PATIENT INFOSYSTEMS INC
10-Q/A, 2000-11-20
MISC HEALTH & ALLIED SERVICES, NEC
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                                 UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                              Washington D.C. 20549

                                    FORM 10Q/A

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

For the quarterly period ended:        March 31, 2000
                                 -------------------------
                              OR
[    ]   TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF
         THE SECURITIES EXCHANGE ACT OF 1934

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

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

          Delaware                                 16-1476509
          --------                                 ----------
(State or other jurisdiction of          (I.R.S. Employer Identification No.)
incorporation or organization)

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

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


         Indicate by check mark whether the registrant (1) has filed all reports
required to be filed by Section 13 or 15 (d) of the  Securities  Exchange Act of
1934  during  the  preceding  12 months  (or for such  shorter  period  that the
registrant was required to file such reports),  and (2) has been subject to such
filing requirements for the last 90 days. Yes [X] No [ ]

         As of May 15, 2000, 8,050,202 common shares were outstanding.

EXPLANATORY NOTE:
     The Company hereby amends Part I of its quarterly  report Form 10-Q for the
period  ended  March  31,  2000 to  reflect  the  restatement  of its  Unaudited
Condensed Consolidated Financial Statements as of and for the three-month period
ended  March 31,  2000.  The  restatement  does not  reflect  any  change to the
Company's  revenue or net loss but does  reflect a change to earnings per share.
See Note 8 to the Unaudited Condensed Consolidated Financial Statements.
<PAGE>


PART I. FINANCIAL INFORMATION

Item 1. Consolidated Financial Statements

<TABLE>
<CAPTION>
PATIENT INFOSYSTEMS, INC.
CONDENSED CONSOLIDATED BALANCE SHEETS (UNAUDITED)
-----------------------------------------------------------------------------------------------------------------
ASSETS                                                                     March 31, 2000      December 31, 1999
                                                                           --------------      -----------------
                                                                            As Restated,
                                                                             see Note 8
<S>                                                                       <C>                    <C>
CURRENT ASSETS:
  Cash and cash equivalents                                                $     2,072,176        $      489,521
  Accounts receivable                                                              688,565               650,279
  Prepaid expenses and other current assets                                        156,728               202,064
                                                                      -------------------------------------------
        Total current assets                                                     2,917,469             1,341,864

PROPERTY AND EQUIPMENT, net                                                      1,184,322             1,291,351

Debt issuance costs (net of accumulated amortization of $86,500 and                771,000               382,500
Intangible assets (net of accumulated amortization of $48,434 and                  574,290               584,669
Other assets                                                                       225,150               244,011
                                                                      -------------------------------------------
TOTAL ASSETS                                                               $     5,672,231       $     3,844,395
                                                                      ===========================================

LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES:
  Accounts payable                                                          $      226,786        $      496,533
  Accrued salaries and wages                                                       337,856               190,232
  Line of credit                                                                 2,500,000                  -
  Accrued expenses                                                                  33,566                22,767
  Deferred revenue                                                                 316,224               218,200
                                                                      -------------------------------------------
        Total current liabilities                                                3,414,432               927,732
                                                                      -------------------------------------------

LINE OF CREDIT                                                                        -                  500,000

STOCKHOLDERS' EQUITY:
  Common stock - $.01 par value:  shares authorized:
      20,000,000; issued and outstanding: March 31,
     2000 - 8,040,202; December 31, 1999 - 8,040,202                                80,402                80,402
  Preferred stock - $.01 par value:  shares authorized: 5,000,000
    Series C, 9% cumulative, convertible
       issued and outstanding March 31, 2000 - 100,000                               1,000                  -

  Additional paid-in capital                                                    23,993,578            21,968,536
  Accumulated other comprehensive income                                             1,805                 1,805
  Accumulated deficit                                                          (21,818,986)          (19,634,080)
                                                                      -------------------------------------------
        Total stockholders' equity                                               2,257,799             2,416,663
                                                                      -------------------------------------------
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY                                 $     5,672,231       $     3,844,395
                                                                      ===========================================


See notes to unaudited condensed consolidated financial statements.
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
PATIENT INFOSYSTEMS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
-----------------------------------------------------------------------------------------------
                                                                      Three Months Ended
                                                                           March 31,
                                                                   2000                 1999
                                                                   ----                 ----
                                                               As Restated,
                                                                see Note 8
<S>                                                       <C>                   <C>
REVENUES

  Operations Fees                                          $     584,181         $     833,812
  Development Fees                                                 4,000                  -
  Licensing Fees                                                  12,399                  -
                                                    -------------------------------------------
       Total revenues                                            600,580               833,812
                                                    -------------------------------------------
COSTS AND EXPENSES
  Cost of sales                                                1,278,175             1,449,926
  Sales and marketing                                            310,473               570,322
  General and administrative                                     552,959               455,283
  Research and development                                        85,552               118,419
                                                    -------------------------------------------
        Total costs and expenses                               2,227,159             2,593,950
                                                    -------------------------------------------

