PATIENT INFOSYSTEMS INC
10-Q, 1998-11-16
MISC HEALTH & ALLIED SERVICES, NEC
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                  U.S. Securities and Exchange Commission
                              Washington D.C. 20549

                                    FORM 10Q



 (Mark One)

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

For the quarterly period ended:   September 30, 1998


                                       OR

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

For the transition period from ..................................to.............
Commission file number:   0-22319

                            PATIENT INFOSYSTEMS, INC.
             (Exact name of registrant as specified in its charter)

__________Delaware_________________      _________16-1476509______________
(State or other jurisdiction of          (I.R.S. Employer Identification No.)
incorporation or organization)

                      46 Prince Street, Rochester, NY 14607
                    (Address of principal executive offices)
                                   (Zip Code)

                                 (716) 242-7200
              (Registrant's telephone number, including area code)


     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 last 90 days. Yes [X] No

     As of October 31, 1998, 8,020,042 common shares were outstanding.


<PAGE>


PART 1.  FINANCIAL INFORMATION

Item 1.  Financial Statements.

PATIENT INFOSYSTEMS, INC.

CONDENSED BALANCE SHEETS
- - --------------------------------------------------------------------------------
<TABLE>
<CAPTION>


ASSETS                                                    September 30, 1998 December 31, 1997
- - ------                                                    ------------------ -----------------
<S>                                                       <C>                <C>
                                                                                
CURRENT ASSETS:
  Cash and cash equivalents ................................  $  1,125,313    $    779,317
  Available-for-sale securities ............................     8,043,596      12,232,335
  Accounts receivable ......................................     1,303,337         412,956
  Prepaid expenses and other current assets ................       232,623         405,507
                                                                   -------         -------
        Total current assets ...............................    10,704,869      13,830,115
                                                                
PROPERTY AND EQUIPMENT, net ................................     1,090,454         958,965

OTHER ASSETS ...............................................       447,393         247,393
                                                                   -------         -------
                                                                 
TOTAL ASSETS ..............................................   $ 12,242,716    $ 15,036,473
                                                              ============    ============

LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES:
  Accounts payable ........................................   $    187,379    $     89,674
  Accrued salaries and wages ..............................        333,367         320,272
  Accrued expenses ........................................         62,057          79,236
  Deferred revenue ........................................        260,667          67,549
  Accrued loss on development contracts ...................         30,997          30,997
                                                                    ------          ------
        Total current liabilities .........................        874,467         587,728
                                                                   

STOCKHOLDERS' EQUITY:
  Common stock - $.01 par value:  shares authorized:
      20,000,000; issued and outstanding: September 30,
     1998 - 8,020,042; December 31, 1997 - 8,011,522 ......         80,200          80,115
  Additional paid-in capital ..............................     21,561,533      21,550,009
  Unrealized gain (loss) on available-for-sale securities .         (3,147)          5,060
  Accumulated deficit .....................................    (10,270,337)     (7,186,439)
                                                                ----------      ---------- 
        Total stockholders' equity ........................     11,368,249      14,448,745
                                                                ----------      ----------

TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY ................   $ 12,242,716    $ 15,036,473
                                                              ============    ============

</TABLE>


See notes to condensed financial statements

<PAGE>

PATIENT INFOSYSTEMS, INC.

CONDENSED STATEMENTS OF OPERATIONS (UNAUDITED)
- - --------------------------------------------------------------------------------
<TABLE>
<CAPTION>

                                                          Three Months Ended              Nine Months Ended      
                                                             September 30,                   September 30,
                                                           1998           1997          1998           1997         
                                                           ----           ----          ----           ----         
<S>                                                    <C>           <C>            <C>            <C>

REVENUES ...........................................   $  465,181    $   433,059    $ 1,629,653    $ 1,526,866
                                                       ----------    -----------    -----------    -----------

COSTS AND EXPENSES:
  Cost of operations ...............................      708,297        398,696      1,642,868      1,284,838
  Sales and marketing ..............................      452,922        492,318      1,287,623      1,295,979
  General and administrative .......................      718,883        752,564      2,037,397      1,748,999
  Research and development .........................       27,679         93,230        170,744        430,399
                                                           ------         ------        -------        -------

