                        ---------    ---------    ---------    ---------    ---------
Total revenues                                            209,657      214,014      194,499      156,138      150,592
                                                        ---------    ---------    ---------    ---------    ---------
Costs and expenses:
    Direct costs                                           91,133       98,438       93,729       74,077       61,032
    Reimbursable out-of-pocket costs                       53,436       48,841       40,197       35,651       33,441
    Selling, general and administrative                    52,402       48,646       44,047       39,249       37,316
    Depreciation and amortization                           9,057        8,347        9,988        7,930        6,731
    Employee severance and office consolidation costs       1,468          408         (766)       2,980           --
    Goodwill impairment                                        --       67,745           --           --           --
                                                        ---------    ---------    ---------    ---------    ---------
Total costs and expenses                                  207,496      272,425      187,195      159,887      138,520
Income (loss) from operations                               2,161      (58,411)       7,304       (3,749)      12,072
Interest income                                               334          534          903          988        1,059
Interest expense                                           (1,039)      (1,219)        (877)        (643)        (367)
Other                                                        (725)         (61)          23         (292)         (67)
Investment impairment                                        (405)      (1,938)          --           --           --
Gain on debt extinguishment                                   558           --           --           --           --
                                                        ---------    ---------    ---------    ---------    ---------
Income (loss)before income taxes                              884      (61,095)       7,353       (3,696)      12,697
Income taxes                                                2,574       (6,295)       3,147       (1,566)       4,968
                                                        ---------    ---------    ---------    ---------    ---------
NET INCOME (LOSS)                                       $  (1,690)   $ (54,800)   $   4,206    $  (2,130)   $   7,729
INCOME (LOSS) PER SHARE DATA
Basic:
    Net income (loss) per share                         $   (0.13)   $   (4.30)   $    0.34    $   (0.18)   $    0.69
    Weighted average shares                                12,973       12,734       12,251       11,708       11,251
Diluted:
</TABLE>

                                        5

<PAGE>

<TABLE>
<S>                                                     <C>          <C>          <C>          <C>          <C>
    Net income (loss) per share                         $   (0.13)   $   (4.30)   $    0.33    $   (0.18)   $    0.65
    Weighted average shares                                12,973       12,734       12,858       11,708       11,826
CONSOLIDATED BALANCE SHEET DATA(1)

Working capital                                         $  38,523    $  41,451    $  36,664    $  39,396    $  44,838
Total assets                                              154,415      155,397      204,051      176,519      184,382
Total short and long-term debt                             15,503       21,236       16,217        2,746       10,188
Total shareholders' equity                                 96,369       94,360      142,307      132,870      133,646
</TABLE>

(1) From 1999 to 2003, the Company made eight acquisitions. See Note 13 to the
consolidated financial statements.

ITEM 7.

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

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

The information set forth and discussed below is derived from the Company's
Consolidated Financial Statements and the related notes thereto included herein
and should be read in conjunction therewith.

COMPANY OVERVIEW

Kendle International Inc. (the Company) is an international contract research
organization (CRO) that provides integrated clinical research services,
including clinical trial management, clinical data management, statistical
analysis, medical writing, regulatory consulting and organizational meeting
management and publications services on a contract basis to the pharmaceutical
and biotechnology industries. The Company is managed in one reportable segment
encompassing Phase I through IV contract services.

The Company's contracts are generally fixed price, with some variable
components, and range in duration from a few months to several years. A contract
typically requires a portion of the contract fee to be paid at the time the
contract is entered into and the balance is received in installments over the
contract's duration, in most cases on a milestone achievement basis. Net service
revenues from contracts are generally recognized on the percentage of completion
method, measured principally by the total costs incurred as a percentage of
estimated total costs for each contract. The estimated total costs of contracts
are reviewed and revised periodically throughout the lives of the contracts with
adjustments to revenues resulting from such revisions being recorded on a
cumulative basis in the period in which the revisions are made. When estimates
indicate a loss, such loss is provided in the current period in its entirety.
The Company also performs work under time-and-materials contracts, recognizing
revenue as hours are worked based on the hourly billing rates for each contract.
Additionally, the Company recognizes revenue under units-based contracts as
units are completed multiplied by the contract per-unit price.

The Company incurs costs, in excess of contract amounts, in subcontracting with
third-party investigators as well as other out-of-pocket costs. These
out-of-pocket costs are reimbursable by the Company's customers. Effective
January 1, 2002 in connection with the implementation of Emerging Issues Task
Force (EITF) 01-14, "Income Statement Characterization of Reimbursements
Received for Out-of-Pocket Expenses Incurred," the Company includes amounts paid
to investigators and other out-of-pocket costs as reimbursable out-of-pocket
revenues and reimbursable out-of-pocket expenses in the Consolidated Statements
of Operations. In certain contracts, these costs are fixed by the contract
terms, so the Company recognizes these costs as part of net service revenues and
direct costs.

Direct costs consist of compensation and related fringe benefits for
project-related associates, unreimbursed project-related costs and an allocation
of indirect costs including facilities, information systems and other costs.
Selling, general and administrative expenses consist of compensation and related
fringe benefits for sales and administrative associates and professional
services, as well as unallocated costs related to facilities, information
systems and other costs.

Depreciation and amortization expenses consist of depreciation and amortization
costs recorded on a straight-line method over the useful life of the property or
equipment and internally developed software. In July 2001, the Financial
Accounting Standards Board (FASB) issued Statement of Financial Accounting
Standards (SFAS) No. 142, which requires intangible assets with indefinite
useful lives to no longer be amortized, but instead be reviewed at least
annually for impairment. The Company adopted SFAS No. 142 as of January 1, 2002,
and no longer records goodwill amortization expense. In 2002, the Company
recorded a goodwill impairment charge of $67.7 million. See Note 6 in Notes to
Consolidated Financial Statements for further detail on the 2002 goodwill
impairment charge.

                                        6

<PAGE>

The CRO industry in general continues to be dependent on the research and
development efforts of the principal pharmaceutical and biotechnology companies
as major customers, and the Company believes this dependence will continue. The
loss of business from any of the major customers could have a material adverse
effect on the Company.

The Company's results are subject to volatility due to a variety of factors. The
cancellation or delay of contracts and cost overruns could have short-term
adverse affects on the consolidated financial statements. Fluctuations in the
Company's sales cycle and the ability to maintain large customer contracts or to
enter into new contracts could hinder the Company's long-term growth. In
addition, the Company's aggregate backlog, consisting of signed contracts and
letters of intent, is not necessarily a meaningful indicator of future results.
Accordingly, no assurance can be given that the Company will be able to realize
the net service revenues included in the backlog.

ACQUISITIONS

On October 1, 2003, the Company completed its acquisition of Mexican CRO
Estadisticos y Clinicos Asociados, S.A. (ECA). ECA is a Phase I-IV contract
research organization located in Mexico City, Mexico. With the acquisition, the
Company has expanded its capability to conduct clinical trials in Latin America.
The Company acquired substantially all the assets and assumed certain
liabilities of ECA for a purchase price of approximately $3.6 million in cash,
including acquisition costs.

In 2002, the Company acquired the assets of Clinical and Pharmacologic Research,
Inc. (CPR), located in Morgantown, West Virginia. Further information regarding
the Company's acquisitions is included in Note 13 to the Consolidated Financial
Statements.

In 2001, the Company acquired AAC Consulting Group, a regulatory consulting firm
based in Rockville, Maryland. Further information regarding the Company's
acquisitions is included in Note 13 to the Consolidated Financial Statements.

The results of operations for these three acquisitions are included in the
Company's Consolidated Statements of Operations from the date of acquisition.

RESULTS OF OPERATIONS

YEAR ENDED DECEMBER 31, 2003 COMPARED WITH YEAR ENDED DECEMBER 31, 2002

Net Service Revenues

<TABLE>
<CAPTION>
                                          2001       2002         2003
                                         ------    --------      -------
<S>                                      <C>       <C>           <C>
Net Service Revenues ($ millions)        $154.3    $  165.2      $ 156.2
</TABLE>

Net service revenues decreased 5% to $156.2 million for 2003 from $165.2 million
in 2002. Excluding the impact of foreign currency exchange rates, net service
revenues decreased 10% in 2003. The 5% decrease in net service revenues is
composed of a decline in organic revenues of 6% offset by growth due to the
Company's acquisitions of 1%. Net service revenues in North America declined by
approximately $18.1 million in 2003 compared to 2002. The decline in North
American net service revenues was partially offset by an increase in net service
revenues in both the European and Asia-Pacific regions, which increased by
approximately $7.5 million and $1.7 million, respectively. The decline in North
American net service revenues is due to an overall slowdown in new business in
the first half of 2003 and in particular, a slowdown in new business from two of
the Company's largest customers, which completed a merger in 2003. In addition,
project delays and cancellations adversely impacted net service revenues in the
first half of 2003 compared to 2002. Finally, in 2003 net service revenues
recorded on contracts where costs paid to investigators and other out-of-pocket
costs are fixed by the contract terms and recorded as direct costs and net
service revenues decreased by approximately $3.6 million.

Approximately 34% of the Company's net service revenues in 2003 were derived
from the Company's operations outside North America compared to 27% in 2002.
Revenues from the top five customers accounted for approximately 47% and 46% of
net service revenues in 2003 and 2002, respectively. Net service revenues from
Pfizer Inc. (including the former Pharmacia Corp.) accounted for approximately
27% of the total 2003 net service revenues compared to 29% for Pfizer and
Pharmacia combined in 2002. The Company's revenues from Pfizer Inc. are derived
from numerous projects that vary in size, duration and therapeutic indication.
No other customer accounted for more than 10% of the Company's net service
revenues in either 2003 or 2002.

Reimbursable Out-of-Pocket Revenues

                                        7

<PAGE>

Reimbursable out-of-pocket revenues fluctuate from period to period due
primarily to the level of investigator activity in a particular period.
Reimbursable out-of-pocket revenues increased 9.4% to $53.4 million in 2003 from
$48.8 million in 2002.

Operating Expenses

<TABLE>
<CAPTION>
                                      2001      2002       2003
                                    --------  --------   --------
<S>                                 <C>       <C>        <C>
Operating Expenses
    $ Millions
    Direct Costs                    $   93.7  $   98.4   $   91.1
    Selling, general &
       administrative                   44.0      48.6       52.4
    Depreciation and
    amortization                        10.0       8.3        9.1
    Employee severance and office
    consolidation costs                 (0.8)      0.4        1.5
    Goodwill impairment                   --      67.7         --
</TABLE>

Direct costs decreased by $7.3 million, or 7%, for 2003 as compared to 2002. The
7% decrease in direct costs is composed of an 8% decline in organic direct costs
offset by a 1% increase in direct costs due to the Company's acquisitions.
Foreign currency exchange rate fluctuations accounted for a 5% increase in
direct costs in 2003 compared to 2002. The decrease in organic direct costs is
due to the reduced usage of outside contractors working on Company contracts as
well as the workforce realignment and other cost containment measures
implemented in 2003. In addition, in 2003 direct costs recorded on contracts
where costs paid to investigators and other out-of-pocket costs are fixed by the
contract terms and recorded as direct costs and net service revenues decreased
by approximately $3.6 million. Direct costs as a percentage of net service
revenues were 58.3% and 59.6% in 2003 and 2002, respectively. The decline in
direct costs as a percentage of net service revenues is primarily attributable
to the mix of direct labor involved in contracts as well as the overall mix of
contracts in 2003 compared to 2002. In addition, a decrease in the number of
contracts in which investigator and other out-of-pocket costs were fixed by the
contract terms and, accordingly, net service revenue was recorded at little or
no margin contributed to the decline.

Reimbursable out-of-pocket costs fluctuate from period to period due primarily
to the level of investigator activity in a particular period. Reimbursable
out-of-pocket costs increased 9.4% to $53.4 million in 2003 from $48.8 million
in 2002.

Selling, general and administrative expenses increased by $3.8 million or 8%
from 2002 to 2003. The 8% increase in selling, general and administrative costs
is composed of a 6% increase in organic SG&A costs and a 2% increase in SG&A
costs due to the Company's acquisition. Foreign currency exchange rate
fluctuations accounted for a 4% increase in selling, general and administrative
expenses in 2003 compared to 2002. The remainder of the increase in organic SG&A
costs is primarily due to broad-based employee incentive compensation amounts
accrued in 2003 that were not present in 2002. Selling, general and
administrative expenses expressed as a percentage of net service revenues were
33.5% for 2003 and 29.5% for 2002. The increase in these costs as a percentage
of net service revenues is primarily due to the increase in SG&A expenses as
discussed above and a smaller net service revenue base.

Depreciation and amortization expense increased by $0.7 million or 9% in 2003
compared to 2002. The increase is primarily due to increased depreciation and
amortization relating to the Company's capital expenditures of $5.6 million
during 2003.

In the first quarter of 2003, in order to bring its cost structure more in line
with the then current revenue projections, the Company recorded a charge of
approximately $690,000 for severance and outplacement benefits relating to a
workforce reduction program which impacted approximately 1 percent of its total
workforce. In the second quarter of 2003, the Company recorded an adjustment to
reduce this charge by approximately $106,000 as a result of lower than expected
severance costs related to the workforce reduction. In the third quarter of
2003, the Company recorded a charge of approximately $897,000 for severance and
outplacement costs in connection with a workforce realignment plan implemented
in August. In the third quarter of 2002, the Company committed to a plan to
consolidate its three New Jersey offices into one central office, located in
Cranford, NJ. The Company had maintained separate offices in Princeton, Cranford
and Ft. Lee, New Jersey. In connection with the office consolidation, the
Company recorded a pre-tax charge of $408,000 in 2002, consisting primarily of
facility lease costs and severance, employee retention and outplacement costs.

In the fourth quarter of 2002, the Company recognized a goodwill impairment
charge of $67.7 million in accordance with SFAS No. 142. The impairment charge
is presented as a separate line item as a component of loss from operations in
the Company's Consolidated Statements of Operations. For more discussion on this
charge, see Note 6 in the Company's Notes to Consolidated Financial Statements.

                                        8

<PAGE>

Other Income

Total other income (expense) was expense of $1.3 million in 2003 compared to
expense of approximately $2.7 million in 2002. In the second quarter of 2003,
the Company determined that its investment in KendleWits, its 50% owned
joint-venture in the People's Republic of China was permanently impaired and
recorded a $405,000 non-cash charge to reduce the carrying value of the
investment to zero. Also in the second quarter of 2003, the Company made a
partial early repayment on its $6 million convertible note and recorded a gain
from this early partial debt extinguishment of approximately $558,000. In
addition, in 2003 the Company recorded foreign currency transaction losses of
approximately $449,000 as a result of the British pound and U.S. dollar
weakening against the euro. In the second quarter of 2002, the Company recorded
a $1.9 million non-cash charge to write-off the Company's investment in
Digineer, Inc. (Digineer), a healthcare consulting and software development
company that adopted a plan to cease operations during 2002. Foreign currency
transaction gains amounted to approximately $147,000 in 2002.

Income Taxes

The Company reported a tax expense at an effective rate in excess of 100% in
2003 compared to a tax benefit at an effective rate of 10.3% for 2002. The
Company's effective tax rate in 2003 and 2002 was negatively affected by a
number of factors. In 2003, the Company continued to record valuation allowances
against net operating loss carryforwards in certain European subsidiaries of the
Company. Valuation allowances in 2003 against these net operating loss
carryforwards amounted to approximately $1.4 million. The write-off of the
Digineer investment in 2002 is a capital loss for income tax purposes and is
deductible only to the extent the Company generates capital gains in the future
to offset this loss. The Company recorded a valuation allowance against this
deferred tax asset and accordingly, no income tax benefit was recorded. In
addition, a tax benefit was recorded on only that portion of the goodwill
impairment charge recorded in 2002 which will be deductible in future tax
periods. In 2002, the valuation allowance primarily relating to net operating
loss carryforwards in certain European subsidiaries of the Company amounted to
approximately $3.5 million. Since Kendle operates on a global basis, the
effective tax rate may vary from year to year based on the locations which
generate the pre-tax earnings.

Net Income

Inclusive of the severance and outplacement charges, the write-off of the
KendleWits investment and the gain on early partial extinguishment of debt
(items with an aggregate after-tax impact of approximately $1.1 million, or
$0.08 per share), the net loss for 2003 was $1.7 million or $0.13 per basic and
diluted share. Inclusive of the goodwill impairment charge, the write-off of the
Digineer investment, office consolidation costs and the tax valuation allowance
discussed above (items with an aggregate after-tax impact of approximately $59.9
million, or $4.68 per share), the net loss for 2002 was $ $54.8 million in 2002
or $4.30 per basic and diluted share.

YEAR ENDED DECEMBER 31, 2002 COMPARED WITH YEAR ENDED DECEMBER 31, 2001

Net Service Revenues

Net service revenues increased 7% to $165.2 million for 2002 from $154.3 million
in 2001. Excluding the impact of foreign currency exchange rates, net service
revenues increased 6% in 2002. The 7% increase in net service revenues is
composed of a decline in organic revenues of 2% offset by growth due to the
Company's acquisitions of 9%. The decline in organic net service revenues is
primarily attributable to the decrease in revenues in 2002 on contracts where
costs paid to investigators and other out-of-pocket costs are fixed by the
contract terms and recorded as direct costs and net service revenues. In
addition, an increased level of project cancellations and delays adversely
impacted net service revenue in the fourth quarter of 2002.

Approximately 27% of the Company's net service revenues in 2002 were derived
from the Company's operations outside North America compared to 31% in 2001.
Revenues from the top five customers accounted for approximately 46% and 45% of
net service revenues in 2002 and 2001, respectively. Net service revenues from
Pharmacia Inc. accounted for approximately 21% of the total 2002 net service
revenues. The Company's revenues from Pharmacia Inc. are derived from numerous
projects that vary in size, duration and therapeutic indication. No other
customer accounted for more than 10% of the Company's net service revenues in
either 2002 or 2001.

Reimbursable Out-of-Pocket Revenues

The Company adopted EITF 01-14 on January 1, 2002 as required. Reimbursable
out-of-pocket revenues fluctuate from period to period primarily due to the
level of investigator activity in a particular period. Reimbursable
out-of-pocket revenues increased 21.5% to $48.8 million in 2002 from $40.2
million in 2001.

                                        9

<PAGE>

Operating Expenses

Direct costs increased by $4.7 million, or 5%, for 2002 as compared to 2001. The
5% increase in direct costs is composed of a 3% decline in organic direct costs
offset by an 8% increase in direct costs due to the Company's acquisitions. The
decrease in organic direct costs is primarily related to a decrease in certain
project-related costs. These project-related costs are normally billed back to
the customer as a "pass-through" expense and are excluded from direct costs and
net service revenues. However, in a small number of the Company's contracts,
these costs are fixed by the contract terms, and have been recorded as direct
costs, producing a zero profit margin. In 2001, the Company incurred costs of
this nature of approximately $12.1 million compared to approximately $4.5
million in 2002. Direct costs as a percentage of net service revenues were 59.6%
and 60.7% in 2002 and 2001, respectively. The decline in direct costs as a
percentage of net service revenues is primarily attributable to the decrease in
the number of contracts in which the "pass-through" costs were fixed by the
contract terms and revenue was recorded at little or no margin.

Reimbursable out-of-pocket costs increased 21.5% to $48.8 million in 2002 from
$40.2 million in 2001.