OPERATING LOSS                                                (1,626,579)           (1,760,138)

OTHER INCOME (EXPENSE)                                           (8,327)                46,411
                                                    -------------------------------------------
NET LOSS                                                     (1,634,906)           (1,713,727)

CONVERTIBLE PREFERRED STOCK DIVIDENDS                          (550,000)                 -
                                                    -------------------------------------------
NET LOSS ATTRIBUTABLE TO COMMON SHAREHOLDERS             $   (2,184,906)       $   (1,713,727)
                                                    ===========================================
NET LOSS PER SHARE - BASIC AND DILUTED                   $        (0.27)       $        (0.21)
                                                    ===========================================
WEIGHTED AVERAGE COMMON SHARES                                 8,040,202             8,023,423
                                                    ===========================================

See notes to unaudited condensed consolidated financial statements.
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
PATIENT INFOSYSTEMS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
-------------------------------------------------------------------------------------------------------------------------------
                                                                            Three Months            Three Months
                                                                               Ended                    Ended
                                                                           March 31, 2000          March 31, 1999
                                                                           --------------          --------------
                                                                            As Restated,
                                                                             see Note 8
<S>                                                                      <C>                     <C>
OPERATING ACTIVITIES:
  Net loss                                                                $   (1,634,906)         $   (1,713,727)
  Adjustments to reconcile net loss to net cash used in
    operating activities:
      Depreciation and amortization                                              223,911                 115,952
      Compensation expense related to issuance of stock warrants                   1,042                   2,915
      (Increase) decrease in accounts receivable, net                            (38,286)                436,553
      (Increase) decrease in prepaid expenses and other current assets            45,336                 (12,841)
      Decrease in other assets                                                    18,861                  34,294
      Decrease  in  accounts  payable                                           (269,747)                (10,090)
      Increase  in accrued  salaries  and wages                                  147,624                 128,330
      Increase in accrued expenses                                                10,799                  31,037
      Increase in deferred revenue                                                98,024                  20,057
                                                                      -------------------------------------------

            Net cash used in operating activities                             (1,397,342)               (967,520)

INVESTING ACTIVITIES:
  Property and equipment additions                                               (20,003)               (306,953)
  Purchases of available-for-sale securities                                        -                    (10,847)
  Purchase of HealthDesk Intellectual Property, net                                 -                   (608,166)
                                                                      -------------------------------------------

          Net cash used in investing activities                                  (20,003)               (925,966)

FINANCING ACTIVITIES:
  Proceeds from issuance of common and preferred stock, net                    1,000,000                   1,801
  Line of credit borrowings                                                    2,000,000                    -
                                                                      -------------------------------------------
            Net cash provided by financing activities                          3,000,000                   1,801
                                                                      -------------------------------------------
NET INCREASE (DECREASE) IN CASH AND CASH  EQUIVALENTS                          1,582,655              (1,891,685)

CASH AND CASH EQUIVALENTS AT BEGINNING OF PERIOD                                 489,521               6,316,955
                                                                      -------------------------------------------
CASH AND CASH EQUIVALENTS AT END OF PERIOD                                $    2,072,176          $    4,425,270
                                                                      ===========================================

Supplemental disclosures of cash flow information
   Cash paid and received for income taxes, net                           $         -             $       20,600
                                                                      ===========================================

Supplemental disclosures of non-cash information
  Fair value of stock purchase warrants issued in conjunction with
  guarantees by certain board members of  borrowings on the line
  of credit                                                               $      475,000          $         -
                                                                      ===========================================
Value of beneficial conversion feature on Class C Convertible
  Preferred Stock recognized as a dividend                                $      550,000          $         -
                                                                      ===========================================

See notes to unaudited condensed consolidated financial statements.
</TABLE>
<PAGE>
PATIENT INFOSYSTEMS, INC.

Notes to Unaudited Condensed Consolidated Financial Statements

1.   The unaudited  condensed  consolidated  financial  statements for the three
     month  periods  ended March 31, 2000 and March 31, 1999 are  unaudited  and
     reflect all adjustments  (consisting only of normal recurring  adjustments)
     which are, in the opinion of management,  necessary for a fair presentation
     of the financial  position and operating  results for the interim  periods.
     The unaudited condensed consolidated financial statements should be read in
     conjunction with the unaudited condensed  consolidated financial statements
     and notes thereto,  together with  management's  discussion and analysis of
     financial  condition and results of  operations  contained in the Company's
     Annual  Report on Form  10-K for the year  ended  December  31,  1999.  The
     results of  operations  for the three  months  ended March  31,2000 are not
     necessarily  indicative of the results for the entire year ending  December
     31, 2000.

