Document:

<PAGE>   1
                                                                EXHIBIT 10.1(vi)

                             FIFTH AMENDMENT OF LEASE

     THIS AGREEMENT, made as of the 1st day of May, 2003 between 401 PARK AVENUE
SOUTH ASSOCIATES LLC, A New York Limited Liability Company having an office at
30 West 26th Street, Eighth Floor, New York, New York ("Landlord") and HEALTH
MANAGEMENT SYSTEMS, INC., a New York Corporation having an office at 401 Park
Avenue South, New York New York ("Tenant").

                                   WITNESSETH:

     WHEREAS, Landlord and Tenant entered into an Agreement of Lease made as of
January 6, 1986, as amended by a First Amendment of Lease dated November 25,
1987, a Second Amendment of Lease dated February 28, 1990, a Third Amendment of
Lease dated May 30, 2000 and a Fourth Amendment of Lease dated May 1, 2003,
covering certain premises on a portion of the 11th floor in the building known
as 401 Park Avenue South in the City, County and State of New York (said
Agreement of Lease, being hereinafter called the "Lease"); and

     WHEREAS, the parties hereto desire to amend the Lease in the respects and
upon the terms and conditions hereinafter set forth.

     NOW THEREFORE, in consideration of the sum of One Dollar ($1.00) paid by
each of the Parties hereto to the other (the receipt and sufficiency of which is
hereby acknowledged) and of other good and valuable consideration, including the
covenants: and understandings herein contained, it is hereby agreed as follows:

     1. Landlord shall have the option (hereinafter the "Elevator Option") to
reclaim an area within the Demised Premises immediately adjacent to the two
passenger elevators located in the southwestern portion of the Demised Premises.
Such area shall be equal in size to the area occupied by the existing passenger
elevators. Landlord may only exercise the Elevator Option for the purpose of
installing a third passenger elevator (the "Proposed Elevator"). Landlord shall
exercise the Elevator Option in writing 120 days in advance of the date Landlord
shall reclaim the: area required for the Proposed Elevator. Landlord shall
proportionately reduce the rent and additional rent equal to the percentage that
the area reclaimed for the Proposed Elevator bears to the total area of the
floor. Landlord shall bear all costs and expenses associated with severing the
area for the Proposed Elevator from the Demised Premises and Landlord at its
sole cost and expense shall (i) reconstruct the area of the Demised Premises
immediately adjacent to the Proposed Elevator to match the condition and repair
of such immediately adjacent space, and (ii) shall relocate any of Tenant's
equipment or fixtures which may be installed in the area of the Proposed
Elevator.

     2. Effective January 1, 2001, the amount $14,896 as defined in Paragraph 5
of the Second Amendment of Lease shall be changed to $11,586.

     3. All other terms and conditions of this Lease are hereby confirmed and
shall remain in full force and effect.

     4. This Amendment of Lease shall not be binding upon Landlord unless and
until it has been duly executed by Landlord and delivered by Landlord to Tenant.

     IN WITNESS WHEREOF, the parties hereto have duly executed this Agreement as
of the day and year first above written.

                                      401 PARK AVENUE SOUTH ASSOCIATES LLC
                                      BY: STEPHEN J. MERINGOFF, MEMBER

                                      BY: /s/ FARRELL VIRGA
                                          ---------------------------------
                                          FARRELL VIRGA, ATTORNEY-IN-FACT

                                      HEALTH MANAGEMENT SYSTEMS, INC.

                                      BY: /s/ VINCENT C. HARTLEY<PAGE>   1
                                                                 EXHIBIT 10.2(i)

                              EMPLOYMENT AGREEMENT

                  EMPLOYMENT AGREEMENT dated as of April 2, 2001, by and between
HEALTH MANAGEMENT SYSTEMS, INC., a New York corporation (the "Company"), and
ROBERT M. HOLSTER (the "Employee").

                              W I T N E S S E T H:

                  WHEREAS the Company desires to induce the Employee to enter
into employment with the Company for the period provided in this Agreement, and
the Employee is willing to accept such employment with the Company on a
full-time basis, all in accordance with the terms and conditions set forth
below;

                  NOW, THEREFORE, for and in consideration of the premises
hereof and the mutual covenants contained herein, the parties hereto hereby
covenant and agree as follows:

                  1. Employment. (a) The Company hereby agrees to employ the
Employee, and the Employee hereby agrees to accept such employment with the
Company, beginning on the date hereof and continuing for the period set forth in
Section 2 hereof, all upon the terms and conditions hereinafter set forth.

