PATIENT INFOSYSTEMS INC
10-Q, 1999-08-13
MISC HEALTH & ALLIED SERVICES, NEC
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UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                              Washington D.C. 20549

                                    FORM 10Q



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

For the quarterly period ended:              June 30, 1999
                                 -----------------------------------------------


                                       OR

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

For the transition period from                       to

Commission file number:             0-22319
                        --------------------------------------------------------

                            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 July 31, 1999, 8,033,002 common shares were outstanding.



<PAGE>


PART I.  FINANCIAL INFORMATION

Item 1.  Financial Statements.

PATIENT INFOSYSTEMS, INC.

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

ASSETS .........................................................................
                                                                                   June 30, 1999   December 31, 1998
                                                                                   -------------   -----------------
                                                                                   (Unaudited)         (Audited)
<S>                                                                                <C>             <C>
CURRENT ASSETS:
  Cash and cash equivalents ....................................................   $  3,358,093    $  6,316,955
  Available-for-sale securities ................................................           --         1,029,674
  Accounts receivable ..........................................................      1,684,197       1,320,626
  Prepaid expenses and other current assets ....................................        171,074         219,978
                                                                                   ------------    ------------
        Total current assets ...................................................      5,213,364       8,887,233

PROPERTY AND EQUIPMENT, net ....................................................      1,373,202       1,182,494

OTHER ASSETS ...................................................................        727,921         450,000
                                                                                   ------------    ------------

TOTAL ASSETS ...................................................................   $  7,314,487    $ 10,519,727
                                                                                   ============    ============

LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES:
  Accounts payable .............................................................   $    282,811    $    304,436
  Accrued salaries and wages ...................................................        497,871         277,931
  Accrued expenses .............................................................         62,663          58,904
  Deferred revenue .............................................................        593,696         253,068
                                                                                   ------------    ------------
        Total current liabilities ..............................................      1,437,041         894,339
                                                                                   ------------    ------------

STOCKHOLDERS' EQUITY:
  Common stock - $.01 par value:  shares authorized:
      20,000,000; issued and outstanding: June 30,
     1999 - 8,033,002; December 31, 1998 - 8,020,042 ...........................         80,330          80,200
  Additional paid-in capital ...................................................     21,569,637      21,561,093
  Accumulated Deficit ..........................................................    (15,772,521)    (12,015,905)
                                                                                   ------------    ------------
        Total stockholders' equity .............................................      5,877,446       9,625,388
                                                                                   ------------    ------------

TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY .....................................   $  7,314,487    $ 10,519,727
                                                                                   ============    ============
</TABLE>

See notes to condensed financial statements.

<PAGE>

PATIENT INFOSYSTEMS, INC.

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


                                                             Three Months    Three Months    Six Months     Six Months
                                                                Ended           Ended          Ended          Ended
                                                             June 30, 1999   June 30, 1998  June 30, 1999  June 30, 1998
                                                             -------------   -------------  -------------  -------------
<S>                                                          <C>             <C>            <C>            <C>
REVENUES
  Operations Fees .........................................   $ 1,002,943    $   381,466    $ 1,836,756    $   509,320
  Development Fees ........................................          --          485,708           --          485,708
  Licensing Fees ..........................................          --            6,945           --          169,445
                                                              -----------    -----------    -----------    -----------

       Total revenues .....................................     1,002,943        874,119      1,836,756      1,164,473
                                                              -----------    -----------    -----------    -----------

COSTS AND EXPENSES
  Cost of sales ...........................................     1,354,673        878,789      2,714,271      1,591,527
  Sales and marketing .....................................       724,316        436,046      1,294,639        882,933
  General and administrative ..............................       503,797        325,960        959,081        608,310
  Research and development ................................       218,698         67,984        427,447        143,065
                                                              -----------    -----------    -----------    -----------

        Total costs and expenses ..........................     2,801,484      1,708,779      5,395,438      3,225,835
                                                              -----------    -----------    -----------    -----------

