PATIENT INFOSYSTEMS INC
DEF 14A, 1999-05-18
MISC HEALTH & ALLIED SERVICES, NEC
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Patient INFOSYSTEMS
46 Prince Street
Rochester, New York   14607
716-242-7200








May 18, 1999



Securities and Exchange Commission
450 Fifth Street, N.W.
Washington, D.C. 20549

Re:  Patient Infosystems, Inc. - Definitive Proxy Statement for 1999

Dear Sir/Madam:

     Enclosed for filing is the Definitive  Proxy  Statement for the 1999 Annual
Meeting of Stockholders of Patient  Infosystems,  Inc. pursuant to Rule 14a-6(b)
of the  Securities  Exchange Act of 1934, as amended.  The release date for this
Proxy Statement is intended to be on or about May 20, 1999.

                                                 Very truly yours,


                                                 /s/  Donald A. Carlberg
                                                 Donald A. Carlberg
                                                 President and Chief Executive
                                                 Officer

Enclosures
<PAGE>



                            SCHEDULE 14A INFORMATION

Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934

Filed by the Registrant [X]
Filed by a Party other than the Registrant [ ]

Check the appropriate box:

[ ] Preliminary Proxy Statement                           
[ ] Confidential, for Use of the Commission Only (as permitted by 
    Rule 14a-6(e)(2))
[X] Definitive Proxy Statement
[ ] Definitive Additional Materials
[ ] Soliciting Materials Pursuant to Rule 14a-11(c) or Rule 14a-12

                            PATIENT INFOSYSTEMS, INC.
                (Name of Registrant as Specified in Its Charter)

                _________________________________________________
    (Name of Person(s) Filing Proxy Statement, if Other Than the Registrant)


Payment of Filing Fee (Check the appropriate box):
[X] No fee required.
[ ] Fee computed on table below per Exchange Act Rules 14a-6(i)(1) and 0-11.

     (1)  Title of each class of securities to which transaction applies:

                                                                               
     (2)  Aggregate number of securities to which transaction applies:

                                                                               

     (3) Per unit  price  or other  underlying  value  of  transaction  computed
pursuant  to Exchange  Act Rule 0-11:  (set forth the amount on which the filing
fee is calculated and state how it was determined):
                                                                               

     (4)  Proposed maximum aggregate value of transaction:

                                                                               

     (5)  Total fee paid:

                                                                               

[ ] Fee paid previously with preliminary materials.

[ ] Check box if any part of the fee is offset as provided by Exchange  Act Rule
0-11(a)(2)  and  identify  the  filing  for  which the  offsetting  fee was paid
previously.  Identify the previous filing by registration  statement  number, or
the form or schedule and the date of its filing.

     (1)  Amount Previously Paid:                                               
     (2)  Form, Schedule or Registration Statement No.:                         
     (3)  Filing Party:                                                         
     (4)  Date Filed:   ________                                                


<PAGE>


PROXY                    PATIENT INFOSYSTEMS, INC.                         PROXY
                (Solicited on behalf of the Board of Directors)

     The  undersigned  holder  of Common  Stock of  Patient  Infosystems,  Inc.,
revoking all proxies heretofore given, hereby constitutes and appoints Donald A.
Carlberg and Derace L. Schaffer,  and each of them, Proxies,  with full power of
substitution,  for the  undersigned  and in the  name,  place  and  stead of the
undersigned, to vote all of the undersigned's shares of said stock, according to
the  number of votes and with all the powers the  undersigned  would  possess if
personally  present,  at the 1999  Annual  Meeting  of  Shareholders  of Patient
Infosystems,  Inc., to be held in the Canterbury Room at the Strathallan  Hotel,
550 East Avenue,  Rochester, New York 14607 on Wednesday,  June 16, 1999 at 9:30
a.m. Eastern Daylight Time, and at any adjournments or postponements thereof.

     Each  properly  executed  Proxy  will  be  voted  in  accordance  with  the
specifications  made on this Proxy and in the  discretion  of the Proxies on any
other  matter  that may  properly  come before the  meeting.  Where no choice is
specified,  this  Proxy will be voted (i) FOR all  listed  nominees  to serve as
directors,  and (ii) FOR the  approval of an amendment  to the  Company's  Stock
Option Plan, and (iii) FOR the  ratification  and approval of the appointment of
Deloitte & Touche, LLP as the Company's independent auditors for the fiscal year
ending December 31, 1999, and in accordance with their  discretion on such other
matters as may properly come before the meeting.

1. Election of SEVEN Directors [  ] FOR all nominees listed (except as 
                                      marked to the contrary)
                               [  ] WITHHOLD AUTHORITY to vote for all below

Nominees: Dr. Derace L. Schaffer,  Donald A. Carlberg,  John V. Crisan, Dr. Carl
F. Kohrt, Dr. Barbara J. McNeil, Dr. David B. Nash, John Pappajohn (Instruction:
To withhold authority to vote for any individual nominees, circle that nominee's
name in the list provided above.)

2. For the approval of an amendment to the Company's Stock Option Plan.

             [  ] FOR             [  ] AGAINST           [  ] ABSTAIN

3. The ratification and approval of the appointment of Deloitte & Touche, LLP as
the Company's independent auditors for the fiscal year ending December 31, 1999.

             [  ] FOR             [  ] AGAINST           [  ] ABSTAIN

4. The  proxies  are  authorized  to vote in their  discretion  upon such  other
matters as may properly come before the meeting.


                                        Dated _____________________________,1999

                                        _______________________________________

                                        _______________________________________
                                                       Signature(s)

                                   (Signature(s) should conform to actual number
                                registered. For jointly owned shares, each owner
                                should sign. When signing as attorney, executor,
                                administrator, trustee, guardian or officer of a
                                           corporation, please give full title.)

<PAGE>






                            Patient Infosystems, Inc.
                                46 Prince Street
                            Rochester, New York 14607

May 18, 1999


Dear Fellow Stockholder:

You are cordially invited to attend the Patient Infosystems, Inc. Annual Meeting
of  Stockholders  to be held at 9:30 a.m.  Eastern  Daylight Time, on Wednesday,
June 16, 1999 in the Canterbury Room at the Strathallan  Hotel, 550 East Avenue,
Rochester, New York 14607.

The matters proposed for  consideration at the meeting are the election of seven
directors, the amendment to the Company's Stock Option Plan, the ratification of
the  appointment  of  Deloitte & Touche LLP as the  Company's  auditors  and the
transaction  of such  other  business  as may come  before  the  meeting  or any
adjournment  thereof.  The accompanying Notice of Annual Meeting of Stockholders
and Proxy  Statement  discuss  these matters in further  detail.  We urge you to
review this information carefully.

You will have an  opportunity  at the  meeting to discuss  each item of business
described in the Notice of Annual Meeting of  Stockholders  and Proxy  Statement
and to ask questions about the Company and its operations.

It is important that your shares be represented and voted at the Annual Meeting.
Whether or not you plan to attend,  please sign and promptly return the enclosed
proxy card,  using the envelope  provided.  If you do attend the Annual Meeting,
you may withdraw your proxy and vote your shares in person.


Sincerely,

Donald A. Carlberg
President and Chief Executive Officer


<PAGE>


                            Patient Infosystems, Inc.
                                46 Prince Street
                            Rochester, New York 14607

                    NOTICE OF ANNUAL MEETING OF STOCKHOLDERS
                            TO BE HELD JUNE 16, 1999

The Annual Meeting of Stockholders of Patient Infosystems,  Inc. (the "Company")
will be held on Wednesday,  June 16, 1999 at 9:30 a.m.  Eastern Daylight Time in
the Canterbury Room at the Strathallan  Hotel, 550 East Avenue,  Rochester,  New
York 14607 for the following purposes:

1. To elect  seven  directors  to hold office  until the next Annual  Meeting of
Stockholders  or until their  respective  successors  have been duly elected and
qualified;

2. To amend the Company's Stock Option Plan;

3. To  ratify  the  appointment  of  Deloitte  &  Touche  LLP as the  Company's
independent auditors for the fiscal year ending December 31, 1999, and

4. To transact  such other  business as may properly  come before the meeting or
any adjournment thereof.

The Board of Directors has fixed the close of business on  Wednesday,  April 28,
1999,  as the record  date for the  determination  of  stockholders  entitled to
notice of and to vote at the Annual Meeting of Stockholders.

The Company requests that all stockholders,  whether or not you expect to attend
this meeting,  sign the enclosed  proxy and return it as promptly as possible in
the  accompanying  postage paid envelope.  You may revoke your proxy at any time
before it is voted. If you are present at the meeting,  you may vote your shares
in person and the proxy will not be used.

You are respectfully urged to read the Proxy Statement contained in this booklet
for further information  concerning the individuals nominated as directors,  the
amendment to the Company's Stock Option Plan and the use of the proxy.

A copy of the Company's  Annual Report to Stockholders for the fiscal year ended
December 31, 1998 accompanies this Proxy Statement.


By Order of the Board of Directors,

Donald A. Carlberg
President and Chief Executive Officer


May 18, 1999






                    IMPORTANT - PLEASE MAIL YOUR SIGNED PROXY
                        PROMPTLY IN THE ENCLOSED ENVELOPE



<PAGE>


                            Patient Infosystems, Inc.
                                46 Prince Street
                            Rochester, New York 14607

                                 PROXY STATEMENT

         For the Annual Meeting of Stockholders to be held June 16, 1999

This Proxy Statement is furnished in connection with the solicitation of proxies
to be voted at the Annual Meeting of Stockholders of Patient  Infosystems,  Inc.
(the "Company" or "Patient Infosystems"), to be held on Wednesday, June 16, 1999
at 9:30 a.m.  Eastern  Daylight Time in the Canterbury  Room at the  Strathallan
Hotel, 550 East Avenue,  Rochester,  New York 14607, and at any postponements or
adjournments  thereof,  for the purposes set forth in the accompanying Notice of
Annual  Meeting of  Stockholders.  This Proxy  Statement and the proxy are being
mailed to stockholders on or about May 20, 1999. The principal executive offices
of the Company are located at the address indicated above.

The  enclosed  proxy is  solicited  by the Board of Directors of the Company and
will be  voted  at the  Annual  Meeting  and any  adjournments  thereof.  Shares
represented by a properly  executed proxy in the accompanying form will be voted
at the Annual  Meeting in  accordance  with any  instructions  specified  by the
stockholder.  If no instructions  are given,  the  stockholder's  shares will be
voted in accordance with the  recommendations of the Board of Directors FOR each
of the proposals  presented in this Proxy Statement.  Those  recommendations are
described later in this Proxy Statement.