2.   Intangible  assets represent the intellectual  property (i.e.:  tradenames,
     trademarks,  licenses and brandnames) acquired from HealthDesk Corporation,
     which are being amortized over 15 years using the straight-line method.

3.   On March 31,  2000,  the Company  completed a private  placement of 100,000
     shares of newly issued Series C 9% Cumulative  Convertible  Preferred Stock
     ("Series C"),  raising  $1,000,000 in total  proceeds.  These shares can be
     converted  into  Common  Stock at a rate of 8 shares of  Common  Stock to 1
     share of Series C Preferred  Stock.  Each Series C share has voting  rights
     equivalent to 8 shares of Common Stock (800,000 shares).  The proceeds from
     this issuance will be used to support the Company's operation.

4.   In December 1999, the Company  established a credit facility for $1,500,000
     guaranteed  by Derace  Schaffer and John  Pappajohn,  two  directors of the
     Company. In consideration for their guarantees,  the Company granted to Dr.
     Schaffer  and Mr.  Pappajohn  warrants to purchase an  aggregate of 375,000
     shares of common stock for $1.5625 per share.  In March 2000,  the facility
     was  increased  by  $1,000,000  under  substantially  the same terms,  also
     guaranteed  by the same Board  members.  Because this line of credit is due
     and payable on March 31, 2001,  amounts  outstanding  at March 31, 2000 and
     December  31,  1999 are  reported  as current  and  long-term  liabilities,
     respectively.  Additional  warrants  to purchase  an  aggregate  of 250,000
     shares of Common  Stock for $2.325 per share,  were  granted to Dr.  Derace
     Schaffer and Mr. John Pappajohn for their guarantee of this additional line
     of credit.  The  warrants are  included in the debt  issuance  costs in the
     balance  sheet.  The estimated fair value of the warrants at March 31, 2000
     is  approximately  $475,000  based on the  application of the Black Scholes
     option pricing model which incorporates current stock price, expected stock
     price volatility,  expected interest rates, and the expected holding period
     of the warrant.

5.   The  calculations  for the basic and diluted loss per share were based upon
     loss attributable to common stockholders of $2,184,906 and $1,713,727 and a
     weighted average number of common shares of 8,040,202 and 8,023,423 for the
     three-month periods ended March 31, 2000 and 1999 respectively. Options and
     warrants  to  purchase  shares of Common  Stock  were  outstanding  but not
     included in the  computation of diluted loss per share for the  three-month
     periods  ended March 31, 2000 and 1999  because the effect  would have been
     antidilutive due to the net loss in those periods.

6.   In June 1998, the Financial  Accounting  Standards  Board  ("FASB")  issued
     Statement of Financial  Accounting  Standards ("SFAS") No. 133, "Accounting
     for Derivative Instruments and Hedging Activities".  In June 2000, the FASB
     issued SFAS No. 138, which amends certain provisions of SFAS 133 to clarify
     four areas causing  difficulties in implementation.  The amendment included
     expanding  the normal  purchase and sale  exemption  for supply  contracts,
     permitting  the  offsetting  of  certain   intercompany   foreign  currency
     derivatives  and thus  reducing  the  number  of third  party  derivatives,
     permitting hedge  accounting for  foreign-currency  denominated  assets and
     liabilities,  and  redefining  interest  rate  risk to  reduce  sources  of
     ineffectiveness. We have appointed a team to implement SFAS 133 on a global
     basis  for the  Company.  This  team  has  been  implementing  an SFAS  133
     compliant  risk  management  information  system,  globally  educating both
     financial and non-financial  personnel,  inventorying  embedded derivatives
     and addressing  various other SFAS 133 related  issues.  We will adopt SFAS
     133 and the  corresponding  amendments  under  SFAS 138 on January 1, 2001.
     SFAS 133, as amended by SFAS 138, is not expected to have a material impact
     on the Company's  condensed  consolidated  financial  position,  results of
     operations or cash flows.

     In September 2000, the Financial Accounting Standards Board issued SFAS No.
     140,  "Accounting  for  Transfers  and  Servicing of  Financial  Assets and
     Extinguishment of Liabilities," which supercedes SFAS No. 125,  "Accounting
     for  Transfers  and Servicing of Financial  Assets and  Extinguishments  of
     Liabilities."  This  standard is effective for  transfers  occurring  after
     March 31, 2001, with certain disclosure requirements effective for the year
     ending December 31, 2000. The Company does not believe the adoption of this
     standard  will  have  a  significant  impact  on  the  Company's  condensed
     consolidated financial position, results of operations or cash flows.