OPERATING LOSS ............................................    (1,798,541)      (834,660)    (3,558,682)    (2,061,362)

Investment loss ...........................................      (293,211)          --         (327,505)          --
Other income ..............................................        48,866        154,643        129,571        326,307
                                                              -----------    -----------    -----------    -----------

NET LOSS ..................................................   $(2,042,886)   $  (680,017)   $(3,756,616)   $(1,735,055)
                                                              ===========    ===========    ===========    ===========

NET LOSS PER SHARE - BASIC
   AND DILUTED ............................................   $      (.25)   $      (.08)   $      (.47)   $      (.22)
                                                              ===========    ===========    ===========    ===========

WEIGHTED AVERAGE COMMON
  AND POTENTIAL COMMON SHARES .............................     8,028,186      8,019,789      8,024,125      8,016,727
                                                              ===========    ===========    ===========    ===========
</TABLE>


See notes to condensed financial statements.

<PAGE>

PATIENT INFOSYSTEMS, INC.

CONDENSED STATEMENTS OF CASH FLOWS (UNAUDITED)
- --------------------------------------------------------------------------------
<TABLE>
<CAPTION>
                                                                                    Six Months     Six Months
                                                                                      Ended           Ended
                                                                                   June 30, 1999  June 30, 1998
                                                                                   -------------  -------------
<S>                                                                                <C>            <C>
OPERATING ACTIVITIES:
  Net loss .....................................................................   $(3,756,616)   $(1,735,055)
  Adjustments to reconcile net loss to net cash used in
    operating activities:
      Depreciation and amortization ............................................       238,733        172,115
      Loss on investments ......................................................       327,505           --
      Increase in other assets .................................................          --         (200,000)
      Amortization of premiums and discounts on available-for-sale securities ..          --          (97,025)
      Compensation expense related to issuance of stock warrants ...............         6,874          5,218
      Increase in accounts receivable, net .....................................      (363,571)      (484,555)
      Decrease  in prepaid expenses and other current assets ...................        48,904         81,785
      (Decrease) increase in accounts payable ..................................       (21,625)       119,121
      Increase in accrued salaries and wages ...................................       219,940         47,885
      Increase (decrease) in accrued expenses ..................................         3,759        (55,202)
      Increase in deferred revenue .............................................       340,628         66,481
                                                                                   -----------    -----------

            Net cash used in operating activities ..............................    (2,955,469)    (2,079,232)
                                                                                   -----------    -----------

INVESTING ACTIVITY:
  Property and equipment additions .............................................      (429,441)      (230,345)
  Purchases of available-for-sale  securities ..................................       (21,073)    (6,797,236)
  Maturities of available-for-sale securities ..................................     1,050,747      9,144,959
  Purchase of HealthDesk Intellectual Property, net ............................      (605,427)          --
                                                                                   -----------    -----------

          Net cash provided by (used in) investing activities ..................        (5,194)     2,117,378
                                                                                   -----------    -----------

FINANCING ACTIVITIES:
  Proceeds from issuance of common and preferred stock, net ....................         1,801          3,781
                                                                                   -----------    -----------

            Net cash provided by financing activities ..........................         1,801          3,781
                                                                                   -----------    -----------

(DECREASE) INCREASE IN CASH AND CASH  EQUIVALENTS ..............................    (2,958,862)        41,927

CASH AND CASH EQUIVALENTS AT
  BEGINNING OF PERIOD ..........................................................     6,316,955        779,317
                                                                                   -----------    -----------

CASH AND CASH EQUIVALENTS AT
  END OF PERIOD ................................................................   $ 3,358,093    $   821,244
                                                                                   ===========    ===========

Supplemental disclosures of cash flow information
   Cash paid and received for income taxes, net ................................   $    30,721    $     5,016
                                                                                   ===========    ===========
</TABLE>

See notes to condensed financial statements.

<PAGE>

PATIENT INFOSYSTEMS, INC.