The proxy may be revoked at any time  before it is  exercised  by  delivering  a
written notice of revocation to the Assistant  Secretary of the Company.  If you
attend the Annual Meeting in person,  you may revoke your proxy by either giving
notice of revocation to the  Inspectors of Election at the Annual  Meeting or by
voting at the Annual Meeting in person.

The only items of  business  that the Board of  Directors  intends to present or
knows will be  presented at the Annual  Meeting are the items  discussed in this
Proxy  Statement.  The proxy confers  discretionary  authority  upon the persons
named therein, or their substitutes, to vote on any other items of business that
may properly come before the meeting.

Only  stockholders  of record at the close of business on  Wednesday,  April 28,
1999, the record date for the Annual Meeting (the "Record  Date"),  are entitled
to notice of and to vote at the  Annual  Meeting.  As of the  Record  Date,  the
Company had 8,033,002  shares of Common Stock, par value $.01 per share ("Common
Stock"),  issued and  outstanding.  Each share is  entitled  to one vote on each
matter submitted to a vote at the Annual Meeting.
Holders of Common Stock have no cumulative voting rights.

                                VOTING PROCEDURES

The  directors  will be elected  by the  affirmative  vote of a majority  of the
shares of Common Stock present in person or  represented  by proxy at the Annual
Meeting,  provided  a quorum  exists.  A quorum  is  established  if, at least a
majority  of the  outstanding  shares of Common  Stock as of the Record Date are
present in person or represented by proxy at the Annual Meeting. The approval of
an amendment to the Company's Stock Option Plan, the  ratification of Deloitte &
Touche LLP as auditors and all other matters at the meeting will also be decided
by the  affirmative  vote of a majority of the shares of Common  Stock cast with
respect thereto,  provided a quorum exists.  Votes will be counted and certified
by one or more  Inspectors  of Election  who are expected to be employees of the
Company or  Continental  Stock  Transfer & Trust  Company,  the Company's  stock
transfer  agent.  In  accordance  with  Delaware  law,  abstentions  and "broker
non-votes" (i.e.  proxies from brokers or nominees  indicating that such persons
have not  received  instructions  from  the  beneficial  owner or other  persons
entitled  to vote  shares as to a matter  with  respect to which the  brokers or
nominees do not have discretionary power to vote) will be treated as present for
purposes of  determining  the presence of a quorum.  For purposes of determining
approval  of a matter  presented  at the  meeting,  abstentions  will be  deemed
present and entitled to vote and will, therefore,  have the same legal effect as
a vote  "against" a matter  presented at the meeting.  Broker  non-votes will be
deemed not  entitled to vote on the subject  matter as to which the  non-vote is
indicated  and  will,  therefore,  have  no  legal  effect  on the  vote on that
particular matter. Each stockholder may revoke a previously granted proxy at any
time  before it is  exercised  by filing  with the  Assistant  Secretary  of the
Company  either a notice of revocation or a duly executed  proxy bearing a later
date. The powers of the proxy holders will be suspended if the person  executing
the proxy  attends  the  meeting in person and so  requests.  Attendance  at the
meeting  will not, in itself,  constitute  revocation  of a  previously  granted
proxy.

                 VOTING SECURITIES AND PRINCIPAL HOLDERS THEREOF

The following  table sets forth  certain  information  regarding the  beneficial
ownership of the shares of the Company's Common Stock as of May 12, 1999, (i) by
each person the Company  knows to be the  beneficial  owner of 5% or more of the
outstanding  shares of Common Stock,  (ii) the Chief Executive  Officer and each
named executive officer listed in the Summary  Compensation  Table below,  (iii)
each  director of the Company and (iv) all  executive  officers and directors of
the Company as a group.
         
 <TABLE>
<CAPTION>
       
                                                             Shares Beneficially        Percentage Beneficially
                      Beneficial Owner (1)                          Owned                        Owned
                      --------------------                          -----                        -----
          <S>                                                     <C>                            <C> 
          Derace L. Schaffer (2)........................          1,726,100                       21.5%
       
          John Pappajohn (3)............................          1,514,080                       18.8%
        
          Edgewater Private Equity Fund II, L.P.,
          666 Grand Avenue, Suite 200
          Des Moines, IA 50309..........................            970,000                       12.1%
         
          Donald A. Carlberg (4)........................            188,600                        2.3%
         
          John V. Crisan (5)............................             20,000                         *
         
          Neal Westermeyer (5)..........................             17,835                         *
         
          Kent A. Tapper (6)............................             21,700                         *
         
          Victoria Nelson Neidigh (7)...................             16,720                         *
         
          Barbara J. McNeil  (8)........................             28,800                         *
         
          Carl F. Kohrt (6).............................             21,600                         *
         
          David B. Nash (9) ............................             19,840                         *

        
          All directors and executive officers as a               3,575,275                       44.5%
          group (10 persons) (10).......................
</TABLE>
         ________________

         *  Less than one percent.    
                                                   
(1) Unless  otherwise  noted,  the address of each of the listed  persons is c/o
the  Company at 46 Prince  Street, Rochester, New York 14607.

(2) Includes 288,000 shares held by Dr. Schaffer's minor children. Also includes
21,600  shares which are  issuable  upon the exercise of options that are either
currently  exercisable  or which  become  exercisable  within 60 days of May 12,
1999.  Does not include 14,400 shares  subject to outstanding  options which are
not exercisable within 60 days of May 12, 1999.

(3) Includes 360,000 shares held by Halkis, Ltd., a sole proprietorship owned by
Mr. Pappajohn,  360,000 shares held by Thebes, Ltd., a sole proprietorship owned
by Mr.  Pappajohn's  spouse and 360,000 shares held directly by Mr.  Pappajohn's
spouse.  Mr.  Pappajohn  disclaims  beneficial  ownership of the shares owned by
Thebes, Ltd. and by his spouse. Includes options to purchase 21,600 shares which
are either currently  exercisable or which become  exercisable within 60 days of
May 12, 1999.  Does not include  14,400 shares  subject to  outstanding  options
which are not exercisable within 60 days of May 12, 1999.

(4)  Includes  options to purchase  187,600  shares  which are either  currently
exercisable  or which become  exercisable  within 60 days of the date of May 12,
1999. Does not include  116,400 shares subject to outstanding  options which are
not exercisable within 60 days of May 12, 1999.

(5) Does not include  250,000  shares subject to outstanding  options which are 
not  exercisable  within 60 days of May 12, 1999.

(6)  Includes  options to  purchase  21,600  shares  which are either  currently
exercisable or which become exercisable within 60 days of May 12, 1999. Does not
include 14,400 shares subject to outstanding  options which are not  exercisable
within 60 days of May 12, 1999.

(7)  Includes  options and warrants to purchase  16,720  shares which are either
currently  exercisable  or which  become  exercisable  within 60 days of May 12,
1999. Does not include 50,080 shares subject to outstanding options and warrants
which are not exercisable within 60 days of May 12, 1999.

(8)  Includes  options to  purchase  28,800  shares  which are either  currently
exercisable or which become exercisable within 60 days of May 12, 1999. Does not
include 7,200 shares  subject to outstanding  options which are not  exercisable
within 60 days of May 12, 1999.

(9)  Includes  options and warrants to purchase  19,840  shares which are either
currently  exercisable  or which  become  exercisable  within 60 days of May 12,
1999. Does not include 50,560 shares subject to outstanding options and warrants
which are not exercisable within 60 days of May 12, 1999.

(10) Includes  options and warrants to purchase  332,160 shares which are either
currently  exercisable  or which  become  exercisable  within 60 days of May 12,
1999.  Does not  include  539,040  shares  subject to  outstanding  options  and
warrants which are not exercisable within 60 days of May 12, 1999.

<PAGE>

                                   PROPOSAL 1
                              ELECTION OF DIRECTORS

At this year's Annual Meeting of  Stockholders,  seven directors will be elected
to hold office for a term expiring at the next Annual  Meeting of  Stockholders.
Each  director  will be  elected  to serve  until a  successor  is  elected  and
qualified or until the director's earlier resignation or removal.

The affirmative  vote of the holders of a majority of the shares of Common Stock
of the Company  present in person or by proxy and entitled to vote at the Annual
Meeting is  required  for the  election  of each  director.  Proxies  granted by
stockholders  will be voted  individually for the election,  as directors of the
Company, of the persons listed below, unless a proxy specifies that it is not to
be voted in favor of a nominee for  director.  In the event any of the  nominees
listed  below shall be unable to serve,  it is  intended  that the proxy will be
voted for such other nominees as are designated by the Board of Directors.  Each
of the  persons  named  below has  indicated  to the Board of  Directors  of the
Company that they are available to serve.

The Board of  Directors  recommends  a vote  "FOR" the  election  of each of the
following nominees for director.

The names,  ages,  principal  occupations and other  information  concerning the
director  nominees,  based upon  information  received from them,  are set forth
below.

Derace L. Schaffer,  M.D. , 51 (Chairman of the Board of Directors  since 1995).
Dr. Schaffer has been Chairmain of the Board and a Director of the Company since
its  inception in February  1995.  Dr.  Schaffer is President of the Ide Imaging
Group,  P.C., as well as the Lan Group, a venture  capital firm  specializing in
health  care and high  technology  investments.  He serves as a director  of the
following  public  companies:   Allion  Healthcare,   Inc.;  American  Physician
Partners,  Inc.;  and  Oncor,  Inc.  He is also a director  of  several  private
companies,  including Analytika, Inc., Card Systems, Inc. and Logisticare,  Inc.
Dr.  Schaffer is a board  certified  radiologist.  He received his  postgraduate
radiology training at Harvard Medical School and Massachusetts General Hospital,
where he served  as Chief  Resident.  Dr.  Schaffer  is a member of Alpha  Omega
Alpha,  the  national  medical  honor  society,  and is  Clinical  Professor  of
Radiology at the  University  of  Rochester  School of  Medicine.  Dr.  Schaffer
provides services to the Company on a part-time basis.

Donald A. Carlberg,  46 (Director since 1995).  Mr. Carlberg has been President,
Chief  Executive  Officer and a Director of the Company  since its  inception in
February 1995.  From February 1993 to December 1994 Mr. Carlberg served as Chief
Executive Officer of Patient Management  Technologies,  Inc., a medical services
consulting company,  which he founded.  From 1992 to 1994 Mr. Carlberg served as
Senior Vice President,  Sales and Marketing for Neurocare,  Inc./Paradigm Health
Corp.  From 1990 to 1992 Mr.  Carlberg  served as Director  of Managed  Care for
Baxter  Healthcare  International  where he started managed care initiatives for
its Caremark Division.  From 1985 to 1990 Mr. Carlberg held several senior level
positions in managed care at Blue Cross/Blue  Shield of Rochester,  New York and
Independence Blue Cross in Philadelphia, Pennsylvania.