                  (b) The Employee affirms and represents that as of the
commencement of his employment by the Company on the date hereof he is under no
obligation to any former employer or other party that is in any way inconsistent
with, or that imposes any restriction upon, the Employee's acceptance of
employment hereunder with the Company, the employment of the Employee by the
Company, or the Employee's undertakings under this Agreement.

                  2. Term of Employment. (a) Unless earlier terminated as
provided in this Agreement, the term of the Employee's employment under this
Agreement shall be for a period beginning on the date hereof and ending on the
third anniversary of the date hereof (the "Initial Term").

                  (b) The term of the Employee's employment under this Agreement
may be renewed for additional one-year terms (each a "Renewal Term") upon the
expiration of the Initial Term or any Renewal Term if the Company and the
Employee delivers to the other, at least 30 days prior to the expiration of the
Initial Term or the then current Renewal Term, as the case may be, a written
notice specifying that the term of the Employee's employment will be renewed at
the end of the Initial Term or such Renewal Term, as the case may be. The period
from the date hereof until the third anniversary of said date or, in the event
that the Employee's employment hereunder is earlier terminated as provided
herein or renewed as provided in this Section 2(b), such shorter or longer
period, as the case may be, is hereinafter called the "Employment Term".
<PAGE>   2
                  (c) As of the date hereof, the Consulting Agreement, dated as
of October 23, 2000, between the Company and the Employee as subsequently
modified by correspondence regarding the sale of additional business units of
the Company, shall terminate, with no further liabilities or obligations of
either the Company or the Employee to the other party thereunder, except that,
in the event either the Company's Third Party Liability Recovery business or its
HCm business is sold by the Company on or prior to April 23, 2002, the Employee
shall receive from the Company the commission fees that the Employee would
otherwise be entitled to receive pursuant to Section 2(b) of said Consulting
Agreement.

                  3. Duties. The Employee shall be employed as the President and
Chief Operating Officer of the Company, shall faithfully and competently perform
such duties as inhere in such positions and as are specified in the By-laws of
the Company and shall also perform and discharge such other executive employment
duties and responsibilities as the Chief Executive Officer or the Board of
Directors of the Company shall from time to time determine. The Employee shall
perform his duties principally at such offices of the Company and its
subsidiaries as their respective businesses shall require, from time to time,
with such travel to such other locations from time to time as the Chief
Executive Officer or the Board of Directors of the Company may reasonably
prescribe. Except as may otherwise be approved in advance by the Board of
Directors of the Company, and except during vacation periods and reasonable
periods of absence due to sickness, personal injury or other disability, the
Employee shall devote his full business time throughout the Employment Term to
the services required of him hereunder. The Employee shall render his business
services exclusively to the Company and its subsidiaries during the Employment
Term and shall use his best efforts, judgment and energy to improve and advance
the business and interests of the Company and its subsidiaries in a manner
consistent with the duties of his positions. Nothing contained in this Section 3
shall preclude the Employee from serving as a trustee of the HHL Liquidating
Trust or from performing services for charitable or not-for-profit community
organizations, provided that such activities do not interfere with the
Employee's performance of his duties and responsibilities under this Agreement.

                  4. Salary and Bonus. (a) Salary. As compensation for the
performance by the Employee of the services to be performed by the Employee
hereunder during the Employment Term, the Company shall pay the Employee a base
salary at the annual rate of Three Hundred Twenty-Five Thousand Dollars
($325,000) (said amount, together with any increases thereto as may be
determined from time to time by the Board of Directors of the Company in its
sole discretion, being hereinafter referred to as "Salary"). Any Salary payable
hereunder shall be paid in regular intervals in accordance with the Company's
payroll practices from time to time in effect.

                  (b) Bonus. The Employee shall be eligible to receive bonus
compensation from the Company in respect of each fiscal year (or portion
thereof) during the Employment Term, in each case as may be determined by the
Board of Directors of the Company in its sole discretion
<PAGE>   3
on the basis of performance-based or such other criteria as may be established
from time to time by the Board of Directors of the Company in its sole
discretion.