Notes to Condensed Financial Statements


1. The condensed financial statements for the three month periods ended June 30,
1999 and June 30, 1998 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, 1998. The results of operations for the three and six months
ended June 30, 1999 are not necessarily indicative of the results for the entire
year ending December 31, 1999.

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 Ended              Six Months Ended
                                                                       June 30,                      June 30,
                                                                  1999           1998           1999           1998
                                                              -----------    -----------    -----------    -----------
<S>                                                           <C>            <C>            <C>            <C>
Net losses ................................................   $(2,042,886)   $  (680,017)   $(3,756,616)   $(1,735,055)
Other comprehensive earnings:
     Unrealized losses on
       available-for-sale securities ......................          --           (2,700)          --          (10,093)
                                                              -----------    -----------     ----------    -----------

Comprehensive earnings ....................................   $(2,042,886)   $  (682,717)   $(3,756,616)   $(1,745,148)
                                                              ===========    ===========    ===========    ===========
</TABLE>


3.  Certain  1998   amounts  have  been   reclassified   to  conform  with  1999
presentations.


<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 six month  periods  ended June 30, 1999 and
June 30, 1998 and its  financial  condition at June 30, 1999.  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 operations, development and licensing
fees.  Revenues  increased from $874,119  during the three months ended June 30,
1998 to  $1,002,943  during the three months  ended June 30,  1999,  or 15%, and
increased  from  $1,164,473 for the six months ended June 30, 1998 to $1,836,756
or 58% for the six months ended June 30, 1999.

<TABLE>
<CAPTION>
                                                         Three Months Ended                 Six Months Ended
                                                              June 30,                          June 30,
Revenues                                                1999            1998             1999             1998
- --------                                                ----            ----             ----             ----
<S>                                                   <C>            <C>              <C>              <C>

Operations Fees
  Disease Management and Compliance                   $ 408,689      $ 130,401         $ 557,467       $ 174,095
  Surveys                                               325,054        116,956           779,161         132,772
  Demand Management                                     193,290        134,109           392,003         202,453
  Other                                                  75,910           -              108,125            -
                                                        -------        -------           -------         -------
Total Operations Fees                                 1,002,943        381,466         1,836,756         509,320
Development Fees                                          -            485,708            -              485,708
Licensing Fees                                            -              6,945            -              169,445
                                                      ---------        -------         ---------         -------

Total Revenues                                       $1,002,943      $ 874,119        $1,836,756      $1,164,473
                                                     ==========      =========        ==========      ==========
</TABLE>


         Operations  revenues are generated as the Company provides  services to
its customers for their disease-specific programs. Operations revenues increased
from $381,466 during the second quarter of 1998 to $1,002,943  during the second
quarter of 1999 and  increased  from  $509,320 for the six months ended June 30,
1998 to $1,836,756 for the six months ended June 30, 1999.  Operations  revenues
increased  significantly  during the six months ended June 30, 1999, as compared
to the six months ended June 30, 1998, as the Company  continues to increase the
membership  levels in the Company's  disease state management  programs,  demand
management programs and patient surveys.

         Development revenue represents the amounts that the Company charges its
customers  for  the  development  of its  customized  programs.  There  were  no
development revenues in the three and six months ended June 30, 1998. During the
six months  ended June 30,  1998,  the  Company  provided  services  to a single
customer  with  respect to the  development  of a single  program  for which the
Company  received  $485,000.  The Company has not entered  into new  development
agreements and does not anticipate that it will be paid for program  development
in the future.

         Licensing  revenue  represents  amounts  that the  Company  charges its
customers,  on 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.  There were
no license  fees in the three and six months  ended June 30, 1999 as compared to
license fees in the amount of $6,945 in the three months ended June 30, 1998 and
$169,445 for the six months ended June 30, 1998, which were primarily attributed
to the Company's licensing  agreement with ReCall Services,  Inc., in the amount
of $150,000, for the development and operation of a database service bureau.