John V.  Crisan,  54 (Director  nominee).  Mr.  Crisan has been Chief  Financial
Officer since March 1999.  From March 1994 to March 1998,  Mr. Crisan was Senior
Vice President and Chief Financial  Officer of Access Health,  Inc.  Previously,
Mr. Crisan held senior positions with growth oriented companies  including Value
Behavioral  Health (a  division of Value  Health,  Inc.) and  Partners  National
Health Plans. Additionally,  Mr. Crisan served as Vice President, Health Affairs
for Blue  Cross Blue  Shield of Ohio,  Inc.  and began his  career  with Ernst &
Young.

Carl F. Kohrt,  Ph.D.,  55 (Director  since 1996).  Dr. Kohrt is Executive  Vice
President and Assistant  Chief  Operating  Officer of the Eastman Kodak Company,
where he has served in various  capacities  since 1971. Dr. Kohrt is a recipient
of a Sloan Fellowship for study at Massachusetts Institute of Technology.

Barbara J. McNeil,  M.D., Ph.D., 58 (Director since 1995). Dr. McNeil is Head of
the  Department  of Health Care Policy and a Professor  of  Radiology at Harvard
Medical  School  where she has  served in various  capacities  since  1971.  For
several years she has served as Chair of the Blue Cross  Massachusetts  Hospital
Association Fund for Cooperative Innovation and currently she is a member of the
National Council on Radiation Protection,  the American College of Radiology and
its Board of Chancellors,  the Society of Nuclear Medicine, the Advisory Council
for the Agency for Health Care Policy and Research  and the National  Academy of
Sciences'  Institute of Medicine where she is a Council member.  She also serves
as a Director of CV Therapeutics, Inc.

David B. Nash,  M.D., 43 (Director  since 1998) Dr. Nash has been Executive Vice
President,  Medical  Affairs  of the  Company  since  April  1996.  Dr.  Nash is
currently  and has been for at least  the last six  years,  Director  of  Health
Policy  and  Clinical  Outcomes  at Thomas  Jefferson  University  Hospital  and
Associate  Professor of Medicine at Jefferson  Medical College.  Dr. Nash is the
recipient of the 1995 Clifton  Latiolias Prize in Managed Care from the American
Managed Care Pharmacy Association. He also serves as a scientific advisory board
member of iSTAT  Corp.  Dr.  Nash  provides  his  services  to the  Company on a
part-time consulting basis.

John Pappajohn,  70 (Director since 1995).  Mr. Pappajohn has been a Director of
the Company  since its inception in February  1995,  and served as its Secretary
and Treasurer from inception through May 1995. Since 1969 Mr. Pappajohn has been
the sole  owner of  Pappajohn  Capital  Resources,  a venture  capital  firm and
President of Equity Dynamics, Inc., a financial consulting firm, both located in
Des Moines,  Iowa. He serves as a Director for the following  public  companies:
Allion Healthcare,  Inc., MC Informatics,  Inc., Pace Health Management Systems,
Inc. and American Physician Partners.

                      MEETINGS OF THE BOARD AND COMMITTEES

During the 1998 fiscal year there were seven meetings of the Board of Directors.
Each  Director  attended  at least  six of the  aggregate  total  number  of the
meetings of the Board of Directors held during the year.

The Board of Directors of the Company has  appointed two  committees:  the Audit
Committee and the Compensation  Committee.  The Audit Committee,  which held one
meeting  during fiscal year 1998,  periodically  reviews the Company's  auditing
practices and procedures, makes recommendations to management or to the Board of
Directors as to any changes to such  practices and procedures  deemed  necessary
from time to time to comply with  applicable  auditing  rules,  regulations  and
practices,  and recommends independent auditors for the Company to be elected by
the  stockholders.  The Audit Committee  consists of John Pappajohn,  Barbara J.
McNeil and Carl F. Kohrt.  The  Compensation  Committee,  which held one meeting
during fiscal year 1998, meets periodically to make recommendations to the Board
of Directors  concerning the  compensation and benefits payable to the Company's
executive officers and other senior executives.  The Compensation Committee also
administers the Company's Employee Stock Option Plan. The Compensation Committee
consists of Derace Schaffer, Barbara J. McNeil and Carl F. Kohrt.

                            COMPENSATION OF DIRECTORS

During 1998,  the Company paid Derace  Schaffer  $62,500 in connection  with the
part-time  performance of his duties as Chairman of the Board of Directors.  The
Company is currently compensating Derace Schaffer at the annual rate of $125,000
for his services.  All Directors were also  reimbursed for expenses  incurred in
connection with attending meetings, including travel expenses to such meetings.

The Company's  directors  are eligible to  participate  in the  Company's  Stock
Option Plan.  Pursuant to the Stock Option Plan,  non-employee  directors of the
Company  receive a one-time  grant of a  non-qualified  stock option to purchase
36,000 shares of the Company's  Common Stock at an exercise  price equal to fair
market value per share on the date of their  initial  election to the  Company's
Board of  Directors.  Such  non-qualified  stock  option  vests as to 20% of the
option grant on the first  anniversary of the grant,  and 20% on each subsequent
anniversary,  is exercisable  only during the  non-employee  director's term and
automatically  expires on the date such director's service terminates.  Upon the
occurrence  of a change of control,  as defined in the Stock  Option  Plan,  all
outstanding unvested options immediately vest.

             SECTION 16(a) BENEFICIAL OWNERSHIP REPORTING COMPLIANCE

Section 16(a) of the Securities  Exchange Act of 1934, as amended,  requires the
Company's executive officers and directors, and persons who own more than 10% of
a  registered  class of the  Company's  equity  securities,  to file  reports of
ownership and changes in ownership with the Securities and Exchange  Commission.
Based on a review of the copies of reports furnished to the Company, the Company
believes  that during the year ended  December 31, 1998 all filing  requirements
applicable to its officers,  directors  and ten percent  beneficial  owners were
met.

                             EXECUTIVE COMPENSATION

The following table sets forth  information  concerning the annual and long-term
compensation  for services in all  capacities to the Company and its  subsidiary
for each of the fiscal years ended  December  31, 1998,  1997 and 1996 for those
persons who were at December 31, 1998, (i) the Chief Executive  Officer and (ii)
the other three most highly  compensated  executive  officers of the Company who
received  compensation  in excess of  $100,000  during  the  fiscal  year  ended
December 31, 1998 (the "named executive officers"):
<TABLE>
<CAPTION>

                           Summary Compensation Table
                                                                                                Long-Term
                                                                                               Compensation
                                                                                                  Awards
                                                       Annual Compensation                     Securities
Name and Principal Position                  Year            Salary           Bonus        Underlying Options (#)
- ---------------------------                  ----            ------           -----        ----------------------
<S>                                          <C>             <C>              <C>          <C>   
                                                                       
Donald A. Carlberg, President and Chief      1998          $194,231          $25,000             20,000
Executive Officer                            1997          $161,538          $25,000                  0
                                             1996          $131,731          $25,000             18,000

Kent A. Tapper, Vice President, Financial    1998          $118,039               $0                  0
Planning                                     1997          $101,923          $10,000                  0
                                             1996           $86,298           $5,000                  0

Marion B. LaVigne, Ph.D., Vice President,    1998          $110,772               $0             50,000
Clinical Services (1)                        1997           $54,187               $0                  0
                                             1996           $49,571               $0              1,800

Victoria Nelson Neidigh, Vice President,     1998          $139,646               $0             50,000
Sales                                        1997           $83,254          $18,500             15,000
                                             1996                $0               $0                  0
</TABLE>

(1) Ms. LaVigne resigned her position as Vice President, Clinical Services as of
March 19, 1999.

The following table sets forth certain information  regarding options granted to
the Chief  Executive  Officer  and the named  executive  officers of the Company
during 1998.
<TABLE>
<CAPTION>

                            Option Grants During 1998

                                Individual Grants
                                -----------------
                                                                                           Potential Realizable
                             Number of                                                    Value at Assumed Annual
                             Securities    % of Total Options                              Rates of Stock Price
                             Underlying        Granted to        Exercise                    Appreciation for 
                              Options         Employees in        Price     Expiration          Option Term (3)
Name                        Gramted )#)(1)   Fiscal Year (2)     $/Share      Date           5% ($)      10% ($)
- ----                        --------------   ---------------     -------      ----           ------      -------
<S>                         <C>              <C>                 <C>          <C>            <C>         <C>
   
Donald A. Carlberg             20,000               5.0%           $1.38      6/25/08       $17,357      $43,987
Kent A. Tapper                    -                                                 -      -             -
                                           -            -
Marion B. LaVigne              50,000              12.5%           $1.38      3/17/08       $43,394     $109,968
Victoria Nelson Neidigh        50,000              12.5%           $1.38      3/17/08       $43,394     $109,968
</TABLE>

(1) All  options  will become  exercisable  at the rate of 20% per year from the
date of grant and have ten year terms as long as the optionee's  employment with
the Company  continues.  The exercise  price of each option is equal to the fair
market  value  of the  underlying  Common  Stock on the  date of the  grant,  as
determined by the Board of Directors.

(2) Total number of options granted during fiscal year 1998 was 399,200.

(3) Future value of current year grants assumes appreciation in the market value
of the Common  Stock of 5% and 10% per year over the ten-year  option  period as
required  by the rules of the  Securities  and  Exchange  Commission  and do not
represent the Company's  estimate or  projection  of actual  values.  The actual
value realized may be greater than or less than the potential  realizable values
set forth in the table.

No stock  options  were  exercised by the Chief  Executive  Officer or the named
executive  officers of the Company during 1998.  The following  table sets forth
certain  information  regarding  unexercised options held by the Chief Executive
Officer and the named  executive  officers of the Company at December  31, 1998.
The table does not give effect to grants of options that occurred after December
31, 1998. For additional  information  with respect to these grants,  see "Stock
Option Plan".
<TABLE>
<CAPTION>

                     Aggregated Option Exercises during 1998
                     and Option Values on December 31, 1998

                                   Number of Securities Underlying                Value of Unexercised
                                       Unexercised Options at                    In-the-Money Options at
                                        December 31, 1998(#)                     December 31, 1998($)(1)
                                        --------------------                     -----------------------
  Name                            Exercisable      Unexercisable             Exercisable      Unexercisable
  ----                            -----------      -------------             -----------      -------------
<S>                               <C>              <C>                       <C>              <C>     
  Donald A. Carlberg                  151,200           102,800                $283,500             $192,750
  Kent A. Tapper                       21,600            14,400                 $40,500              $27,000
  Marion B. LaVigne (2)                10,440            57,560                 $19,575             $107,925
  Victoria Nelson Neidigh               3,000            62,000                 $ 5,625             $116,250
</TABLE>

(1) Calculated based upon $1.88 market value of the underlying  securities as of
December 31, 1998.  Compensation  Committee approved repricing of employee stock
options on March 17, 1998 and December 10, 1998.