        Total costs and expenses ...................    1,907,781      1,736,808      5,138,632      4,760,215
                                                        ---------      ---------      ---------      ---------

OPERATING LOSS .....................................   (1,442,600)    (1,303,749)    (3,508,979)    (3,233,349)

INTEREST INCOME ....................................      136,350        208,178        462,658        644,848
                                                          -------        -------        -------        -------

LOSS BEFORE INCOME TAXES ...........................   (1,306,250)    (1,095,571)    (3,046,321)    (2,588,501)

INCOME TAXES .......................................       42,593          1,991         37,577         (9,509)
                                                           ------          -----         ------         ------ 

NET LOSS ...........................................  $(1,348,843)   $(1,097,562)   $(3,083,898)   $(2,578,992)
                                                      ===========    ===========    ===========    =========== 

NET LOSS PER SHARE - BASIC
   AND DILUTED .....................................  $      (.17)   $      (.14)   $      (.38)   $      (.32)
                                                      ===========    ===========    ===========    =========== 

WEIGHTED AVERAGE COMMON
  AND POTENTIAL COMMON SHARES .....................     8,020,042      7,995,062      8,017,844      7,969,972
                                                        =========      =========      =========      =========
</TABLE>

See notes to condensed financial statements.

<PAGE>

PATIENT INFOSYSTEMS, INC.

CONDENSED STATEMENTS OF CASH FLOWS (UNAUDITED)
- - --------------------------------------------------------------------------------
<TABLE>
<CAPTION>


                                                                                  Nine Months      Nine Months
                                                                                     Ended            Ended
                                                                                  September 30,    September 30,
                                                                                      1998            1997
                                                                                      ----            ----
<S>                                                                             <C>             <C>   

OPERATING ACTIVITIES:
  Net loss .....................................................................$ (3,083,898)   $ (2,578,992)
  Adjustments to reconcile net loss to net cash used in
    operating activities:
      Depreciation and amortization .....................................            269,591         218,690
      Amortization of premiums and discounts on available-for-sale securities       (112,190)       (171,501)
      Compensation expense related to issuance of stock warrants ...............       7,827           6,299
      (Increase) in accounts receivable ........................................    (890,380)       (418,095)
      Decrease (increase) in accrued interest receivable .......................      47,416        (124,777)
      Decrease in prepaid expenses and other current assets ....................     125,467          55,561
      Increase (decrease) in accounts payable ..................................      97,705        (147,355)
      Increase in accrued salaries and wages ...................................      13,096          81,014
      (Decrease) increase in accrued expenses ..................................     (17,179)          9,692
      Increase in deferred revenue .............................................     193,118          50,469
      (Decrease) in accrued loss on development contracts ......................         -           (25,974)
                                                                                     -------         ------- 

            Net cash used in operating activities ..............................  (3,349,427)     (3,044,969)
                                                                                  ----------      ---------- 

INVESTING ACTIVITY:
  Property and equipment additions .............................................    (401,081)       (353,641)
  Purchases of available-for-sale  securities ..................................  (6,797,236)    (16,060,452)
  Maturities of available-for-sale securities ..................................  11,089,959       4,545,000
  Increase in other assets .....................................................    (200,000)       (250,000)
                                                                                    --------        -------- 

          Net cash provided by (used in) investing activities ..................   3,691,642     (12,119,093)
                                                                                   ---------     ----------- 

FINANCING ACTIVITIES:
  Proceeds from issuance of common stock, net ..................................       3,781       2,244,700
  Decrease in accrued initial public offering costs ............................        --          (446,568)
                                                                                     --------       -------- 

            Net cash provided by financing activities ..........................       3,781       1,798,132
                                                                                       -----       ---------

DECREASE IN CASH AND CASH  EQUIVALENTS .........................................     345,996     (13,365,930)

CASH AND CASH EQUIVALENTS AT
  BEGINNING OF PERIOD ..........................................................     779,317      15,666,609
                                                                                     -------      ----------

CASH AND CASH EQUIVALENTS AT
  END OF PERIOD ................................................................$  1,125,313    $  2,300,679
                                                                                ============    ============

Supplemental disclosures of cash flow information
   Cash paid and received for income taxes, net ................................$     37,577    $     (9,509)
                                                                                ============    ============ 
</TABLE>

See notes to condensed financial statements.