                  5. Other Benefits. During the Employment Term, the Employee
shall:

                  (i) be eligible to participate in employee fringe benefits and
         pension and/or profit sharing plans that may be provided by the Company
         for its senior executive employees in accordance with the provisions of
         any such plans, as the same may be in effect from time to time;

                  (ii) be eligible to participate in any medical and health
         plans or other employee welfare benefit plans that may be provided by
         the Company for its senior executive employees in accordance with the
         provisions of any such plans, as the same may be in effect from time to
         time;

                  (iii) be entitled to the number of paid vacation days in each
         calendar year determined by the Company from time to time for its
         senior executive officers, provided that such number of paid vacation
         days in each calendar year shall not be less than twenty work days
         (four calendar weeks); the Employee shall also be entitled to all paid
         holidays given by the Company to its senior executive officers;

                  (iv) be eligible for consideration by the Board of Directors
         of the Company for awards of stock options under any stock option plan
         that may be established by the Company for its and its subsidiaries'
         key employees, the amount, if any, of shares for which options may be
         granted to Employee to be in the sole discretion of the Board of
         Directors of the Company;

                  (v) be entitled to sick leave, sick pay and disability
         benefits in accordance with any Company policy that may be applicable
         to senior executive employees from time to time;

                  (vi) be entitled to reimbursement for all reasonable and
         necessary out-of-pocket business expenses incurred by the Employee in
         the performance of his duties hereunder in accordance with the
         Company's normal policies from time to time in effect; and

                  (vii) in addition, the Board of Directors will grant to you as
         of the date hereof an option to purchase 700,000 shares of the
         Company's common stock, at an exercise price of $1.19 per share, which
         is equal to the fair market value closing price today, March 30, 2001,
         on the NASDAQ National Market System. Your right to exercise such
         options will vest as to 100,000 shares on the first anniversary of the
         date hereof and as to the balance

                                       3
<PAGE>   4
         of such shares in eight equal quarterly installments, commencing June
         30, 2002, and will vest immediately upon a change of control
         transaction involving the Company.

                  6. Confidential Information. The Employee hereby covenants,
agrees and acknowledges as follows:

                  (a) The Employee has and will have access to and will
         participate in the development of or be acquainted with confidential or
         proprietary information and trade secrets related to the business of
         the Company and any present or future subsidiaries or affiliates of the
         Company (collectively with the Company, the "Companies"), including but
         not limited to (i) customer lists; claims histories, adjustments and
         settlements and related records and compilations of information; the
         identity, lists or descriptions of any new customers, referral sources
         or organizations; financial statements; cost reports or other financial
         information; contract proposals or bidding information; business plans;
         training and operations methods and manuals; personnel records;
         software programs; reports and correspondence; and management systems,
         policies or procedures, including related forms and manuals; (ii)
         information pertaining to future developments such as future marketing
         or acquisition plans or ideas, and potential new business locations;
         (iii) confidential or non-public information relating to business
         operations and strategic plans of third parties with which the
         Companies have or may be assessing commercial arrangements ("Third
         Party Information") and (iv) all other tangible and intangible
         property, that are used in the business and operations of the Companies
         but not made public. The information and trade secrets relating to the
         business of the Companies described hereinabove (including Third Party
         Information) in this paragraph (a) are hereinafter referred to
         collectively as the "Confidential Information", provided that the term
         Confidential Information shall not include any information (x) that is
         or becomes generally publicly available (other than as a result of
         violation of this Agreement by the Employee), (y) that the Employee
         receives on a nonconfidential basis from a source (other than the
         Companies or their representatives) or, in the case of Third Party
         Information, from a source (other than the Companies, the third parties
         to which such information relates or their respective representatives)
         that is not known by him to be bound by an obligation of secrecy or
         confidentiality to any of the Companies (or such third parties, in the
         case of Third Party Information) or (z) that was in the possession of
         the Employee prior to disclosure by the Companies (or such third
         parties, in the case of Third Party Information).

                  (b) The Employee shall not disclose, use or make known for his
         or another's benefit any Confidential Information or use such
         Confidential Information in any way except as is in the best interests
         of the Companies in the performance of the Employee's duties under this
         Agreement. The Employee may disclose Confidential Information when
         required by a third party and applicable law or judicial process, but
         only after

                                       4
<PAGE>   5
         providing immediate notice to the Company at any third party's request
         for such information, which notice shall include the Employee's intent
         with respect to such request.

                  (c) The Employee acknowledges and agrees that a remedy at law
         for any breach or threatened breach of the provisions of this Section 6
         would be inadequate and, therefore, agrees that the Companies shall be
         entitled to injunctive relief in addition to any other available rights
         and remedies in case of any such breach or threatened breach by the
         Employee (and the Employee hereby waives any requirement that any of
         the Companies provide a bond or other security in connection with the
         issuance of any such injunction); provided, however, that nothing
         contained herein shall be construed as prohibiting the Companies from
         pursuing any other rights and remedies available for any such breach or
         threatened breach.