Selling, general and administrative expenses increased by $4.6 million or 10%
from 2001 to 2002. The 10% increase in selling, general and administrative costs
is composed of a 7% increase in organic SG&A costs and a 3% increase in SG&A
costs due to the Company's acquisitions. The increase in organic SG&A costs is
primarily due to increased employee-related costs such as salaries, training
costs and other employee costs incurred. Selling, general and administrative
expenses expressed as a percentage of net service revenues were 29.5% for 2002
and 28.5% for 2001. The increase in these costs as a percentage of net service
revenues is primarily due to lower revenue than anticipated in the fourth
quarter of 2002 due to certain project delays and cancellations.

Depreciation and amortization expense decreased by $1.6 million or 16% in 2002
compared to 2001. The decrease is due to the implementation of SFAS No. 142,
which has eliminated the amortization of goodwill and other indefinite lived
intangible assets. See the discussion of SFAS No. 142 in the New Accounting
Pronouncements section of Management's Discussion and Analysis. Excluding
goodwill amortization in 2001, depreciation expense increased by 19% in 2002
compared to 2001. The increase is primarily due to increased depreciation and
amortization relating to the Company's capital expenditures of $9.0 million
during 2002.

In the third quarter of 2002, the Company committed to a plan to consolidate its
three New Jersey offices into one central office, located in Cranford, NJ. The
Company had maintained separate offices in Princeton, Cranford and Ft. Lee, New
Jersey. In connection with the office consolidation, the Company recorded a
pre-tax charge of $408,000 in 2002, consisting primarily of facility lease costs
and severance, employee retention and outplacement costs. In 2001, the Company
recorded a pre-tax increase in income of approximately $766,000 to reflect
lower-than-anticipated costs associated with the Company's workforce reduction
program that was implemented in 2000.

In the fourth quarter of 2002, the Company recognized a goodwill impairment
charge of $67.7 million in accordance with SFAS No. 142. The impairment charge
is presented as a separate line item as a component of loss from operations in
the Company's Consolidated Statements of Operations. For more discussion on this
charge, see Note 6 in the Company's Notes to Consolidated Financial Statements.

Other Income (Expense)

Total other income (expense) was expense of $2.7 million in 2002 compared to
income of approximately $49,000 in 2001. The primary reason for this decrease is
a $1.9 million non-cash charge recorded in the second quarter of 2002 to
write-off the Company's investment in Digineer, a healthcare consulting and
software development company that adopted a plan to cease operations
during 2002.

Other income (expense) was also negatively impacted by increased interest
expense in 2002 due to the Company's $15.0 million term loan that began in June
of 2002 and $6.0 million of convertible debt that was issued in conjunction with
the Company's January 2002 acquisition of CPR. In addition, lower worldwide
interest rates on investments contributed to the decline.

Income Taxes

The Company reported a tax benefit at an effective rate of 10.3% in 2002
compared to tax expense at an effective rate of 42.8% for 2001. The Company's
effective tax rate in 2002 was negatively affected by a number of factors. The
write-off of the Digineer investment is a capital loss for income tax purposes
and is deductible only to the extent the Company generates capital gains in the
future to offset this loss. The Company recorded a valuation allowance against
this deferred tax asset and accordingly, no income tax benefit was recorded. In
addition, a tax benefit was recorded on only that portion of the goodwill
impairment charge that will be deductible in future tax periods. Finally, in the
fourth quarter the Company recorded a valuation allowance of approximately $3.5
million for certain tax benefit carryforwards primarily relating to net
operating loss carryforwards in certain European subsidiaries of the Company.
Since Kendle operates on a global basis, the effective tax rate may vary from
year to year based on the locations which generate the pre-tax earnings.

                                       10

<PAGE>

Inclusive of the goodwill impairment charge, the write-off of the Digineer
investment, office consolidation costs and the tax valuation allowances
discussed above, (items with an aggregate after-tax impact of approximately
$59.9 million, or $4.68 per share), the net loss for 2002 was $54.8 million
in 2002 or $4.30 per basic and diluted share.

Inclusive of the adjustment to the workforce reduction reserve in 2001 (an
aggregate after-tax impact of approximately $460,000 or $0.04 per diluted
share), net income for 2001 was $4.2 million, or $0.33 per basic share and $0.34
per diluted share.

LIQUIDITY AND CAPITAL RESOURCES

<TABLE>
<CAPTION>
                                      2001      2002       2003
                                    --------  --------   --------
<S>                                 <C>       <C>        <C>
Working Capital ($ millions)        $   36.7  $   41.5   $  38.5
</TABLE>

In 2003, cash and cash equivalents increased by $9.1 million as a result of cash
provided by operating activities of $14.2 million offset by cash used in
investing activities of $0.7 million and cash used in financing activities of
$5.2 million. In addition, the Company has $1.8 million in restricted cash that
represents cash received from customers that is segregated in a separate Company
bank account and available for use only for specific project related expenses,
primarily investigator fees, upon authorization from the customer. Net cash
provided by operating activities consisted primarily of the net loss increased
by non-cash adjustments (primarily depreciation and amortization) and a decrease
in net accounts receivable. Fluctuations in accounts receivable and advance
billings occur on a regular basis as services are performed, milestones or other
billing criteria are achieved, invoices are sent to customers and payments for
outstanding accounts receivable are collected from customers. Such activity
varies by individual customer. Accounts receivable, net of advance billings,
decreased from $24.7 million at December 31, 2002 to $20.3 million at December
31, 2003.

Cash flows from investing activities for the year ended December 31, 2003
consisted primarily of capital expenditures of $5.6 million, costs related to
the acquisition of ECA of $3.6 million (net of cash acquired), offset by net
proceeds from the sale of available for sale securities of $8.4 million.

Cash flows from financing activities for the year ended December 31, 2003
consisted primarily of net payments under the Company's credit facility of $3.0
million, a partial repayment of the Company's convertible debt of $1.4 million
and payments on capital lease obligations of approximately $850,000.

In 2002, cash and cash equivalents increased by $6.7 million as a result of cash
provided by operating activities of $27.0 million offset by cash used in
investing activities of $18.0 million and cash used in financing activities of
$2.8 million. There was no restriction on cash and cash equivalents in 2002. Net
cash provided by operating activities consisted primarily of the net loss
increased by non-cash adjustments (the goodwill impairment charge, loss on
Digineer investment and depreciation and amortization) and a decrease in net
accounts receivable. Fluctuations in accounts receivable and advance billings
occur on a regular basis as services are performed, milestones or other billing
criteria are achieved, invoices are sent to customers and payments for
outstanding accounts receivable are collected from customers. Such activity
varies by individual customer. Accounts receivable, net of advance billings,
decreased from $40.7 million at December 31, 2001 to $24.7 million at December
31, 2002.

Cash flows from investing activities for the year ended December 31, 2002
consisted primarily of capital expenditures of $9.0 million, costs related to
the acquisition of CPR of $7.9 million (net of cash acquired), and additional
purchase price of $2.7 million paid in relation to the Company's 1999
acquisition of Health Care Communications, Inc. (HCC) offset by net proceeds
from the sale of available for sale securities of $1.7 million.

Cash flows from financing activities for the year ended December 31, 2002
consisted primarily of net payments under the Company's credit facility of $1.9
million and payments on capital lease obligations of approximately $800,000.

In 2001, cash and cash equivalents decreased by $0.7 million as a result of cash
provided by operating activities of $9.6 million and cash provided by financing
activities of $11.8 million offset by cash used in investing activities of $21.8
million. There was no restriction on cash and cash equivalents in 2001. Net cash
provided by operating activities consisted primarily of net income increased by
non-cash adjustments (primarily depreciation and amortization) offset primarily
by an increase in net accounts receivable.

Cash flows from investing activities for the year ended December 31, 2001
consisted primarily of capital expenditures of $7.5 million, costs related to
the acquisition of AAC Consulting Group of $10.8 million (net of cash acquired),
and additional purchase price of $2.1 million paid in relation to the Company's
1999 acquisition of HCC. Net purchases of available for sale securities totaled
$1.3 million.

                                       11

<PAGE>

Cash flows from financing activities for the year ended December 31, 2001
consisted primarily of net borrowings under the Company's credit facility of
$12.6 million.

<TABLE>
<CAPTION>
                                                         2001        2002      2003
                                                        ------      ------   ------
<S>                                                     <C>         <C>      <C>
Cash, (including Restricted Cash), Cash Equivalents
       & Available for Sale Securities ($ millions)     $ 25.5      $ 30.0   $ 32.4
</TABLE>

The Company had available for sale securities totaling $8.9 million and $17.3
million at December 31, 2003 and 2002, respectively.

Cash used for capital expenditures was $5.6 million, $9.0 million and $7.5
million in 2003, 2002 and 2001, respectively.

In June 2002, the Company entered into an Amended and Restated Credit Agreement
(the "Facility") that replaced the previous credit facility that would have
expired in October 2003. The Facility is composed of a revolving credit loan
that expires in three years and a $15.0 million term loan that matures in five
years. The Facility is in addition to an existing $5.0 million Multicurrency
Facility that is renewable annually and is used in connection with the Company's
European operations. The revolving credit loan bears interest at a rate equal to
either (a) The Eurodollar Rate plus the Applicable Percentage (as defined) or
(b) the higher of the Federal Fund's Rate plus 0.5% or the Bank's Prime Rate.
The $15.0 million term loan bears interest at a rate equal to the higher of the
Federal Funds Rate plus 0.5% and the Prime Rate or an Adjusted Eurodollar Rate.

Under terms of the Facility, revolving loans are convertible into term loans
within the Facility if used for acquisitions. The Facility contains various
restrictive financial covenants, including the maintenance of certain fixed
coverage and leverage ratios.

At March 31, 2003, the Company fell below the minimum permitted Fixed Charge
coverage ratio. The Company and the banks amended the minimum permitted Fixed
Charge coverage ratio for the first quarter of 2003 and future periods. In
addition, changes as part of the amendment include, but are not limited to, the
following:

          -    The amount available under the revolving credit loan is reduced
               from $23 million to the lesser of $10 million or 50% of the
               Company's Eligible Receivables, as defined.

          -    Until the Company's Fixed Charge Coverage Ratio returns to levels
               specified in the original agreement, the applicable percentage
               applied to the interest rate on the Company's borrowing under the
               Facility is increased by 0.75%.

          -    The term loan is collateralized by a pledge of the Company's
               domestic cash and cash equivalents and any amounts outstanding
               under the revolving credit loan are collateralized by the
               Company's Eligible Receivables, as defined, and any remaining
               domestic cash and cash equivalents above the amounts pledged as
               security under the term loan.

          -    The Company must maintain a ratio of cash, cash equivalents and
               available for sale securities held in the United States to
               principal amounts outstanding under the Company's term loan of at
               least 1.1 to 1.0.

In the third quarter of 2003, the Company reached an agreement in principle with
the banks to amend the Fixed Charge Coverage ratio from a rolling four quarters
calculation to a calculation based on the results of each individual quarter.
The amendment was fully executed in the fourth quarter. The Company is in
compliance with the financial covenants contained in the Facility (as amended)
as of December 31, 2003.

The $5.0 million Multicurrency Facility is composed of a euro overdraft facility
up to the equivalent of $3.0 million and a pound sterling overdraft facility up
to the equivalent of $2.0 million. This Multicurrency Facility bears interest at
a rate equal to either (a) the rate published by the European Central Bank plus
a margin (as defined) or (b) the Bank's Base Rate (as determined by the bank
having regard to prevailing market rates) plus a margin (as defined).

At December 31, 2003, no amounts were outstanding under the Company's revolving
credit loan, $9.8 million was outstanding under the term loan, and no amounts
were outstanding under the $5.0 million Multicurrency Facility. Interest is
payable on the term loan at a rate of 6.57%. Principal payments of $750,000 are
due on the term loan on the last business day of each quarter through March
2007.

Effective July 1, 2002, the Company entered into an interest rate swap agreement
to fix the interest rate on the $15.0 million term loan. The swap is designated
as a cash flow hedge under the guidelines of SFAS No. 133, "Accounting for
Derivative Instruments and Hedging Activities." Under the swap agreement, the
interest rate on the term loan is fixed at 4.32% plus the applicable margin
(currently 2.25%). The swap is in place through the life of the term loan,
ending on March 31, 2007. Changes in fair market value of the swap are recorded
in Accumulated Other Comprehensive Loss on the Consolidated Balance Sheet. At
December 31, 2003, approximately $351,000 has been recorded in Accumulated Other
Comprehensive Loss to reflect a decrease in the fair market value of the swap
compared to approximately $566,000 at December 31, 2002.

                                       12

<PAGE>

With the acquisition of CPR, the Company entered into a $6.0 million convertible
note payable to the shareholders of CPR. The principal balance is convertible at
the holders' option into 314,243 shares of the Company's Common Stock at any
time through January 29, 2005 (the Maturity Date). If the note has not been
converted at the Maturity Date, the Company has the option to extend the
Maturity Date of the note for another three years. The note bears interest at an
annual rate of 3.80% from January 29, 2002 through the Maturity Date. Interest
is payable semi-annually. If the Maturity Date is extended, the interest rate
will be reset on January 29, 2005 at an annual rate of interest equal to the
yield of a three-year United States Treasury Note.

In June 2003, the Company and the shareholders of CPR entered into Note
Prepayment Agreements. Under the Note Prepayment Agreements, the Company agreed
to satisfy its payment obligations under the $6.0 million convertible note by
making a series of four payments between June 30, 2003 and January 10, 2005. The
four payments are to be initiated either by the Company through the exercise of
a "call" option or by the CPR shareholders through the exercise of a "put"
option. If the four put or call options are exercised, the Company would pay
$4.5 million to fully settle the $6.0 million note. Gains resulting from this
early extinguishment of debt will be recorded when paid as a gain in the
Company's Consolidated Statements of Operations. At June 30, 2003, the CPR
shareholders exercised their put option and the Company paid approximately $1.4
million to settle $2.0 million of the $6.0 million convertible note. A gain of
$558,000 has been recorded in the second quarter of 2003 in the Company's
Consolidated Statements of Operations. In the first quarter of 2004, the CPR
shareholders again exercised their put option and the Company paid approximately
$750,000 to settle $1.0 million of the remaining note amount. A gain of
approximately $250,000 will be recorded in the first quarter of 2004 in the
Company's Consolidated Statements of Operations.

The Company's primary cash needs on both a short-term and long-term basis are
for the payment of salaries and fringe benefits, hiring and recruiting expenses,
business development costs, capital expenditures, acquisitions and
facility-related expenses. The Company believes that its existing capital
resources, together with cash flows from operations and borrowing capacity under
the Facility and the Multicurrency Facility, will be sufficient to meet its
foreseeable cash needs. In the future, the Company will continue to consider
acquiring businesses to enhance its service offerings, therapeutic base and
global presence. Any such acquisitions may require additional external
financings and the Company may from time to time seek to obtain funds from
public or private issuances of equity or debt securities. There can be no
assurance that such financings will be available on terms acceptable to the
Company.

CONTRACTUAL OBLIGATIONS

Future minimum payments for all contractual obligations for years subsequent to
December 31, 2003 are as follows:

<TABLE>
<CAPTION>
     (in thousands)            2004    2005-2006  2007-2008   After 2008     Total
--------------------------   -------   ---------  ---------   ----------   --------
<S>                          <C>             <C>         <C>  <C>          <C>
Capital lease obligations,
    including interest       $   879   $     907  $      48   $       --   $  1,834
Operating leases               6,721      12,174     10,359        4,880     34,134
Debt payments                  3,000       6,000        750           --      9,750
Convertible note                  --       4,000         --           --      4,000
                             -------   ---------  ---------   ----------   --------
Total                        $10,600   $  23,081  $  11,157   $    4,880   $ 49,718
</TABLE>

CRITICAL ACCOUNTING POLICIES AND ESTIMATES

The preparation of financial statements in conformity with accounting principles
generally accepted in the Unites States requires management to make significant
estimates and assumptions that affect the reported Consolidated Financial
Statements for a particular period. Actual results could differ from those
estimates.

Revenue Recognition

The majority of the Company's net service revenues are based on fixed-price
contracts calculated on a percentage-of-completion basis based upon assumptions
regarding the estimated total costs for each contract. Costs are incurred for
each project and compared to the estimated budgeted costs for each contract to
determine a percentage of completion on the project. The percentage of
completion is multiplied by the total contract value to determine the amount of
revenue recognized. Management periodically reviews the budget on each contract
to determine if the budgeted amounts are correct, and budgets are adjusted as
needed. As the work progresses, original estimates might be changed due to
changes in the scope of the work. When estimates indicate a loss, such loss is
provided in the current period in its entirety. The Company attempts to
negotiate contract amendments with the sponsor to cover services provided
outside the terms of the original contract. However, there can be no guarantee
that the sponsor will agree to proposed amendments, and the Company ultimately
bears the risk of cost overruns.

                                       13

<PAGE>

Amendments to contracts resulting in revisions to revenues and costs are
recognized in the period in which the revisions are negotiated. Included in
accounts receivable are unbilled accounts receivable, which represent revenue
recognized in excess of amounts billed.

As the Company provides services on projects, the Company also incurs
third-party and other pass-through costs, which are typically reimbursable by
its customers pursuant to the contract. In certain contracts, however, these
costs are fixed by the contract terms. In these contracts, the Company is at
risk for costs incurred in excess of the amounts fixed by the contract terms. In
these instances, the Company recognizes these costs as direct costs with
corresponding net service revenues. Excess costs incurred above the contract
terms would negatively affect the Company's gross margin.

Accounts Receivable/Allowance for Doubtful Accounts

Billed accounts receivable represent amounts for which invoices have been sent
to customers. Unbilled accounts receivable are amounts recognized as revenue for
which invoices have not yet been sent to customers. Advance billings represent
amounts billed or payment received for which revenues have not yet been earned.
The Company maintains an allowance for doubtful accounts receivable based on
historical evidence of accounts receivable collections and specific
identification of accounts receivable that might pose collection problems. If
the Company is unable to collect all or part of its outstanding receivables,
there could be a material impact to the Company's Consolidated Results of
Operations or financial position.

Long-Lived Assets

The Company analyzes goodwill and other indefinite-lived intangible assets to
determine any potential impairment loss on an annual basis, unless conditions
exist that require an updated analysis on an interim basis. A fair value
approach is used to test goodwill for impairment. The goodwill impairment
testing involves the use of estimates related to the fair market value of the
reporting unit and is inherently subjective. An impairment charge is recognized
for the amount, if any, by which the carrying amount of goodwill exceeds fair
value. In 2002, the Company recorded a goodwill impairment charge of $67.7
million. At December 31, 2003 the fair value of the Company exceeded the
carrying value, resulting in no goodwill impairment charge. In addition, the
Company has a $15 million indefinite lived intangible asset representing one
customer relationship acquired in the Company's acquisition of CPR. The
intangible asset is evaluated each reporting period to determine whether events
or circumstances continue to support an indefinite useful life.

Internally Developed Software

The Company capitalizes costs incurred to internally develop software used
primarily in the Company's proprietary clinical trial and data management
systems, and amortizes these costs over the useful life of the product, not to
exceed five years. Internally developed software represents software in the
application development stage, and there is no assurance that the software
development process will produce a final product for which the fair value
exceeds its carrying value. Internally developed software is an intangible asset
subject to impairment write-downs whenever events indicate that the carrying
value of the software may not be recoverable. As with other long-lived assets,
this asset is reviewed at least annually to determine the appropriateness of the
carrying value of the asset. Assessing the fair value of the internally
developed software requires estimates and judgment on the part of management.