(2) At the time of Ms.  LaVigne's  resignation  on March 19, 1999, the number of
shares of Common Stock  underlying  unexercised  options  that were  exercisable
amounted to 23,680 and the unexercisable  options amounted to 44,320. All of Ms.
LaVigne's unexercised options as of March 19, 1999, the date of her resignation,
were forfeited.

                   REPRICING REPORT OF THE BOARD OF DIRECTORS

In March 1998 and again in December  1998,  the Board of Directors  considered a
proposal from management for significant  changes to existing employee programs,
including options held by the Company's executive officers.  This proposal arose
largely  from a broad  decline in the price of the Common  Stock of the  Company
that had resulted in a substantial  number of stock options granted  pursuant to
the Company's  existing option plan having exercise prices well above the recent
historical  trading prices of the Common Stock.  This decline  together with the
resulting  equity  disparity  between new hires who receive option grants at the
current fair market value and existing  employees'  exercise prices prompted the
proposal.  The Board was advised by  management  that  management  believed that
employee and  executive  turnover was likely to  increase.  In large part,  this
increase was  expected  because the  Company's  total  compensation  package for
long-term employees,  which included options with exercise prices well above the
then-current trading price, no longer provided an effective retention incentive,
particularly  when  combined  with  job  security  concerns.  In  addition,  the
Company's existing option grants were not competitive with competing offers from
other companies,  since options granted to new hires at other companies would be
granted at current trading prices.

The Board also reviewed independent data obtained by management regarding equity
and other compensation  offered by competitors as well as other companies in the
health care industry.  The Board considered both cash and equity compensation as
possibilities to aid employee and executive retention by the Company.  The Board
recognized  that an amendment of existing  options with  exercise  prices higher
than fair market  value to provide  exercise  prices at fair market  value would
provide  additional  incentives to employees because of the increased  potential
for appreciation.  Such additional incentives were necessary, the Board decided,
in  order  for the  Company's  employee  programs  to  continue  to  meet  their
objectives,  including  driving  operating  performance  in accordance  with the
Company's  plans  and  targets,   promoting   employee   retention,   addressing
stockholder  concerns for  dilution,  and  preserving  the  reserved  shares for
employee stock programs.

Considering  these factors,  the Board determined it to be in the best interests
of the Company and its stockholders to amend outstanding stock options under its
option plan to set the exercise  prices  equal to the current  market value with
the same vesting and expiration  terms as existing  options,  thus restoring the
incentives  for  employees  to remain as  employees  of the Company and to exert
their  maximum  efforts  on behalf of the  Company  and focus on  achieving  the
Company's  operating  plans.  The Board  determined  not to impose any  exercise
restrictions  or to defer the date of the  repricing,  even though  management's
proposal had included certain of these restrictions,  because of the competitive
situation  that the  Company  faced as well as  concerns  that  external  market
factors could affect the repricing.

Accordingly,  in March 1998 and again in December  1998,  the Board  approved an
amendment of each outstanding  option held by all current executive  officers of
the Company with exercise prices above the then-current trading price to provide
an exercise price equal to the current trading price. The exchanged options will
continue to vest at the same rate and on the same terms as the original  options
and will terminate on the same date and terms as the original options. The first
option  amendments  were completed on March 17, 1998;  options held by executive
officers for 16,800  shares with  exercise  prices  ranging from $8.50 to $10.00
were exchanged for options for an equal number of shares at an exercise price of
$3.13,  the fair market value of the  Company's  Common Stock on March 17, 1998,
the effective date of the initial  repricing.  The second option amendments were
completed on December 10, 1998;  options held by executive  officers for 154,800
shares with  exercise  prices  ranging  from $2.08 to $3.13 were  exchanged  for
options for an equal  number of shares at an exercise  price of $1.38,  the fair
market value of the Company's  Common Stock on December 10, 1998,  the effective
date of the second repricing.

                                                          Dr. Derace L. Schaffer
                                                           Dr. Barbara J. McNeil
                                                               Dr. Carl F. Kohrt

The Chief Executive  Officer and the named  executive  officers in 1998 that had
their options repriced are listed below in the Ten Year Option Repricings table.
<TABLE>
<CAPTION>

                                                 Ten-Year Option Repricings
                                                                                                       Length of
                                       Number of                                                        original
                                       securities                                                     option term
                                       underlying    Market price of    Exercise price                remaining at
                                      options/SARs  stock at time of      at time of     New            date of
                                      repriced or     repricing or       repricing or    exercise     repricing or
         Name              Date       amended (#)     amendment ($)     amendment ($)    price ($)     amendment
         ----              ----       -----------     -------------     -------------    ---------     ---------
<S>                       <C>         <C>             <C>               <C>              <C>           <C>      
Donald Carlberg,          12/10/98      18,000            $1.38              $2.08         $1.38       27 months
Director, President       12/10/98      20,000            $1.38              $2.75         $1.38       54 months
and Chief Executive
Officer

Kent A. Tapper, Vice                      -                 -                 -              -             -
- -President,
Financial Planning

Marion B. LaVigne,         3/17/98       1,800            $3.13             $10.00         $3.13       44 months
Ph. D., Vice              12/10/98       1,800            $1.38              $3.13         $1.38       35 months
President, Clinical       12/10/98      50,000            $1.38              $3.13         $1.38       50 months
Services

Victoria Nelson            3/17/98      15,000            $3.13              $8.50         $3.13       47 months
Neidigh, Vice             12/10/98      15,000            $1.38              $3.13         $1.38       38 months
President, Sales          12/10/98      50,000            $1.38              $3.13         $1.38       50 months
                          12/10/98       1,800            $1.38             $10.00         $1.38       35 months
</TABLE>


                                STOCK OPTION PLAN

The Company's Stock Option Plan (the "Plan") was originally adopted by the Board
of Directors and  stockholders  in June 1995.  Up to 1,080,000  shares of Common
Stock have been  authorized and reserved for issuance under the Plan.  Under the
Plan,  options may be granted in the form of incentive stock options ("ISOs") or
non-qualified  stock options  ("NQOs") from time to time to salaried  employees,
officers,  directors  and  consultants  of the  Company,  as  determined  by the
Compensation  Committee of the Board of Directors.  The  Compensation  Committee
determines the terms and conditions of options granted under the Plan, including
the exercise  price.  The Plan  provides that the  Committee  must  establish an
exercise price for ISOs that is not less than the fair market value per share at
the date of the grant.  However, if ISOs are granted to persons owning more than
10% of the voting  stock of the  Company,  the Plan  provides  that the exercise
price must not be less than 110% of the fair market  value per share at the date
of the grant. The Plan also provides for a non-employee  director to be entitled
to receive a one-time  grant of a NQO to purchase  36,000  shares at an exercise
price equal to fair market value per share on the date of their initial election
to the Company's  Board of Directors.  Such NQO is  exercisable  only during the
non-employee  director's  term  and  automatically  expires  on  the  date  such
director's service terminates.  Each option,  whether an ISO or NQO, must expire
within ten years of the date of the grant.

As of May 12, 1999, options to acquire 1,462,260 shares of Common Stock had been
granted to employees and directors of the Company,  382,260 of which are subject
to  stockholder  approval of the  increase in the number of shares  reserved for
issuance under the Plan at the Annual  Meeting.  The following  table sets forth
information  regarding the number of options  outstanding and the exercise price
of these options.

                        Number of Options
                          Outstanding at
                           May 12, 1999                   Exercise Price
                           ------------                   --------------

                              252,000                         $0.14
                              108,000                         $0.69
                                3,600                         $1.04
                              435,160                         $1.38
                              300,000                         $1.50
                              363,500                         $2.44

Of these  options,  36,000 were granted as of March 1, 1995 to Mr.  Carlberg and
vested  immediately.  The  remainder  of Mr.  Carlberg's  options  and all other
options  granted  under the plan vest as to 20% of the option grant on the first
anniversary of the grant, and 20% on each subsequent anniversary.

Included  in the  1,462,260  options  are  grants  made on May  12,  1999 to the
following  officers  of the  Company:  (i) 50,000  options  granted to Donald A.
Carlberg,  the President and Chief Executive Officer of the Company,  which vest
at the rate of 20% per year  from the date of grant and have a ten year term and
are  exercisable  at $2.44 per share;  (ii) 100,000  options  granted to John V.
Crisan,  the Chief Financial  Officer of the Company,  which vest at the rate of
20% per year from the date of grant and have a ten year term and are exercisable
at $2.44 per share; (iii) 100,000 options granted to Neal Westermeyer, the Chief
Operating  Officer of the  Company,  which vest at the rate of 20% per year from
the date of grant  and have a ten year  term and are  exercisable  at $2.44  per
share.

              EMPLOYMENT CONTRACTS AND CHANGE-IN-CONTROL PROVISIONS

The Company has entered into an employment  agreement with Donald A. Carlberg as
its President  and Chief  Executive  Officer dated March 1, 1995.  The agreement
with  Mr.  Carlberg  has a term of one  year and is  automatically  renewed  for
successive one-year periods unless either party receives written notice from the
other  party  of such  party's  intention  not to  renew  within  60 days of the
agreement's  expiration  date. The agreement calls for Mr. Carlberg to receive a
base salary of $125,000  per year,  which was  increased to $150,000 per year in
September  1996,  $175,000  in June  1997 and  $200,000  in June of  1998.  Upon
execution of the agreement, Mr. Carlberg received a $15,000 signing bonus and an
option to  purchase  up to 180,000  shares of Common  Stock of the Company at an
exercise  price of $.14 per  share,  and in 1996,  1997 and  1998,  he  received
bonuses of $25,000.  The option has a ten-year  term,  vests over five years and
was 20% vested upon grant.  The  remainder  of the option vests at a rate of 20%
per year,  and the option is therefore  fully  exercisable  after the first five
years of employment.  Mr. Carlberg is eligible for any discretionary bonuses and
additional  option grants in amounts to be determined by the Company's  Board of
Directors  based upon the  performance  of the  Company  and Mr.  Carlberg.  The
agreement  prohibits  Mr.  Carlberg  from  engaging  in  any  business  activity
involving  the  measurement  of clinical  outcomes  for  patients  with acute or
chronic  diseases,  or the  measurement of patient  compliance  with  prescribed
treatments for acute or chronic  diseases  within one year of the termination of
his  employment  with the  Company.  If the Company  terminates  Mr.  Carlberg's
employment for reasons other than for cause,  the Company is required to pay Mr.
Carlberg's compensation and fringe benefits for a period of six months following
the date of termination.

