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 10-Q/A



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

For the quarterly period ended:        June 30, 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 August 14, 2000, 8,220,202 common shares were outstanding.

EXPLANATORY NOTE:

     The Company hereby amends Part I of its quarterly  report Form 10-Q for the
period ended June 30, 2000 to reflect the restatement of its Unaudited Condensed
Consolidated  Financial Statements as of and for the three and six-month periods
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                                                                          June 30, 2000        December 31, 1999
                                                                                 As Restated,
                                                                                  see Note 8
CURRENT ASSETS:
<S>                                                                             <C>                       <C>
  Cash and cash equivalents                                                       $600,972                  $489,521
  Accounts receivable                                                              602,098                   650,279
  Prepaid expenses and other current assets                                        151,920                   202,064
                                                                            ----------------------------------------
        Total current assets                                                     1,354,990                 1,341,864

PROPERTY AND EQUIPMENT, net                                                      1,033,603                 1,291,351

Debt issuance costs (net of accumulated amortization of $279,250 and $0)           578,250                   382,500
Intangible assets (net of accumulated amortization of $84,328 and $38,055)         538,396                   584,669
Other assets                                                                       206,288                   244,011
                                                                            ----------------------------------------

TOTAL ASSETS                                                                    $3,711,527                $3,844,395
                                                                            ========================================

LIABILITIES AND STOCKHOLDERS' EQUITY

CURRENT LIABILITIES:
  Accounts payable                                                                $185,771                  $496,533
  Accrued salaries and wages                                                       160,994                   190,232
  Line of credit                                                                 2,500,000                      -
  Accrued expenses                                                                  61,337                    22,767
  Deferred revenue                                                                 183,513                   218,200
                                                                            ----------------------------------------
        Total current liabilities                                                3,091,615                   927,732
                                                                            ----------------------------------------

LINE OF CREDIT                                                                        -                      500,000

STOCKHOLDERS' EQUITY:
  Common stock - $.01 par value:  shares authorized:
      20,000,000; issued and outstanding: June 30,
     2000 - 8,133,602; December 31, 1999 - 8,040,202                                81,336                    80,402
  Preferred stock - $.01 par value:  shares authorized: 5,000,000
    Series C, 9% cumulative, convertible
      issued and outstanding June 30, 2000 - 100,000                                 1,000                      -
  Additional paid-in capital                                                    24,005,626                21,968,536
  Accumulated other comprehensive income                                             1,805                     1,805
  Accumulated deficit                                                         (23,469,855)              (19,634,080)
                                                                            ----------------------------------------
        Total stockholders' equity                                                 619,912                 2,416,663
                                                                            ----------------------------------------

TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY                                      $3,711,527                $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                     Six Months Ended
                                                              June 30,                              June 30,
                                                      2000               1999                2000               1999
                                                   As Restated,                          As Restated,
                                                    see Note 8                            see Note 8

REVENUES
<S>                                                 <C>               <C>                <C>                <C>
  Operations Fees                                   $548,113          $1,002,943         $1,136,294         $1,836,756
  Development Fees                                    17,200                -               $17,200               -
  Licensing Fees                                      33,427                -               $45,826               -
                                               -----------------------------------------------------------------------
       Total revenues                                598,740           1,002,943          1,199,320          1,836,756
                                               -----------------------------------------------------------------------
COSTS AND EXPENSES
  Cost of sales                                    1,205,857           1,354,673          2,484,032          2,714,271
  Sales and marketing                                271,550             724,316            582,023          1,294,639
  General and administrative                         600,328             503,797          1,153,287            959,081
  Research and development                            77,647             218,698            163,199            427,447
                                               -----------------------------------------------------------------------
        Total costs and expenses                   2,155,632           2,801,484          4,382,541          5,395,438
                                               -----------------------------------------------------------------------
OPERATING LOSS                                   (1,556,642)         (1,798,541)        (3,183,221)        (3,558,682)

Investment Loss                                        -               (293,211)              -              (327,505)
Other Income (Expense)                              (71,729)              48,866           (80,056)            129,571
                                               -----------------------------------------------------------------------
NET LOSS                                         (1,628,371)         (2,042,886)        (3,263,277)        (3,756,616)