Tax Valuation Allowance

The Company estimates its tax liability based on current tax laws in the
statutory jurisdictions in which it operates. Because the Company conducts
business on a global basis, its effective tax rate has and will continue to
depend upon the geographic distribution of its pre-tax earnings (losses) among
jurisdictions with varying tax rates. These estimates include judgments about
deferred tax assets and liabilities resulting from temporary differences between
assets and liabilities recognized for financial reporting purposes and such
amounts recognized for tax purposes. The Company has assessed the realization of
deferred tax assets and a valuation allowance has been established based on an
assessment that it is more likely than not that realization cannot be assured.
The ultimate realization of this tax benefit is dependent upon the generation of
sufficient operating income in the respective tax jurisdictions. If estimates
prove inaccurate or if the tax laws change unfavorably, significant revisions in
the valuation allowance may be required in the future.

ADDITIONAL CONSIDERATIONS

On July 15, 2002, two of the Company's major customers, Pharmacia Corp. and
Pfizer Inc., announced plans to merge in a stock-for-stock transaction. The
merger closed in the second quarter of 2003. Pharmacia and Pfizer combined
represent approximately 27% and 29% of the Company's net service revenues for
the years ended December 31, 2003 and 2002, respectively, and approximately 35%
and 31% of the Company's December 31, 2003 and 2002, signed backlog. During the
second quarter of 2003, the Company identified a change, coinciding with the
completion of the announced merger, in the levels of business received from the
combined Pfizer company. Although the level of new business awards from Pfizer
increased during the second half of 2003 compared to the first half,
particularly the second quarter of 2003, the level of awards received has not
reached pre-merger levels. The Company believes that the

                                       14

<PAGE>

level of business from Pfizer will continue to increase in 2004, but there is no
assurance that the level of business received will meet or exceed the business
amounts the Company received from Pharmacia Corp. and Pfizer Inc. in periods
prior to the merger. If the level of business does not return to levels
experienced prior to the merger, failure to replace this business would have a
negative impact on the Company's results of operations and financial position in
future years.

NEW ACCOUNTING PRONOUNCEMENTS

In May 2003, the FASB issued SFAS No. 150, "Accounting for Certain Financial
Instruments with Characteristics of both Liabilities and Equity". This statement
establishes standards for how an issuer classifies and measures certain types of
financial instruments that have characteristics of both liabilities and equity.
It requires that an issuer classify a financial instrument that is within its
scope as a liability (or an asset in some circumstances). Many of those
instruments were previously classified as equity. SFAS No. 150 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. The Company adopted the standard on July 1, 2003. The adoption of SFAS
No. 150 had no material effect on the Company's Consolidated Balance Sheet or
Statements of Operations.

In January 2003, the FASB issued FIN 46, Consolidation of Variable Interest
Entities. FIN 46 clarifies the application of Accounting Research Bulletin No.
51, Consolidated Financial Statements, to certain entities in which equity
investors do not have the characteristics of a controlling financial interest or
do not have sufficient equity at risk for the entity to finance its activities
without additional subordinated financial support from other parties. FIN 46
will require the consolidation of a variable interest entity whereby an
enterprise will absorb a majority of the entity's expected losses if they occur,
receive a majority of the entity's expected residual returns if they occur, or
both. In December 2003, the FASB issued FIN 46R, Consolidation of Variable
Interest Entities, an interpretation of ARB 51 (as revised December 2003). The
primary objectives of FIN 46R are to provide guidance on the identification of
entities for which control is achieved through means other than through voting
rights (Variable Interest Entities) and how to determine when and which business
enterprise should consolidate the Variable Interest Entity (the Primary
Beneficiary). The disclosure requirements of FIN 46R are required in all
financial statements issued after March 15, 2004, if certain conditions are met.
The Company does not have any variable interest entities and therefore, FIN 46R
did not impact its financial statements.

In November 2002, the FASB issued Interpretation No. 45 or FIN 45, "Guarantor's
Accounting and Disclosure Requirements for Guarantees, Including Indirect
Guarantees of Indebtedness of Others, an interpretation of FASB Statement Nos.
5, 57, and 107 and Rescission of FASB Interpretation No. 34." FIN 45 clarifies
the requirements of FASB Statement No. 5, "Accounting for Contingencies,"
relating to the guarantor's accounting for, and disclosure of, the issuance of
certain types of guarantees. FIN 45 requires that upon issuance of a guarantee,
the guarantor, must recognize a liability for the fair value of the obligation
it assumes under that guarantee. The disclosure provisions of FIN 45 are
effective for financial statements of interim or annual periods that end after
December 15, 2002. FIN 45's provisions for initial recognition and measurement
should be applied on a prospective basis to guarantees issued or modified after
December 31, 2002, irrespective of the guarantor's fiscal year-end. The
guarantor's previous accounting for guarantees that were issued before the date
of FIN 45's initial application may not be revised or restated to reflect the
effect of the recognition and measurement provisions of FIN 45. The adoption FIN
45 had no material effect on the Company's Consolidated Financial Statements.

CAUTIONARY STATEMENT FOR FORWARD-LOOKING INFORMATION

Certain statements contained in this Form 10-K that are not historical facts
constitute forward-looking statements, within the meaning of the Private
Securities Litigation Reform Act of 1995, and are intended to be covered by the
safe harbors created by that Act. Reliance should not be placed on
forward-looking statements because they involve known and unknown risks,
uncertainties and other factors which may cause actual results, performance or
achievements to differ materially from those expressed or implied. Any
forward-looking statement speaks only as of the date made. The Company
undertakes no obligation to update any forward-looking statements to reflect
events or circumstances arising after the date on which they are made.

Statements concerning expected financial performance, on-going business
strategies and possible future action which the Company intends to pursue to
achieve strategic objectives constitute forward-looking information.
Implementation of these strategies and the achievement of such financial
performance are each subject to numerous conditions, uncertainties and risk
factors. Factors which could cause actual performance to differ materially from
these forward-looking statements include, without limitation, factors discussed
in conjunction with a forward-looking statement, changes in general economic
conditions, competitive factors, outsourcing trends in the pharmaceutical
industry, changes in the financial conditions of the Company's customers,
potential mergers and acquisitions in the pharmaceutical industry, the Company's
ability to manage growth, the Company's ability to complete additional
acquisitions and to integrate newly acquired businesses, the Company's ability
to penetrate new markets, competition and consolidation within the industry, the
ability of joint venture businesses to be integrated with the Company's
operations, the fixed price nature of contracts or the loss of large contracts,
cancellation or delay of contracts, the progress of ongoing projects, cost
overruns, fluctuations in the Company's sales cycle, the ability to maintain
large customer contracts or to enter into new contracts, the effects of exchange
rate fluctuations, the carrying value of and impairment of the Company's
investments and the other risk factors set forth in

                                       15

<PAGE>

the Company's filings with the Securities and Exchange Commission, copies of
which are available upon request from the Company's investor relations
department. The Company's growth and ability to achieve operational and
financial goals is dependent upon its ability to attract and retain qualified
personnel. If the Company fails to hire, retain and integrate qualified
personnel, it will be difficult for the Company to achieve its financial and
operational goals. No assurance can be given that the Company will be able to
realize the net service revenues included in backlog and verbal awards. The
Company believes that its aggregate backlog and verbal awards are not
necessarily meaningful indicators of future results.

ITEM 7A.

           QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

Foreign Currency

The Company operates on a global basis and is therefore exposed to various types
of currency risks. Two specific transaction risks arise from the nature of the
contracts the Company executes with its customers. From time to time contracts
are denominated in a currency different than the particular local currency. This
contract currency denomination issue is applicable only to a portion of the
contracts executed by the Company. The first risk occurs as revenue recognized
for services rendered is denominated in a currency different from the currency
in which the subsidiary's expenses are incurred. As a result, the subsidiary's
net service revenues and resultant net income can be affected by fluctuations in
exchange rates. Historically, fluctuations in exchange rates from those in
effect at the time contracts were executed have not had a material effect upon
the Company's consolidated financial results.

The second risk results from the passage of time between the invoicing of
customers under these contracts and the ultimate collection of customer payments
against such invoices. Because the contract is denominated in a currency other
than the subsidiary's local currency, the Company recognizes a receivable at the
time of invoicing at the local currency equivalent of the foreign currency
invoice amount. Changes in exchange rates from the time the invoice is prepared
until the payment from the customer is received will result in the Company
receiving either more or less in local currency than the local currency
equivalent of the invoice amount at the time the invoice was prepared and the
receivable established. This difference is recognized by the Company as a
foreign currency transaction gain or loss, as applicable, and is reported in
Other Income (Expense) in the Consolidated Statements of Operations.

The Company's consolidated financial statements are denominated in U.S. dollars.
Accordingly, changes in exchange rates between the applicable foreign currency
and the U.S. dollar will affect the translation of each foreign subsidiary's
financial results into U.S. dollars for purposes of reporting consolidated
financial statements. The Company's foreign subsidiaries translate their
financial results from local currency into U.S. dollars as follows: income
statement accounts are translated at average exchange rates for the period;
balance sheet asset and liability accounts are translated at end of period
exchange rates; and equity accounts are translated at historical exchange rates.
Translation of the balance sheet in this manner affects the shareholders' equity
account referred to as the foreign currency translation adjustment account. This
account exists only in the foreign subsidiaries' U.S. dollar balance sheet and
is necessary to keep the foreign subsidiaries' balance sheet stated in U.S.
dollars in balance. Foreign currency translation adjustments, reported as a
separate component of shareholders' equity were $1.2 million at December 31,
2003 compared to ($1.5) million at December 31, 2002.

Interest Rates

The Company is exposed to changes in interest rates on its available for sale
securities and amounts outstanding under the Facility and Multicurrency
Facility. Available for sale securities are recorded at fair value in the
consolidated financial statements. These securities are exposed to market price
risk, which also takes into account interest rate risk. At December 31, 2003,
the potential loss in fair value resulting from a hypothetical decrease of 10%
in quoted market price would be approximately $888,000.

In July 2002, the Company entered into an interest rate swap agreement with the
intent of managing the interest rate risk on its five-year term loan. Interest
rate swap agreements are contractual agreements between two parties for the
exchange of interest payment streams on a principal amount and an agreed-upon
fixed or floating rate, for a defined period of time. See discussion of debt in
the Liquidity and Capital Resources section of the Management's Discussion and
Analysis of Financial Conditions and Results of Operations.

                                       16

<PAGE>

ITEM 8.

                   FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

The Financial Statements and Supplementary Data called for by this Item are
incorporated herein from page F-1.

ITEM 9.

                  CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS
                     ON ACCOUNTING AND FINANCIAL DISCLOSURE

On June 9, 2003, the Company dismissed its independent accountant,
PricewaterhouseCoopers LLP ("PwC"), and engaged Deloitte & Touche LLP as our new
independent accountant for the fiscal year ending December 31, 2003. The
decision to change independent accountants was recommended by the Audit
Committee of the Board of Directors and approved by the Board of Directors.
During the two most recent fiscal years, neither of the PwC's reports on the
Company's consolidated financial statements contained an adverse opinion or a
disclaimer of opinion or was qualified or modified as to uncertainty,
audit scope or accounting principles. During the Company's two most recent
fiscal years and through the date of PwC's dismissal, there have been no
disagreements between the Company and PwC on any matter of accounting
priniciples or practices, financial statement disclosure, or auditing scope or
procedure which, if not resolved to the satisfaction of PwC, would have caused
them to make a reference to the subject matter of the disagreements in
connection with their reports onthe consolidated financial statements for
such years.

ITEM 9A.

                             CONTROLS AND PROCEDURES

Based on the Company's most recent evaluation, which was completed as of the end
of the period covered by this Form 10-K, our Chairman (principal executive
officer) and Chief Financial Officer (principal financial and accounting
officer) believe the Company's disclosure controls and procedures (as defined in
Rules 13a-14 and 15d-14 of the Securities Exchange Act of 1934, as amended) are
effective. No change in the Company's internal control over financial reporting
occurred during the Company's last fiscal quarter that has materially affected,
or is reasonably likely to materially affect, the Company's internal control
over financial reporting.

                                    PART III

ITEM 10.

               DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT

DIRECTORS OF THE COMPANY

The name, age and background information for each of the Company's Directors is
set forth in the section entitled "Information about Nominees" contained in the
Company's Proxy Statement for its 2004 Annual Meeting of Shareholders and is
incorporated herein by reference.

BOARD COMMITTEES:

Information regarding the members of the audit committee and the audit committee
financial expert is set forth in the section entitled "Committees of the Board
of Directors" contained in the Company's Proxy Statement for its 2004 Annual
Meeting of Shareholders and is incorporated herein by reference.

Notwithstanding anything to the contrary set forth herein or in any of the
Company's previous filings under the Securities Act of 1933, as amended, or the
Securities Exchange Act of 1934, as amended, that might incorporate future
filings, including this Form 10-K, the sections entitled "Management Development
and Compensation Committee Report on Executive Compensation" and "Report of the
Audit Committee" and the Performance Graph, which are set forth in the Company's
Proxy Statement for its 2004 Annual Meeting of Shareholders, are not deemed to
be incorporated by reference in this Form 10-K.

                                       17

<PAGE>

EXECUTIVE OFFICERS OF THE COMPANY

The Executive Officers of the Company at March 1, 2004 were as follows:

<TABLE>
<CAPTION>
        NAME           AGE                 POSITION                 OFFICER SINCE
---------------------  ---  --------------------------------------  -------------
<S>                    <C>  <C>                                     <C>
Candace Kendle          57  Chief Executive Officer and Chairman        1981
                            of the Board of Directors

Christopher C. Bergen   53  President, Chief Operating                  1981
                            Officer and Director

Simon Higginbotham      43  Vice President and Chief                    2004
                            Marketing Officer

Karl Brenkert III       56  Senior Vice President, Chief Financial      2002
                            Officer and Treasurer
</TABLE>

Background information regarding Dr. Kendle and Mr. Bergen is set forth in a
section entitled "Information about Nominees." Background information regarding
Mr. Higginbotham and Mr. Brenkert is set forth in a section entitled "Securities
Ownership of Management." Both sections are contained in the Company's Proxy
Statement for its 2004 Annual Meeting of Shareholders, and the information in
those sections is incorporated herein by reference.

SECTION 16(A) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

Information on compliance with Section 16(a) of the Exchange Act set forth in
the sections entitled "Section 16(a) Beneficial Ownership Reporting Compliance"
is contained in the Company's Proxy Statement for its 2004 Annual Meeting of
Shareholders and is incorporated herein by reference.

CODE OF ETHICS

Information pertaining to the Company's Code of Ethics, referred to by the
Company as its Code of Ethics and Conduct, is set forth in the section entitled
"Nominating and Corporate Governance Committee" contained in the Company's Proxy
Statement for its 2004 Annual Meeting of Shareholders and is incorporated herein
by reference. The Company will make available, free of charge, to any person, a
copy of its Code of Ethics and Conduct upon written request submitted to the
Company. This written request should be addressed to the General Counsel at the
Company's principal executive offices.

ITEM 11.

                             EXECUTIVE COMPENSATION

Information on executive compensation set forth in the sections entitled
"Executive Compensation and "Stock Options" and the tables therein is contained
in the Company's Proxy Statement for its 2004 Annual Meeting of Shareholders and
is incorporated herein by reference.

ITEM 12.

     Security Ownership of Certain Beneficial Owners and Management

Information on the number of shares beneficially owned by each Director and by
all Directors and Executive Officers as a group set forth in the section
entitled "Securities Ownership of Management" and the table therein is contained
in the Company's Proxy Statement for its 2004 Annual Meeting of Shareholders and
is incorporated herein by reference.

                                       18

<PAGE>

Information on the number of shares beneficially owned by any person who is
known to the Company to be the beneficial owner of more than five percent of the
Company's Common Stock set for in the section entitled "Principal Shareholders"
and the table therein is contained in the Company's Proxy Statement for its 2004
Annual Meeting of Shareholders and is incorporated herein by reference.

The following table presents summary information at December 31, 2003 with
respect to all the Company's equity compensation plans, except the 2003
Directors' Compensation Plan under which shares issued to Directors are not
subject to forfeiture and are not appropriate for inclusion in the table below.

                      Equity Compensation Plan Information

<TABLE>
<CAPTION>
                                             (a)                          (b)                             (c)
----------------------------  -----------------------------  -----------------------------  -------------------------------
                                                                                            Number of securities remaining
                                Number of Securities to be                                   available for future issuance
                                 issued upon exercise of       Weighted-average exercise    under equity compensation plans
                              outstanding options, warrants  price of outstanding options,  (excluding securities reflected
        Plan Category                  and rights                 warrants and rights                in column (a))
----------------------------  -----------------------------  -----------------------------  -------------------------------
<S>                           <C>                            <C>                            <C>
Equity compensation plans               2,072,303                     $11.24                             1,058,376
approved by security holders
Equity compensation plans not                   *                          *                                     *
approved by security holders
                                        ---------                     ------                             ---------
     Total                              2,072,303                     $11.24                             1,058,376
</TABLE>

* Excludes shares of Common Stock issued under the 2003 Directors' Compensation
Plan. Shares issued under that plan are not subject to risk of forfeiture.

DESCRIPTION OF THE 2003 DIRECTORS' COMPENSATION PLAN

The 2003 Directors' Compensation Plan (the "Plan") provides for the compensation
of cash retainer fees to the Company's directors who are not employees of the
Company and an issuance of shares of Common Stock in lieu of portions of these
cash retainer fees. The Board of Directors approved the Plan, which authorizes
up to 25,000 shares of Common Stock to be issued to non-employee directors.
Pursuant to the terms and conditions of the Plan, the number of authorized
shares available under the Plan will increase to 75,000 upon shareholder
approval of this increase.

THE MATERIAL TERMS AND CONDITIONS OF THE PLAN ARE SUMMARIZED BELOW, AND THE
FOLLOWING SUMMARY IS QUALIFIED IN ITS ENTIRETY BY REFERENCE TO THE PLAN.

ADMINISTRATION. The Plan is administered by the Management Development and
Compensation Committee of the Board of Directors consisting solely of
non-employee directors.

PAYMENT TERMS. The Plan entitles each non-employee director to a retainer of
$3,000 for each meeting of the Board of Directors attended and a retainer of
$1,500 for each Board committee meeting attended. The Plan specifies that
directors will receive shares of Common Stock in lieu of cash to the extent of
fifty percent (50%) of the cash retainer. The Company pays the cash retainer and
issues the shares of Common Stock in lieu of a portion of the cash retainer
quarterly, in arrears, as soon as practicable following the end of each quarter.

ISSUANCE OF SHARES IN LIEU OF CASH RETAINER. The number of shares of Common
Stock to be issued is determined by dividing fifty percent (50%) of the total
retainer owed to a director for a fiscal quarter by the average of the fair
market value per share of Common Stock for the ten trading days prior to the end
of that quarter. Any fractional shares resulting from the calculation are
rounded up to the nearest share. The Plan defines fair market value as the last
sale price reported on any stock exchange or over-the-counter trading system on
which such shares of Common Stock are trading.

AMENDMENT AND TERMINATION. The Plan grants authority to the Board of Directors
to amend, suspend or terminate the Plan, provided that an amendment, without
shareholder approval, does not:

                                       19

<PAGE>

          -    increase the number of shares of Common Stock authorized to be
               issued under the Plan,

          -    materially increase the benefits accruing to the directors under
               the Plan,

          -    materially modify the eligibility requirements for participating
               in the Plan, or

          -    extend the termination date of the Plan.

Amendments related to the amount, pricing and timing of issuances of shares of
Common Stock may not be made more than once every six months, except to the
extent necessary to address changes in applicable laws and regulations.

FEDERAL INCOME TAX CONSEQUENCES. Under the terms and conditions of the Plan,
shares of Common Stock granted to participants are not subject to forfeiture.
Accordingly, at the time a participant receives shares of Common Stock under the
Plan, the participant recognizes compensation taxable as ordinary income in an
amount equal to the fair market value of such shares of Common Stock.