     In December 1999, the Securities and Exchange Commission (SEC) issued Staff
     Accounting  Bulletin No. 101 (SAB 101),  "Revenue  Recognition in Financial
     Statements,"  which provides guidance on the recognition,  presentation and
     disclosure of revenue in financial  statements filed with the SEC. SAB 101,
     as  amended,  is  required  to be adopted by the  Company no later than the
     fourth  quarter of fiscal  year 2000.  Although  the  Company has not fully
     assessed  the  implications  of SAB 101,  management  does not  believe the
     adoption  of SAB  101  will  have a  significant  impact  on the  Company's
     condensed  consolidated  financial position,  results of operations or cash
     flows.

7.   The accompanying unaudited condensed consolidated financial statements have
     been prepared on a going concern basis,  which contemplates the realization
     of assets and the  satisfaction  of  liabilities  in the  normal  course of
     business.  As shown in the accompanying  unaudited  condensed  consolidated
     financial  statements,  the  Company  incurred  an  operating  loss for the
     nine-month   period  ended  March  31,  20000  of  $1,626,579  and  had  an
     accumulated  deficit of  $19,634,080  at December 31, 1999.  These factors,
     among others may indicate  that the Company will be unable to continue as a
     going concern for a reasonable period of time.

     The unaudited condensed  consolidated  financial  statements do not include
     any adjustments relating to the recoverability of assets and classification
     of  liabilities  that might be  necessary  should the  Company be unable to
     continue as a going concern. The Company's  continuation as a going concern
     is dependant upon its ability to generate  sufficient cash flow to meet its
     obligations.  Management is currently  assessing  the  Company's  operating
     structure for the purpose of reducing ongoing expenses,  increasing sources
     of  revenue  and is  negotiating  the  terms of  additional  debt or equity
     financing.

8.   Subsequent   to  the  issuance  of  the   Company's   unaudited   condensed
     consolidated  financial  statements  for the three month period ended March
     31, 2000, the Company's  management  determined that the effective price at
     which the preferred  shares  referred to in Note 3 could be converted  into
     common  shares at the date of  issuance  ($1.25)  was less than the current
     market price of the common stock ($1.9375) on that same date,  resulting in
     a discount,  or beneficial  conversion  feature,  of $0.6875 per share. The
     resulting  discount  is  analogous  to a  dividend  and  should  have  been
     recognized as a return to the  preferred  shareholders.  In addition,  debt
     amortization  expense of $86,500  was  reclassified  from other  expense to
     general and  administrative  expense and  development fee revenue of $4,000
     was  reclassified  from  operating fee revenue for the  three-month  period
     ended March 31, 2000.  Accordingly,  the accompanying  financial statements
     have been restated to give effect to the beneficial  conversion feature and
     the  reclassifications.  A  summary  of  the  significant  effects  of  the
     restatement is as follows:
<TABLE>
<CAPTION>
                                                            As Previously         As
                                                              Reported         Restated
                                                          ----------------------------------
At March 31, 2000:
<S>                                                       <C>              <C>

  Additional paid-in capital                                 23,443,578      23,993,578
  Accumulated deficit                                       (21,268,986)    (21,818,986)

For the three-month period ended March 31, 2000:

  General and administrative                                    466,459         522,959

  Other expense                                                 (94,827)         (8,327)

  Net loss                                                   (1,634,906)     (1,634,906)

  Convertable preferred stock dividends                            -            550,000

  Net loss attributable to common shareholders               (1,634,906)     (2,184,906)

  Net loss per share - Basic and diluted                          (0.20)          (0.27)
</TABLE>

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

     Management's  discussion  and analysis  provides a review of the  Company's
operating results for the three month periods ended March 31, 2000 and March 31,
1999 and its financial  condition at March 31, 2000. The focus of this review is
on the underlying  business reasons for significant changes and trends affecting
the revenues,  net earnings and financial condition of the Company.  This review
should  be read in  conjunction  with the  accompanying  consolidated  financial
statements.

     In an effort to give investors a well-rounded view of the Company's current
condition and future opportunities,  this Quarterly Report on Form 10-Q includes
forecasts by the  Company's  management  about future  performance  and results.
Because they are forward-looking,  these forecasts involve uncertainties.  These
uncertainties include the Company's working capital short falls, risks of market
acceptance of or preference for the Company's systems and services,  competitive
forces, the impact of, and changes in, government regulations,  general economic
factors in the healthcare  industry and other factors discussed in the Company's
filings with the  Securities  and Exchange  Commission  including  the Company's
Annual Report on Form 10-K for the year ended December 31, 1999.

     As discussed in Note 8 to the unaudited  condensed  consolidated  financial
statements,  the unaudited condensed consolidated financial statements as of and
for the three-months  ended March 31, 2000 have been restated.  The accompanying
discussion and analysis gives effect to the  restatement.  The restatement  does
not reflect any change to the  Company's  revenue or net loss but does reflect a
change to earnings per share.