The Company has entered  into a consulting  agreement  with John V. Crisan dated
March 8, 1999 pursuant to which Mr. Crisan serves as Chief Financial Officer and
a member of the Board of Directors.  The agreement with Mr. Crisan has a term of
two years.  Either party may  terminate the agreement for any reason and without
liability  for a period of 90 days from the date of the  agreement.  Pursuant to
the  agreement,  Mr. Crisan  receives a basic  consulting fee of $5,000 per week
that he renders services for the Company. Mr. Crisan is not obligated to perform
services on a full-time basis for the Company.  Upon execution of the agreement,
Mr. Crisan was granted options to purchase 150,000 shares of Common Stock of the
Company at an exercise  price of $1.50 per share.  The  options  have a ten-year
term,  vest over  three  years,  with 50% of the  options  vesting  on the first
anniversary  of  the  grant  date  and  25% on  each  of the  second  and  third
anniversaries  of the grant  date.  In the event of a change of  control  of the
Company,  all options immediately vest. If Mr. Crisan is terminated for cause or
resigns prior to March 8, 2001, Mr. Crisan is prohibited from competing with the
Company for one year from the  termination or  resignation  date. If the Company
terminates Mr. Crisan without cause,  the Company must pay Mr. Crisan  severance
equal to the  amount  of the  basic  consulting  fee in effect as of the date of
termination,  but not to  exceed  $100,000,  such  payments  to be made in equal
monthly installments of not more than $20,000.

The Company has entered into an employment  agreement  with Neal  Westermeyer as
its Chief Operating  Officer dated March 8, 1999, which has a term of two years.
The  agreement  calls for Mr.  Westermeyer  to receive a base salary of $175,000
with  compensation  reviews  annually  and may be adjusted to reflect  increased
responsibilities,  capabilities and performance. Mr. Westermeyer may be eligible
for a bonus up to 30% of his base salary.  Mr. Westermeyer was granted an option
to purchase  150,000  shares of Common Stock of the Company at an exercise price
of $1.50 per share. The option has a ten year term, vests over three years, with
40,000 shares that vested upon grant.  The  remaining  options vest at a rate of
25% over three  years from the date of grant.  Either  party can  terminate  the
agreement  with  written  notice  of not  less  than 60 days  from  the  date of
termination. In the event Mr. Westermeyer is terminated without cause prior to a
change in  control,  Mr.  Westermeyer  receives  one year's  worth of his annual
salary,  as in  effect  on the  termination  date.  Generally,  in the event Mr.
Westermeyer  is  terminated   without  cause  after  a  change  in  control  Mr.
Westermeyer  will be entitled to receive up to two year's worth of annual salary
as in effect on the date of the change in control as  adjusted  thereafter  from
time to time.

                      REPORT OF THE COMPENSATION COMMITTEE
                            OF THE BOARD OF DIRECTORS

Compensation for the Company's executive officers was determined in light of the
responsibilities  involved in  commencing  the  Company's  business  operations,
developing its initial and ongoing customer relationships and commencing patient
information  programs.  During 1998,  Mr.  Carlberg  received a bonus of $25,000
reflecting  Mr.  Carlberg's  efforts in  connection  with the  expansion  of the
Company's  operations  and the  substantial  roll-out of the  Company's  patient
information systems.

The Compensation  Committee  evaluates the performance of each executive officer
of the Company in the context of the goals and challenges that the Company faces
over the next  year.  The  determinations  as to salary  and bonus are made in a
context of the challenges  faced in the Company,  the individual  performance of
the individual  and the salaries of executives at  comparative  companies in the
Company's  industry.  Compensation  for the  Company's  Executive  Officers  was
determined in light of the responsibilities involved in commencing the Company's
business operations,  developing its initial and ongoing customer  relationships
and negotiating with the Company's investment bankers.

                                                          Dr. Derace L. Schaffer
                                                           Dr. Barbara J. McNeil
                                                               Dr. Carl F. Kohrt

           COMPENSATION COMMITTEE INTERLOCKS AND INSIDER PARTICIPATION

The Compensation  Committee consisted of Derace Schaffer,  Barbara J. McNeil and
Carl F.  Kohrt for the  fiscal  year  ended  December  31,  1998.  None of these
individuals was at any time during fiscal year 1998 or any other time an officer
or employee of the  Company.  No  executive  officer of the Company  serves as a
member of the board of directors or  compensation  committee of any other entity
that has one or more  executive  officers  serving as a member of the  Company's
Board of Directors or Compensation Committee.

                 CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

On February  26,  1999,  the  Company,  through its newly  formed,  wholly-owned
subsidiary, Patient Infosystems Acquisition Corp., acquired substantially all of
the assets of HealthDesk  Corporation,  a consumer  healthcare  software company
primarily  engaged in the business of designing and  developing  Internet  based
products in the  healthcare,  wellness and disease  management  industries.  The
acquired assets include inventory, intellectual property, hardware and software.
The principal  consideration paid for the transaction was $761,463.  The Company
paid for the acquisition  using its available cash. John Pappajohn,  a member of
the Board of Directors of the Company, was a member of the Board of Directors of
HealthDesk  Corporation  at the  time  of the  acquisition  of  HealthDesk.  Mr.
Pappajohn  abstained from all votes relating to the acquisition of the assets of
HealthDesk Corporation. Such acquisition was approved by no less than a majority
of the directors of the Company.

                            COMPANY PERFORMANCE GRAPH

The following  graph compares the  cumulative  total  stockholder  return on the
Common Stock of Patient  Infosystems,  Inc. from December 19, 1996 (the date the
Common Stock was first offered to the public at an initial public offering price
of $8.00 per share) through  December 31, 1998 with the cumulative  total return
on the NASDAQ Stock Market - U.S. Index and the  cumulative  total return on the
NASDAQ Health Services Index.  The Company did not pay any dividends during this
period.  The NASDAQ Stock  Market - U.S.  Index and the NASDAQ  Health  Services
Index are published daily.

The graph assumes an investment  of $100 in each of Patient  Infosystems,  Inc.,
the NASDAQ Stock Market - U.S.  Index and the NASDAQ  Health  Services  Index on
December 31, 1998 and 1997. The  Comparison  also assumes that all dividends are
reinvested.
<TABLE>
<CAPTION>


                      COMPARISON OF CUMULATIVE TOTAL RETURN
                AMONG PATIENT INFOSYSTEMS, INC., THE NASDAQ STOCK
            MARKET - U.S. INDEX AND THE NASDAQ HEALTH SERVICES INDEX
                                
                                                 12/19/96     12/31/96     12/31/97     12/31/98
                                                 --------     --------     --------     --------
<S>                                              <C>          <C>          <C>          <C>  
Patient Infosystems, Inc.                         100.00        115.63        33.13        23.44
NASDAQ Stock Market - U.S. Index                  100.00         99.49       122.15       171.40
NASDAQ Health Services Index                      100.00        100.55       103.16        88.13
</TABLE>


The  comparisons  in this table are required by the rules of the  Securities and
Exchange  Commission  and are not  intended  to  forecast  or be  indicative  of
possible  future  performance  of the Company's  Common  Stock.  The stock price
performance  graph shall not be deemed to be incorporated  into any filing under
the Securities Act or the Exchange Act,  notwithstanding  any general  statement
contained in any such filing  incorporating  this Proxy  Statement by reference,
except to the extent that the Company specifically incorporates this information
by reference.


                                   PROPOSAL 2
              APPROVAL OF AMENDMENT TO THE PATIENT INFOSYSTEMS, INC
                                STOCK OPTION PLAN

At the Annual  Meeting,  the  holders of the Common  Stock will be asked to vote
upon a proposal to approve an amendment to the Patient  Infosystems,  Inc. Stock
Option  Plan (the  "Plan") to increase by 600,000 the number of shares of Common
Stock of the Company for which options may be granted  thereunder from 1,080,000
shares to 1,680,000 shares. The Plan, as proposed to be amended,  is attached as
Exhibit A to this Proxy Statement.


REASONS FOR THE PROPOSAL

Under the Plan as  currently in effect,  options for up to  1,080,000  shares of
Common Stock may be granted.  The Board of Directors has  determined  that it is
advisable  to  continue to provide  stock-based  incentive  compensation  to the
Company's key employees and directors, thereby continuing to align the interests
of such employees or directors with those of stockholders, and that awards under
the Plan are an effective  means of  providing  such  compensation.  In order to
effectuate the grant of the options by the Board of Directors and to continue to
grant  stock-based  incentive  compensation  in the future,  it is  necessary to
increase  the number of shares of Common  Stock  available  for grant  under the
Plan.

DESCRIPTION OF THE PLAN AND THE PROPOSED AMENDMENTS

The  following is a summary of the Plan and the proposed  amendments to it under
Proposal 2. This summary  does not purport to be  complete,  and is qualified in
its entirety by reference to the text of the Plan,  which is attached as Exhibit
A to this Proxy Statement.

Purpose.  The Plan is  designed  to furnish  additional  incentives  to both key
employees  and directors of the Company,  upon whose  judgment,  initiative  and
efforts the successful  conduct of the business of the Company largely  depends,
by encouraging such persons to acquire a proprietary  interest in the Company or
to increase the same,  and to  strengthen  the ability of the Company to attract
and retain in its employ,  or as a member of the Board of Directors,  persons of
training,  experience and ability. The Plan presently authorizes the granting of
options of up to 1,080,000 shares of Common Stock ("Options"), and if Proposal 2
is approved,  up to an additional  600,000  shares of Common  Stock,  subject to
adjustment  in  the  event  of  a  stock  dividend,  recapitalization,   merger,
consolidation, combination, exchange of shares or similar transaction. The Board
of Directors  believes it is beneficial to increase the number of shares subject
to the Plan to make additional  shares  available,  subject to the discretion of
the Board of Directors, to such key employees and directors.

Administration.  The Plan is currently  administered by either the full Board of
Directors or such  committee as may be designated by the Board of Directors (the
"Committee").  In  administering  the  Plan,  the  Committee  has the  power  to
interpret  its  provisions  and to  prescribe,  amend,  and  rescind  rules  and
regulations for its administration,  to select individuals to receive grants, to
determine  the terms and  provisions  of grants of options and to make all other
determinations necessary or advisable for administration of the Plan.