<PAGE>



PATIENT INFOSYSTEMS, INC.


Notes to Condensed Financial Statements


     1. The condensed financial  statements for the three and nine month periods
ended  September  30, 1998 and  September 30, 1997 are unaudited and reflect all
adjustments  (consisting only of normal recurring adjustments) which are, in the
opinion  of  management,  necessary  for a fair  presentation  of the  financial
position and operating results for the interim periods.  The condensed financial
statements should be read in conjunction with the financial statements and notes
thereto,  together  with  management's  discussion  and  analysis  of  financial
condition and results of operations  contained in the Company's Annual Report on
Form 10-K for the year ended  December 31, 1997.  The results of operations  for
the nine months ended September 30, 1998 are not  necessarily  indicative of the
results for the entire year ending December 31, 1998.

     2. Effective  January 1, 1998, the Company  adopted  Statement of Financial
Accounting Standards No. 130, "Reporting  Comprehensive  Income." This statement
requires that all items recognized  under accounting  standards as components of
comprehensive  earnings  be reported in an annual  financial  statement  that is
displayed with the same prominence as other annual  financial  statements.  This
statement  also requires that an entity  classify  items of other  comprehensive
earnings by their nature in an annual financial  statement.  For example,  other
comprehensive  earnings may include foreign  currency  translation  adjustments,
minimum  pension  liability  adjustments,  and  unrealized  gains and  losses on
marketable  securities  classified  as   available-for-sale.   Annual  financial
statements for prior periods will be  reclassified,  as required.  The Company's
total comprehensive earnings were as follows:

<TABLE>
<CAPTION>

                                    Three Months End                  Nine Months Ended
                                       September 30,                    September 30,
                                   1998           1997               1998            1997
                                   ----           ----               ----            ----
<S>                            <C>            <C>                <C>             <C>   

Net losses                     $(1,348,843)   $(1,097,562)       $(3,083,898)    $(2,578,992)
Other comprehensive earnings:
Unrealized losses on
available-for-sale securities        1,886          6,774             (8,207)         13,419 
                                     -----          -----            ------           ------         
                                                             
Comprehensive earnings         $(1,346,957)   $(1,090,788)       $(3,092,105)    $(2,565,573)
                               ===========    ===========        ===========     =========== 
</TABLE>
                                            
     3. In March  1998  the  Accounting  Standards  Executive  Committee  issued
Statement  of Position  98-1,  "Accounting  for the Costs of  Computer  Software
Developed or Obtained for Internal  Use".  This statement  provides  guidance on
accounting for the costs of computer software developed or obtained for internal
use. This statement will be effective for fiscal years  beginning after December
15,  1998.  Management  is  evaluating  the  impact on the  Company's  financial
statements.


<PAGE>


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

         Management's discussion and analysis provides a review of the Company's
operating  results for the three and nine month periods ended September 30, 1998
and September 30, 1997 and its  financial  condition at September 30, 1998.  The
focus of this  review is on the  underlying  business  reasons  for  significant
changes and trends affecting the revenues,  net earnings and financial condition
of the Company.  This review should be read in conjunction with the accompanying
condensed financial statements.

         In an effort to give  investors a  well-rounded  view of the  Company's
current condition and future  opportunities,  this Quarterly Report on Form 10-Q
includes  forecasts by the Company's  management  about future  performance  and
results.   Because   they   are   forward-looking,   these   forecasts   involve
uncertainties.  These  uncertainties  include  risks of market  acceptance of or
preference  for the Company's  systems and  services,  competitive  forces,  the
impact of, and changes in, government  regulations,  general economic factors in
the  healthcare  industry and other factors  discussed in the Company's  filings
with the Securities and Exchange Commission.