Results of Operations

         Revenues

         Revenues consist of revenues from operations, development and licensing
fees.  Revenues  decreased from $833,812 during the three months ended March 31,
1999 to $600,580 during the three months ended March 31, 2000, or 28%.

<TABLE>
<CAPTION>
                                                     Three Months Ended
                                                           March 31,
Revenues                                              2000           1999
--------                                              ----           ----
<S>                                               <C>            <C>
Operations Fees
  Disease Management and Compliance                $ 171,757      $ 148,778
  Surveys                                            130,409        454,107
  Demand Management                                  232,762        198,713
  Other                                               49,253         32,215
                                              ------------------------------
Total Operations Fees                                584,181        833,812
Development Fees                                       4,000           -
Licensing Fees                                        12,399           -
                                              ------------------------------
Total Revenues                                     $ 600,580      $ 833,812
                                              ------------------------------
</TABLE>

     Operations  revenues are generated as the Company provides  services to its
customers.  Operations  revenues decreased from $833,812 during the three months
ended March 31, 1999 to $584,181  during the three  months ended March 31, 2000.
Operations  revenues  continue  to be the  primary  source  of  revenue  for the
Company. The decrease in operations revenues reflected reduced revenues from the
conduct of surveys that resulted from the  elimination of a Medicare  product by
one of the Company's primary customers. Demand Management revenues increased 17%
due to marginal increases in the membership of existing clients and the addition
of McClelland Air Force Base as a new customer.

     The Company has  identified  possible  new  customers,  but there can be no
assurance that such prospects  will  contribute  revenue in the near term, if at
all.

     Development  revenue  represents  the amounts that the Company  charges its
customers for the  development of its customized  programs.  There was $4,000 in
development  revenues in the three months ended March 31, 2000 as compared to no
development  revenue for the same period of 1999.  The Company has entered  into
new development agreements but anticipates that revenue from program development
will remain immaterial in the future.

     License  revenues  recognized from the Case Management  Support Systems for
the three months ended March 31, 2000 were $12,399.  The Company has not entered
into any new licensing agreements for its Case Management Support System and the
revenue  for the current  period  reflects  ongoing  revenue  from the  existing
agreements.

     Costs and Expenses

     Cost of sales include salaries and related  benefits,  services provided by
third  parties,  and  other  expenses  associated  with the  implementation  and
delivery of the  Company's  standard  and  customized  population,  demand,  and
disease management programs.  Cost of sales for the three-months ended March 31,
2000 consisting of costs associated with the operation of the Company's programs
was  $1,278,175 as compared to $1,449,926 for the three month period ended March
31,  1999.  The  decrease  in these costs  primarily  reflects a response to the
decreased level of population and disease management operational activities. The
Company's gross margin  continues to be negative.  The Company  anticipates that
revenue must increase before it will recognize  economies of scale. No assurance
can be given that  revenues  will increase or that, if they do, they will exceed
expenses.

     Sales  and  marketing  expenses  consist  primarily  of  salaries,  related
benefits,  travel costs,  sales materials and other marketing  related expenses.
Sales and  marketing  expenses  for the three  months  ended March 31, 2000 were
$310,473  as compared to  $570,322  for the three-month  period  ended March 31,
1999.  Spending in this area has decreased due to the resignation or termination
of several members of the sales staff. The Company anticipates  expansion of the
Company's  sales and  marketing  staff and expects it will continue to invest in
the sales and marketing  process,  and that such  expenses  related to sales and
marketing may increase in future periods.

     General  and  administrative   expenses  include  the  costs  of  corporate
operations,  finance and accounting, human resources and other general operating
expenses of the  Company.  General  and  administrative  expenses  for the three
months  ended March 31,  2000 were  $552,959,  as  compared to $455,283  for the
three-month  period ended March 31, 1999. These  expenditures have been incurred
to  maintain  the  corporate  infrastructure  necessary  to support  anticipated
program  operations.  The increase in these costs during the period  reflected a
single severance  payment of $58,763 to Donald A. Carlberg who resigned as Chief
Executive  Officer effective March 30, 2000 and amortization of $857,500 in debt
issuance cost for the establishment of a $2,500,000 line of credit. This cost is
a non-cash  item  related to the fair market  value of warrants to purchase  the
Company's common stock,  which were issued to two directors in consideration for
their guarantee of the debt. The  amortization  expense recorded was $86,500 for
the three-month period ended March 31, 2000. Without these charges,  general and
administrative costs would have decreased $47,587 to $407,696 as compared to the
same  period of 1999.  The  Company  expects  that  general  and  administrative
expenses will remain relatively constant in future periods.