Option  Grants.  The Plan  provides  for the  granting of both  incentive  stock
options (an "ISO") and nonqualified stock options (a "NQO"). NQO's may be issued
generally to any employee or director of the Company or its subsidiaries.  ISO's
may only be issued  generally to employees of the Company and its  subsidiaries,
and may not be issued to any director.  The Committee also  determines the times
at which options become  exercisable,  their  transferability and the dates, not
more than ten years after the date of grant (five years in the case of optionees
holding  more than 10% of the  combined  voting power of all classes of stock of
the Company),  on which options will expire.  The fair market value of the stock
with  respect to which  ISO's  under the Plan or any other  plan of the  Company
first become  exercisable  may not exceed $100,000 in any year. The option price
of an ISO is to be at least 100% of the fair  market  value on the date of grant
(110% in the case of  optionees  holding  more than ten percent of the  combined
voting power of all classes of stock of the Company). The Plan, however, permits
the Committee to grant NQO's at any exercise price  consistent with the purposes
of the Plan,  whether  or not such  exercise  price is equal to the fair  market
value of the stock on the date of grant of the NQO. NQO's with an exercise price
of less  than  fair  market  value  on the date of grant  will  not  qualify  as
performance-based compensation under Section 162(m) of the Internal Revenue Code
of 1986, as amended (the "Code") and so any  compensation  expense  generated by
the  exercise of such an option  would not be  deductible  by the Company if the
optionee is a "covered employee" who is paid compensation from the Company in an
amount in excess of $1,000,000 in the year of exercise.

Options  may be  exercised  by the payment of the  exercise  price in cash or by
certified or bank check.

As of May 12, 1999, options to acquire 1,462,260 shares of Common Stock had been
granted to employees and directors of the Company,  382,260 of which are subject
to  stockholder  approval of the  increase in the number of shares  reserved for
issuance  under the Plan at the Annual  Meeting.  All of such  shares  have been
granted under the Plan.  As of May 12, 1999,  the Company has awarded or granted
options under the Plan to approximately  115 persons.  The following persons and
groups have received certain of these options:
<TABLE>
<CAPTION>

                   PATIENT INFOSYSTEMS, INC. STOCK OPTION PLAN

                                                                 Dollar Value         Number of 
Name and Position                                                     ($)               Units
- -----------------                                                     ---               -----
<S>                                                               <C>                 <C>   
Donald A. Carlberg, President and Chief
     Executive Officer                                              $ 224,150          304,000
John V. Crisan, Chief Financial Officer                             $ 468,800          250,000
Neal Westermeyer, Chief Operating Officer                           $ 468,800          250,000
Kent A. Tapper, Vice President, Financial Planning                   $  5,000           36,000
Victoria Nelson Neidigh                                              $ 89,375           65,000
Executive Group (7 persons)                                        $1,364,781          975,000
Non-Executive Director Group (5 persons)                            $ 181,500          200,000
Non-Executive Officer Employee Group (103 persons)                  $ 502,025          287,260
</TABLE>

On May 12,  1999,  the Board of  Directors  granted  options to acquire  100,000
shares to each of John V.  Crisan  and Neal  Westermeyer  and  50,000  shares to
Donald A. Carlberg,  all exercisable for $2.44 per share. The Board also granted
options  to  purchase  113,500  shares of Common  Stock to 42  employees  of the
Company.  These  grants  are all  subject  to  approval  at this  meeting of the
amendment to the Plan.

Termination  of Employment.  Unless  otherwise  provided by the  Committee,  the
following  rules apply to all options  granted under the Plan.  Options  granted
under the Plan to an  employee  or  director  expire  three  months  after  such
employee or  director  ceases to be employed by or ceases to serve as a director
of the Company or its  subsidiaries.  In the event of an employee's death during
employment with the Company or a director's death while serving as a director or
within  such  three-month  period  following  the  cessation  of  employment  or
directorship,  the  employee's or  director's  estate may exercise the unexpired
option  for the  number of shares  for  which it is  exercisable  at the date of
termination, for such time prior to the expiration dates of the option.

Income Tax  Consequences.  Under present law the federal income tax treatment of
stock options under the Plan is generally as follows:

Incentive Stock Options.  For regular income tax purposes,  an optionee will not
realize  taxable  income upon either the grant of an ISO or its  exercise if the
optionee has been an employee of the Company or a  subsidiary  at all times from
the  date of  grant to a date not more  than  three  months  before  the date of
exercise.  The difference between the fair market value of the stock at the date
of exercise and the  exercise  price of an ISO,  however,  will be treated as an
item of tax  preference in the year of exercise for purposes of the  alternative
minimum tax.

If the shares  acquired  upon an exercise  of an ISO are not  disposed of by the
optionee  within  two years  from the date of grant or within  one year from the
date of exercise, any gain realized upon a subsequent sale of the shares will be
taxable as a capital gain.  In that case,  the Company will not be entitled to a
deduction  in  connection  with  the  grant  or the  exercise  of the ISO or the
subsequent disposition of the shares by the optionee. The amount of gain or loss
realized  upon  such a  sale  or  other  disposition  will  be  measured  by the
difference between the amount realized and the earlier exercise price of the ISO
(the optionee's basis in the stock).

If the optionee  disposes of the shares  within two years from the date of grant
of the ISO or within one year from the date of exercise of the ISO, the optionee
will realize ordinary income in an amount equal to the excess of the fair market
value  of the  shares  at the  date of  exercise  (or  the  amount  realized  on
disposition,  if less) over the option price,  and the Company will be allowed a
corresponding  deduction.  If the amount realized on the disposition exceeds the
fair market value of the shares at the date of exercise the gain on  disposition
in excess of the amount treated as ordinary  income will be treated as a capital
gain.  Any such  capital  gain will be a mid-term  capital  gain if the optionee
holds the shares for more than one year,  but not more than 18 months,  from the
date of exercise.  If the optionee holds the shares for more than 18 months from
the date of exercise, any such gain will be a long-term capital gain.

Nonqualified  Stock Options.  An optionee will not realize income upon the grant
of a  nonqualified  option.  Upon the  exercise  of a  nonqualified  option,  an
optionee will be required to recognize ordinary income in an amount equal to the
excess  of the fair  market  value at the date of  exercise  of the NQO over the
option  price.  Any  compensation  includable in the gross income of an employee
with  respect  to a NQO  will be  subject  to  appropriate  federal  income  and
employment  taxes. The Company will be entitled to a business expense  deduction
in the  same  amount  and at the  same  time as  when  the  optionee  recognizes
compensation income. Upon a subsequent sale of the stock, any amount realized in
excess of such fair  market  value  will  constitute  a capital  gain.  Any such
capital gain will be a mid-term  capital  gain if the optionee  holds the shares
for more than one year, but not more than 18 months,  from the date of exercise.
If the  optionee  holds the  shares  for more  than 18  months  from the date of
exercise, any such gain will be a long-term capital gain.

In the limited circumstances in which an officer who is subject to Section 16(b)
of the Securities  Exchange Act of 1934, as amended (the "1934 Act") exercises a
NQO, which  exercise is not exempt under Section 16(b),  no income is recognized
for federal  income tax  purposes at the time of  exercise  unless the  optionee
makes an election  under Section 83(b) of the Code within 30 days after the date
of exercise, in which case the rules described in the second preceding paragraph
would apply.  Where such an election is not made,  the optionee  will  recognize
ordinary  income on the first  date that sale of such  shares  would not  create
liability  under  Section  16(b)  of the 1934 Act  (this is  generally,  but not
necessarily,  six  months  after  the date of  exercise).  The  ordinary  income
recognized  to such an optionee  will be the excess,  if any, of the fair market
value of shares on such later date over the option exercise price.

The foregoing  discussion does not purport to be a complete  analysis of all the
potential tax  consequences  relevant to recipients of options or to the Company
or its subsidiaries.  The above discussion does not take into account the effect
of  state  and  local  tax  laws.  Moreover,  no  assurance  can be  given  that
legislative,  administrative,  regulatory or judicial changes or interpretations
will not occur which could modify such analysis.  In addition,  an  individual's
particular  tax status and his other tax  attributes may result in different tax
consequences from those described above. Therefore,  any participant in the Plan
should consult with his own tax adviser  concerning the tax  consequences of the
grant,  exercise and surrender of such options and the  disposition of any stock
acquired pursuant to the exercise of such options.

Amendments.  The Committee may amend the Plan at any time, but may not,  without
prior stockholder  approval,  increase the maximum number of options that may be
granted thereunder; change the eligibility requirements for individuals entitled
to receive options under the Plan, or cause ISO's granted or to be granted under
the Plan to fail to qualify as ISO's under the Code.

Termination.  The Plan does not contain a provision for termination of the Plan.

Vote Required.  The affirmative vote of a majority of the outstanding  shares of
Common  Stock voted in person or by proxy at the Annual  Meeting is required for
approval of the  amendment to the Plan to increase  the number of options  which
may be issued under the Plan to 1,680,000.

The Board of Directors recommends a vote "FOR" the amendment to the Plan.

                                   PROPOSAL 3
                         RATIFICATION OF APPOINTMENT OF
                              INDEPENDENT AUDITORS

The independent public accounting firm utilized by the Company during the fiscal
years  ended  December  31,  1995  through  1998  was  Deloitte  &  Touche  LLP,
independent  certified public accountants.  Although the appointment of auditors
is not  required  to be  submitted  to a vote  of  stockholders,  the  Board  of
Directors  believes that it is appropriate as a matter of policy to request that
the stockholders  ratify the appointment.  If the stockholders should not ratify
the  appointment,  the Audit  Committee  will  investigate  the  reasons for the
stockholders'   rejection  and  the  Board  of  Directors  will  reconsider  the
appointment.  It is expected that a representative of Deloitte & Touche LLP will
be present at the meeting to respond to appropriate  questions and will be given
the opportunity to make a statement if he or she desires to do so.

The affirmative  vote of the holders of a majority of the shares of Common Stock
of the Company  present in person or by proxy and entitled to vote at the Annual
Meeting is required  for the  ratification  and approval of the  appointment  of
auditors.

The Board of Directors  recommends a vote "FOR"  ratification of the appointment
of Deloitte & Touche LLP as the  Company's  independent  auditors for the fiscal
year ending December 31, 1999.