Results of Operations

         Revenues
         --------

         Revenues   consist  of  revenues   from   development,   licensing  and
operational fees. Revenues increased from $433,059 during the three months ended
September 30, 1997 to $465,181 during the three months ended September 30, 1998,
or 7%, and increased  from  $1,526,866  for the nine months ended  September 30,
1997 to $1,629,653 or 7% for the nine months ended September 30, 1998.

                       Three Months Ended                 Nine Months Ended
                          September 30,                     September 30,
Revenues              1998             1997              1998             1997
- - --------              ----             ----              ----             ----
Development Fees  $ 80,970          $158,267       $  634,373        $  761,372
Licensing Fees       -                70,834          169,444           354,167
Operational Fees   384,211           203,958          825,836           411,327
                   -------           -------          -------           -------

Total Revenues    $465,181          $433,059       $1,629,653        $1,526,866
                  ========          ========       ==========        ==========

     Revenue from  development  fees  decreased  from $158,267  during the third
quarter  of 1997 to  $80,970  during  the  third  quarter  of  1998,  or 49% and
decreased  from  $761,372  during the first nine months of 1997 to $634,373,  or
17%,  during  the  first  nine  months  of 1998.  Development  revenues  include
clinical,  technical and operational design or modification and customization of
the Company's  primary  disease  management  programs.  The Company had provided
substantial  development  services  to a single  customer  during  the first six
months of 1998, for the development of a specific program,  which was terminated
during the third  quarter.  There were no  adjustments  to  previously  recorded
revenue  as a result of the  termination  of the  agreement.  The  Company  will
continue to offer development  programs for particular  customers.  However,  no
assurance can be given that development fees will be significant in the future.

     The Company did not recognize  licensing  revenues during the third quarter
of 1998 as  compared  to the third  quarter of 1997  during  which  $70,834  was
recognized.  Licensing fees decreased from $354,167 during the first nine months
of 1997 to  $169,444,  or 52%,  during the first nine months of 1998.  Licensing
revenue represents amounts the Company charges its customers,  in a one-time fee
basis,  for the  right to  enroll  patients  in or the  right to  license  other
entities certain of its programs,  primarily,  but not limited to, the Company's
standardized  asthma and diabetes  programs.  The Company did not enter into any
one-time licensing agreements in the third quarter 1998.

         Revenue from  operational fees increased from $203,958 during the third
quarter of 1997 to  $384,211  during  the third  quarter  of 1998,  or 88%,  and
increased  from  $411,327  during the first nine months of 1997 to $825,836,  or
101%, during the first nine months of 1998. The increase in operational revenues
are due to increases in membership  levels in the Company's  disease  management
programs  and  primarily  from the  Company's  nurse  triage  demand  management
programs. The nurse triage demand management programs operate from the Company's
medical call center which was established in May 1998 in Wayne,  PA. The medical
call center is staffed by registered nurses on a 24 hour, 7 day a week schedule.
Revenue from the Company's  contracts is recognized  ratably in accordance  with
contract  terms on the basis of  per-member  and/or  per  enrollment  fees.  The
Company  anticipates  that  operational  fees will continue to increase over the
next twelve months as enrollments increase.

         The Company also provides other services to customers in the healthcare
industry which involve new applications of its information  capture and delivery
systems.  These  services  include  patient  surveys,  health risk  assessments,
patient satisfaction surveys, physician education programs and marketing support
functions.  As the  Company  expands  its  operations,  it intends to  emphasize
operational revenue to the exclusion of development revenues.

         Costs and Expenses
         ------------------

     Cost of operations include salaries and related benefits, services provided
by third parties,  and other  expenses  associated  with the  development of the
Company's customized disease state management programs, as well as the operation
of each of its  disease  state  management  programs.  Cost  of  operations  was
$708,297 for the three months ended  September 30, 1998, as compared to $398,696
for the three  months  ended  September  30,  1997.  For the nine  months  ended
September 30, 1998, cost of operations was $1,642,868, as compared to $1,284,838
for the nine  months  ended  September  30,  1997.  The  increase in these costs
reflects an increased  level of program  operations  activities,  as well as the
Company's creation of the capacity necessary to handle anticipated  increases in
the  number of  individuals  to whom the  Company  provides  services.  Costs of
operations are expected to continue to exceed related  revenues until the volume
of patient  enrollments in the Company's  programs that the Company  provides to
its customers increases further.