                  (d) The Employee agrees that, upon termination of his
         employment with the Company for any reason, the Employee shall
         forthwith return to the Company all Confidential Information in
         whatever form maintained (including, without limitation, computer discs
         and other electronic media).

                  (e) The obligations of the Employee under this Section 6
         shall, except as otherwise provided herein, survive the termination of
         the Employment Term and the expiration or termination of this
         Agreement.

                  (f) Without limiting the generality of Section 10 hereof, the
         Employee hereby expressly agrees that the foregoing provisions of this
         Section 6 shall be binding upon the Employee's heirs, successors and
         legal representatives.

                  7. Termination. (a) The Employee's employment hereunder shall
be terminated upon the occurrence of any of the following:

                  (i)      the death of the Employee;

                  (ii) the Employee's inability to perform his duties on account
         of disability or incapacity for a period of one hundred eighty (180) or
         more days, whether or not consecutive, within any period of twelve (12)
         consecutive months;

                  (iii) the Company giving written notice, at any time, to the
         Employee that the Employee's employment is being terminated "for cause"
         (as defined below);

                  (iv) the Company giving written notice, at any time, to the
         Employee that the Employee's employment is being terminated other than
         pursuant to clause (i), (ii) or (iii) above; or

                                       5
<PAGE>   6
                  (v) the Employee terminates his employment hereunder for any
         reason whatsoever (whether by reason of retirement, resignation or
         otherwise).

                  The following actions, failures and events by or affecting the
Employee shall constitute "cause" for termination within the meaning of clause
(iii) above: (A) a conviction of the Employee of, or the entering of a plea of
nolo contendere by the Employee with respect to, a felony, (B) dependence on, or
habitual abuse of, controlled substances or alcohol (in the case of alcohol
abuse, that has a material adverse affect on Employee's performance of his
obligations under this Agreement) or acts of dishonesty by the Employee that are
materially detrimental to one or more of the Companies, (C) wilful misconduct by
the Employee that materially damages the business of one or more of the
Companies, (D) gross negligence by the Employee in the performance of, or wilful
disregard by the Employee of, his material obligations under this Agreement or
otherwise relating to his employment, which gross negligence or wilful disregard
continues unremedied for a period of fifteen (15) days after written notice
thereof to the Employee or (E) failure by the Employee to obey the reasonable
and lawful orders and policies of the Chief Executive Officer or the Board of
Directors of the Company that are material to and consistent with the provisions
of this Agreement (provided that, in the case of an indictment described in
clause (A) above, and in the case of clauses (B), (C) and (E) above, the
Employee shall have received written notice of such proposed termination (which
notice shall state the Sections of this Agreement pursuant to which such
termination is being effected and a description of the facts supporting such
termination) and a reasonable opportunity (together with the Employee's counsel)
to discuss the matter with the Board of Directors of the Company, followed by a
notice that the Board of Directors adheres to its position).

                  (b) In the event that (1) the Employee's employment terminates
pursuant to clause (i) or (ii) of Section 7(a) above or (2) is terminated by the
Company pursuant to clause (iv) of Section 7(a) above, or the Employee
terminates his employment, in the case of either event described in this clause
(2), within 45 days of a Change of Control Transaction (as hereinafter defined),
whether during the Initial Term or during any Renewal Term pursuant to Section
2(b) above, then (i) during the period beginning on the date of such termination
and ending on the last day of the Applicable Period (as defined in Section
9(a)), the Company shall pay to the Employee, as severance pay or liquidated
damages or both, monthly payments equal to one-twelfth of the rate per annum of
his Salary at the time of such termination, provided, however, that no such
payments shall be required to be made if the Employee fails to comply with his
obligations under Section 9 below; and (ii) the Company shall continue to
provide the Employee with the health insurance benefits provided to other
employees of the Company (including employer contributions) from the date of
such termination until the earlier to occur of (x) the last day of the
Applicable Period and (y) the date upon which the Employee becomes eligible for
coverage under the health insurance plan of another employer.

                  For purposes of this Agreement, a "Change of Control
Transaction" means the sale or transfer of all or substantially all of the
assets of the Company or any merger, consoli-

                                       6
<PAGE>   7
dation or other transaction that would result in the transfer, directly or
indirectly, of more than 50% of the then outstanding capital stock of the
Company to holders who were not holders of its capital stock immediately prior
to such merger. It is understood by the Company and the Employee that "a sale of
substantially all" the Company's assets may occur, for purposes of the New York
Business Corporation Law, but that such an event will not constitute a "Change
of Control Transaction" for purposes of this Agreement unless the Company has
sold all its significant lines of business and intends to limit its future
activities to the distribution of the proceeds of such transaction.