The foregoing is a brief summary of the current federal income tax rules
generally applicable to the non-employee directors receiving shares of Common
Stock under the Plan. This summary is based on federal tax laws and regulations
in effect on the date of this Proxy Statement and does not purport to be a
complete description of the federal income tax aspects of the Plan or to address
the effects of foreign, state or local law or wage withholding requirements.

ITEM 13.

                 CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

The section entitled "Certain Transactions" is contained in the Company's Proxy
Statement for its 2004 Annual Meeting of Shareholders and is incorporated herein
by reference.

ITEM 14.

                     PRINCIPAL ACCOUNTING FEES AND SERVICES

Information required by this Item is contained in the sections entitled "Audit
Committee's Pre-Approval Policies and Procedures" and "Fees Paid to Independent
Public Accountant" in the Company's Proxy Statement for its 2004 Annual Meeting
of Shareholders and is incorporated herein by reference.

                                     PART IV

ITEM 15.

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

          (a)  (1) and (2) - All financial statements and schedules required to
               be filed by Item 8 of this Form 10-K and included in this report
               are listed beginning on page F-1. No additional financial
               statements or schedules are being filed as the requirements of
               paragraph (d) of Item 14 are not applicable to the Company.

               (3) Exhibits - Exhibits set forth below that are on file with the
               Securities and Exchange Commission are incorporated by reference
               as exhibits hereto.

<TABLE>
<CAPTION>
Exhibit
Number                            Description of Exhibit                           Filing Status
------   -----------------------------------------------------------------------   -------------
<S>      <C>                                                                       <C>
2.1      Stock Purchase Agreement dated July 1, 1997 by and among the Company
         and Shareholders of U-Gene Research B.V.                                       A

2.2      Escrow Agreement dated June 27, 1997 among the Company, Keating,
         Muething & Klekamp, P.L.L., Bio-Medical Research Holdings, B.V.,
         Utrechtse Particatiemaatschappij B.V., P.J. Morrison, T.S. Schwarz,
         I.M. Hoepelman , Ph.K. Peterson, J. Remington, M. Rozenberg-Arska and
         L.G.W. Sterkman                                                                A

2.3      Share Purchase Agreement dated July 2, 1997 by and among the Company
         and the Shareholders of
</TABLE>

                                       20

<PAGE>

<TABLE>
<S>      <C>                                                                        <C>
         GMI Gescellschaft fur Angewandte Mathematick und Informatik mbH            A

2.4      Stock Purchase Agreement dated February 11, 1998 by and among the
         Company and the Shareholders of ACER/EXCEL Inc.                            B

2.5      Escrow Agreement dated February 11, 1998 among the Company, Tzuo-Yan
         Lee, Jean C. Lee, Michael Minor, Conway Lee, Steven Lee, Jean C. Lee,
         as Trustee under a Trust dated March 8, 1991 fbo Jennifer Lee, Citicorp
         Trust-South Dakota and The Fifth Third Bank                                C

2.6      Registration Rights Agreement dated February 11, 1998 among the Company
         and Tzuo-Yan Lee, Jean C. Lee, Michael Minor, Conway Lee, Steven Lee,
         Jean C. Lee, as Trustee under a Trust dated March 8, 1991 fbo Jennifer
         Lee, Citicorp Trust-South Dakota                                           C

2.7      Share Purchase Agreement dated December 23, 1998 by and among the
         Company and the Shareholders of Research Consultants (International)
         Holdings Limited                                                           D

2.8      Escrow Agreement dated January 5, 1999 among the Company, John Glasby,
         Gillian Gregory, Michael Roy Broomby and Peter Nightingale                 D

2.9      Option Agreement dated September 9, 1998 by and between the Company and
         Component Software International, Inc.                                     D

2.10     Notice of Option Exercise dated January 11, 1999 of the Option
         Agreement dated September 9, 1998                                          D

2.11     Multi-Year Strategic Services Agreement dated January 20,1999 by and
         between the Company and Component Software International, Inc.             D

2.12     Asset Purchase Agreement dated June 27, 1999 by and among the Company
         and the Shareholders of Health Care Communications, Inc.                   F

2.13     Stock Purchase Agreement dated June 4, 1999 by and among the Company
         and the Shareholders of ESCLI S.A.                                         G

2.14     Asset Purchase Agreement dated July 13, 1999 by and among the Company
         and the Shareholders of HCC Health Care Communications (1991), Ltd.        G

2.15     Share Purchase Agreement dated August 31, 1999 by and among the Company
         and the Shareholder of Specialist Monitoring Services Limited              G

2.16     Escrow Agreement dated July 13, 1999 by and among the Company, Geoffrey
         H. Kalish, M.D., Bradley D. Kalish, Jill Kalish, and The Fifth Third
         Bank, as Escrow Agent                                                      I

2.17     Escrow Agreement dated August 31, 1999 by and among the Company, Paul
         Martin, and The Fifth Third Bank, as Escrow Agent                          I

2.18     Units Purchase Agreement dated April 7, 2000 by and among the Company
         and the Shareholders of SYNERmedica PTY Limited and SYNERmedica Unit
         Trust                                                                      J

2.19     Stock Purchase Agreement dated February 27, 2001 by and among the
         Company and the Shareholders of AAC Consulting Group, Inc.                 M

2.20     Form of Note Prepayment Agreement                                          R

2(a)     Asset Purchase Agreement dated January 29, 2002 among Kendle
         International Inc., Clinical and Pharmacologic Research, Inc., Thomas
         S. Clark, M.D., Charles T. Clark, and E. Stuart Clark                      N

2(b)     Convertible Subordinated Note, dated January 29, 2002 issued by Kendle
         International Inc. to Clinical and Pharmacologic Research, Inc.            N

3.1      Restated and Amended Articles of Incorporation                             A

3.2      Amended and Restated Code of Regulations                                   A

3.3      Amendment of the Restated and Amended Articles of Incorporation to
         Increase the Authorized Shares                                             E

4        Specimen Common Stock Certificate                                          A

4.1      Shareholder Rights Agreement dated August 13, 1999 between the Company
         and The Fifth Third Bank, as Rights Agent                                  H

10.1     Amended and Restated Shareholders' Agreement dated June 26, 1997           A

10.2     Master Lease Agreement dated November 27, 1996 by and between the
         Company and Bank One Leasing Corporation, as amended on April 18, 1997     A

10.6     Master Equipment Lease dated August 16, 1996 by and between the Company
         and The Fifth Third Leasing Company                                        A

10.7     Lease Agreement dated December 9, 1991 by and between the Company and
         Carew Realty, Inc., as amended on December 30, 1991, March 18, 1996,
         October 8, 1996, January 29, 1997, and February 16, 1999                   D

10.8     Indemnity Agreement dated June 21, 1996 by and between the Company and
         Candace Kendle Bryan                                                       A

10.9     Indemnity Agreement dated June 21, 1996 by and between the Company and
         Christopher C. Bergen                                                      A

10.10    Indemnity Agreement dated June 21, 1996 by and between the Company and
         Timothy M. Mooney                                                          A

10.11    Indemnity Agreement dated May 14, 1997 by and between the Company and
         Charles A. Sanders                                                         C
</TABLE>

                                       21

<PAGE>

<TABLE>
<S>      <C>                                                                        <C>
10.12    Indemnity Agreement dated May 14, 1997 by and between the Company and
         Philip E. Beekman                                                          C

10.13    Indemnity Agreement dated December 10, 1998 by and between the Company
         and Robert Buck                                                            D

10.14    Indemnity Agreement dated December 10, 1998 by and between the Company
         and Mary Beth Price                                                        D

10.15    Form of Indemnity Agreement by and between the Company and each member
         of the Company's Board of Directors, except for those Indemnity
         Agreements noted above and filed previously.                               S

10.17    Clinical Trial Service Agreement between the Company and G.D. Searle &
         Company dated September 23, 1997                                           C

10.19    Amended and Restated Credit Agreement dated as of February 26, 1998 by
         and between the Company and NationsBank, N.A.                              C

10.21    First Amendment to the Amended and Restated Credit Agreement dated as
         of November 25, 1998 by and between the Company and NationsBank, N.A.      D

10.22    Credit Agreement dated as of October 13, 2000 among the Company, the
         Several Lenders from Time to Time Party Hereto, and Bank One, NA, as
         Agent                                                                      K

10.23    Amended and Restated Credit Agreement dated as of June 3, 2002 among
         Kendle International Inc., The Several Lenders from Time to Time Party
         Hereto and Bank One, NA as Agent                                           O

10.24    Third Amendment to Amended and Restated Credit Agreement                   Q

10.25    Fourth Amendment to Amended and Restated Credit Agreement                  S

10.20                  MANAGEMENT CONTRACTS AND COMPENSATION PLANS

         (a)      1995 Stock Option and Stock Incentive Plan                        A

         (b)      1995 Stock Option and Stock Incentive Plan -- Individual Stock
                  Option Agreement for Incentive Stock Option (contained in
                  Exhibit 10.20(a))                                                 A

         (c)      1997 Stock Option and Stock Incentive Plan                        A

         (d)      Amendment No. 2 to 1997 Stock Option and Stock Incentive Plan     L

         (d)      Form of Protective Compensation and Benefit Agreement             A

         (e)      1998 Employee Stock Purchase Plan                                 D

         (f)      1997 Directors' Compensation Plan                                 D

         (g)      Amendment No. 1 to 1997 Stock Option and Stock Incentive Plan     P

         (h)      Amendment No. 3 to 1997 Stock Option and Stock Incentive Plan     P

         (i)      Amendment No. 1 to 1997 Directors Compensation Plan               P

         (j)      Amendment No. 2 to 1997 Directors Compensation Plan               P

         (k)      Amendment No. 1 to 1998 Employee Stock Purchase Plan              P

         (l)      Amendment No. 2 to 1998 Employee Stock Purchase Plan              P

         (m)      Amendment No. 3 to 1998 Employee Stock Purchase Plan              P

         (n)      2003 Directors Compensation Plan                                  R

14       Code of Ethics                                                             S

23.1     Consent of PricewaterhouseCoopers LLP                                      S

23.2     Consent of Deloitte & Touche LLP                                           S

24       Powers of Attorney                                                         S

31.1     Certification of the Chief Executive Officer pursuant to Rule 13a-14(a)    S

31.2     Certification of the Chief Financial Officer pursuant to Rule 13a-14(a)    S

32.1     Certification Pursuant to 18 U.S.C Section 1350 as Adopted Pursuant to
         Section 906 of the Sarbanes- Oxley Act of 2002- Chief Executive Officer    S

32.2     Certification Pursuant to 18 U.S.C Section 1350 as Adopted Pursuant to
         Section 906 of the Sarbanes- Oxley Act of 2002 - Chief Financial
         Officer                                                                    S
</TABLE>

<TABLE>
<CAPTION>
Filing
Status                         Description of Filing Status
-----    -----------------------------------------------------------------------
<S>      <C>
A        Incorporated by reference to the Company's Registration Statement No.
         333-30581 filed under the Securities Act of 1933

B        Filed as an exhibit to the Company's Current Report on Form 8-K dated
         November 13, 1997

C        Incorporated by reference to the Company's Annual Report on Form 10-K
         for the year ended December 31, 1997

D        Incorporated by reference to the Company's Annual Report on Form 10-K
         for the year ended
</TABLE>

                                       22

<PAGE>

<TABLE>
<S>      <C>
         December 31, 1998

E        Incorporated by reference to the Company's Proxy Statement for its 1999
         Annual Shareholders' Meeting

F        Incorporated by reference to the Company's Quarterly Report on Form
         10-Q for the quarterly period ended June 30, 1999

G        Incorporated by reference to the Company's Quarterly Report on Form
         10-Q for the quarterly period ended September 30, 1999

H        Incorporated by reference to the Company's filing on Form 8-A dated
         September 7, 1999

I        Incorporated by reference to the Company's Annual Report on Form 10-K
         for the year ended December 31, 1999

J        Incorporated by reference to the Company's Quarterly Report on Form
         10-Q for the quarterly period ended March 31, 2000

K        Incorporated by reference to the Company's Quarterly Report on Form
         10-Q for the quarterly period ended September 30, 2000

L        Incorporated by reference to the Company's Proxy Statement for its 2000
         Annual Shareholders' Meeting

M        Incorporated by reference to the Company's Annual Report on Form 10-K
         for the year ended December 31, 2000

N        Filed as an exhibit to the Company's Current Report on Form 8-K dated
         January 29, 2002

O        Filed as an exhibit to the Company's Quarterly Report on Form 10-Q for
         the quarterly period ended June 30, 2002

P        Incorporated by reference to the Company's Annual Report on Form 10-K
         for the year ended December 31, 2002

Q        Filed as an exhibit to the Company's Quarterly Report on Form 10-Q for
         the quarterly period ended March 31, 2003

R        Filed as an exhibit to the Company's Quarterly Report on Form 10-Q for
         the quarterly period ended June 30, 2003

S        Filed herewith.
</TABLE>

The Company will furnish, without charge, to a security holder upon request a
copy of the documents, portions of which are incorporated by reference (Annual
Report to Shareholders and Proxy Statement), and will furnish any other Exhibit
upon payment of reproduction charges.

         (b) Reports on Form 8-K:

         On November 3, 2003 the Company filed a Form 8-K to disclose the
         non-GAAP financial measures included in its press release announcing
         its third quarter results of operations and financial condition and the
         reasons for including the non- GAAP financial measures.

         (c) Exhibits required by this Form 10-K:

         See (a)(3) above.

         (d) Financial Statements and Schedules

         See (a)(2) above.

                                       23

<PAGE>

                            Kendle International Inc.

                   Index to Consolidated Financial Statements

<TABLE>
<CAPTION>
                                                                           Page
<S>                                                                        <C>
Independent Auditors Report                                                F-2
Consolidated Statements of Operations for the years
ended December 31, 2003, 2002 and 2001.                                    F-3
Consolidated Balance Sheets as of December 31, 2003 and 2002.              F-4
Consolidated Statements of Shareholder's Equity for the years
ended December 31, 2003, 2002, and 2001.                                   F-5
Consolidated Statements of Cash Flows for the years ended
December 31, 2003, 2002, and 2001.                                         F-7
Notes to Consolidated Financial Statements.                                F-9
</TABLE>
<PAGE>

INDEPENDENT AUDITORS REPORT

To the Board of Directors and Shareholders of Kendle International Inc.
Cincinnati,Ohio

We have audited the accompanying consolidated balance sheet of Kendle
International Inc. as of December 31,2003,and the related consolidated
statements of operations,shareholders equity, and cash flows for the year then
ended. These financial statements are the responsibility of the Companys
management. Our responsibility is to express an opinion on these financial
statements based on our audit.

We conducted our audit 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 audit provides a
reasonable basis for our opinion.

In our opinion,such 2003 consolidated financial statements present fairly,in all
material respects,the financial position of the Company as of December 31,2003,
and the results of its operations and its cash flows for the year then ended in
conformity with accounting principles generally accepted in the United States of
America.

/s/ Deloitte & Touche LLP
March 14,2004

REPORT OF INDEPENDENT AUDITORS

To the Board of Directors and Shareholders of Kendle International Inc:

In our opinion, the accompanying consolidated financial statements listed in the
accompanying index present fairly,in all material respects,the financial
position of Kendle International Inc.and its subsidiaries (the Company ) at
December 31,2002,and the results of their operations and their cash flows for
each of the two years in the period ended December 31,2002,in conformity with
accounting principles generally accepted in the United States of America. These
financial statements are the responsibility of the Companys management;our
responsibility is to express an opinion on these financial statements based on
our audits. We conducted our audits of these statements in accordance with
auditing standards generally accepted in the United States of America,which
require that we plan and perform the audit to obtain reasonable assurance about
whether the financial statements are free of material misstatement. An audit
includes examining,on a test basis, evidence supporting the amounts and
disclosures in the financial statements,assessing the accounting principles used
and significant estimates made by management, and evaluating the overall
financial statement presentation. We believe that our audits provide a
reasonable basis for our opinion.

As discussed in Note 6 of the Notes to Consolidated Financial Statements,the
Company adopted Statement of Financial Accounting Standards No.142, "Goodwill
and Other Intangible Assets", effective January 1, 2002.

/s/ PricewaterhouseCoopers
PricewaterhouseCoopers
Cincinnati,Ohio
February 11,2003

                                       F-2

<PAGE>

CONSOLIDATED STATEMENTS OF OPERATIONS
(In thousands,except per share data)
FOR THE YEARS ENDED DECEMBER 31,

<TABLE>
<CAPTION>
                                                              2003        2002         2001
                                                           ---------    ---------    ---------
<S>                                                        <C>          <C>          <C>
NET SERVICE REVENUES                                       $ 156,221    $ 165,173    $ 154,302
Reimbursable out-of-pocket revenues                           53,436       48,841       40,197
                                                           ---------    ---------    ---------
Total revenues                                               209,657      214,014      194,499

Cost and expenses:

       Direct costs                                           91,133       98,438       93,729
       Reimbursable out-of-pocket costs                       53,436       48,841       40,197
       Selling,general and administrative                     52,402       48,646       44,047
       Depreciation and amortization                           9,057        8,347        9,988
       Employee severance and office consolidation costs       1,468          408         (766)
       Goodwill impairment                                        --       67,745           --
                                                           ---------    ---------    ---------
Total costs and expenses                                     207,496      272,425      187,195

Income (loss) from operations                                  2,161      (58,411)       7,304
Other income (expense):
       Interest income                                           334          534          903
       Interest expense                                       (1,039)      (1,219)        (877)
       Other                                                    (725)         (61)          23
       Investment impairment                                    (405)      (1,938)          --
       Gain on debt extinguishment                               558           --           --
                                                           ---------    ---------    ---------
Total other income (expenses)                                 (1,277)      (2,684)          49

Income (loss) before income taxes                                884      (61,095)       7,353
Income taxes                                                   2,574       (6,295)       3,147
                                                           ---------    ---------    ---------
Net income (loss)                                          $  (1,690)   $ (54,800)   $   4,206
                                                           =========    =========    =========
Income (loss) per share data:
Basic:
       Net income (loss) per share                         $   (0.13)   $   (4.30)   $    0.34
                                                           ---------    ---------    ---------
       Weighted average shares                                12,973       12,734       12,251
Diluted:
       Net income (loss) per share                         $   (0.13)   $   (4.30)   $    0.33
                                                           ---------    ---------    ---------
       Weighted average shares                                12,973       12,734       12,858
</TABLE>

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

                                       F-3

<PAGE>

CONSOLIDATED BALANCE SHEETS
(In thousands,except per share data)
   DECEMBER 31,

<TABLE>
<CAPTION>
                                                                               2003         2002
                                                                             ---------    ---------
<S>                                                                          <C>          <C>
ASSETS
Current assets:
  Cash and cash equivalents                                                  $  21,750    $  12,671
  Restricted cash                                                                1,777          ---
  Available for sale securities                                                  8,881       17,304
  Accounts receivable                                                           41,573       47,050
  Other current assets                                                           9,947        7,343
                                                                             ---------    ---------
          Total current assets                                                  83,928       84,368