         Costs and Expenses

         Cost of sales include salaries and related benefits,  services provided
by third parties,  and other expenses  associated  with the  implementation  and
delivery of the  Company's  standard and  customized  population,  disease state
management  programs.  Cost of sales for the three  months  ended June 30,  1999
consisting of costs associated with the operation of the Company's programs were
$1,354,673  as compared to $878,789  for the three month  period  ended June 30,
1998. For the six months ended June 30, 1999, cost of sales was  $2,714,271,  as
compared to $1,591,527  for the six months ended June 30, 1998.  The increase in
these costs  primarily  reflects an increased  level of  population  and disease
management  operational  activities,  the operations of a demand management call
center in Wayne, Pennsylvania, and the Company's creation of additional capacity
necessary to handle  anticipated  increases in the number of individuals to whom
the Company provides  services.  Although the Company's revenues have increased,
the Company's  gross margin  continues to be negative.  The Company  anticipates
that revenues must increase further before it will recognize economies of scale.
No assurance  can be given that  revenues will increase or that if they do, they
will exceed expenses.

         Sales and marketing  expenses  consist  primarily of salaries,  related
benefits,  travel costs,  sales materials and other marketing  related  expenses
Sales and  marketing  expenses  for the three  months  ended June 30,  1999 were
$724,316 as compared to $436,046 for the three month period ended June 30, 1998.
For the six  months  ended  June 30,  1999,  sales and  marketing  expenses  was
$1,294,639,  as  compared to $882,933  for the six months  ended June 30,  1998.
Spending in this area has increased due to expansion of the Company's  sales and
marketing  staff. It is anticipated  that the Company will continue to invest in
the sales and marketing  process,  and that such expenses may 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 June 30, 1999 were $503,797,  as compared to $325,960 for the three
month  period  ended  June 30,  1998.  For the six months  ended June 30,  1999,
general and  administrative  expenses was $959,081,  as compared to $608,310 for
the six months ended June 30, 1998.  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  management
and   administrative   personnel.   The  Company   expects   that   general  and
administrative expenses will remain relatively constant in future periods.

         Research and  development  expenses  consist  primarily of salaries and
related  benefits and  administrative  costs  associated with the 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 and the Company's  Internet  based  technology  products.  Research and
development expenses for the three months ended June 30, 1999 were $218,698,  as
compared to $67,984 for the three months ended June 30, 1998. For the six months
ended June 30, 1999, research and development expenses was $427,447, as compared
to $143,065 for the six months ended June 30, 1998. The increase in research and
development  expenses from the second  quarter of 1998 to the second  quarter of
1999  reflects  the  Company's  investment  in its  primary  disease  management
programs and Internet  based  products.  The Company uses the core  technologies
associated  with these  products to support the Company's  other  programs which
include disease management, case management, demand management,  patient surveys
and clinical studies.

         The Company recorded an investment loss for the three months ended June
30, 1999 in the amount of $293,211,  which includes investment losses associated
with the Company's  investment in Patient Infosystems Canada, Inc. and the Pulse
Group.  Patient  Infosystems  Canada,  Inc. is dedicated to the development of a
commercially viable business built around the sale, marketing and service of the
Company's  products and services in Canada.  Investment in the Pulse Group,  was
deemed to be worthless as of June 30, 1999 and the initial  total  investment of
$250,000 was recorded as an investment  loss.  The  investment  loss for the six
months ended June 30, 1999 is $327,505.  There were no recorded investment gains
or losses in the three and six months ended June 30, 1998.

         The  Company   generates   interest   income  from  cash  balances  and
investments.  For the three months ended June 30,  1999,  the Company  generated
interest  income of $48,866 as compared to interest  income of $154,643  for the
three month period ended June 30, 1998.  For the six months ended June 30, 1999,
interest income is $129,571,  as compared to interest income of $326,307 for the
six months  ended June 30,  1998.  The  decrease in interest  income is due to a
reduction in the Company's available cash balances.