                  (c) Notwithstanding anything to the contrary expressed or
implied herein, except as required by applicable law and except as set forth in
Section 7(b) above, the Company (and its affiliates) shall not be obligated to
make any payments to the Employee or on his behalf of whatever kind or nature by
reason of the Employee's cessation of employment (including, without limitation,
by reason of termination of the Employee's employment by the Company for
"cause"), other than (i) such amounts, if any, of his Salary as shall have
accrued and remained unpaid as of the date of said cessation and (ii) such other
amounts, if any, that may be then otherwise payable to the Employee pursuant to
the terms of the Company's benefits plans.

                  (d) No interest shall accrue on or be paid with respect to any
portion of any payments hereunder.

                  8. Non-Assignability. (a) Neither this Agreement nor any right
or interest hereunder shall be assignable by the Employee or his beneficiaries
or legal representatives without the Company's prior written consent; provided,
however, that nothing in this Section 8(a) shall preclude the Employee from
designating a beneficiary to receive any benefit payable hereunder upon his
death or incapacity.

                  (b) Except as required by law, no right to receive payments
under this Agreement shall be subject to anticipation, commutation, alienation,
sale, assignment, encumbrance, charge, pledge or hypothecation or to exclusion,
attachment, levy or similar process or to assignment by operation of law, and
any attempt, voluntary or involuntary, to effect any such action shall be null,
void and of no effect.

                  9.  Restrictive Covenants.

                                       7
<PAGE>   8
                  (a) Competition. During the Employment Term and during the
Applicable Period (as defined below), the Employee shall not directly or
indirectly (as a director, officer, executive employee, manager, consultant,
independent contractor, advisor or otherwise) engage in competition with, or own
any interest in, perform any services for, participate in or be connected with
any business or organization that engages in competition with the Company or any
of its subsidiaries within the meaning of Section 9(d), provided, however, that
the provisions of this Section 9(a) shall not be deemed to prohibit the
Employee's ownership of not more than two percent (2%) of the total outstanding
shares of common stock of any publicly held company, or ownership, whether
through direct or indirect stock holdings or otherwise, of one percent (1%) or
more of the equity of any other business. For purposes of this Agreement, the
"Applicable Period" shall mean the twenty-four (24) month period following the
termination of the Employee's employment hereunder for any reason whatsoever.

                  (b) Non-Solicitation. During the Employment Term and during
the Applicable Period, the Employee shall not directly or indirectly induce or
attempt to induce any employee of the Company or any of its subsidiaries to
leave the employ of the Company or such subsidiary, or in any way interfere with
the relationship between the Company or any of its subsidiaries and any employee
thereof.

                  (c) Non-Interference. During the Employment Term and during
the Applicable Period, the Employee will not directly or indirectly hire,
engage, send any work to, place orders with, or in any manner be associated with
any supplier, contractor, subcontractor or other business relation of the
Company or any of its subsidiaries if such action would be known by him to have
a material adverse effect on the business, assets or financial condition of the
Company or any of its subsidiaries or materially interfere with the relationship
between any such person or entity and the Company or any of its subsidiaries.

                  (d) Certain Definitions. For purposes of this Section 9, a
person or entity (including, without limitation, the Employee) shall be deemed
to be a competitor of the Company or any of its subsidiaries, or a person or
entity (including, without limitation, the Employee) shall be deemed to be
engaging in competition with the Company or any of its subsidiaries, if such
person or entity engages in any business engaged in by the Company or such
subsidiary at the time of termination of the Employee's employment with the
Company, in either case in the geographic region encompassing the service areas
in which the Company or any of its subsidiaries conduct, or had an established
plan to begin conducting, their businesses at the time of termination of the
Employee's employment with the Company.

                  (e) Certain Representations of the Employee. In connection
with the foregoing provisions of this Section 9, the Employee represents that
his experience, capabilities and circumstances are such that such provisions
will not prevent him from earning a livelihood. The Employee further agrees that
the limitations set forth in this Section 9 (including, without limitation, time
and territorial limitations) are reasonable and properly required for the
adequate

                                       8
<PAGE>   9
protection of the current and future businesses of the Company and its
subsidiaries. It is understood and agreed that the covenants made by the
Employee in this Section 9 (and in Section 6 hereof) shall survive the
expiration or termination of this Agreement.