  Property and equipment,net                                                    17,607       19,028
  Goodwill                                                                      25,404       22,033
  Other finite-lived intangible assets                                             821          ---
  Other indefinite-lived intangible assets                                      15,000       15,000
  Long-term deferred tax asset                                                   3,706        5,933
  Other assets                                                                   7,949        9,035
                                                                             ---------    ---------
          TOTAL ASSETS                                                       $ 154,415    $ 155,397
                                                                             =========    =========
LIABILITIES AND SHAREHOLDERS' EQUITY
Current liabilities:
  Current portion of obligations under capital leases                        $     827    $     843
  Current portion of amounts outstanding under credit facilities                 3,000        3,000
  Trade payables                                                                 5,601        5,883
  Advance billings                                                              21,243       22,313
  Other accrued liabilities                                                     14,734       10,878
                                                                             ---------    ---------
          Total current liabilities                                             45,405       42,917

Obligations under capital leases,less current portion                              926        1,643
Convertible note                                                                 4,000        6,000
Long-term debt                                                                   6,750        9,750
Deferred income taxes payable                                                      531           33
Other liabilities                                                                  434          694
                                                                             ---------    ---------
          Total liabilities                                                     58,046       61,037

Commitments and contingencies
Shareholders  equity:
  Preferred stock no par value;100,000 shares authorized;none issued and
  outstanding Common stock no par value;45,000,000 shares authorized;
          13,079,912 and 12,861,510 shares issued and 13,060,015 and
          12,841,613 outstanding at December 31,2003 and 2002,respectively          75           75
  Additional paid-in capital                                                   135,034      134,266
  Accumulated deficit                                                          (39,168)     (37,478)
  Accumulated other comprehensive income (loss):
          Net unrealized holding gains (losses) on available for sale
           securities                                                                1           (6)
          Unrealized loss on interest rate swap                                   (350)        (566)
          Foreign currency translation adjustment                                1,170       (1,538)
                                                                             ---------    ---------
          Total accumulated other comprehensive income (loss)                      821       (2,110)
                                                                             ---------    ---------
  Less:cost of common stock held in treasury,19,897 shares
          at December 31,2003 and 2002                                            (393)        (393)
                                                                             ---------    ---------
          Total shareholders' equity                                            96,369       94,360
                                                                             ---------    ---------
          TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY                         $ 154,415    $ 155,397
                                                                             =========    =========
</TABLE>

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

                                       F-4

<PAGE>

CONSOLIDATED STATEMENTS OF SHAREHOLDERS' EQUITY

<TABLE>
<CAPTION>
------------------------------------------------------------------------------------------------------------------------------------
(In thousands,except share data)

------------------------------------------------------------------------------------------------------------------------------------
                              common stock         additional            (accumulated   accumulated other    total
                                number of           paid-in   treasury      deficit)      comprehensive  shareholders' comprehensive
                                 shares    amount   capital    stock   retained earnings   income(loss)      equity    income (loss
------------------------------------------------------------------------------------------------------------------------------------
<S>                             <C>        <C>     <C>         <C>       <C>              <C>              <C>            <C>
BALANCE, JANUARY 1, 2001        11,763,307 $    75 $ 122,725              $     13,116     $     (3,046)   $   132,870

Net income                                                                       4,206                           4,206   $   4,206

Other comprehensive income:
  Foreign currency
    translation adjustment                                                                         (832)          (832)       (832)
  Net unrealized holding
    gains on available
    for sale securities,
    net of tax                                                                                      147            147         147
  Reclassification
    adjustment for
    holding losses
    included in net
    income,net of tax                                                                                 5              5           5
------------------------------------------------------------------------------------------------------------------------------------
Comprehensive income                                                                                                     $   3,526
------------------------------------------------------------------------------------------------------------------------------------
Issuance of Common Stock
    for acquisition                374,665             3,873                                                     3,873
Issuance of Common Stock in
    connection with prior
    acquisition                     84,450               796                                                       796
Shares issued under stock
    plans                          176,984             1,197                                                     1,197
Income tax benefit from
    exercise of stock options                            395                                                       395
Treasury stock transactions        (17,280)                       (350)                                           (350)
------------------------------------------------------------------------------------------------------------------------------------
BALANCE, DECEMBER 31, 2001      12,382,126 $    75 $ 128,986   $  (350)   $     17,322     $     (3,726)   $   142,307

Net loss                                                                       (54,800)                        (54,800)  $ (54,800)
Other comprehensive income:
  Foreign currency translation
    adjustment                                                                                    2,223          2,223       2,223
  Net unrealized holding losses
    on available for sale
    securities, net of tax                                                                          (41)           (41)        (41)
  Net unrealized holding losses
    on interest rate swap
    agreement                                                                                      (566)          (566)       (566)
------------------------------------------------------------------------------------------------------------------------------------
Comprehensive loss                                                                                                       $ (53,184)
------------------------------------------------------------------------------------------------------------------------------------
Issuance of Common Stock for
    acquisition                    314,243             4,092                                                     4,092
Shares issued under stock
    plans                          147,861               913                                                       913
Income tax benefit from
    exercise of stock options                            275                                                       275
Treasury stock transaction          (2,617)                        (43)                                            (43)
------------------------------------------------------------------------------------------------------------------------------------
BALANCE AT DECEMBER 31, 2002    12,841,613 $    75 $ 134,266   $  (393)   $    (37,478)    $     (2,110)   $    94,360
</TABLE>

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

                                       F-5

<PAGE>

<TABLE>
<CAPTION>

------------------------------------------------------------------------------------------------------------------------------------
(In thousands,except share data)
------------------------------------------------------------------------------------------------------------------------------------
                                                                            (accumulated   accumulated
                                 common stock        additional               deficit)        other          total
                                   number of          paid-in   treasury      retained    comprehensive  shareholders' comprehensive
                                    shares    amount  capital    stock        earnings    income(loss)      equity     income (loss)
------------------------------------------------------------------------------------------------------------------------------------
<S>                                <C>        <C>    <C>        <C>        <C>            <C>            <C>             <C>
Net loss                                                                      (1,690)                          (1,690)   $  (1,690)

Other comprehensive income:
  Foreign currency
    translation adjustment                                                                       2,708          2,708        2,708
  Net unrealized holding
    gains on available
    for sale securities,
    net of tax                                                                                       7              7            7
  Net unrealized holding
    losses on interest
    rate swap agreement                                                                            216            216          216
------------------------------------------------------------------------------------------------------------------------------------
Comprehensive income                                                                                                     $   1,241
------------------------------------------------------------------------------------------------------------------------------------
Shares issued under stock
    plans                             218,402               684                                                   684
Income tax benefit from
    exercise of stock options                                84                                                    84
------------------------------------------------------------------------------------------------------------------------------------
BALANCE AT DECEMBER 31, 2003       13,060,015  $  75  $ 135,034   $ (393)  $ (39,168)       $      821     $   96,369
</TABLE>


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

                                       F-6

<PAGE>

CONSOLIDATED STATEMENTS OF CASH FLOWS

<TABLE>
<CAPTION>
(In thousands)
FOR THE YEARS ENDED DECEMBER 31,
                                                                               2003        2002        2001
                                                                             --------    --------    --------
<S>                                                                          <C>         <C>         <C>
CASH FLOWS FROM OPERATING ACTIVITIES
  Net (loss) income                                                          $ (1,690)   $(54,800)   $  4,206
  Adjustments to reconcile net (loss) income to
      cash provided by operating activities:
      Depreciation and amortization                                             9,057       8,347       9,988
      Goodwill and investment impairment                                          405      69,684         ---
      Deferred income taxes                                                     1,358     (10,870)        382
      Other                                                                       513         584          25
      Gain on convertible note repayment                                         (558)        ---         ---
      Changes in operating assets and liabilities,net of
       effects from acquisitions:
            Accounts receivable                                                 5,245      14,421     (10,789)
            Other current assets                                               (1,469)     (2,025)      2,785
            Other assets                                                         (271)       (136)       (105)
            Investigator and project costs                                       (202)      1,724         252
            Trade payables                                                     (1,072)       (964)      1,262
            Advance billings                                                   (1,595)        455        (275)
            Accrued liabilities and other                                       4,429         532       1,882
                                                                             --------    --------    --------
Net cash provided by operating activities                                      14,150      26,952       9,613

CASH FLOWS FROM INVESTING ACTIVITIES
       Purchase of available for sale securities                              (47,741)    (48,989)    (40,587)
       Proceeds from sale and maturity of available for sale securities        56,149      50,643      39,272
       Acquisitions of property and equipment                                  (3,801)     (6,708)     (4,425)
       Additions to internally developed software                              (1,791)     (2,268)     (3,061)
       Acquisitions of businesses,less cash acquired                           (3,584)     (7,942)    (10,822)
       Additional purchase price paid in connection with prior acquisition        ---      (2,704)     (2,144)
       Other                                                                       33         ---          (5)
                                                                             --------    --------    --------
Net cash used in investing activities                                            (735)    (17,968)    (21,772)

CASH FLOWS FROM FINANCING ACTIVITIES
       Net (repayments) proceeds under credit facility                         (3,000)     (1,902)     12,630
       Payment of convertible note                                             (1,442)        ---         ---
       Proceeds from issuance of Common Stock                                     192         383         656
       Amounts payable-- book overdraft                                            18        (401)       (665)
       Payments on capital lease obligations                                     (851)       (818)       (850)
       Other                                                                      ---          58         ---
       Debt issue costs                                                           (71)        (89)        (14)
                                                                             --------    --------    --------
Net cash (used in) provided by  financing activities                           (5,154)     (2,769)     11,757
       Effects of exchange rates on cash and cash equivalents                     818         440        (291)
       Net increase (decrease) in cash and cash equivalents                     9,079       6,655        (693)
Cash and cash equivalents
       Beginning of year                                                       12,671       6,016       6,709
                                                                             --------    --------    --------
       End of year                                                           $ 21,750    $ 12,671    $  6,016
</TABLE>

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

                                       F-7

<PAGE>


<TABLE>
<CAPTION>
(In thousands)
FOR THE YEARS ENDED DECEMBER 31,
                                                                                   2003        2002        2001
                                                                                 --------    --------    --------
<S>                                                                              <C>         <C>         <C>
SUPPLEMENTAL DISCLOSURE OF CASH FLOW INFORMATION
       Cash paid during the year for interest                                    $    921    $  1,130    $    714
       Cash paid (received) during the year for income taxes                     $  1,227    $  5,758    $   (535)
SUPPLEMENTAL SCHEDULE OF NONCASH
INVESTING AND FINANCING ACTIVITIES
      Acquisition of equipment under capital leases                              $    339    $  1,107    $  1,735
      Amounts accrued for contingent consideration
        pursuant to acquisition agreement                                        $    ---    $    ---    $  2,976
      Treasury stock acquired in escrow settlement                               $    ---    $    (43)   $   (350)
      Acquisitions of businesses:
        Fair value of assets acquired                                            $  3,806    $ 19,165    $ 16,507
        Fair value of liabilities assumed or incurred                                (222)     (1,131)     (1,812)
        Stock issued                                                                  ---      (4,092)     (3,873)
        Convertible debt issued                                                       ---      (6,000)        ---
                                                                                 --------    --------    --------
      NET CASH PAYMENTS                                                          $  3,584    $  7,942    $ 10,822
</TABLE>

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

                                       F-8
<PAGE>

NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

1. NATURE OF BUSINESS AND SIGNIFICANT ACCOUNTING POLICIES:

NATURE OF BUSINESS

Kendle International Inc.(the Company) is an international contract research
organization (CRO) providing integrated clinical research services,including
clinical trial management,clinical data management,statistical analysis,medical
writing,regulatory consultation and organizational meeting management and
publication services on a contract basis to the pharmaceutical and biotechnology
industries.The Company has operations in North America,Latin America,
Europe,Asia and Australia.

PRINCIPLES OF CONSOLIDATION AND ORGANIZATION

The consolidated financial statements include the financial information of
Kendle International Inc.and its wholly-owned subsidiaries. Investments in
unconsolidated companies which are at least 20% owned and the Company can
exercise significant influence but not control,are carried at cost plus equity
in undistributed earnings since acquisition. Investments in unconsolidated
companies,which are less than 20% owned and the Company cannot exercise
significant influence,are carried at cost. There are no significant amounts on
the Consolidated Balance Sheet related to investments in unconsolidated
companies.

All intercompany accounts and transactions have been eliminated.The results of
operations of the Company's wholly-owned subsidiaries have been included in the
consolidated financial statements of the Company from the respective dates of
acquisition.

FOREIGN CURRENCY TRANSLATION

Assets and liabilities of the Company's wholly-owned subsidiaries are translated
into U.S.dollars at year-end exchange rates.Income statement accounts are
translated at average exchange rates for the year.These translation adjustments
are recorded as a separate component of shareholders equity.Foreign currency
transaction gains and losses are included in the Consolidated Statements of
Operations.

CASH AND CASH EQUIVALENTS, INCLUDING RESTRICTED CASH

Cash and cash equivalents consist of demand deposits and money market funds held
with a financial institution,with an initial maturity of three months or less.

The Company maintains its demand deposits with certain financial
institutions.The balance of one account from time-to-time exceeds the maximum
U.S. federally insured amount.Additionally,there is no state insurance coverage
on bank balances held in The Netherlands.

Cash and cash equivalents includes approximately $1.8 million in 2003 that is
restricted as to its use. The restricted cash represents cash received from
customers that is segregated in a separate Company bank account and available
for use only for specific project related expenses,primarily investigator fees,
upon authorization from the customer. There was no similar restriction on cash
and cash equivalents in 2002.

AVAILABLE FOR SALE SECURITIES

Investments purchased with initial maturities greater than three months are
classified as available for sale securities and consist of highly liquid debt
securities. These securities are stated in the consolidated financial statements
at market value.Realized gains and losses are included in the Consolidated
Statements of Operations, calculated based on a specific identification
basis.Unrealized gains and losses,net of tax,are reported as a separate
component of shareholders equity.

REVENUE RECOGNITION

Net service revenues are earned by performing services primarily under
fixed-price contracts.Net service revenues from contracts are generally
recognized on the percentage of completion method,measured principally by the
total costs incurred as a percentage of estimated total costs for each
contract.This method is used because management considers total costs incurred
to be the best available measure of progress on these contracts. The estimated
total costs of contracts are reviewed and revised periodically throughout the
lives of the contracts with adjustment to revenues resulting from such revisions
being recorded on a cumulative basis in the period in which the revisions are
made. When estimates indicate a loss,such loss is provided in the current period
in its entirety. Because of the inherent uncertainties in estimating costs,it is
at least reasonably possible that the estimates used will change in the near
term and could result in a material change. Work is also performed under
time-and-materials contracts,recognizing revenue as hours are worked based on
the hourly billing rate for each contract. Additionally, the Company recognizes
revenue under units-based contracts by multiplying units completed by the
applicable contract per-unit price.

Direct costs consist of compensation and related fringe benefits for
project-related associates,unreimbursed project-related costs and indirect costs
including facilities,information systems,and other costs.Selling,general,and
administrative costs are charged to expense as incurred.

                                       F-9
<PAGE>
Amendments to contracts resulting in revisions to revenues and costs are
recognized in the period in which the revisions are negotiated. Included in
accounts receivable are unbilled accounts receivable,which represent revenue
recognized in excess of amounts billed. Advance billings represent amounts
billed in excess of revenue recognized.

CONCENTRATION OF CREDIT RISK

Accounts receivable represent amounts due from customers who are concentrated
mainly in the pharmaceutical and biotechnology industries. The concentration of
credit risk is subject to the financial and industry conditions of the Company s
customers. The Company does not require collateral or other securities to
support customer receivables. The Company monitors the creditworthiness of
its customers,and credit losses have been immaterial and consistent with
management's expectations. Management considers the likelihood of material
credit risk exposure as remote. Refer to Note 16 for additional information
regarding revenue concentration.

LONG-LIVED ASSETS

Property and equipment are stated at cost,net of accumulated
depreciation. Depreciation is computed over estimated useful lives of two to ten
years using the straight-line method. Repairs and maintenance are charged to
expense as incurred. Upon disposition, the asset and the related accumulated
depreciation are relieved and any gains or losses are reflected in the
Consolidated Statements of Operations.

Equipment under capital leases is recorded at the present value of future
minimum lease payments and is amortized over the estimated useful lives of the
assets, not to exceed the terms of the related leases. Accumulated amortization
on equipment under capital leases was $3.0 million and $2.2 million at December
31, 2003 and 2002, respectively.

The Company capitalizes costs incurred to internally develop software used
primarily in the Company s proprietary clinical trial and data management
systems, and amortizes these costs on a straight-line basis over the estimated
useful life of the product, not to exceed five years. Unamortized software costs
included in the consolidated balance sheets at December 31, 2003 and 2002 were
$15.7 million and $14.0 million, respectively. The related accumulated
amortization at December 31, 2003 and 2002 was $8.8 million and $6.0
million, respectively.

In accordance with Statement of Financial Accounting Standards (SFAS) No. 144,
"Accounting for Impairment or Disposal of Long-Lived Assets", long-lived assets
such as property, plant and equipment, software, and investments are reviewed
for impairment whenever facts and circumstances indicate that the carrying value
may not be recoverable. When required,impairment losses on assets to be held and
used are recognized based on the fair value of the asset. The fair value is
determined based on estimates of future cash flows, market value of similar
assets, if available, or independent appraisals, if required. If the carrying
amount of the long-lived asset is not recoverable from its undiscounted cash
flows, an impairment loss is recognized for the difference between the carrying
amount and fair value of the asset.

DERIVATIVES

From time to time, the Company may use derivative instruments to manage exposure
to interest rates. Derivatives meeting the hedge criteria established by SFAS
No. 133, "Accounting for Derivative Instruments and Hedging Activities", as
amended by SFAS No. 138,are recorded in the consolidated balance sheet at fair
value at each balance sheet date. When the derivative is entered into,the
Company designates whether or not the derivative instrument is an effective
hedge of an asset, liability or firm commitment and classifies the hedge as a
cash flow hedge or a fair value hedge. If the hedge is determined to be an
effective cash flow hedge, changes in the fair value of the derivative
instrument are recorded as a component of other comprehensive income (loss).
Changes in the value of fair value hedges are recorded in results of operations.
In July of 2002, the Company entered into an interest rate swap agreement to fix
the interest rate on its $15 million term loan. The swap is designated as a cash
flow hedge. At December 31, 2003, approximately $350,000 has been recorded in
Accumulated Other Comprehensive Income to reflect a decrease in the fair market
value of the swap compared to approximately $566,000 at December 31, 2002.

INVESTIGATOR AND PROJECT COSTS

In addition to various contract costs previously described, the Company incurs
costs, in excess of contract amounts, which are reimbursable by its customers.
Emerging Issues Task Force (EITF) 01-14, "Income Statement Characterization of
Reimbursements Received for Out-of-Pocket Expenses Incurred", requires the
Company to include amounts paid to investigators and other out-of-pocket costs
as reimbursable out-of-pocket revenues and reimbursable out-of-pocket expenses
in the Consolidated Statements of Operations. In certain contracts,these costs
are fixed by the contract terms,so the Company recognizes these costs as part of
net service revenues and direct costs.

                                      F-10
<PAGE>

NET INCOME (LOSS) PER SHARE DATA

Net income (loss) per basic share is computed using the weighted average common
shares outstanding. Net income (loss) per diluted share is computed using the
weighted average common shares and potential common shares outstanding.

The weighted average shares used in computing net income (loss) per diluted
share have been calculated as follows:

<TABLE>
<CAPTION>
(in thousands)                                2003     2002     2001
---------------------------------------------------------------------
<S>                                          <C>      <C>      <C>
Weight average common shares outstanding     12,973   12,734   12,251
Stock options                                    --       --      584
Contingently issuable shares                     --       --       23
---------------------------------------------------------------------
WEIGHTED AVERAGE SHARES                      12,973   12,734   12,858
</TABLE>

Options to purchase approximately 2,100,000 shares of common stock
(approximately 1,900,000 shares of common stock equivalents) were outstanding
during 2003 but were not included in the computation of earnings per diluted
share because the effect would be antidilutive.