         The Company had a net loss of  $2,042,886  for the three  months  ended
June 30,  1999,  and a net loss of $680,017  for the three months ended June 30,
1998.  For the six months  ended June 30,  1999,  the  Company had a net loss of
$3,756,616,  as compared to  $1,735,055  for the six months ended June 30, 1998.
This  represents a net loss per share of $.25 for the second quarter of 1999, as
compared to a net loss of $.08 per share in the second  quarter of 1998. For the
six months ended June 30, 1999,  the net loss per share is $.47,  as compared to
$.22 per share for the six months ended June 30, 1998.

         Liquidity and Capital Resources

         At June 30,  1999 the  Company had  working  capital of  $3,776,323  as
compared to working  capital of  $7,992,894  at  December  31,  1998.  Since its
inception the Company has primarily funded its operations, working capital needs
and  capital  expenditures  from  the sale of  equity  securities.  The  Company
completed an initial  public  offering of its common stock  January 8, 1997,  at
which time, it generated net proceeds to the Company of $16,314,048. The Company
has  continued  to  expend   increasing   amounts  to  expand  its   operational
capabilities  and  strengthen  its  infrastructure  which at the  same  time has
increased its  administrative  and technical  costs. In addition,  the Company's
cash has been steadily  depleted as a result of operating  losses. To the extent
that the Company's losses continue or increase,  the Company's available capital
will  continue to  decline.  Accordingly,  the Company  will be required to seek
additional capital or reduce its operations in the immediate future if it is not
able to  identify  additional  capital.  At the  Company's  current  revenue and
expense  levels,  the Company  anticipates  that it will need to seek additional
financing by the first quarter of the calendar year 2000. The potential range of
options includes: a line of credit, a private placement,  a more formal offering
and/or a strategic partner.

         Inflation

         Inflation  did not have a  significant  impact on the  Company's  costs
during the three and six month  periods  ended June 30, 1999 and June 30,  1998.
The Company  continues  to monitor the impact of  inflation in order to minimize
its effects  through  pricing  strategies,  productivity  improvements  and cost
reductions.

         Year 2000 Issues

         The Year 2000 issue refers to the inability of computerized systems and
technologies  to  recognize  and process  dates beyond  December  31, 1999.  The
Company has reviewed the Company's information technology systems, cable network
equipment  and  other  embedded  technologies.  A  significant  portion  of  the
Company's  computerized systems and technologies have been developed,  installed
or upgraded in recent years and are generally more likely to be Year 2000 ready.
The Company is also evaluating the potential  impact as a result of its reliance
on third-party systems that may have year 2000 issues.

Computerized  business applications that could be adversely affected by the year
2000 issue include:

*  information processing and financial reporting systems,
*  customer billing systems,
*  customer service systems,
*  telecommunication transmission and reception systems, and
*  facility systems.

         System  failure  or  miscalculation  could  result in an  inability  to
process transactions, send invoices, accept customer orders or provide customers
with  products  and  services.  Customers  could  also  experience  a  temporary
inability to receive or use the Company's products and services.

         The  Company  has  developed  a program to assess and address the year
2000 issue. This program consists of the following phases:

*  inventorying  and assessing the impact on affected  technology and systems,
*  developing  solutions  for  affected  technology  and  systems,
*  modifying  or replacing  affected  technology and systems
*  testing and verifying  solutions
*  implementing solutions, and * developing contingency plans.

         The Company has substantially  completed inventorying and assessing the
affected computerized systems and technologies. The Company is in various stages
of its year 2000 compliance  program with respect to the remaining  phases as it
relates to the  affected  systems and  technologies.  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.

         Costs incurred to date directly related to addressing the year 2000 are
approximately  $50,000.  The Company  currently  estimates the total cost of its
year 2000 remediation program to be approximately $60,000.  Although the Company
will continue to incur substantial  capital  expenditures in the ordinary course
of meeting its telecommunications  system upgrade through the year 2000, it will
not specifically  accelerate its expenditures to facilitate year 2000 readiness,
and accordingly such expenditures are not included in the above estimate.