CONVERTIBLE PREFERRED STOCK DIVIDENDS               (22,500)               -              (572,500)              -
                                               -----------------------------------------------------------------------
NET LOSS ATTRIBUTABLE TO COMMON SHAREHOLDERS    $(1,650,871)        $(2,042,886)       $(3,835,777)       $(3,756,616)
                                               =======================================================================
NET LOSS PER SHARE - BASIC AND DILUTED               $(0.20)             $(0.25)            $(0.48)            $(0.47)
                                               =======================================================================
WEIGHTED AVERAGE COMMON SHARES                     8,071,095           8,028,186          8,070,095          8,024,125
                                               =======================================================================
See notes to unaudited condensed consolidated financial statements.
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
PATIENT INFOSYSTEMS, INC.
CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
-----------------------------------------------------------------------------------------------------
                                                                    Six Months           Six Months
                                                                       Ended                Ended
                                                                   June 30, 2000        June 30, 1999
                                                                    As Restated,
                                                                     see Note 8
OPERATING ACTIVITIES:
<S>                                                                 <C>                  <C>
  Net loss                                                          $(3,263,277)         $(3,756,616)
  Adjustments to reconcile net loss to net cash used in
    operating activities:
      Depreciation and amortization                                     557,880              238,733
      Loss on disposal of fixed assets                                   18,750                 -
      Loss on investments                                                  -                 327,505
      Compensation expense related to issuance of stock warrants          1,042                6,874
      (Increase) Decrease in accounts receivable, net                    48,181             (363,571)
      Decrease in prepaid expenses and other current assets              50,144               48,904
      Decrease in other assets                                           37,723
      (Decrease) in accounts payable                                   (310,762)             (21,625)
      Increase (Decrease) in accrued salaries and wages                 (29,238)             219,940
      Increase in accrued expenses                                       16,070                3,759
      Increase (Decrease) in deferred revenue                           (34,687)             340,628
                                                                 ------------------------------------
            Net cash used in operating activities                    (2,889,933)          (2,955,469)

INVESTING ACTIVITIES:
  Property and equipment additions                                      (11,599)            (429,441)
  Proceeds from sale of fixed assets                                     18,240                 -
  Purchases of available-for-sale  securities                              -                 (21,073)
  Maturities of available-for-sale securities                              -               1,050,747
  Purchase of HealthDesk Intellectual Property, net                        -                (605,427)
                                                                 ------------------------------------
            Net cash (used in) investing activities                       6,641               (5,194)

FINANCING ACTIVITIES:
  Proceeds from issuance of common and preferred stock, net           1,012,984                1,801
  Line of credit borrowings                                           2,000,000                 -
                                                                 ------------------------------------
            Net cash provided by financing activities                 3,012,984                1,801

NET INCREASE (DECREASE) IN CASH AND CASH  EQUIVALENTS                   111,451           (2,958,862)

CASH AND CASH EQUIVALENTS AT
  BEGINNING OF PERIOD                                                   489,521            6,316,955
                                                                 ------------------------------------
CASH AND CASH EQUIVALENTS AT
  END OF PERIOD                                                   $     600,972        $   3,358,093
                                                                 ====================================
Supplemental disclosures of cash flow information
   Cash paid and received for income taxes, net                   $        -           $      30,721
                                                                 ====================================
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        $        -
                                                                 ====================================
  Dividends declared on Class C Convertible Preferred Stock       $      22,500        $        -
                                                                 ====================================
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 Consolidated Financial Statements

1.   The unaudited condensed consolidated financial statements for the three and
     six-month  periods  ended June 30, 2000 and June 30, 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 and notes thereto
     should be read in conjunction 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 and  six-month  periods ended June 30,
     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.
     Until March 31, 2000,  this asset was being  amortized  over 15 years using
     the  straight-line  method.  As a result  of a further  evaluation  of this
     asset,  it has been decided to alter the  amortization  based upon having a
     remaining life of 48 months  starting  April 1, 2000 using a  straight-line
     method. The net asset value for this intellectual property was $574,290 and
     $538,396 on March 31 and June 30, 2000  respectively,  which  reflects  the
     change in amortization effective April 1, 2000.

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 have been used to support the Company's operations.

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 June 30, 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  $857,500  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 $1,650,871 and $2,042,886 with
     a weighted  average  number of common shares of 8,071,095 and 8,028,186 for
     the  three-month  periods  ended June 30,  2000 and 1999  respectively  and
     $3,835,777 and $3,756,616  with a weighted  average number of common shares
     of 8,070,095 and  8,024,125  for the six-month  periods ended June 30, 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 and six-month  periods ended June 30, 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
     six-month  period ended June 30, 20000 of $3,183,221 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 and six-month period ended
     June 30, 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 $279,250 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 and six-month
     periods  ended  June 30,  2000.  Accordingly,  the  accompanying  financial
     statements  have been restated to give effect to the beneficial  conversion
     feature,  the preferred dividends of $22,500 and the  reclassifications.  A
     summary of the significant effects of the restatement is as follows:

<TABLE>
<CAPTION>
                                                          As Previously          As
                                                             Reported         Restated
                                                        ----------------------------------
<S>                                                      <C>             <C>
At June 30, 2000:

  Additional paid-in capital                                23,455,626     24,005,626
  Accumulated deficit                                      (22,919,855)   (23,469,855)

For the three-month period ended June 30, 2000:

  General and administrative                                   407,578        600,328

  Other expenses                                              (264,479)       (71,729)

  Net loss                                                  (1,628,371)    (1,628,371)

  Convertable preferred stock dividends                           -            22,500

  Net loss attributable to common shareholders              (1,628,371)    (1,650,871)

  Net loss per share - Basic and diluted                         (0.20)         (0.20)

For the six-month period ended June 30, 2000:

  General and administrative                                   874,037      1,153,287

  Other expenses                                              (359,306)       (80,056)

  Net loss                                                  (3,263,277)    (3,263,277)

  Convertible oreferred stock dividends                           -           572,500

  Net loss attributable to common shareholders              (3,263,277)    (3,835,777)

  Net loss per share - Basic and diluted                         (0.40)         (0.48)
</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 and six month  periods  ended June 30, 2000 and
June 30, 1999 and its  financial  condition at June 30, 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  unaudited
condensed 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 shortfalls,  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 and  six-months  ended  June 30,  2000  have  been  restated.  The
restatement does not reflect any change to the Company's revenue or net loss but
does reflect a change to earnings per share.  The  accompanying  discussion  and
analysis gives effect to the restatement.

Results of Operations

     Revenues

     Revenues  consist of revenues from  operations,  development  and licensing
fees.  Revenues decreased from $1,002,943 during the three months ended June 30,
1999 to $598,740  during the three months ended June 30, 2000, or 40%.  Revenues
decreased  from  $1,836,756  during  the  six  months  ended  June  30,  1999 to
$1,199,320 during the six months ended June 30, 2000, or 35%.

<TABLE>
<CAPTION>
                                         Three Months Ended                 Six Months Ended
                                               June 30,                         June 30,
Revenues                                 2000           1999              2000           1999
Operations Fees
<S>                                     <C>            <C>              <C>             <C>
  Disease Management and Compliance     $152,867       $408,689         $324,624        $557,467
  Surveys                                131,478        325,054          261,887         779,161
  Demand Management                      240,494        193,290          473,256         392,003
  Other                                   23,274         75,910           72,527         108,125
                                      -------------------------       --------------------------
Total Operations Fees                    548,113      1,002,943        1,132,294       1,836,756
Development Fees                          17,200           -              21,200            -
Licensing Fees                            33,427           -              45,826            -
                                      -------------------------       --------------------------
Total Revenues                          $598,740     $1,002,943       $1,199,320      $1,836,756
                                      -------------------------       --------------------------
</TABLE>

     Operations  revenues are generated as the Company provides  services to its
customers. Operations revenues decreased from $1,002,943 during the three months
ended June 30, 1999 to $548,113  during the three  months  ended June 30,  2000.
Operations  revenues  decreased from $1,836,756 during the six months ended June
30, 1999 to  $1,132,294  during the six months ended June 30,  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.  This resulted from the internal  elimination of a Medicare  product by
one of the  Company's  primary  customers and the  completion of two  compliance
initiatives on the part of a major pharmaceutical client. These clients have not
provided the Company with new  assignments  to replace the completed  projects.
Demand  Management  revenues  increased 24% and 21% over the three and six month
periods  respectively due to increases in the membership of existing clients and
the addition of a new customer.

     Development  revenue  represents  the amounts that the Company  charges its
customers for the development of its customized programs. There were $17,200 and
$21,200 of development revenues in the three and six months ended June 30, 2000.
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 System for the
three and  six-month  period  ended  June 30,  2000  were  $33,427  and  $45,826
respectively.  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 June 30,
2000 was $1,205,857 as compared to $1,354,673 for the  three-month  period ended
June 30,  1999.  For the six  months  ended  June 30,  2000,  cost of sales  was
$2,484,032,  as compared to  $2,714,271  for the six months ended June 30, 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
substantially  increase before it will begin to recognize economies of scale. No
assurance  can be given that  revenues  will  increase or that, if they do, they
will exceed expenses.

     Sales  and  marketing  expenses  consist  primarily  of  salaries,  related
benefits,  travel costs,  sales materials and other marketing  related expenses.
Sales and  marketing  expenses  for the three  months  ended June 30,  2000 were
$271,550 as compared to $724,316 for the three-month period ended June 30, 1999.
For the six months  ended  June 30,  2000,  sales and  marketing  expenses  were
$582,023,  as compared to  $1,294,639  for the six months  ended June 30,  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 in future periods.