         Sales and marketing  expenses for the three months ended  September 30,
1998 were $452,922, as compared to $492,318 for the three months ended September
30, 1997.  For the nine months  ended  September  30,  1998,  cost of sales were
$1,287,623,  as compared to $1,295,979  for the nine months ended  September 30,
1997. These costs consist primarily of salaries, related benefits, travel costs,
sales materials and other marketing related expenses.  Spending in this area has
remained  consistent  as Company's  sales and  marketing  staff has not expanded
during the nine months ended September 30, 1998, however, it is anticipated that
the Company will continue to invest in the sales and marketing process, and that
such expenses will increase in future periods.

         General and  administrative  expenses  include  the costs of  corporate
operations,  finance and accounting, human resources and other general operating
expenses of the  Company.  General  and  administrative  expenses  for the three
months ended  September  30, 1998 were  $718,883 as compared to $752,564 for the
three months ended  September 30, 1997. For the nine months ended  September 30,
1998,  general  and  administrative  expenses  were  $2,037,397  as  compared to
$1,748,999 for the nine months ended September 30, 1997. These expenditures have
been  incurred to maintain  the  corporate  infrastructure  necessary to support
anticipated  program  operations.  The  increase in these costs was caused by an
increase  in the  Company's  level of  business  activity,  and the  addition of
required  administrative   personnel.  The  Company  expects  that  general  and
administrative expenses will increase in future periods.

         Research and  development  expenses  consist  primarily of salaries and
related benefits and  administrative  costs allocated to the Company's  research
and  development   personnel  for  development  of  certain  components  of  its
integrated  information  capture and delivery system,  as well as development of
the Company's  standardized  disease  state  management  programs.  Research and
development  expenses for the three months ended September 30, 1998 were $27,679
as compared to $93,230 for the three months ended  September  30, 1997.  For the
nine months ended  September 30, 1998,  research and  development  expenses were
$170,744 as compared to $430,399 for the nine months ended  September  30, 1997.
The decrease in research and development expenses from the third quarter of 1997
to  the  third  quarter  of  1998  reflects  the  Company's  completion  of  the
development of its primary disease management  programs The Company  anticipates
that  research  and  development  expenses  will  continue to decrease in future
periods, as the Company continues to expand its operations.

         Interest  income was $136,350 for the three months ended  September 30,
1998, as compared to $208,178 for the three months ended September 30, 1997. For
the nine months  ended  September  30,  1998,  interest  income was  $462,658 as
compared to $644,848 for the nine months ended  September 30, 1997. The decrease
in interest income reflects the use by the Company of its available cash and the
reduction of proceeds that can earn interest.

         The Company had a net loss of  $1,348,843  for the three  months  ended
September  30,  1998 as  compared  to  $1,097,562  for the  three  months  ended
September 30, 1997.  For the nine months ended  September 30, 1998,  the Company
had a net loss of $3,083,898 as compared to $2,578,992 for the nine months ended
September 30, 1997.  This  represents a net loss per share of $.17 for the third
quarter  of 1998,  as  compared  to a net loss of $.14  per  share in the  third
quarter of 1997. For the nine months ended  September 30, 1998, the net loss per
share is $.38 as compared  to $.32 net loss per share for the nine months  ended
September 30, 1997.