     Research and development expenses consist primarily of salaries and related
benefits and  administrative  costs  associated  with the development of certain
components of the Company's integrated  information capture and delivery system,
as well as development of the Company's standardized disease management programs
and the Company's Internet based technology  products.  Research and development
expenses for the three months ended March 31, 2000 were $85,552,  as compared to
$118,419 for the three months ended March 31, 1999.

     The  Company  recorded a loss of $8,327 for the  three-month  period  ended
March 31, 2000 as opposed to a gain of $46,411 for the three-month  period ended
March 31, 1999 in other income. The net decrease in these amounts is principally
due to the  reduction  of cash for which the Company was paid  interest  and the
increase of interest expenses on debt.

     The Company had a net loss  attributable to the Common  shareholders  after
preferred  stock  dividends of  $2,184,906  for the three months ended March 31,
2000, as compared to a net loss of  $1,713,727  for the three months ended March
31, 1999.  This represents a net loss per share of $.27 for the first quarter of
2000,  as compared to a net loss of $.21 per share in the first quarter of 1999.
The preferred stock dividends  include a beneficial  conversion  feature for the
100,000 shares of Series C Stock of $550,000.

     Liquidity and Capital Resources

     At March 31, 2000 the Company had a working  capital deficit of $496,963 as
compared to working capital of $414,132 at December 31, 1999.  Through March 31,
2000 these  amounts  reflect the effects of the Company's  continuing  losses as
well as the borrowings against its $2,500,000 line of credit,  $500,000 of which
was  considered  to be a long term  liability at December  31,  1999.  Since its
inception,  the Company has primarily  funded its  operations,  working  capital
needs and capital  expenditures from the sale of equity securities.  The Company
completed an initial public  offering of its common stock on January 8, 1997, at
which time, it generated net proceeds to the Company of $16,314,048.

     On March 31,  2000,  the Company  completed a private  placement of 100,000
shares  of newly  issued  Series C 9%  Cumulative  Convertible  Preferred  Stock
("Series  C"),  raising  $1,000,000  in  total  proceeds.  These  shares  can be
converted  into Common Stock at a rate of 8 shares of Common Stock to 1 share of
Series C Preferred Stock.  Each Series C share has voting rights equivalent to 8
shares of Common Stock  (800,000  shares).  The proceeds from this issuance have
been used to support the  Company's  operations.  The fair  market  value of the
Company's Common Stock at the time of issuance of Series C Stock was $1.9375 per
share. The Series C Preferred Stock is convertible as a price equal to $1.25 per
share of Common Stock resulting in a discount, or beneficial conversion feature,
of $0.6875 per share.  The total amount of this  beneficial  conversion  feature
($550,000) is deemed to be the  equivalent of a preferred  stock  dividend.  The
Company  recorded  the  deemed  dividend  at the date of  issuance  by  debiting
accumulated deficit and crediting additional paid-in capital, with no net effect
on  total  stockholders'  equity.   However,  this  amount  increased  the  loss
applicable to common  stockholders  in the  calculation of basic and diluted net
loss per share for the three-month  period ended March 31, 2000 by approximately
$0.07.

     In December 1999, the Company  established a credit facility for $1,500,000
guaranteed by Derace Schaffer and John Pappajohn,  two directors of the Company.
In consideration for their  guarantees,  the Company granted to Dr. Schaffer and
Mr.  Pappajohn  warrants to purchase an  aggregate  of 375,000  shares of common
stock for $1.5625 per share.  In March  2000,  the  facility  was  increased  by
$1,000,000 under substantially the same terms, also guaranteed by the same Board
members.  Because  this  line of credit is due and  payable  on March 31,  2001,
amounts  outstanding  at March 31, 2000 and  December  31, 1999 are  reported as
current and long-term liabilities, respectively. Additional warrants to purchase
an  aggregate  of 250,000  shares of Common  Stock for  $2.325  per share,  were
granted to Dr. Derace  Schaffer and Mr. John  Pappajohn  for their  guarantee of
this additional  line of credit.  The warrants are included in the debt issuance
costs in the balance  sheet.  The estimated  fair value of the warrants at March
31, 2000 is approximately $475,000 based on the application of the Black Scholes
option  pricing model which  incorporates  current stock price,  expected  stock
price  volatility,  expected  interest rates, and the expected holding period of
the warrant.