     General  and  administrative   expenses  include  the  costs  of  corporate
operations,  finance and accounting, human resources and other general operating
expenses of the  Company.  General  and  administrative  expenses  for the three
months  ended June 30, 2000 were  $600,328,  as  compared  to  $503,797  for the
three-month  period ended June 30, 1999. For the six months ended June 30, 2000,
general and administrative expenses was $1,153,287,  as compared to $959,081 for
the six months ended June 30, 1999.  These  expenditures  have been  incurred to
maintain the corporate  infrastructure  necessary to support anticipated program
operations.  The increase in these costs was due to  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 $192,750
and $279,250 for the three and six-month  periods  ended June 30, 2000.  Without
this amortization, general and administrative expenses decreased to $407,578 and
$874,037 for the three and  six-month  periods  ended June 30,  2000.  This full
impact of the cost reduction efforts was only partially reflected in these costs
due to a one-time write-off of $87,685 in trade receivables during the six month
period ended June 30, 2000, which are no longer considered collectable. When the
debt issuance  costs are fully  amortized,  the Company  expects the general and
administrative costs to 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 June 30, 2000 were  $77,647,  as compared to
$218,698 for the three months ended June 30, 1999. For the six months ended June
30, 2000,  research  and  development  expenses  were  $163,199,  as compared to
$427,447 for the six months ended June 30, 1999. This reduction reflects a shift
in technology  staffing to support existing  operations rather than research and
development  activities.  It is  anticipated  that as the  Company  evolves  its
technology  infrastructure,  that modest  increases in research and  development
expense will be required.

     The Company recorded no investment loss for the three months ended June 30,
2000 as compared to a loss of $293,211 for the three-month period ended June 30,
1999.  There was no  investment  loss recorded for the six months ended June 30,
2000 as compared to $327,505 for the six months  ended June 30,  1999.  In 1999,
the Company's  investment  loss included its  investment in Patient  Infosystems
Canada, Inc. and a one time write-off of it's investment in the Pulse Group.

     The Company  recorded a loss of $71,729 and $80,056 in other  expenses  for
the three and six-month periods ended June 30, 2000 respectively, as compared to
a gain of $48,866 and $129,571 for the three and  six-month  periods  ended June
30, 1999 respectively The Company  generates  interest income from cash balances
and investments and pays interest on debt. The net interest expense recorded was
$44,604 and $63,499 for the three and  six-month  periods ended June 30, 2000 as
compared to a net gain of $47,279 and  $126,489 for the same periods of 1999 due
to the  reduction  of cash for  which  the  Company  was paid  interest  and the
increase  of interest  expenses on debt.  The balance of the loss of $27,125 and
$16,557 for the three and six-month periods ended June 30, 2000 primarily relate
to a loss on the sale or abandonment of certain fixed assets.

     The Company had a net loss  attributable to the Common  shareholders  after
preferred  stock  dividends  of  $1,650,871  for the three months ended June 30,
2000,  as compared to a net loss of  $2,042,886  for the three months ended June
30, 1999.  This  represents a net loss per share of $0.20 for the second quarter
of 2000,  as compared to a net loss of $0.25 per share in the second  quarter of
1999. The net loss attributable to Common  shareholders for the six-month period
ended June 30, 2000 is $3,835,777 as compared to $3,756,616  for the same period
of 1999.  This  represents  a net loss per  share  of $0.48  for the  first  two
quarters of 2000,  as compared to a net loss of $0.47 per share in the first two
quarters of 1999. The preferred  stock dividends  include  accrued  dividends of
$22,500 and a beneficial  conversion  feature for the 100,000 shares of Series C
Stock of $550,000.

     Liquidity and Capital Resources

     At June 30, 2000 the Company had a working capital deficit of $1,736,626 as
compared to working  capital of $414,132 at December 31, 1999.  Through June 30,
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  increasing
accumulated  deficit and increasing to additional paid-in capital.  Accordingly,
there was 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  six-month  period ended June 30, 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 June 30, 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  estimated  fair value of the warrants at
March 31, 2000 is  approximately  $857,500 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,  and will for the foreseeable future continue to be 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 or otherwise.  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
and must maintain a price of $1.00 per share. As of June 30, 2000, the Company's
net  tangible  assets  were less than $4  million  and the  Company's  stock has
continued to trade at a price less than $1.00. Accordingly,  the Company expects
that its Common Stock may be delisted from the Nasdaq  National  Market.  If its
shares are delisted from the Nasdaq  National  Market,  the Company will seek to
have its Common  Stock  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.  The Company does
not satisfy the listing  requirements of the Nasdaq Small Cap Market either.  To
the extent that the Company is unable to raise additional  equity, and its stock
price does not rise above $1, it will not be able to comply  with the  continued
listing requirements of the Nasdaq Small Cap Market.

     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  bulletin
board  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
were 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 and  six-month  periods  ended June 30,  2000 and June 30,  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
June 30, 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
                                            Principal Accounting Officer


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