Options to purchase approximately 2,400,000 shares of common stock
(approximately 1,400,000 shares of common stock equivalents) were outstanding
during 2002 but were not included in the computation of earnings per diluted
share because the effect would be antidilutive.

Options to purchase approximately 739,000 shares of common stock were
outstanding during 2001 but were not included in the computation of earnings per
diluted share because the options exercise price was greater than the average
market price of the common shares and,therefore,the effect would be
antidilutive.

INCOME TAXES

The Company records deferred tax assets and liabilities based on temporary
differences between the financial statement and tax bases of assets and
liabilities using enacted tax rates in effect in the year in which the
differences are expected to reverse. Management provides valuation allowances
against deferred tax assets for amounts which are not considered more likely
than not to be realized.

STOCK OPTIONS

The Company accounts for stock options issued to associates in accordance with
Accounting Principles Board Opinion (APB) No.25, "Accounting for Stock Issued to
Employees". Under APB No.25,the Company recognizes expense based on the
intrinsic value of the options. The Company has adopted disclosure requirements
of SFAS No.123 "Accounting for Stock-Based Compensation",as amended by SFAS No.
148,which requires compensation expense to be disclosed based on the fair value
of the options granted at the date of grant.

The weighted average fair value of the options granted in 2003, 2002,and 2001
was estimated as $3.50,$6.32 and $16.97,respectively,on the date of grant using
the Black-Scholes option-pricing model with the following assumptions:

<TABLE>
<CAPTION>
                             2003         2002         2001
--------------------------------------------------------------
<S>                        <C>          <C>          <C>
Expected dividend yield          0%            0%          0%
Risk-free interest rate        3.0%          3.8%        4.7%
Expected volatility           69.8%         68.9%       67.4%
Expected holding period    5.3 years    6.3 years    6.4 years
</TABLE>

Had the Company adopted SFAS No.123, "Accounting for Stock-Based Compensation",
for expense recognition purposes,the amount of compensation expense that would
have been recognized in 2003,2002,and 2001 would have been $4.7 million,$5.0
million and $3.6 million respectively.The Company s pro forma net income (loss)
and pro forma net income (loss) per diluted share for 2003,2002,and 2001 would
have been reduced to the amounts below:

<TABLE>
<CAPTION>
               (in thousands, except per share data)                     2003        2002      2001
-----------------------------------------------------------------------------------------------------
<S>                                                                    <C>         <C>         <C>
Pro forma net income (loss)
As reported                                                            $ (1,690)   $(54,800)   $4,206
Less: pro forma adjustment for stock-based compensation,net of tax       (3,487)     (3,979)   (2,631)
                                                                       -------------------------------
Pro forma net income (loss)                                              (5,177)    (58,779)    1,575
                                                                         =======    ========    =====
Pro forma net income (loss) per diluted share
As reported                                                               (0.13)      (4.30)     0.33
Pro forma                                                                 (0.40)      (4.62)     0.12
                                                                       -------------------------------
Effect of pro forma expense                                               (0.27)      (0.32)    (0.21)
</TABLE>

                                      F-11

<PAGE>

USE OF ESTIMATES

The preparation of consolidated financial statements in conformity with
accounting principles generally accepted in the United States requires
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 consolidated financial statements and the reported amounts of
revenues and expenses during the reporting period.Actual results could differ
from those estimates.

NEW ACCOUNTING PRONOUNCEMENTS

In May 2003,the FASB issued SFAS No.150, "Accounting for Certain Financial
Instruments with Characteristics of both Liabilities and Equity". This statement
establishes standards for how an issuer classifies and measures certain types of
financial instruments that have characteristics of both liabilities and equity.
It requires that an issuer classify a financial instrument that is within its
scope as a liability (or an asset in some circumstances). Many of those
instruments were previously classified as equity. SFAS No.150 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. The Company adopted the standard on July 1,2003. The adoption of SFAS
No.150 had no material effect on the Company s Consolidated Balance Sheet or
Statements of Operations.

In January 2003,the FASB issued FIN 46,Consolidation of Variable Interest
Entities.FIN 46 clarifies the application of Accounting Research Bulletin No.51,
Consolidated Financial Statements,to certain entities in which equity investors
do not have the characteristics of a controlling financial interest or do not
have sufficient equity at risk for the entity to finance its activities without
additional subordinated financial support from other parties. FIN 46 will
require the consolidation of a variable interest entity whereby an enterprise
will absorb a majority of the entity s expected losses if they occur,receive a
majority of the entity s expected residual returns if they occur,or both. In
December 2003,the FASB issued FIN 46R,Consolidation of Variable Interest
Entities,an interpretation of ARB 51 (as revised December 2003). The primary
objectives of FIN 46R are to provide guidance on the identification of entities
for which control is achieved through means other than through voting rights
(Variable Interest Entities) and how to determine when and which business
enterprise should consolidate the Variable Interest Entity (the Primary
Beneficiary).The disclosure requirements of FIN 46R are required in all
financial statements issued after March 15,2004,if certain conditions are met.
The Company does not have any variable interest entities and therefore,FIN 46R
did not impact its financial statements.

In November 2002,the FASB issued Interpretation No.45 or FIN 45, "Guarantor's
Accounting and Disclosure Requirements for Guarantees,Including Indirect
Guarantees of Indebtedness of Others, an interpretation of FASB Statement
Nos.5,57,and 107 and Rescission of FASB Interpretation No.34". FIN 45 clarifies
the requirements of FASB Statement No.5, Accounting for Contingencies, relating
to the guarantor s accounting for,and disclosure of,the issuance of certain
types of guarantees. FIN 45 requires that upon issuance of a guarantee,the
guarantor,must recognize a liability for the fair value of the obligation it
assumes under that guarantee.The disclosure provisions of FIN 45 are effective
for financial statements of interim or annual periods that end after December
15,2002. FIN 45's provisions for initial recognition and measurement should be
applied on a prospective basis to guarantees issued or modified after December
31,2002, irrespective of the guarantor s fiscal year-end.The guarantor s
previous accounting for guarantees that were issued before the date of FIN 45 s
initial application may not be revised or restated to reflect the effect of the
recognition and measurement provisions of FIN 45.The adoption FIN 45 had no
material effect on the Company s consolidated financial statements.

2.       AVAILABLE FOR SALE SECURITITES:

The fair value of available for sale securities is estimated based on quoted
market prices.Information related to the Company s available for sale securities
at December 31,2003 and 2002 is as follows:

<TABLE>
<CAPTION>
                               AMORTIZED      UNREALIZED       FAIR
(In thousands)                    COST        GAIN (LOSS)      VALUE
-----------------------------------------------------------------------
<S>                            <C>            <C>            <C>
2003:
Debt securities:
Corporate-backed securities    $    8,880     $         1    $    8,881
-----------------------------------------------------------------------
2002:
Debt securities:
Mortgage-backed securities     $   17,310     $        (6)   $   17,304
</TABLE>

At December 31,2003 all debt securities have contractual maturities of one year
or less.

Proceeds from the sales or maturities of investments in securities were $56.1
million,$50.6 million and $39.3 million in 2003,2002,and 2001,respectively.
There were no gross gains or losses realized on these sales for the years ended
December 31,2003,and 2002.For the year ended December 31,2001,the Company
realized $8,500 of gross losses on these sales.

                                      F-12
<PAGE>

3.       FAIR VALUE OF FINANCIAL INSTRUMENTS:

The carrying amounts of the Company s financial instruments,including cash and
cash equivalents,available for sale securities,amounts outstanding under credit
facility,and notes payable,approximate their fair value.

4.       ACCOUNTS RECEIVABLE:

Accounts receivable are billed when certain milestones defined in customer
contracts are achieved. All unbilled accounts receivable are expected to be
collected within one year.

<TABLE>
<CAPTION>
(In thousands)
 DECEMBER 31,       2003        2002
---------------------------------------
<S>               <C>         <C>
Billed            $ 23,813    $  28,125
Unbilled            17,760       18,925
---------------------------------------
                  $ 41,573    $  47,050
</TABLE>

The Company maintains an allowance for doubtful accounts receivable based on
historical evidence of accounts receivable collections and specific
identification of accounts receivable that might cause collection problems. The
balance in allowance for doubtful accounts receivable was as follows:

<TABLE>
<S>                         <C>
BALANCE AT 12/31/00         $       194
Invoice write-offs                  (28)
Acquired via acquisition             81
Additional expense                  130
---------------------------------------
BALANCE AT 12/31/01         $       377
Invoice write-offs                  (82)
Acquired via acquisition            149
---------------------------------------
BALANCE AT 12/31/02         $       444
Invoice write-offs                   (8)
Additional expense                   97
---------------------------------------
BALANCE AT 12/31/03         $       533
</TABLE>

5.       PROPERTY AND EQUIPMENT:

Property and equipment is summarized as follows:

<TABLE>
<CAPTION>
(in thousands)
 DECEMBER 31,                                       2003        2002
----------------------------------------------------------------------
<S>                                              <C>         <C>
Furnishings, equipment and other                 $  40,931   $  36,540
Equipment under capital leases                       4,612       4,565
Less:accumulated depreciation and amortization     (27,936)    (22,077)
----------------------------------------------------------------------
PROPERTY AND EQUIPMENT, NET                      $  17,607   $  19,028
</TABLE>

Depreciation expense for the years ended December 31,2003,2002,and 2001 was $5.4
million,$5.1 million,and $4.2 million,respectively.

6.       GOODWILL AND OTHER INTANGIBLE ASSETS:

In accordance with SFAS No.142, Goodwill and Other Intangible Assets, effective
January 1,2002 the Company discontinued the amortization of goodwill and other
identifiable intangible assets that have indefinite useful lives. Intangible
assets that have finite useful lives will continue to be amortized over their
useful lives.

                                      F-13
<PAGE>

Net income and diluted earnings per share for 2001 excluding goodwill
amortization would have been as follows:

<TABLE>
<CAPTION>
    (In thousands,except per share data)       YEAR ENDED 12/31/01
------------------------------------------------------------------
<S>                                            <C>
Net income as reported                         $             4,206
Add:Goodwill amortization,net of tax benefit                 2,461
------------------------------------------------------------------
Adjusted net income                                          6,667
BASIC EARNINGS PER SHARE:
Reported net income per share                  $              0.34
Goodwill amortization,net of tax                              0.20
------------------------------------------------------------------
Adjusted net income per share                  $              0.54
DILUTED EARNINGS PER SHARE:
Reported net income per share                  $              0.33
Goodwill amortization,net of tax                              0.19
------------------------------------------------------------------
Adjusted net income per share                  $              0.52
</TABLE>

In accordance with SFAS No.142,goodwill is evaluated on an annual basis for
impairment at the reporting unit level. Such evaluation is based on a two-step
test starting with a comparison of the carrying amount of the reporting unit to
the fair value of the reporting unit.If the carrying amount of the reporting
unit exceeds the fair value,the second phase of the test measures the
impairment.

The Company has identified the reporting unit as the company as a whole. The
Company analyzed goodwill for impairment by comparing the carrying amount of the
Company to the fair value of the Company. The fair value of the Company was
calculated based on the Income Approach,which uses discounted cash flows,as well
as public information regarding the market capitalization of the Company.

The Company completed the testing in the fourth quarter of 2003. The fair value
of the Company exceeded the carrying value,resulting in no goodwill impairment
for 2003.

In the fourth quarter of 2002,the Company determined that goodwill was impaired
and recognized an impairment loss of $67.7 million in the fourth quarter of
2002.The impairment charge is presented as a separate line item as a component
of loss from operations in the Company's Consolidated Statements of Operations.

Non-amortizable intangible assets at December 31, 2003 and December 31, 2002 are
composed of:

<TABLE>
<CAPTION>
                                                                       INDEFINITE-
(In thousands)                                         GOODWILL      LIVED INTANGIBLE
-------------------------------------------------------------------------------------
<S>                                                   <C>            <C>
Balance at 12/31/01                                   $    86,094    $           ----
    Additional amount acquired                              2,929              15,000
    Impairment charge                                     (67,745)               ----
    Foreign currency fluctuations                           1,418                ----
    Adjustment of accrued contingent consideration           (288)               ----
    Tax benefit to reduce goodwill                           (375)               ----
-------------------------------------------------------------------------------------
Balance at 12/31/02                                   $    22,033    $         15,000
    Additional amount acquired                              1,932                ----
    Foreign currency fluctuations                           1,828                ----
    Tax benefit to reduce goodwill                           (389)               ----
-------------------------------------------------------------------------------------
Balance at 12/31/03                                   $    25,404    $         15,000
</TABLE>

The Company acquired $1.9 million of goodwill in 2003 resulting from the
acquisition of Estadisticos y Clinicos Asociados, S.A. (ECA). The asset
allocation for this acquisition is preliminary and is subject to revisions. The
goodwill acquired is deductible for income tax purposes. Approximately $1.6
million of the goodwill is immediately deductible with the remainder deductible
over a 15 year period.

The Company acquired $2.9 million of goodwill in 2002 resulting from the
acquisition of Clinical and Pharmacologic Research,Inc.(CPR). The goodwill and
the intangible asset acquired in the acquisition are deductible for income tax
purposes over a 15-year period.

                                      F-14
<PAGE>

The $15 million intangible asset represents one customer relationship acquired
in the Company's acquisition of CPR,the fair value of which was determined by
management based on a third party valuation. The nature of this identifiable
intangible asset was reviewed at the end of 2002 and 2003 and the determination
was made that the original indefinite life remains appropriate. The contract was
determined to have an indefinite useful life based on a number of
factors,including the unique nature of the services provided by CPR,high
barriers to entry to a competitor,and the long-term historical relationship
between CPR and its sole customer without material modifications to the terms of
the arrangement and without substantial cost of renewal. The intangible asset
will continue to be evaluated each reporting period to determine whether events
or circumstances continue to support an indefinite useful life.

Amortizable intangible assets at December 31,2003 and December 31,2002 are
composed of:

<TABLE>
<CAPTION>
                                    CUSTOMER     NON-COMPETE
(in thousands)                    RELATIONSHIPS  AGREEMENTS
------------------------------------------------------------
<S>                              <C>             <C>
Balance at 12/31/02              $          --   $        --
    Additional amount acquired             400           460
    2003 amortization                      (11)          (28)
------------------------------------------------------------
TOTAL                            $         389   $       432
                                           ===           ===
</TABLE>

Amortization expense for the next five years relating to these amortizable
intangible assets is estimated to be as follows:

<TABLE>
<CAPTION>
(in thousands)
---------------------------
<S>               <C>
     2004         $     156
     2005         $     153
     2006         $     149
     2007         $     117
     2008         $      28
</TABLE>

For further detail regarding the amortizable assets acquired during 2003,see
Note 13,Acquisitions.

7.       OTHER ACCURED LIABILITIES:

Other accrued liabilities at December 31,2003 and 2002 consisted of the
following:

<TABLE>
<CAPTION>
(In thousands)
 DECEMBER 31,                                                         2003       2002
---------------------------------------------------------------------------------------
<S>                                                               <C>           <C>
Accrued compensation and related payroll withholdings and taxes   $     7,966   $ 4,997
Amounts payable - book overdraft                                          114       101
Other                                                                   6,654     5,780
---------------------------------------------------------------------------------------
                                                                  $    14,734   $10,878
                                                                       ======   =======
</TABLE>

8.       DEBT:

In June 2002, the Company entered into an Amended and Restated Credit Agreement
(the Facility ) that replaced the previous credit facility that would have
expired in October 2003.The Facility is composed of a revolving credit loan that
expires in three years and a $15.0 million term loan that matures in five years.
The Facility is in addition to an existing $5.0 million Multicurrency Facility
that is renewable annually and is used in connection with the Company s European
operations. The revolving credit loan bears interest at a rate equal to either
(a) The Eurodollar Rate plus the Applicable Percentage (as defined) or (b) the
higher of the Federal Fund s Rate plus 0.5% or the Bank's Prime Rate.The $15.0
million term loan bears interest at a rate equal to the higher of the Federal
Funds Rate plus 0.5% and the Prime Rate or an Adjusted Eurodollar Rate.

Under terms of the Facility,revolving loans are convertible into term loans
within the Facility if used for acquisitions. The Facility contains various
restrictive financial covenants,including the maintenance of certain fixed
coverage and leverage ratios.

At March 31,2003,the Company fell below the minimum permitted Fixed Charge
coverage ratio. The Company and the banks amended the minimum permitted Fixed
Charge coverage ratio for the first quarter of 2003 and future periods. In
addition,changes as part of the amendment include,but are not limited to,the
following:

         -        The amount available under the revolving credit loan is
                  reduced from $23 million to the lesser of $10 million or 50%
                  of the Company's Eligible Receivables, as defined.

         -        Until the Company's Fixed Charge Coverage Ratio returns to
                  levels specified in the original agreement,the applicable
                  percentage applied to the interest rate on the Company's
                  borrowing under the Facility is increased by 0.75%.

                                      F-15
<PAGE>

         -        The term loan is collateralized by a pledge of the Company's
                  domestic cash and cash equivalents and any amounts outstanding
                  under the revolving credit loan are collateralized by the
                  Company's Eligible Receivables,as defined,and any remaining
                  domestic cash and cash equivalents above the amounts pledged
                  as security under the term loan.

         -        The Company must maintain a ratio of cash,cash equivalents and
                  available for sale securities held in the United States to
                  principal amounts outstanding under the Company's term loan of
                  at least 1.1 to 1.0.

In the third quarter of 2003 the Company reached an agreement in principle with
the banks to amend the Fixed Charge Coverage ratio from a rolling four quarters
calculation to a calculation based on the results of each individual quarter.The
amendment was fully executed in the fourth quarter. The Company is in compliance
with the financial covenants contained in the Facility (as amended) as of
December 31,2003.

The $5.0 million Multicurrency Facility is composed of a euro overdraft facility
up to the equivalent of $3.0 million and a pound sterling overdraft facility up
to the equivalent of $2.0 million. This Multicurrency Facility bears interest at
a rate equal to either (a) the rate published by the European Central Bank plus
a margin (as defined) or (b) the Bank s Base Rate (as determined by the bank
having regard to prevailing market rates) plus a margin (as defined).

At December 31,2003,no amounts were outstanding under the Company's revolving
credit loan,$9.8 million was outstanding under the term loan,and no amounts were
outstanding under the $5.0 million Multicurrency Facility. Interest is payable
on the term loan at a rate of 6.57%. Principal payments of $750,000 are due on
the term loan on the last business day of each quarter through March 2007.

Effective July 1,2002,the Company entered into an interest rate swap agreement
to fix the interest rate on the $15.0 million term loan. The swap is designated
as a cash flow hedge under the guidelines of SFAS No.133, Accounting for
Derivative Instruments and Hedging Activities. Under the swap agreement,the
interest rate on the term loan is fixed at 4.32% plus the applicable margin
(currently 2.25%). The swap is in place through the life of the term loan,ending
on March 31,2007. Changes in fair market value of the swap are recorded in
Accumulated Other Comprehensive Loss on the Consolidated Balance Sheet. At
December 31, 2003,approximately $351,000 has been recorded in Accumulated Other
Comprehensive Loss to reflect a decrease in the fair market value of the swap
compared to approximately $566,000 at December 31,2002.