                  STOCKHOLDER PROPOSALS FOR 2000 ANNUAL MEETING

Stockholders who wish to present proposals  appropriate for consideration at the
Company's 2000 Annual Meeting of Stockholders must submit the proposal in proper
form to the  Company  at its  address  set forth on the first page of this Proxy
Statement  not later than  January 17, 2000 in order for the  proposition  to be
considered  for  inclusion in the  Company's  proxy  statement and form of proxy
relating to such annual meeting.  Any such  proposals,  as well as any questions
related thereto, should be directed to the Assistant Secretary of the Company.

                             ADDITIONAL INFORMATION

The expenses in connection with the solicitation of proxies will be borne by the
Company. Solicitation will be made by mail, but may also be made by telephone or
personal call by officers, directors or employees of the Company who will not be
specially  compensated  for such  solicitation.  The Company  may  request  that
brokerage  houses  and  other  nominees  or  fiduciaries  forward  copies of the
Company's Proxy Statement and Annual Report to Stockholders to beneficial owners
of stock held in their names,  and the Company may reimburse them for reasonable
out-of-pocket expenses incurred in doing so.

A COPY OF THE COMPANY'S  ANNUAL  REPORT FOR THE YEAR ENDED  DECEMBER 31, 1998 IS
BEING  FURNISHED  HEREWITH  TO EACH  STOCKHOLDER  OF  RECORD  AS OF THE CLOSE OF
BUSINESS ON APRIL 28, 1999.  COPIES OF THE COMPANY'S  ANNUAL REPORT ON FORM 10-K
WILL BE PROVIDED FOR A NOMINAL CHARGE UPON WRITTEN REQUEST TO:

                            PATIENT INFOSYSTEMS, INC.
                                46 Prince Street
                            Rochester, New York 14607
                        Attention: Yvonne Milligan-Prince




                                  OTHER MATTERS

The Board of  Directors  does not intend to bring any matters  before the Annual
Meeting other than as stated in this Proxy Statement,  and is not aware that any
other matters will be presented for action at the Annual  Meeting.  If any other
matters come before the Annual  Meeting,  the persons named in the enclosed form
of proxy will vote the proxy with respect  thereto in accordance with their best
judgment,  pursuant to the discretionary authority granted by the proxy. Whether
or not you plan to attend the Annual Meeting in person,  please complete,  sign,
date and return the enclosed proxy card promptly.

                                           By Order of the Board of Directors,

                                           Donald A. Carlberg
                                           President and Chief Executive Officer


<PAGE>


                                    EXHIBIT A

                            PATIENT INFOSYSTEMS, INC.
                                STOCK OPTION PLAN


         1.  Purpose.   The  PATIENT   INFOSYSTEMS,   INC.   STOCK  OPTION  PLAN
(hereinafter  referred  to as the  "Plan") is  designed  to  furnish  additional
incentive to both key employees and  Directors of PATIENT  INFOSYSTEMS,  INC., a
Delaware corporation (hereinafter referred to as the "Company"), and its parents
or  subsidiaries,  upon whose  judgment,  initiative  and efforts the successful
conduct of the business of the Company  largely  depends,  by  encouraging  such
persons to acquire a  proprietary  interest in the  Company or to  increase  the
same,  and to strengthen the ability of the Company to attract and retain in its
employ,  or as a  member  of  the  Board  of  Directors,  persons  of  training,
experience  and ability.  Such purpose will be effected  through the granting of
"Incentive  Stock  Options"  within the meaning of Section  422 of the  Internal
Revenue Code of 1986, as amended  (hereinafter  the "Code") and options which do
not qualify as incentive stock options ("Non-Qualified Options").

         2.  Administration.

                  (a) The Plan shall be  administered  by a committee  chosen by
the Board of  Directors of the Company (the  "Committee")  and  decisions of the
Committee  concerning the  interpretation  and construction of any provisions of
the Plan or of any option  granted  pursuant to the Plan shall be final.  In the
absence  of the  Committee,  the  Plan  will be  administered  by the  Board  of
Directors of the Company.  The Company  shall effect the grant of options  under
the Plan in accordance with the decisions of the Committee, which may, from time
to time,  adopt rules and  regulations  for the  carrying  out of the Plan.  For
purposes  of the Plan,  an option  shall be deemed to be granted  when a written
Option Contract is signed on behalf of the Company by a member of the Committee.
Subject to the express  provisions  of the Plan,  the  Committee  shall have the
authority,   in  its  discretion  and  without  limitation:   to  determine  the
individuals to receive options,  the times when such  individuals  shall receive
options,  the number of Shares to be subject  to each  option,  the term of each
option,  the date(s) on which each option shall become  exercisable,  whether an
option is subject to vesting pursuant to Section 5(c) hereof,  whether an option
shall be exercisable in whole, in part, or in installments, the number of Shares
to be  subject  to each  installment,  the date each  installment  shall  become
exercisable,  the term of each installment, the option price of each option, and
the terms of payment for Shares  purchased by the  exercise of each  option;  to
accelerate  the date of  exercise  of any  installment;  and to make  all  other
determinations necessary or advisable for administering the Plan.

                  (b) The  Committee  may  grant  Incentive  Stock  Options  and
Non-Qualified  Stock Options  pursuant to a single  option  agreement so long as
each option is clearly  identified  as to its status.  Notwithstanding  anything
else  contained in the Plan, if the Committee  issues a single option  agreement
which contains both Incentive Stock Options and Non-Qualified Stock Options, the
exercise of one cannot affect the exercise of the other.

         3.  Eligibility.  The persons who shall be eligible to receive  options
under the Plan shall be Directors and those employees of the Company,  or of any
of its parents or  subsidiaries  within the meaning of Section 424(e) and (f) of
the  Code,  who are  exempt  from the  overtime  provisions  of the  Fair  Labor
Standards  Act of 1938,  as amended,  by reason of  employment  in an executive,
administrative or professional capacity under 29 U.S.C. ss.213(a)(1);  provided,
however,  Directors,  who are not employees of the Company or any of its parents
or  subsidiaries,  shall not be eligible  to receive  Incentive  Stock  Options.
Additionally,  no Incentive Stock Option shall be granted to a person who would,
at the time of the grant of such  option,  own, or be deemed to own for purposes
of Section  422(b)(6) of the Code,  more than 10% of the total  combined  voting
power of all  classes  of  shares  of stock of the  Company  or its  parents  or
subsidiaries  unless at the time of the grant of the Incentive Stock Option both
of the following conditions are met:

                  (a) The option price is at least 110% of the fair market value
of the shares of stock  subject to the  Incentive  Stock  Option,  as defined in
Section 4(a) hereof, and

                  (b) the  option is, by its terms,  not  exercisable  after the
expiration of five years from the date the Incentive Stock Option is granted.

         4.  Shares Subject to Options.

                  (a) Subject to the provisions of Section 5(g) hereof,  options
may be  granted  under  the Plan to  purchase  in the  aggregate  not more  than
1,680,000 shares of the $.01 par value Common Stock of the Company  (hereinafter
referred to as "Shares"),  which Shares may, in the discretion of the Committee,
consist either in whole or in part of authorized  but unissued  Shares or Shares
held in the treasury of the Company.  Any Shares  subject to an option which for
any reason expires or is terminated unexercised as to such Shares shall continue
to be available for options under the Plan.

                  (b) To the extent the aggregate fair market value,  determined
as of the time the option is  granted,  of Shares for which  stock  options  are
exercisable  for the first time by such  individual in any calendar year,  under
all incentive stock option plans of the Company or in any corporation which is a
parent or subsidiary  of the Company,  exceeds  $100,000,  such options shall be
treated as  Non-Qualified  Options.  However,  the value of the Shares for which
Incentive  Stock Options may be granted to such individual from the Company in a
given year may exceed $100,000.

         5. Terms and  Conditions  of Options.  Options  shall be granted by the
Committee  pursuant to the Plan and shall be subject to the following  terms and
conditions:

                  (a)  Price.  Each  option  shall  state  the  number of Shares
subject to the option and the option price,  which,  in the case of an Incentive
Stock  Option,  shall be not less than the fair market  value of the Shares with
respect  to which  the  option is  granted  at the time of the  granting  of the
option.  In  addition,  the option  price  shall be at least 110% of fair market
value in the case of a grant of an Incentive  Stock Option to a person who would
at the time of the  grant,  own,  or be deemed to own for  purposes  of  Section
422(b)(6) of the Code,  more than 10% of the total combined  voting power of all
classes of Shares of the Company or its parents or subsidiaries. For purposes of
this subsection, "fair market value" shall mean:

     (i) the mean between the bid and asked price for the Shares on the business
day immediately preceding the date of the grant of the option;

     (ii) the most  recent sale price for the Shares as of the date of the grant
of the option; or

     (iii) such price as shall be  determined  by the Board of  Directors of the
Company in an attempt  made in good  faith to meet the  requirements  of Section
422(b)(4) of the Code.

                  (b) Term.  The term of each option shall be  determined by the
Committee,  but in no event shall an option be exercisable either in whole or in
part after the  expiration  of ten years  from the date on which it is  granted.
Notwithstanding  the  foregoing,  the  Committee  and an optionee may, by mutual
agreement,  terminate any option granted to such optionee under the Plan. In the
event of merger,  consolidation,  dissolution or liquidation  which results in a
change  of  control  as  defined  in  Section  368(c)  of the  Code  (using  the
attribution  rules  of  Section  318),  all  unexercised   options  will  become
immediately  exercisable  for a period of one year,  the  effectiveness  of such
expiration shall be conditioned upon the consummation of any such transaction.

                  (c)  Vesting.   The  Committee  shall  determine  the  vesting
schedule,  if any,  for each  issuance of options  hereunder  on a  case-by-case
basis, in its sole discretion.

                  (d)  Non-Assignment  During  Life.  During the lifetime of the
optionee,  the  option  shall  be  exercisable  only  by him  and  shall  not be
assignable or transferable by him, whether voluntarily or by operation of law or
otherwise, and no other person shall acquire any rights therein.

                  (e) Death of Optionee. In the event that an optionee shall die
prior to the complete  exercise of options  granted to him under the Plan,  such
remaining  options  may be  exercised  in whole or in part after the date of the
optionee's  death only: (i) by the optionee's  estate or by or on behalf of such
person or persons to whom the optionee's  rights under the option pass under the
optionee's Will or the laws of descent and distribution; (ii) to the extent that
the optionee  was entitled to exercise the option at the date of his death;  and
(iii) prior to the expiration of the term of the option.