     The  Company has  expended  substantial  amounts to expand its  operational
capabilities  and  strengthen  its  infrastructure,  which at the same  time has
increased its  administrative  and technical  costs. In addition,  the Company's
cash has been steadily  depleted as a result of operating  losses. To the extent
that the Company  anticipates  that its losses will  continue or  increase,  the
Company's available capital will continue to decline.  Accordingly,  the Company
has been required to seek  additional  capital to maintain its  operations.  The
Company is continuing its efforts to raise additional  capital privately through
the sale of  convertible  preferred  stock in a private  placement to accredited
investors through the efforts of its officers and directors. No assurance can be
given that the Company will successfully raise the necessary funds. In addition,
the  Company  anticipates  that as its losses  continue,  it will likely need to
raise additional funds during 2000.  However, no assurance can be given that the
Company will be able to obtain  additional  financing on favorable  terms, if at
all. In  addition,  any  additional  financing,  which  includes the issuance of
additional  securities of the Company, may be dilutive to the Company's existing
stockholders.  If the Company is unable to identify  additional capital, it will
be required to curtail or cease operations.

     Nasdaq Continued Listing Requirements

     In order for the  Company's  Common  Stock to  continue to be quoted on the
Nasdaq National Market, it must have net tangible assets of at least $4 million.
As of March 31,  2000,  the  Company's  net  tangible  assets  were less than $4
million.  Accordingly, the Company expects that its Common Stock may be delisted
from the Nasdaq  National  Market.  Nevertheless,  the Company intends to try to
satisfy the  continuing  listing  criteria to be listed on the Nasdaq  Small Cap
Market so that if its shares are delisted from the Nasdaq National Market,  that
its Common  Stock may be listed for trading on the Nasdaq  Small Cap Market.  No
assurance  can be given  that the  liquidity  of the  Common  Stock  will not be
adversely affected if it is traded on the Nasdaq Small Cap Market ("Nasdaq"). In
order to satisfy  continued  listed  criteria on the Nasdaq Small Cap Market,  a
company  must have,  among  other  things,  net  tangible  assets of at least $2
million and maintain a stock price in excess of $1 per share. Whether or not the
Company can be deemed to satisfy the listing  requirements  of the Nasdaq  Small
Cap Market as of March 31,  2000,  to the extent that the Company  continues  to
incur losses and is unable to raise  additional  equity,  it will not be able to
maintain compliance with the continued listing  requirements of the Nasdaq Small
Cap Market.

     No assurance can be given that the Company's  Common Stock will continue to
be listed on Nasdaq. If the failure to meet the maintenance  criteria results in
the  Company's  Common Stock no longer being  eligible for  quotation on Nasdaq,
trading,  if any,  of the Common  Stock would  thereafter  be  conducted  in the
non-Nasdaq  over-the-counter  market. As a result of such delisting, an investor
may find it more difficult to dispose of or to obtain accurate  quotations as to
the market value of the Company's Common Stock. In addition, if the Common Stock
was to become delisted from Nasdaq and the trading price of the Common Stock was
less than $5.00 per share,  trading in the Common  Stock would be subject to the
requirements of certain rules promulgated  under the Securities  Exchange Act of
1934, as amended ("the "Exchange Act"), which require  additional  disclosure by
broker-dealers  in  conjunction  with any trades  involving a stock defined as a
penny stock  (generally,  any non-Nasdaq equity security that has a market price
of less than $5.00 per share, subject to certain exceptions). Such rules require
the delivery,  prior to any penny stock  transaction,  of a disclosure  schedule
explaining the penny stock market and the risks associated therewith, and impose
various sales practice  requirements on dealer-brokers  who sell penny stocks to
persons other than  established  customers and accredited  investors  (generally
institutions).  For these types of transactions,  the dealer-broker  must make a
special  suitability  determination  for the  purchaser  and  must  receive  the
purchaser's  written  consent to the  transaction  prior to sale. The additional
burdens imposed on  broker-dealers by such requirements may discourage them from
effecting  transactions  in the Common  Stock,  which could  severely  limit the
liquidity  of the Common  Stock and the ability to sell the Common  Stock in the
secondary market.

     In the absence of an active trading market,  purchasers of the Common Stock
may  experience  difficulty in selling  their  shares.  The trading price of the
Common Stock is expected to be subject to significant  fluctuations  in response
to  variations in quarterly  operating  results,  changes in analysts'  earnings
estimates and other factors.  In addition,  the stock market is subject to price
and volume fluctuations that affect the market prices for companies and that are
often unrelated to operating performance.

     Inflation

     Inflation did not have a significant  impact on the Company's  costs during
the three periods ended March 31, 2000 and March 31, 1999. The Company continues
to monitor  the impact of  inflation  in order to minimize  its effects  through
pricing strategies, productivity improvements and cost reductions.