With the acquisition of CPR,the Company entered into a $6.0 million convertible
note payable to the shareholders of CPR. The principal balance is convertible at
the holders option into 314,243 shares of the Company's Common Stock at any time
through January 29,2005 (the Maturity Date). If the note has not been converted
at the Maturity Date,the Company has the option to extend the Maturity Date of
the note for another three years. The note bears interest at an annual rate of
3.80% from January 29, 2002 through the Maturity Date. Interest is payable
semi-annually. If the Maturity Date is extended,the interest rate will be reset
on January 29, 2005 at an annual rate of interest equal to the yield of a
three-year United States Treasury Note.

In June of 2003,the Company and the shareholders of CPR entered into Note
Prepayment Agreements. Under the Note Prepayment Agreements,the Company agreed
to satisfy its payment obligations under the $6.0 million convertible note by
making a series of four payments between June 30,2003 and January 10,2005. The
four payments are to be initiated either by the Company through the exercise of
a call option or by the CPR shareholders through the exercise of a put option.
If the four put or call options are exercised,the Company would pay $4.5 million
to fully settle the $6.0 million note. Gains resulting from this early
extinguishment of debt will be recorded when paid as a gain in the Company's
Consolidated Statements of Operations. At June 30,2003,the CPR shareholders
exercised their put option and the Company paid approximately $1.4 million to
settle $2.0 million of the $6.0 million convertible note. A gain of $558,000 has
been recorded in the second quarter of 2003 in the Company's Consolidated
Statements of Operations. In the first quarter of 2004,the CPR shareholders
again exercised their put option and the Company paid approximately $750,000 to
settle $1.0 million of the remaining note amount. A gain of approximately
$250,000 will be recorded in the first quarter of 2004 in the Company's
Consolidated Statements of Operations.

9.       EMPLOYEE SEVERANCE AND OFFICE CONSOLIDATION COSTS:

In August,2003,the Company initiated a workforce realignment plan which
immediately eliminated approximately 65 positions from its global workforce. In
the third quarter of 2003,the Company recorded a pre-tax charge of approximately
$897,000 for severance and outplacement benefits relating to this workforce
realignment. Approximately $882,000 was paid during the third and fourth quarter
of 2003 and approximately $15,000 remains accrued and is reflected in Other
Accrued Liabilities on the Company's Consolidated Balance Sheet. The remaining
$15,000 is expected to be paid out in the first quarter of 2004. Costs relating
to this program are reflected in the line item entitled Employee Severance and
Office Consolidation Costs in the Company's Consolidated Statements
of Operations.

In order to bring its cost structure more in line with the then current revenue
projections, in the first quarter of 2003,the Company recorded a pre-tax charge
of approximately $690,000 for severance and outplacement benefits relating to a
workforce reduction program which impacted approximately 17 employees. In the
second quarter of 2003,the Company recorded an adjustment to reduce this charge
by $106,000 as a result of lower than expected severance costs related to the
workforce reduction. No amounts remain accrued at December 31, 2003. Costs
relating to this program are reflected in the line item entitled Employee
Severance and Office Consolidation Costs in the Company's Consolidated
Statements of Operations.

On August 29, 2002, the Company committed to a plan that consolidated its three
New Jersey offices into one central office, located in Cranford, New Jersey. At
that time, the Company maintained separate offices in Princeton, Cranford and
Ft. Lee, New Jersey. The leases in the Ft. Lee and Princeton offices expired
during the fourth quarter of 2002 and the first quarter of 2003,respectively.
The Company vacated these offices in the fourth quarter in advance of the
expiration of each of the respective office leases. As part of this plan, the
Company eliminated approximately 22 full-time positions.

                                      F-16
<PAGE>

In connection with the office consolidation,the Company recorded a pre-tax
charge of $321,000 in the third quarter of 2002,consisting primarily of facility
lease costs and severance and outplacement costs. In the first quarter of
2003,the Company incurred an additional $52,000 in costs relating to the office
consolidation. As of December 31,2003,$10,000 remains accrued and is reflected
in Other Accrued Liabilities in the Company's Consolidated Balance Sheet.
The remaining $10,000 is expected to be paid out in the first quarter of 2004.

<TABLE>
<CAPTION>
                                  EMPLOYEE
(In thousands)                    SEVERANCE  FACILITIES   OTHER    TOTAL
-------------------------------------------------------------------------
<S>                               <C>        <C>          <C>    <C>
Liability at December 31,2001     $      --  $       --   $  --  $     --
Amounts accrued                         172          97      52       321
Amounts paid                            (99)        (53)    (12)     (164)
-------------------------------------------------------------------------
Liability at December 31,2002     $      73  $       44   $  40  $    157
Amounts accrued                       1,639          --      --     1,639
Amounts paid                         (1,568)        (25)     --    (1,593)
Non-cash charge                          --          (4)     --        (4)
Adjustment to Liability                (129)        (15)    (30)     (174)
-------------------------------------------------------------------------
LIABILITY AT DECEMBER 31, 2003    $      15  $       --   $  10  $     25
</TABLE>

10.      EMPLOYEE BENEFIT PLANS:

401(K) PLAN

The Company maintains a 401(k) retirement plan covering substantially all
U.S.associates who have completed at least six months of service and meet
minimum age requirements. In the first half of 2001, the Company made a matching
contribution of 25% of each participant's contribution of up to 6% of salary.
For the second half of 2001 and subsequent periods,the matching contribution was
increased to 50% of each participant's contribution of up to 6% of salary.The
Company's matching contributions to this plan totaled approximately $1,144,000,
$989,000,and $570,000 for the years ended December 31,2003,2002,and 2001,
respectively.

EMPLOYEE STOCK PURCHASE PLAN

The Company maintains an Employee Stock Purchase Plan (the Purchase Plan) which
is intended to provide eligible employees an opportunity to acquire the
Company's Common Stock. Participating employees have the option to purchase
shares at 85% of the lower of the fair market value of the Common Stock on the
first or last day of the Purchase Period. The Purchase Period is defined as the
twelve month period beginning on July 1 of each year. The Purchase Plan is
intended to qualify as an employee stock purchase plan under Section 423 of the
Internal Revenue Code of 1986,as amended. The Board of Directors has reserved
500,000 shares of Common Stock for issuance under the Purchase Plan. During
2003,2002,and 2001,respectively,63,812,38,098,and 60,579 shares were purchased
under the Purchase Plan. At December 31, 2003, 243,024 shares were available for
issuance under the Purchase Plan.

STOCK OPTION AND STOCK INCENTIVE PLAN

In 1997, the Company established the 1997 Stock Option and Stock Incentive Plan
(the 1997 Plan) that provides for the grant of up to 1,000,000 options to
acquire the Company s Common Stock,consisting of both incentive and
non-qualified stock options. In April 2000,shareholders approved an amendment to
the 1997 Plan increasing the number of stock options that can be granted to
3,000,000.Participation in the 1997 Plan is at the discretion of the Board of
Director's Management Development and Compensation Committee. Prior to August
2002,the 1997 Plan was administered by the Board of Director s Compensation
Subcommittee.The exercise price of incentive stock options granted under the
1997 Plan must be no less than the fair market value of the Common Stock,as
determined under the 1997 Plan provisions,at the date the option is granted
(110% of fair market value for shareholders owning more than 10% of the
Company's Common Stock).The exercise price of non-qualified stock options must
be no less than 95% of the fair market value of the Common Stock at the date the
option is granted.The vesting provisions of the options granted under the 1997
Plan are determined at the discretion of the Management Development and
Compensation Committee.The options generally expire either 90 days after
termination of employment or,if earlier,ten years after date of grant.No options
under this 1997 plan can be granted after August 2007.The Company has reserved
3,000,000 shares of Common Stock for the 1997 Plan,of which 1,058,376 are
available for grant at December 31, 2003.

The 1997 Plan replaced a similar plan under which 213,683 options were
outstanding at December 31, 2003.

                                      F-17

<PAGE>

Aggregate stock option activity during 2003,2002,and 2001 was as follows:

<TABLE>
<CAPTION>
                                                 WEIGHTED AVERAGE
                                    SHARES        EXERCISE PRICE
-----------------------------------------------------------------
<S>                                <C>           <C>
OPTIONS OUTSTANDING AT 12/31/00    1,576,032     $           9.56
Granted                              774,680                18.29
Canceled                            (310,390)               12.83
Exercised                           (112,330)                5.56
-----------------------------------------------------------------
OPTIONS OUTSTANDING AT 12/31/01    1,927,992                12.62
Granted                              804,700                 9.60
Canceled                            (247,916)               15.41
Exercised                           (105,909)                3.60
-----------------------------------------------------------------
OPTIONS OUTSTANDING AT 12/31/02    2,378,867                11.84
Granted                              329,300                 5.72
Canceled                            (498,353)               12.26
Exercised                           (137,511)                1.40
-----------------------------------------------------------------
OPTIONS OUTSTANDING AT 12/31/03    2,072,303                11.24
</TABLE>

OPTIONS OUTSTANDING

<TABLE>
<CAPTION>
                                             WEIGHTED
                                              AVERAGE               WEIGHTED
   RANGE OF         OUTSTANDING AT      REMAINING CONTRACTUAL       AVERAGE
 EXERCISE PRICE    DECEMBER 31, 2003            LIFE             EXERCISE PRICE
--------------------------------------------------------------------------------
<S>                <C>                  <C>                      <C>
$ 0.91 - $ 3.10         231,683                  2.8             $         1.54
$ 3.11 - $ 6.20         197,300                  9.5                       5.00
$ 6.21 - $ 9.30         633,760                  7.8                       8.18
$ 9.31 - $12.40         251,620                  7.2                       9.99
$12.41 - $15.50         176,120                  4.7                      13.66
$15.51 - $21.70         479,000                  7.5                      19.57
$21.70 - $31.00         102,820                  3.6                      24.09
</TABLE>

OPTIONS EXERCISABLE

<TABLE>
<CAPTION>
                                            WEIGHTED
   RANGE OF       OPTIONS EXERCISABLE       AVERAGE
 EXERCISE PRICE    DECEMBER 31, 2003    EXERCISED PRICE
-------------------------------------------------------
<C>                <C>                  <C>
$ 0.91 - $ 3.10         212,257         $          1.59
$ 3.11 - $ 6.20          35,000                    5.99
$ 6.21 - $ 9.30         188,880                    8.41
$ 9.31 - $12.40         133,960                   10.18
$12.41 - $15.50         138,272                   13.95
$15.51 - $21.70         192,280                   19.51
$21.70 - $31.00         100,820                   24.11
-------------------------------------------------------
                      1,001,469                   11.59
</TABLE>

At December 31, 2002, 850,593 options were exercisable with a weighted-average
exercise price of $10.60. At December 31,2001,654,587 options were exercisable
with a weighted-average exercise price of $8.98.

Effective October 1,2002 the Company granted awards of restricted shares to
certain executives pursuant to the 1997 Plan. Such shares vest ratably over a
three year period,with shares restricted from transfer until vesting.If a
participant ceases to be an eligible employee prior to the lapsing of transfer
restrictions, such shares return to the Company without consideration.As of
December 31,2003,24,500 restricted shares were originally issued,7,000 of which
had vested. There were no additional restricted shares granted in 2003.

                                      F-18
<PAGE>

11.      COMMITMENTS AND CONTINGENCIES:

LEASES:

The Company leases facilities, office equipment and computers under agreements
which are classified as either capital or operating leases.The leases have
initial terms which range from two to seven years, with eight facility leases
that have provisions to extend the leases for an additional three to five
years. Future minimum payments, by year and in the aggregate, net of sublease
income, under non-cancelable capital and operating leases with initial or
remaining terms of one year or more, are as follows at December 31, 2003:

<TABLE>
<CAPTION>
                                                          CAPITAL     OPERATING
(In thousands)                                             LEASES      LEASES
-------------------------------------------------------------------------------
<S>                                                      <C>          <C>
2004                                                     $      879   $   6,721
2005                                                            669       6,402
2006                                                            238       5,772
2007                                                             39       5,449
2008                                                              9       4,910
Thereafter                                                       --       4,880
-------------------------------------------------------------------------------
Total minimum lease payments                                  1,834   $  34,134
Amounts representing interest                                   (81)
-------------------------------------------------------------------------------
Present value of net minimum lease payments                   1,753
Current portion                                                 827
-------------------------------------------------------------------------------
OBLIGATIONS UNDER CAPITAL LEASES, LESS CURRENT PORTION   $      926
                                                                ===
</TABLE>

The Company expects rental income from subleases of approximately $0.4 million
per year from 2004 through 2005 and $0.1 million in 2006 based on a sublease
agreement executed in June 2000.

Rental expense under operating leases for 2003, 2002, and 2001 was $5.7
million,$6.4 million, and $6.1, million, respectively.

PROTECTIVE COMPENSATION AND BENEFIT AGREEMENTS

The Company has entered into Protective Compensation and Benefit Agreements with
certain associates, including all Executive Officers of the Company. These
Agreements, subject to annual review by the Company s Board of Directors, expire
on December 31, 2003, and will be automatically extended in one year increments
unless canceled by the Company. These Agreements provide for specified benefits
in the event of a change in control, as defined in the Agreements. At December
31, 2003, the maximum amount which could be required to be paid under these
Agreements, if such events occur, is approximately $5.4 million.

LEGAL PROCEEDINGS

In the normal course of business, the Company is a party to various claims and
legal proceedings. The Company records a reserve for these matters when an
adverse outcome is probable and the amount of the potential liability is
reasonably estimable. Although the ultimate outcome of these matters is
currently not determinable, management of the Company, after consultation with
legal counsel, does not believe that the resolution of these matters will have a
material effect upon the Company s financial condition, results of operations or
cash flows for an interim or annual period.

12.      INCOME TAXES:

The provision for income taxes for the years ended December 31, 2003, 2002, and
2001, is as follows:

<TABLE>
<CAPTION>
(In thousands)                          2003       2002        2001
-------------------------------------------------------------------
<S>                                  <C>         <C>        <C>
Current:
Federal                              $  (2,330)  $  2,134   $ 1,604
State and local                            241        300       233
Foreign                                  2,916      1,752       540
-------------------------------------------------------------------
  Subtotal                                 827      4,186     2,377
Deferred:
Federal                                  1,610     (8,233)      944
State and local                           (418)    (2,243)     (288)
Foreign                                    166       (394)     (274)
-------------------------------------------------------------------
  Subtotal                               1,358    (10,870)      382
Benefit applied to reduce goodwill         389        389       388
-------------------------------------------------------------------
TOTAL PROVISION                      $   2,574   $ (6,295)  $ 3,147
                                     =========   =========  =======
</TABLE>

                                      F-19
<PAGE>

The sources of income (loss) before income taxes are presented as follows:

<TABLE>
<CAPTION>
(In thousands)                       2003        2002       2001
------------------------------------------------------------------
<S>                               <C>         <C>          <C>
United States                     $  (1,726)  $  (30,677)  $ 9,225
Foreign                               2,610      (30,418)   (1,872)
------------------------------------------------------------------
Income(loss)before income taxes   $     884   $  (61,095)  $ 7,353
</TABLE>

The Company's consolidated effective income tax rate differed from the
U.S.federal statutory income tax rate of 35% as set forth below:

<TABLE>
<CAPTION>
                                                                      2003     2002     2001
--------------------------------------------------------------------------------------------
<S>                                                                  <C>      <C>      <C>
Income tax expense at the U.S.federal statutory rate                   35.0%   35.0%    35.0%
Effects of foreign taxes,net of foreign tax credits and deductions    235.1   (19.7)     7.6
State and local income taxes,net of federal benefit                    (8.6)    2.0     (1.3)
Non-deductible write-down of joint venture                             16.0     ---      ---
Non-deductible goodwill amortization                                   ---     (5.9)     1.8
Other                                                                  13.7    (1.1)    (0.3)
--------------------------------------------------------------------------------------------
TOTAL                                                                 291.2%   10.3%    42.8%
</TABLE>

A provision has not been made for U.S.or additional foreign taxes on the
undistributed portion of earnings of foreign subsidiaries as those earnings have
been permanently reinvested.The undistributed earnings of foreign subsidiaries
approximate $7.8 million.

Components of the Company's net deferred tax asset and liability included in the
Consolidated Balance Sheet at December 31,2003 and 2002 are as follows:

<TABLE>
<CAPTION>
(In thousands)                                         2003         2002
----------------------------------------------------------------------------
<S>                                                  <C>        <C>
Deferred tax assets:
Compensation and employee benefits                   $    469   $         38
Accrued expenses and other future deductible items        560            752
Foreign operating loss carryforward                     4,642          2,910
State and local operating loss carryforward             2,086          1,310
Tax benefit of unrealized losses                          ---              4
Contributions carryforward                                 29            ---
Capital loss carryforward                                 985            985
Foreign tax credit carryforward                           613            540
Intangible assests                                      7,809         10,702
Accounting method differences                             189            ---
Other                                                     ---            555
----------------------------------------------------------------------------
TOTAL DEFERRED TAX ASSETS                              17,382         17,796
Deferred tax liabilities:
Software costs                                          2,757          3,402
Depreciation                                            1,543            878
Unrealized foreign exchange gains                         281            281
Change of tax accounting method                           160            320
Deferred state income taxes                               391            568
Tax cost of unrealized gains                                1            ---
----------------------------------------------------------------------------
TOTAL DEFERRED TAX LIABILITY                            5,133          5,449
----------------------------------------------------------------------------
VALUATION ALLOWANCE                                     5,865          4,435
----------------------------------------------------------------------------
TOTAL NET DEFERRED TAX (ASSET)/LIABILITY             $ (6,384)  $     (7,912)
</TABLE>

The deferred tax asset for state and local operating loss carryforward of $2.1
million relates to amounts that expire at various times from 2006 to 2024.

The Company has foreign operating loss carryforwards of $13.2 million that can
be carried forward indefinitely with a tax benefit of $4.3 million for which a
valuation allowance has been established based upon an assessment that it is
more likely than not that realization cannot be assured. The ultimate
realization of this tax benefit is dependent upon the generation of sufficient
operating income in the respective tax jurisdictions.

The Company has capital loss carryforwards of $2.3 million with a tax benefit of
$985,000 for which a valuation allowance has been established based upon an
assessment that it is more likely than not that realization cannot be assured.
Of this tax benefit,$140,000 will expire in 2005,$14,000 will expire in
2006,$4,000 will expire in 2007 and $827,000 will expire in 2008. The ultimate
realization of this tax benefit is dependent upon the generation of sufficient
capital gains within the carryforward periods.

                                      F-20
<PAGE>

The Company has foreign tax credit carryforwards with a tax benefit of $613,000
for which a valuation allowance has been established based upon an assessment
that it is more likely than not that realization cannot be assured. Of this
benefit,$223,000 will expire in 2007,$334,000 will expire in 2008 and $56,000
can be carried forward indefinitely.

Income tax benefits related to stock option exercises and the employee stock
purchase plan were $84,000,$275,000 and $395,000 for 2003,2002 and 2001,
respectively,and have been shown as increases to additional paid-in capital.

The income tax costs (benefits) related to unrealized gains and losses in other
comprehensive income components of shareholders equity were $5,000 in 2003,
($27,000) in 2002 and $101,000 in 2001.

13.      ACQUISITIONS:

Details of the Company's acquisitions from 2001 through 2003 are listed below.
The acquisitions have been accounted for using the purchase method of
accounting.The escrow accounts referred to have been established at acquisition
date to provide indemnification of sellers representations and warranties.

Valuation of the Common Stock issued in the acquisitions was based on an
appraisal obtained by the Company on previous similarly structured
acquisitions,which provided for a discount of the shares due to lock-up
restrictions and the lack of registration of the shares.

2003:

In October 2003,the Company acquired substantially all the assets and assumed
certain liabilities of ECA,a CRO located in Mexico City,Mexico. The acquisition
enables the Company to expand its capability to conduct clinical trials in Latin
America.