         Liquidity and Capital Resources
         -------------------------------

         At September 30, 1998 the Company had working  capital of $9,830,402 as
compared to working  capital of  $13,242,387  at December  31,  1997.  Since its
inception the Company has primarily funded its operations, working capital needs
and  capital  expenditures  from the sale of equity  securities.  The  Company's
initial  capitalization  of $500,000 was completed in February 1995. The Company
received  $1,800,000 from the sale of equity  securities in a private  placement
during the third  quarter of 1995,  and  $3,000,000  from the sale of additional
equity  securities in a private  placement  during the third quarter of 1996. On
December 19, 1996 the Company completed an initial public offering of its common
stock  which  generated  net  proceeds  to  the  Company  of  $14,082,048.   The
underwriters  of  the  Company's   initial  public   offering   exercised  their
over-allotment  option on  January  8, 1997  resulting  in net  proceeds  to the
Company of $2,232,000. The Company has continued to expend increasing amounts to
expand its operational capabilities including, increasing its administrative and
technical  costs.  To the extent that  revenues do not  increase,  the Company's
losses will increase,  creating an increased  burden on the Company's  available
capital.
    
     The Company has entered into an Asset Purchase  Agreement  with  HealthDesk
Corporation  ("HealthDesk") pursuant to which the Company has agreed to purchase
substantially  all of the assets of  HealthDesk  for  approximately  $600,000 in
cash, without assuming any significant  liabilities or obligations of HealthDesk
with respect to the  acquired  assets.  HealthDesk  is a  corporation  primarily
engaged in the business of designing and  developing  Internet based products in
the healthcare, wellness and disease management industries.  HealthDesk's common
stock is  currently  listed on the Nasdaq  SmallCap  Market.  The closing of the
acquisition   is  subject  to  numerous   conditions,   including   approval  of
HealthDesk's  stockholders.  In addition,  either party may  terminate the Asset
Purchase  Agreement if the  acquisition is not consummated by November 30, 1998.
John  Pappajohn,  a member of the Board of Directors  of the Company,  is also a
member of the Board of Directors of HealthDesk.


         Inflation
         ---------

         Inflation  did not have a  significant  impact on the  Company's  costs
during  either  the third  quarter  of 1998 or the third  quarter  of 1997.  The
Company  continues  to monitor the impact of  inflation in order to minimize its
effects  through  pricing   strategies,   productivity   improvements  and  cost
reductions.


         Impact of the Year 2000 on Computer Systems
         -------------------------------------------

         The Company has  established a program to assess the impact of the Year
2000 on the software and hardware utilized in its internal operations.  The cost
to address the Year 2000 issues has been  estimated  at  $60,000.  This  program
includes the following phases:  identifying  affected  software,  hardware,  and
telecommunication  equipment  and  assessing  the impact on the Year 2000 issue;
hardware and software  remediation;  testing;  assess the Year 2000 readiness of
customers and suppliers;  and developing a contingency  plan.  Modification  and
testing of hardware and  software is  currently  in process with an  anticipated
completion  date of December 31, 1998.  The Company has completed  adaptation of
all  internally  created  systems  and has begun  surveying  its  customers  and
suppliers  regarding  their  readiness  for the  Year  2000.  Final  testing  to
independently  validate  readiness  will begin when the Company has received all
third party hardware and software promised to date.

         The Company  believes it will address and resolve any  possible  issues
associated  with the  integration of Year 2000 data in a timely fashion and will
not  materially  affect future  financial  results or cause  reported  financial
information  to  be  inaccurate.   However,   unforeseen  internal  problems  or
unanticipated  events,  including  the  inability  of  third  party  vendors  or
customers to integrate  Year 2000 data could occur,  causing a material  adverse
effect on the Company's business, results of operations and financial condition.

         Forward Looking Statements
         --------------------------

         When  used in this  and in  future  filings  by the  Company  with  the
Securities and Exchange Commission,  in the Company's press releases and in oral
statements  made with the  approval of an  authorized  executive  officer of the
Company,  the words or phrases "will likely result,"  "expects,"  "plans," "will
continue,"  "is  anticipated,"  "estimated,"  "project," or "outlook" or similar
expressions  (including  confirmations by an authorized executive officer of the
Company  of any such  expressions  made by a third  party  with  respect  to the
Company)  are  intended  to  identify  "forward-looking  statements"  within the
meaning of the Private  Securities  Litigation  Reform Act of 1995.  The Company
wishes  to  caution   readers   not  to  place   undue   reliance  on  any  such
forward-looking  statements,  each of which speak only as of the date made. Such
statements  are  subject to certain  risks and  uncertainties  that could  cause
actual results to differ materially from historical earnings and those presently
anticipated or projected. These uncertainties include risks of market acceptance
of or preference for the Company's systems and services, competitive forces, the
impact of, and changes in, government  regulations,  general economic factors in
the  healthcare  industry and other factors  discussed in the Company's  filings
with the  Securities and Exchange  Commission.  The Company has no obligation to
publicly  release  the  result  of  any  revisions  which  may  be  made  to any
forward-looking  statements to reflect  anticipated or  unanticipated  events or
circumstances occurring after the date of such statements.