                  (f) Termination of Employment. An Incentive Stock Option shall
be  exercisable  during the  lifetime of the optionee to whom it is granted only
if, at all times during the period  beginning on the date of the granting of the
option and ending on the day three months before the date of such  exercise,  he
is an  employee  of the  Company or any of its  parents or  subsidiaries,  or an
employee of a corporation or a parent or subsidiary of such corporation  issuing
or assuming an option granted hereunder in a transaction to which Section 424(a)
of the Code applies;  provided,  however, that in the case of an optionee who is
disabled  within the meaning of Section  22(e)(3)  of the Code,  the three month
period after  cessation  of  employment  during which an Incentive  Stock Option
shall be exercisable shall be one year. Notwithstanding the foregoing, no option
shall be exercisable  after the expiration of its term thereof.  For purposes of
this subsection, an employment relationship will be treated as continuing intact
while the optionee is on military  duty,  sick leave or other bona fide leave of
absence,  such as temporary employment by the Government,  if the period of such
leave does not exceed 90 days,  or, if longer,  so long as a statute or contract
guarantees the optionee's right to re-employment with the Company, or any of its
parents or subsidiaries,  or another  corporation  issuing or assuming an option
granted  hereunder in a transaction to which Section 424(a) of the Code applies.
When  the  period  of  leave  exceeds  90 days  and the  individual's  right  to
re-employment is not guaranteed either by statute or by contract, the employment
relationship will be deemed to have terminated on the 91st day of such leave.

                  (g)  Anti-Dilution  Provisions.  Subject to the  provisions of
Section  422 of  the  Code  and  the  regulations  promulgated  thereunder,  the
aggregate  number and kind of Shares  available for options under the Plan,  and
the  number  and kind of Shares  subject  to,  and the  option  price  of,  each
outstanding  option shall be  proportionately  adjusted by the Committee for any
increase,  decrease  or change in the total  outstanding  Shares of the  Company
resulting  from  a  stock  dividend,  recapitalization,  merger,  consolidation,
combination, exchange of Shares or similar transaction (but not by reason of the
issuance  or  purchase  of Shares by the  Company  in  consideration  for money,
services or property).

                  (h)  Power  to  Establish  Other  Provisions.  Subject  to the
provisions  of  Section  422  of  the  Code  and  the  regulations   promulgated
thereunder,  options  granted  under the Plan shall contain such other terms and
conditions as the Committee shall deem advisable.

         6. Exercise of Option. Options shall be exercised as follows:

                  (a)  Notice  and  Payment.  Each  option,  or any  installment
thereof,  shall be  exercised,  whether in whole or in part,  by giving  written
notice to the Company at its principal  office,  specifying the number of Shares
purchased and the purchase price being paid,  and  accompanied by the payment of
all or such part of the purchase  price as shall be specified in the option,  by
cash or by  certified or bank check  payable to the order of the  Company.  Each
such notice shall also contain representations on behalf of the optionee that:

     (i) the optionee  acknowledges that the Company is selling the Shares being
acquired  by him  under  a  claim  of  exemption  from  registration  under  the
Securities Act of 1933 as amended  (hereinafter  referred to as the "Act"), as a
transaction not involving any public offering;

     (ii) the optionee is acquiring the Shares without a view to distribution or
resale;

     (iii) the optionee understands and agrees that the Shares purchased may not
be  thereafter  transferred  unless (A) a  registration  statement  with respect
thereto  shall  then be  effective  under  the Act,  and the  Company  will have
complied with any other applicable laws, or (B) the optionee shall have obtained
an  opinion of  counsel,  in form and  content  reasonably  satisfactory  to the
Company and to its  counsel,  to the effect that the proposed  transfer  will be
exempt from the registration  provisions of the Act, will comply with applicable
state  laws,  and will not  result in any  violation  of the Act or of any other
applicable laws;

     (iv) because any Shares  purchased will not have been registered  under the
Act,  they must be held  indefinitely  unless  and until  they are  subsequently
registered under the Act or an exemption from such a registration is available;

     (v) any routine  sales of the Shares  purchased  made in reliance upon Rule
144  promulgated  under  the Act can be made  only  in  limited  amounts  and in
accordance  with all the terms and conditions of that Rule, and in case the Rule
is not  applicable,  compliance  with  Regulation  A or  some  other  disclosure
exemption may be required; and

     (vi) the Company has no obligation  to register the Shares,  to comply with
any disclosure exemption, or to take such action as may be necessary to meet the
requirements of Rule 144.

Appropriate  legends may be placed on any  certificate for Shares received by an
optionee  pursuant  to the  exercise of an option in order to give notice of the
transfer  restrictions set forth herein, and the Company may cause stop transfer
orders to be placed against such  certificates.  It shall be a further condition
to any exercise of the option and the purchase of Shares  pursuant  thereto that
the Company  counsel be  satisfied  that the  issuance of such shares will be in
compliance with the Act and any other laws applicable  thereto,  and the Company
shall be  entitled to receive  such other  information,  assurances,  documents,
representations  or warranties as it or its counsel may reasonably  require with
respect to such compliance.

                  (b) Issuance of  Certificates.  Certificates  representing the
Shares  purchased by the optionee shall be issued as soon as  practicable  after
the optionee has complied with the provisions of Section 6(a) hereof.

                  (c) Rights as a Shareholder. The optionee shall have no rights
as a  Shareholder  with  respect to the Shares  purchased  until the date of the
issuance to him of a Certificate representing such Shares.

                  (d)  Disposition  of  Shares.  Subject  to the  provisions  of
Section 6(a) hereof,  any  disposition,  within the meaning of Section 424(c) of
the Code, of Shares acquired by the exercise of an Incentive Stock Option within
two years  from the date of grant of the  option or  within  one year  after the
transfer of the Shares to the optionee shall be a  disqualifying  disposition as
defined in Section  421(b) of the Code;  provided,  however,  that the foregoing
holding  periods shall not apply to the disposition of Shares after the death of
the  optionee by the estate of the  optionee,  or by a person who  acquired  the
Shares by bequest or inheritance or by reason of the death of the optionee.  For
purposes of the  preceding  sentence,  in the case of a transfer of Shares by an
insolvent optionee to a trustee, receiver or similar fiduciary in any proceeding
under Title 11 of the United States Code or any similar  insolvency  proceeding,
neither the transfer,  nor any other  transfer of such Shares for the benefit of
his creditors in such proceeding, shall constitute a disposition.

                  (e) Order of Option  Exercise.  An optionee  may  exercise the
options granted by the Company under the Plan in any order the optionee  chooses
regardless of the  chronological  order in which the options were granted by the
Company.

         7.  Special   Provisions   Regarding   Option  Grants  to  Non-Employee
Directors.  Pursuant to the terms of this Plan,  each  non-employee  Director of
this   Corporation   shall  be  entitled  to  receive  a  one-time  grant  of  a
Non-Qualified Option, effective upon the date of his/her initial election to the
Board of Directors of the Corporation,  to purchase 36,000 Shares.  The exercise
price for such option  shall equal the fair  market  value of the  Corporation's
Common Stock on the grant date. Each such option shall vest as to exercisability
with  respect  to the  first  20% of the  shares  subject  thereto  on the first
anniversary  date of the grant date of such option,  and as to an additional 20%
of the shares  subject  thereto on each of the second,  third,  fourth and fifth
anniversary  dates of the grant date. Any such options  granted to  non-employee
Directors of the Corporation  shall be exercisable only during the holder's term
as a Director of the Corporation,  and shall automatically  expire upon the date
that a Director is no longer serving as a Director, except that an option may be
exercisable after the death,  disability,  as defined in Section 22(e)(3) of the
Code ("Disability"), or retirement from the Board at the age of 65 or thereafter
("Retirement"),  of a holder  while a Director  of the Company at any time until
the  earlier  to  occur of (i) the one year  anniversary  of the date of  death,
Disability, or Retirement and (ii) the expiration of the term of such option. No
shares of Common  Stock  issuable  upon the  exercise  of an option may be sold,
assigned,  pledged or otherwise transferred for a period of six months after the
later to occur of (x) the adoption of the Plan by the Company's shareholders and
(y) the grant of the option,  as is  specified in Rule 16b-3 (or other period of
time  specified  in such rule as such rule may be amended  from time to time) of
the  Securities  Exchange Act of 1934, as amended (the  "Exchange  Act").  It is
intended  that  this  part  of the  Plan  as it  applies  to  option  grants  to
non-employee  Directors  will  constitute a "formula plan" within the meaning of
Rule 16b-3 under the  Exchange  Act, and the  provisions  of the Plan and of any
option  agreement  made  pursuant  to the Plan will be  interpreted  and applied
accordingly. At any time the Committee may suspend or terminate this part of the
Plan and make  such  additions  or  amendments  thereto  as it deems  advisable;
provided,  that such  additions or amendments  are made in compliance  with Rule
16b-3 of the Exchange  Act (as such rule may be amended from time to time);  and
provided,  further,  that the terms of this paragraph  shall not be amended more
than once every six months  (other than to comply  with the  federal  securities
laws, the Code, or ERISA).

         8. Term of Plan.  Options may be granted pursuant to the Plan from time
to time  within a period of ten years  after the date the Plan is adopted by the
Board of  Directors  of the  Company  or the date  the Plan is  approved  by the
holders of a majority of the outstanding  Shares of the Company,  whichever date
is  earlier.  However,  the Plan shall not take  effect  until  approved  by the
holders  of a  majority  of the  outstanding  Shares of the  Company,  at a duly
constituted meeting thereof,  held within 12 months before or after the date the
Plan is adopted by the Board of Directors.

         9. Amendment and  Termination of Plan. The Committee,  without  further
approval  of the  Shareholders  of the  Company,  may at  any  time  suspend  or
terminate the Plan,  or may amend it from time to time in any manner;  provided,
however,  that no amendment  shall be effective  without  prior  approval of the
Shareholders of the Company which would:  (i) except as provided in Section 5(g)
hereof,  increase the maximum  number of Shares for which options may be granted
under the  Plan;  (ii)  change  the  eligibility  requirements  for  individuals
entitled  to receive  options  under the Plan;  or (iii) cause  Incentive  Stock
Options  granted or to be granted under the Plan to fail to qualify as Incentive
Stock  Options  under  Section 422 of the Code and the  regulations  promulgated
thereunder.

         10. Shares Reserved. The Board of Directors of the Company shall at all
times  during the term of this Plan  reserve and keep  available  such number of
Shares as will be sufficient to satisfy the requirements of this Plan, and shall
pay all original issue taxes on the exercise of options,  and all other fees and
expenses necessarily incurred by the Company in connection therewith.

         11. Application of Proceeds.  The proceeds of the sale of Shares by the
Company under the Plan will  constitute  general funds of the Company and may be
used by the Company for any purpose.



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