The aggregate purchase price was approximately $3.6 million in cash (including
acquisition costs).

The following summarizes the fair value of the assets acquired and liabilities
assumed at the date of acquisition.

<TABLE>
<CAPTION>
(In thousands)           AT OCTOBER 1, 2003
-------------------------------------------
<S>                      <C>
Current assets           $              727
Fixed assets                            275
Other assets                             12
Goodwill                              1,932
Intangible assets                       860
-------------------------------------------
Total assets acquired                 3,806
-------------------------------------------
Current liabilities                     222
-------------------------------------------
Net assets acquired      $            3,584
</TABLE>

Of the $860,000 of intangible assets, $400,000 was assigned to customer
relationships and $460,000 was assigned to non-compete agreements. The
intangible assets are amortizable over a period of 20 years for the customer
relationships and four years for the non-compete agreements. The fair value of
the intangible assets was determined by management based on a third party
valuation. The goodwill acquired is deductible for income tax purposes.

2002:

In January 2002,the Company acquired substantially all of the assets of CPR
located in Morgantown,West Virginia.CPR specializes in Phase I studies for the
generic drug industry,enabling the Company to expand into the generic drug
market.

The aggregate purchase price was approximately $18.2 million,including
approximately $8.1 million in cash (including acquisition costs),314,243 shares
of Common Stock valued at $4.1 million and a $6.0 million subordinated note. The
note is convertible at the holders option into 314,243 shares of the Company s
Common Stock at any time before January 29,2005,the Maturity Date.

The following summarizes the fair values of the assets acquired and liabilities
assumed at the date of acquisition. The intangible asset represents one customer
contract,the fair value which was determined by management based on a third
party valuation.

<TABLE>
<CAPTION>
(In thousands)           AT JANUARY 29, 2002
--------------------------------------------
<S>                      <C>
Current assets           $             1,241
Fixed assets                             213
Goodwill                               2,927
Intangible assets                     15,000
--------------------------------------------
Total assets acquired                 19,381
--------------------------------------------
Liabilities assumed                    1,131
--------------------------------------------
Net assets acquired      $            18,250
</TABLE>

                                      F-21

<PAGE>

2001:

In February 2001,the Company acquired AAC Consulting Group,Inc.,a full service
regulatory consulting firm with offices in Rockville,Maryland. The aggregate
purchase price was approximately $14.8 million,including approximately $10.9
million in cash and 374,665 shares of the Company's Common Stock valued at $3.9
million. Of the total shares,124,888 shares were placed in an escrow account and
have subsequently been released.

The following unaudited pro forma results of operations assume the 2003 and 2002
acquisitions occurred at the beginning of 2002:

<TABLE>
<CAPTION>
(In thousands,except per share)          2003       2002
-----------------------------------------------------------
<S>                                    <C>        <C>
Net revenues                           $161,563   $ 168,672
Net income (loss)                          (880)    (54,459)
Net income (loss) per diluted share    $  (0.07)  $   (4.27)
Weighted average shares                  12,973      12,758
</TABLE>

The pro forma financial information is not necessarily indicative of the
operating results that would have occurred had the acquisitions been consummated
at January 1,2002,nor are they necessarily indicative of future operating
results.

14.      INVESTMENTS:

The Company has a 50% owned joint venture investment in Beijing KendleWits
Medical Consulting Co.,Ltd.(KendleWits),a company located in the People s
Republic of China. This investment is accounted for under the equity method. To
date,the Company has contributed approximately $750,000 for the capitalization
of KendleWits. In the second quarter of 2003,the Company determined that its
investment in KendleWits was permanently impaired and as a result recorded a
$405,000 non-cash charge to reduce the carrying value of this investment to
zero. Future capitalization needs will be dependent upon the on- going
capitalization needs of KendleWits and the Company s willingness to provide
additional capital. The Company is not obligated to make any additional
investment in KendleWits and currently has no plans to do so.The loss recorded
from the equity investment in KendleWits for the years ended December 31, 2002
and 2001, was approximately $126,000 and $199,000,respectively.

In January 1999,the Company acquired a minority interest in Digineer,Inc.(
Digineer ,formerly Component Software International,Inc.),an internet healthcare
consulting and software development company,for approximately $1.6 million in
cash and 19,995 shares of the Company s Common Stock valued at approximately
$0.3 million. The Company has accounted for this investment under the cost
method.

During the second quarter of 2002,Digineer adopted a plan to cease operations.
As a result of this action,the Company determined that its investment in
Digineer was permanently impaired.In the second quarter of 2002,the Company
recorded a $1.9 million non-cash charge to reflect the write-off of this
investment. The write-off is a capital loss for income tax purposes and is
deductible only to the extent the Company generates capital gains in the future
to offset this loss. The Company has recorded a valuation allowance against the
deferred tax asset relating to the Digineer write-off and no income tax benefit
has been recorded.

15.      RELATED PARTY TRANSACTIONS:

The Company made payments in 2003,2002,and 2001 totaling approximately
$21,000,$400,000,and $100,000,respectively,to a construction company owned by a
relative of the Company s primary shareholder,for construction and renovations
at various Company locations.

The former majority shareholder of CPR is no longer employed by CPR and never
was employed by the Company,but he has provided consulting services to the
Company. In the past, he provided consulting services to the customer that
accounted for the majority of CPR's business. Payments to this individual for
consulting services in 2003 totaled approximately $65,000 compared to $55,000 in
2002.

16.      SEGMENT INFORMATION:

Effective January 1,2002,the Company integrated the medical communications group
into its Phase IV product and services offering. As a result,the Company is now
managed under a single operating segment referred to as contract research
services,which encompasses Phase I through IV services.

                                      F-22
<PAGE>

Financial information by geographic area is as follows:

<TABLE>
<CAPTION>
(In thousands)            2003        2002         2001
---------------------------------------------------------
<S>                    <C>          <C>         <C>
Net service revenues
North America          $  102,596   $ 120,713   $ 107,200
Foreign                    53,625      44,460      47,102
---------------------------------------------------------
                       $  156,221   $ 165,173   $ 154,302

Identifiable assets
North America          $  127,912   $ 133,424   $ 137,642
Foreign                    26,503      21,973      66,409
---------------------------------------------------------
                       $  154,415   $ 155,397   $ 204,051
</TABLE>

Net revenues from sponsors that accounted for more than 10% of the Company s
consolidated net revenues for 2003,2002 and 2001 are as follows:

<TABLE>
<CAPTION>
             2003   2002   2001
-------------------------------
<S>          <C>    <C>    <C>
Sponsor A     27%    21%    12%
Sponsor B     --      8%    11%
</TABLE>

Sponsor A accounted for approximately 11% and 10% of the Company s consolidated
accounts receivable at December 31,2003 and December 31,2002, respectively.

17.      QUARTERLY FINANCIAL DATA (UNAUDITED):

(In thousands,except per share data)

<TABLE>
<CAPTION>
QUARTER                                FIRST      SECOND      THIRD      FOURTH
---------------------------------------------------------------------------------
<S>                                   <C>        <C>        <C>         <C>
2003
Net service revenues                  $ 37,180   $ 38,497   $  40,424   $  40,120
Income (loss) from operations           (1,518)       549       1,046       2,084
Net income (loss)                       (2,124)      (423)        344         513
Net income (loss) per diluted share      (0.16)     (0.03)       0.03        0.04
Net income (loss) per basic share        (0.16)     (0.03)       0.03        0.04

2002
Net service revenues                  $ 43,921   $ 43,694   $  40,966   $  36,592
Income (loss) from operations            3,632      2,679       3,283     (68,005)
Net income (loss)                        2,117       (367)      1,903     (58,453)
Net income (loss) per diluted share       0.16      (0.03)       0.14       (4.56)
Net income (loss) per basic share         0.17      (0.03)       0.15       (4.56)
</TABLE>

                                      F-23
<PAGE>

                                   SIGNATURES

Pursuant to the requirements of Section 13 of the Securities Exchange Act of
1934, the Registrant has duly caused this report to be signed on its behalf by
the undersigned, thereunto duly authorized.

                                KENDLE INTERNATIONAL INC.

DATE SIGNED: March 15, 2004        /s/ Candace Kendle
                                   -----------------------------------
                                   Candace Kendle
                                   Chairman, CEO and Principal Executive Officer

Pursuant to the requirements of the Securities Exchange Act of 1934, this report
has been signed by the following persons on behalf of the Registrant and in the
capacities and on the dates indicated.

<TABLE>
<CAPTION>
          Signature                          Capacity                       Date
-----------------------------     -------------------------------      --------------
<S>                               <C>                                  <C>
/s/ Candace Kendle                Chairman of the Board of             March 15, 2004
-----------------------------     Directors, Chief Executive
Candace Kendle                    Officer and Principal Executive
                                  Officer

/s/ Christopher C. Bergen         President, Chief Operating           March 15, 2004
-----------------------------     Officer and Director
Christopher C. Bergen

/s/ Karl Brenkert III             Senior Vice President,               March 15, 2004
----------------------------      Chief Financial Officer,
Karl Brenkert III                 Treasurer and Principal
                                  Financial and Accounting
                                  Officer

/s/ Phillip E. Beekman*           Director                             March 15, 2004
-----------------------------
Philip E. Beekman

/s/ G. Steven Geis, Ph.D., M.D.*  Director                             March 15, 2004
--------------------------------
G. Steven Geis, Ph.D., M.D.

/s/ Donald C. Harrison, M.D.*     Director                             March 15, 2004
-----------------------------
Donald C. Harrison, M.D.

/s/ Timothy E. Johnson, Ph.D*     Director                             March 15, 2004
-----------------------------
Timothy E. Johnson, Ph.D.

/s/ Frederick A. Russ, Ph.D*      Director                             March 15, 2004
-----------------------------
Frederick A. Russ, Ph.D.

/s/ Robert C. Simpson*            Director                             March 15, 2004
-----------------------------
Robert C. Simpson

/s// Robert R. Buck*              Director                             March 15, 2004
--------------------
Robert R. Buck

*/s/ Karl Brenkert III            as Attorney In-Fact                  March 15,2004
-----------------------------
Karl Brenkert III
</TABLE>

<PAGE>

                                  EXHIBIT INDEX

<TABLE>
<CAPTION>
Exhibit
 Number                         Description of Exhibit                             Filing Status
-------  ---------------------------------------------------------------------     -------------
<S>      <C>                                                                       <C>
2.1      Stock Purchase Agreement dated July 1, 1997 by and among the Company
         and Shareholders of U-Gene Research B.V.                                       *

2.2      Escrow Agreement dated June 27, 1997 among the Company, Keating,
         Muething & Klekamp, P.L.L., Bio-Medical Research Holdings, B.V.,
         Utrechtse Particatiemaatschappij B.V., P.J. Morrison, T.S. Schwarz,
         I.M. Hoepelman , Ph.K. Peterson, J. Remington, M. Rozenberg-Arska and
         L.G.W. Sterkman                                                                *

2.3      Share Purchase Agreement dated July 2, 1997 by and among the Company
         and the Shareholders of GMI Gescellschaft fur Angewandte Mathematick
         und Informatik mbH                                                             *

2.4      Stock Purchase Agreement dated February 11, 1998 by and among the
         Company and the Shareholders of ACER/EXCEL Inc.                                *

2.5      Escrow Agreement dated February 11, 1998 among the Company, Tzuo-Yan
         Lee, Jean C. Lee, Michael Minor, Conway Lee, Steven Lee, Jean C. Lee,
         as Trustee under a Trust dated March 8, 1991 fbo Jennifer Lee, Citicorp
         Trust-South Dakota and The Fifth Third Bank                                    *

2.6      Registration Rights Agreement dated February 11, 1998 among the Company
         and Tzuo-Yan Lee, Jean C. Lee, Michael Minor, Conway Lee, Steven Lee,
         Jean C. Lee, as Trustee under a Trust dated March 8, 1991 fbo Jennifer
         Lee, Citicorp Trust-South Dakota                                               *

2.7      Share Purchase Agreement dated December 23, 1998 by and among the
         Company and the Shareholders of Research Consultants (International)
         Holdings Limited                                                               *

2.8      Escrow Agreement dated January 5, 1999 among the Company, John Glasby,
         Gillian Gregory, Michael Roy Broomby and Peter Nightingale                     *

2.9      Option Agreement dated September 9, 1998 by and between the Company and
         Component Software International, Inc.                                         *

2.10     Notice of Option Exercise dated January 11, 1999 of the Option
         Agreement dated September 9, 1998                                              *

2.11     Multi-Year Strategic Services Agreement dated January 20,1999 by and
         between the Company and Component Software International, Inc.                 *

2.12     Asset Purchase Agreement dated June 27, 1999 by and among the Company
         and the Shareholders of Health Care Communications, Inc.                       *

2.13     Stock Purchase Agreement dated June 4, 1999 by and among the Company
         and the Shareholders of ESCLI S.A.                                             *

2.14     Asset Purchase Agreement dated July 13, 1999 by and among the Company
         and the Shareholders of HCC Health Care Communications (1991), Ltd.            *

2.15     Share Purchase Agreement dated August 31, 1999 by and among the Company
         and he Shareholder of Specialist Monitoring Services Limited                   *

2.16     Escrow Agreement dated July 13, 1999 by and among the Company, Geoffrey
         H. Kalish, M.D., Bradley D. Kalish, Jill Kalish, and The Fifth Third
         Bank, as Escrow Agent                                                          *

2.17     Escrow Agreement dated August 31, 1999 by and among the Company, Paul
         Martin, and The Fifth Third Bank, as Escrow Agent                              *

2.18     Units Purchase Agreement dated April 7, 2000 by and among the Company
         and the Shareholders of SYNERmedica PTY Limited and SYNERmedica Unit
         Trust                                                                          *

2.19     Stock Purchase Agreement dated February 27, 2001 by and among the
         Company and the Shareholders of AAC Consulting Group, Inc.                     *

2.20     Form of Note Prepayment Agreement                                              *

2(a)     Asset Purchase Agreement dated January 29, 2002 among Kendle
         International Inc., Clinical and Pharmacologic Research, Inc., Thomas
         S. Clark, M.D., Charles T. Clark, and E. Stuart Clark                          *

2(b)     Convertible Subordinated Note, dated January 29, 2002 issued by Kendle
         International Inc. to Clinical and Pharmacologic Research, Inc.                *
</TABLE>

<PAGE>

<TABLE>
<S>      <C>                                                                            <C>
3.1      Restated and Amended Articles of Incorporation                                 *

3.2      Amended and Restated Code of Regulations                                       *

3.3      Amendment of the Restated and Amended Articles of Incorporation to
         Increase the Authorized Shares                                                 *

4        Specimen Common Stock Certificate                                              *

4.1      Shareholder Rights Agreement dated August 13, 1999 between the Company
         and The Fifth Third Bank, as Rights Agent                                      *

10.1     Amended and Restated Shareholders' Agreement dated June 26, 1997               *

10.2     Master Lease Agreement dated November 27, 1996 by and between the
         Company and Bank One Leasing Corporation, as amended on April 18, 1997         *

10.6     Master Equipment Lease dated August 16, 1996 by and between the Company
         and The Fifth Third Leasing Company                                            *

10.7     Lease Agreement dated December 9, 1991 by and between the Company and
         Carew Realty, Inc., as amended on December 30, 1991, March 18, 1996,
         October 8, 1996, January 29, 1997, and February 16, 1999                       *

10.8     Indemnity Agreement dated June 21, 1996 by and between the Company and
         Candace Kendle Bryan                                                           *

10.9     Indemnity Agreement dated June 21, 1996 by and between the Company and
         Christopher C. Bergen                                                          *

10.10    Indemnity Agreement dated June 21, 1996 by and between the Company and
         Timothy M. Mooney                                                              *

10.11    Indemnity Agreement dated May 14, 1997 by and between the Company and
         Charles A. Sanders                                                             *

10.12    Indemnity Agreement dated May 14, 1997 by and between the Company and
         Philip E. Beekman                                                              *

10.13    Indemnity Agreement dated December 10, 1998 by and between the Company
         and Robert Buck                                                                *

10.15    Form of Indemnity Agreement by and between the Company and each member
         of the Company's Board of Directors, except for those Indemnity
         Agreements noted above and filed previously.                                   S

10.14    Indemnity Agreement dated December 10, 1998 by and between the Company
         and Mary Beth Price                                                            *

10.17    Clinical Trial Service Agreement between the Company and G.D. Searle &
         Company dated September 23, 1997                                               *

10.19    Amended and Restated Credit Agreement dated as of February 26,
         1998 by and between the Company and NationsBank, N.A.                          *

10.21    First Amendment to the Amended and Restated Credit Agreement dated as
         of November 25, 1998 by and between the Company and NationsBank, N.A.          *

10.22    Credit Agreement dated as of October 13, 2000 among the Company, the
         Several Lenders from Time to Time Party Hereto, and Bank One, NA, as
         Agent                                                                          *

10.23    Amended and Restated Credit Agreement dated as of June 3, 2002 among
         Kendle International Inc., The Several Lenders from Time to Time Party
         Hereto and Bank One, NA as Agent                                               *

10.24    Third Amendment to Amended and Restated Credit Agreement                       *

10.25    Fourth Amendment to Amended and Restated Credit Agreement                      S

10.20                      MANAGEMENT CONTRACTS AND COMPENSATION PLANS

         (a)      1995 Stock Option and Stock Incentive Plan                            *

         (b)      1995 Stock Option and Stock Incentive Plan -- Individual Stock
                  Option Agreement for Incentive Stock Option (contained in
                  Exhibit 10.20(a))                                                     *

         (c)      1997 Stock Option and Stock Incentive Plan                            *

         (d)      Amendment No. 2 to 1997 Stock Option and Stock Incentive Plan         *

         (d)      Form of Protective Compensation and Benefit Agreement                 *

         (e)      1998 Employee Stock Purchase Plan                                     *

         (f)      1997 Directors' Compensation Plan                                     *
</TABLE>

<PAGE>

<TABLE>
<S>      <C>                                                                            <C>
         (g)      Amendment No. 1 to 1997 Stock Option and Stock Incentive Plan         *

         (h)      Amendment No. 3 to 1997 Stock Option and Stock Incentive Plan         *

         (i)      Amendment No. 1 to 1997 Directors Compensation Plan                   *

         (j)      Amendment No. 2 to 1997 Directors Compensation Plan                   *

         (k)      Amendment No. 1 to 1998 Employee Stock Purchase Plan                  *

         (l)      Amendment No. 2 to 1998 Employee Stock Purchase Plan                  *

         (m)      Amendment No. 3 to 1998 Employee Stock Purchase Plan                  *

         (n)      2003 Directors Compensation Plan                                      *

14       Code of Ethics                                                                 S

23.1     Consent of PricewaterhouseCoopers LLP                                          S

23.2     Consent of Deloitte & Touche LLP                                               S

24       Powers of Attorney                                                             S

31.1     Certification of the Chief Executive Officer pursuant to Rule 13a-14(a)        S

31.2     Certification of the Chief Financial Officer pursuant to Rule 13a-14(a)        S

32.1     Certification Pursuant to 18 U.S.C Section 1350 as Adopted Pursuant to
         Section 906 of the Sarbanes-Oxley Act of 2002- Chief Executive Officer         S

32.2     Certification Pursuant to 18 U.S.C Section 1350 as Adopted Pursuant to
         Section 906 of the Sarbanes-Oxley Act of 2002 - Chief Financial Officer        S
</TABLE>

<TABLE>
<CAPTION>
Filing
Status              Description of Exhibit
------   ---------------------------------------
<S>      <C>
*        Incorporated by reference - See Item 15

S        Filed herewith
</TABLE>