         The  Company  has begun  communicating  with  others  with whom it does
significant business to determine their year 2000 readiness and to determine the
extent to which the Company is vulnerable  to year 2000 issues  related to those
third parties.  The Company purchases much of its technology from third parties.
There can be no  assurance  that the  systems  of other  companies  on which the
Company's  systems rely will be year 2000 ready or timely converted into systems
compatible with the Company's systems.  The Company's failure or a third party's
failure  to  become  year  2000  ready  or the  Company's  inability  to  become
compatible   with  third   parties   with  which  the  Company  has  a  material
relationship,  may have a  material  adverse  effect on the  Company,  including
significant  service  interruption  or  outages,  however,  the  Company  cannot
currently estimate the extent of any such adverse effects.

         The  Company is in the  process  of  identifying  secondary  sources to
supply its systems or services in the event it becomes  probable that any of its
systems  will not be year 2000 ready  prior to the end of 1999.  The  Company is
also in the process of identifying  secondary  vendors and service  providers to
replace those vendors and service  providers whose failure to be year 2000 ready
could lead to a  significant  delay in the  Company's  ability  to  provide  its
service to its customers.

         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.

Item 3.  Quantitative and Qualitative Disclosures About Market Risk

         The Company is exposed to changes in interest  rates  primarily  in its
cash  transactions.  The  Company  does not  believe it is exposed to changes in
foreign currency  exchange rates because it does not currently invest in foreign
currency  instruments.  A discussion  of the Company's  accounting  policies for
financial  instruments  is  included in the  Summary of  Significant  Accounting
Policies in the Notes to the Financial  Statements.  The Company  currently does
not have any  international  operations  nor does it invest  its cash in foreign
currency  instruments.  The balances the Company has in cash or cash equivalents
are generally  available  without legal  restrictions to fund ordinary  business
operations.  The Company regularly invests excess operating cash in certificates
of deposit and U.S. government bonds and other bonds that are subject to changes
in short-term interest rates. Accordingly,  the Company believes that the market
risk arising from its holding of these  financial  instruments  is minimal.  The
Company  made  purchases  of  available-for-sale  securities  in the  amounts of
$10,266 for the three  months ended June 30, 1999 and  $3,288,073  for the three
months  ended June 30, 1998,  and  purchases of $21,073 for the six months ended
June 30, 1999 and $6,797,236 for the six months ended June 30, 1998.


<PAGE>

PART II - OTHER INFORMATION

Item 2.  Changes in Securities and Use of Proceeds

         Use of Proceeds

         The Company has used and continues to use the proceeds from its initial
public  offering of Common Stock on December 23, 1996 (File No.  333-07643)  for
capital  improvements  and expansion of its telephone and computer  capabilities
for sales and  marketing  and during the last six months  primarily  for general
corporate  purposes  and to fund  operating  losses more fully  discussed in the
financial statements and the notes thereto appearing elsewhere herein.

Item 4.  Submission of Matters to Vote of Security Holders

         The Company's annual meeting of stockholders was held in Rochester, New
York at 9:30 a.m.  local  time on  Wednesday,  June 16,  1999.  Proxies  for the
meeting were solicited  pursuant to Regulation 14 under the Securities  Exchange
Act of 1934,  as  amended.  There  were no  solicitation  in  opposition  to the
nominees for election as  directors  as listed in the proxy  statement,  and all
nominees were elected.

a) Election of seven  directors to serve on the  Company's  board of  directors,
Drs. Schaffer, Kohrt, McNeil and Nash and Messrs. Carlberg, Crisan and Pappajohn
were  elected to serve until the next annual  meeting of  stockholders  or until
their  successors  are duly  elected and  qualified.  The vote  tabulation  with
respect to each nominee was as follows:

    Nominee                               Votes For               Votes Withheld
    -------                               ---------               --------------
    Dr. Derace Schaffer                   5,152,107                   49,823
    Donald A. Carlberg                    5,154,107                   47,823
    John V. Crisan                        5,155,307                   46,623
    Dr. Carl Kohrt                        5,154,507                   47,423
    Dr. Barbara J. McNeil                 5,154,507                   47,423
    Dr. David B. Nash                     5,154,507                   47,423
    John Pappajohn                        5,154,107                   47,823

         b) To ratify  the  amendment  of the  Company's  Stock  Option  Plan to
increase the available number of shares in the Plan from 1,080,000 to 1,600,000.
The amendment was approved with 3,475,893 for the amendment, 176,051 against the
amendment and 4,300 abstained from the amendment and 1,545,686 did not vote.

         c) To ratify the  selection of Deloitte & Touche,  LLP as the Company's
independent auditors for the fiscal year ending December 31, 1999. The selection
was  approved  with  5,186,380  votes  for the  selection,  14,550  against  the
selection and 1,000 abstained from the selection.


Item 6.  Exhibits and Reports on Form 8-K

No reports on Form 8-K were filed during the quarter ended June 30, 1999

Exhibits:

(11)         Statements of Computation of Per Share Earnings
         See Page 10 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                Six Months Ended
                                                             June 30,                          June 30,
                                                      1999              1998            1999               1998
                                                      ----              ----            ----               ----
<S>                                               <C>                <C>          <C>                 <C>
Net Loss                                          $ (2,042,886)      $ (680,017)  $ (3,756,616)       $ (1,735,055)
                                                  ------------       ----------   ------------        ------------

Weighted average common and
     potential common shares                         8,028,186        8,019,789      8,024,125           8,016,727
                                                     ---------        ---------      ---------           ---------

Net Loss per share - Basic and Diluted                 $ (0.25)         $ (0.08)       $ (0.47)            $ (0.22)
                                                       =======          =======        =======             =======
</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:  August 11, 1999



PATIENT INFSYSTEMS, INC.
(Registrant)



/s/ Donald A. Carlberg                                      August 13, 1999
- ----------------------                                      ---------------
Donald A. Carlberg                                          Date
Director, President and Chief Executive Officer



/s/ John V. Crisan                                          August 13, 1999
- ------------------                                          ---------------
John V. Crisan                                              Date
Chief Financial Officer


<TABLE> <S> <C>


<ARTICLE>                     5

<CIK>                         0001017813
<NAME>                        Patient Infosystems, Inc.
<MULTIPLIER>                  1


<S>                             <C>
<PERIOD-TYPE>                   6-MOS
<FISCAL-YEAR-END>              DEC-31-1999
<PERIOD-START>                 JAN-01-1999
<PERIOD-END>                   JUN-30-1999
<CASH>                           3,358,093
<SECURITIES>                             0
<RECEIVABLES>                    1,698,353
<ALLOWANCES>                        14,156
<INVENTORY>                              0
<CURRENT-ASSETS>                 5,213,364
<PP&E>                           2,462,143
<DEPRECIATION>                   1,088,941
<TOTAL-ASSETS>                   7,314,487
<CURRENT-LIABILITIES>            1,437,041
<BONDS>                                  0
                    0
                              0
<COMMON>                            80,330
<OTHER-SE>                       5,797,116
<TOTAL-LIABILITY-AND-EQUITY>     7,314,487
<SALES>                          1,002,943
<TOTAL-REVENUES>                 1,002,943
<CGS>                            1,354,673
<TOTAL-COSTS>                    2,801,484
<OTHER-EXPENSES>                         0
<LOSS-PROVISION>                         0
<INTEREST-EXPENSE>                       0
<INCOME-PRETAX>                 (2,042,886)
<INCOME-TAX>                             0
<INCOME-CONTINUING>             (2,042,886)
<DISCONTINUED>                           0
<EXTRAORDINARY>                          0
<CHANGES>                                0
<NET-INCOME>                    (2,042,886)
<EPS-BASIC>                         (.25)
<EPS-DILUTED>                         (.25)



</TABLE>


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