<PAGE>




PART II - OTHER INFORMATION


Item 6.  Exhibits and Reports on Form 8-K
No reports on Form 8-K were filed during the quarter ended September 30, 1998.


Exhibits:

(11)          Statements of Computation of Per Share Earnings
         See Page 11 of this Quarter Report on Form 10-Q.

(27)          Financial Data Schedule
         Filed electronically




Exhibit 11.       Statement of Computation of Per Share Earnings

PATIENT INFOSYSTEMS, INC.
<TABLE>
<CAPTION>


                                                           Three Months Ended            Nine Months Ended
                                                             September 30,                 September 30,
                                                          1998           1997           1998           1997
                                                          ----           ----           ----           ----
<S>                                                   <C>            <C>            <C>            <C> 

Net Loss ..........................................   $(1,348,843)   $(1,097,562)   $(3,083,898)   $(2,578,992)
                                                      -----------    -----------    -----------    ----------- 

Weighted average common and
     potential common shares ......................     8,020,042      7,995,062      8,017,844      7,969,972
                                                        ---------      ---------      ---------      ---------

Net Loss per share - Basic and Diluted ............   $     (0.17)   $     (0.14)   $     (0.38)   $     (0.32)
                                                      ===========    ===========    ============    =========== 
</TABLE>


<PAGE>


SIGNATURES

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

Dated:  November 16, 1998



PATIENT INFSYSTEMS, INC.
(Registrant)



/s/ Donald A. Carlberg                                November 16, 1998
- - ----------------------                                -----------------
Donald A. Carlberg                                           Date
Director, President and Chief Executive Officer


/s/ Lynda J. Bates                                    November 16, 1998
- - ------------------                                    -----------------
Lynda J. Bates                                               Date
Controller


<TABLE> <S> <C>

<ARTICLE>                                           5
<MULTIPLIER>                                        1
                                                    
<S>                                                  <C>
<PERIOD-TYPE>                                      9-MOS
<FISCAL-YEAR-END>                                  DEC-31-1998
<PERIOD-START>                                     JAN-01-1998
<PERIOD-END>                                       SEP-30-1998
<CASH>                                               1,125,313
<SECURITIES>                                         8,043,596
<RECEIVABLES>                                        1,303,337
<ALLOWANCES>                                                 0
<INVENTORY>                                                  0
<CURRENT-ASSETS>                                    10,704,869
<PP&E>                                               1,862,463
<DEPRECIATION>                                         772,009
<TOTAL-ASSETS>                                      12,242,716
<CURRENT-LIABILITIES>                                  874,467
<BONDS>                                                      0
                                        0
                                                  0
<COMMON>                                                80,200
<OTHER-SE>                                          11,288,049
<TOTAL-LIABILITY-AND-EQUITY>                        12,242,716
<SALES>                                              1,629,653
<TOTAL-REVENUES>                                     1,629,653
<CGS>                                                1,642,868
<TOTAL-COSTS>                                        5,138,632
<OTHER-EXPENSES>                                             0
<LOSS-PROVISION>                                             0
<INTEREST-EXPENSE>                                           0
<INCOME-PRETAX>                                     (3,046,321)
<INCOME-TAX>                                            37,577
<INCOME-CONTINUING>                                 (3,083,898)
<DISCONTINUED>                                               0
<EXTRAORDINARY>                                              0
<CHANGES>                                                    0
<NET-INCOME>                                        (3,083,898)
<EPS-PRIMARY>                                            (0.38)
<EPS-DILUTED>                                            (0.38)
        


</TABLE>


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