                  (f) Injunctive Relief. The Employee acknowledges and agrees
that a remedy at law for any breach or threatened breach of the provisions of
Section 9 hereof would be inadequate and, therefore, agrees that the Company and
any of its subsidiaries shall be entitled to injunctive relief in addition to
any other available rights and remedies in cases of any such breach or
threatened breach (and the Employee hereby waives any requirement that the
Company or any such subsidiary provide a bond or other security in connection
with the issuance of any such injunction); provided, however, that nothing
contained herein shall be construed as prohibiting the Company or any of its
subsidiaries from pursuing any other rights and remedies available for any such
breach or threatened breach.

                  10. Binding Effect. Without limiting or diminishing the effect
of the provisions affecting assignment of this Agreement, this Agreement shall
inure to the benefit of and be binding upon the parties hereto and their
respective heirs, successors, legal representatives and assigns.

                  11. Notices. All notices that are required or may be given
pursuant to the terms of this Agreement shall be in writing and shall be
sufficient in all respects if given in writing and (i) delivered personally,
(ii) mailed by certified or registered mail, return receipt requested and
postage prepaid, (iii) sent via a nationally recognized overnight courier or
(iv) sent via facsimile confirmed in writing to the recipient, if to the Company
at the Company's principal place of business, and if to the Employee, at his
home address most recently filed with the Company, or to such other address or
addresses as either party shall have designated in writing to the other party
hereto, provided, however, that any notice sent by certified or registered mail
shall be deemed delivered on the date of delivery as evidenced by the return
receipt.

                  12. Law Governing. This Agreement shall be governed by and
construed in accordance with the laws of the State of New York.

                  13. Severability. The Employee agrees that in the event that
any court of competent jurisdiction shall finally hold that any provision of
Section 6 or 9 hereof is void or constitutes an unreasonable restriction against
the Employee, the provisions of such Section 6 or 9 shall not be rendered void
but shall apply with respect to such extent as such court may judicially
determine constitutes a reasonable restriction under the circumstances. If any
part of this Agreement other than Section 6 or 9 is held by a court of competent
jurisdiction to be invalid, illegible or incapable of being enforced in whole or
in part by reason of any rule of law or public policy, such part shall be deemed
to be severed from the remainder of this Agreement for the purpose only of the
particular legal proceedings in question and all other covenants and

                                       9
<PAGE>   10
provisions of this Agreement shall in every other respect continue in full force
and effect and no covenant or provision shall be deemed dependent upon any other
covenant or provision.

                  14. Waiver. Failure to insist upon strict compliance with any
of the terms, covenants or conditions hereof shall not be deemed a waiver of
such term, covenant or condition, nor shall any waiver or relinquishment of any
right or power hereunder at any one or more times be deemed a waiver or
relinquishment of such right or power at any other time or times.

                  15. Arbitration. With the exception of any dispute regarding
the Employee's compliance with the provisions of Sections 6 and 9 above, any
dispute relating to or arising out of the provisions of this Agreement shall be
decided by arbitration in New York, New York, in accordance with the Expedited
Arbitration Rules of the American Arbitration Association then obtaining, unless
the parties mutually agree otherwise in a writing signed by both parties. This
undertaking to arbitrate shall be specifically enforceable. The decision
rendered by the arbitrator will be final and judgment may be entered upon it in
accordance with appropriate laws in any court having jurisdiction thereof. Each
of the parties shall pay his or its own legal fees associated with such
arbitration.

                  16. Entire Agreement; Modifications. This Agreement
constitutes the entire and final expression of the agreement of the parties with
respect to the subject matter hereof and supersedes all prior agreements, oral
and written, between the parties hereto with respect to the subject matter
hereof. This Agreement may be modified or amended only by an instrument in
writing signed by both parties hereto.

                  17. Counterparts. This Agreement may be executed in two or
more counterparts, each of which shall be deemed an original, but all of which
together shall constitute one and the same instrument.

                                       10
<PAGE>   11
                  IN WITNESS WHEREOF, the Company and the Employee have duly
executed and delivered this Agreement as of the day and year first above
written. HEALTH MANAGEMENT SYSTEMS, INC.

                                      By _____________________________________
                                      Name:
                                      Title:
                                      Date:

                                      ________________________________________
                                                  Robert M. Holster

                                      Dated:

                                       11

Source: [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00026-of-00352.parquet"}, [{"source": "alea-institute/alea-institute/kl3m-data-edgar-agreements/train-00026-of-00352.parquet"}]]