     Forward Looking Statements

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

     Accounting Pronouncements

     In June 1998, the Financial  Accounting  Standards  Board  ("FASB")  issued
Statement of Financial  Accounting  Standards ("SFAS") No. 133,  "Accounting for
Derivative  Instruments and Hedging  Activities".  In June 2000, the FASB issued
SFAS No. 138, which amends certain  provisions of SFAS 133 to clarify four areas
causing  difficulties in  implementation.  The amendment  included expanding the
normal  purchase  and  sale  exemption  for  supply  contracts,  permitting  the
offsetting  of  certain  intercompany  foreign  currency  derivatives  and  thus
reducing the number of third party derivatives,  permitting hedge accounting for
foreign-currency  denominated  assets and liabilities,  and redefining  interest
rate risk to reduce  sources of  ineffectiveness.  We have  appointed  a team to
implement  SFAS  133 on a  global  basis  for the  Company.  This  team has been
implementing an SFAS 133 compliant risk management information system,  globally
educating  both financial and  non-financial  personnel,  inventorying  embedded
derivatives and addressing  various other SFAS 133 related issues. We will adopt
SFAS 133 and the  corresponding  amendments  under  SFAS 138 on January 1, 2001.
SFAS 133, as amended by SFAS 138, is not  expected to have a material  impact on
the Company's condensed consolidated  financial position,  results of operations
or cash flows.

     In September 2000, the Financial Accounting Standards Board issued SFAS No.
140,   "Accounting   for  Transfers  and  Servicing  of  Financial   Assets  and
Extinguishment of Liabilities,"  which supercedes SFAS No. 125,  "Accounting for
Transfers and Servicing of Financial Assets and Extinguishments of Liabilities."
This standard is effective for transfers  occurring  after March 31, 2001,  with
certain disclosure requirements effective for the year ending December 31, 2000.
The  Company  does  not  believe  the  adoption  of this  standard  will  have a
significant impact on the Company's condensed  consolidated  financial position,
results of operations or cash flows.

     In December 1999, the Securities and Exchange Commission (SEC) issued Staff
Accounting  Bulletin  No.  101 (SAB  101),  "Revenue  Recognition  in  Financial
Statements,"  which  provides  guidance  on the  recognition,  presentation  and
disclosure  of revenue in financial  statements  filed with the SEC. SAB 101, as
amended,  is  required  to be  adopted  by the  Company no later than the fourth
quarter of fiscal year 2000.  Although  the Company has not fully  assessed  the
implications  of SAB 101,  management  does not believe the  adoption of SAB 101
will have a significant impact on the Company's condensed consolidated financial
position, results of operations or cash flows.
<PAGE>

Item 3.  Quantitative and Qualitative Disclosures About Market Risk

     The Company is exposed to changes in interest  rates  primarily in its cash
transactions.  The interest paid on the Company's  outstanding line of credit is
based upon the prime rate.  The Company has the option of reducing  its interest
expenses by rolling the outstanding line of credit balance into notes that carry
a rate equal to LIBOR plus 1.75%.

     In relation to the operations of Patient Infosystems  Canada,  fluctuations
of foreign  currency can impact the Company's net  operating  results.  However,
management  believes that due to the relative size of its  operations in Canada,
such  impact  would  be  considered  immaterial  to the  consolidated  financial
statements.  The Company  currently has no  significant  investments  in foreign
currency instruments.

     The  balances  the Company has in cash or cash  equivalents  are  generally
available without legal restrictions to fund ordinary business  operations.  The
Company  regularly  invests excess operating cash in certificates of deposit and
U.S.  government bonds and other bonds that are subject to changes in short-term
interest rates.  Accordingly,  the Company believes that the market risk arising
from its holding of these financial  instruments is minimal. The Company did not
make any  purchases of  available-for-sale  securities in the three months ended
March 31, 1999 and 2000.
<PAGE>

PART II - OTHER INFORMATION

Item 2.  Changes in Securities and Use of Proceeds

     Series C Preferred Stock

     On March 31,  2000,  the Company  received  $1,000,000  in proceeds  from a
private sale of 100,000  shares of Series C  Convertible  Preferred  Stock.  The
Series C Convertible  Preferred carries a 9% cumulative  dividend  provision and
can be converted into Common Stock at a rate of 8 shares of Common to 1 share of
Preferred.  Each share of Series C Convertible Preferred Stock has voting rights
equal to the number of shares of Common Stock into which it can be converted.

Item 6.  Exhibits and Reports on Form 8-K

Exhibits:
--------

(a)  (11)  Statements of Computation of Per Share Earnings

     (27)  Financial Data Schedule

(b)  No reports on Form 8-K were filed during the quarter ended March 31, 2000

<PAGE>


SIGNATURES

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

Dated:  November 20, 2000


                                                       PATIENT INFOSYSTEMS, INC.
                                                              (Registrant)


Date  November 20, 2000                     /s/ Roger L. Chaufournier
      -----------------                     -------------------------
                                            Roger L. Chaufournier
                                            Director, President and
                                            Chief Executive Officer

Date  November 20, 2000                     /s/ Kent A. Tapper
      -----------------                     -------------------------
                                            Kent A. Tapper
                                            Principle Accounting Officer


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