PATIENT INFOSYSTEMS INC
10-Q, 2000-08-14
MISC HEALTH & ALLIED SERVICES, NEC
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                                  UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                              Washington D.C. 20549

                                    FORM 10Q



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

For the quarterly period ended:        June 30, 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.


<PAGE>

PART I. FINANCIAL INFORMATION
Item 1. Financial Statements

<TABLE>
<CAPTION>
PATIENT INFOSYSTEMS, INC.
CONSOLIDATED BALANCE SHEETS
----------------------------------------------------------------------------------------------------------------------
ASSETS                                                                          June 30, 2000        December 31, 1999
                                                                                 (Unaudited)             (Audited)
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                                                    23,455,626                21,968,536
  Accumulated other comprehensive income                                             1,805                     1,805
  Accumulated Deficit                                                         (22,919,855)              (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 consolidated financial statements.
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
PATIENT INFOSYSTEMS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
----------------------------------------------------------------------------------------------------------------------
                                                         Three Months Ended                     Six Months Ended
                                                              June 30,                              June 30,
                                                      2000               1999                2000               1999

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                         407,578             503,797            874,037            959,081
  Research and development                            77,647             218,698            163,199            427,447
                                               -----------------------------------------------------------------------
        Total costs and expenses                   1,962,632           2,801,484          4,103,291          5,395,438
                                               -----------------------------------------------------------------------
OPERATING LOSS                                   (1,363,892)         (1,798,541)        (2,903,971)        (3,558,682)

Investment Loss                                        -               (293,211)              -              (327,505)
Other Income (Expense)                             (264,479)              48,866          (359,306)            129,571
                                               -----------------------------------------------------------------------
NET LOSS                                        $(1,628,371)        $(2,042,886)       $(3,263,277)       $(3,756,616)
                                               =======================================================================
NET LOSS PER SHARE - BASIC
   AND DILUTED                                       $(0.20)             $(0.25)            $(0.40)            $(0.47)
                                               =======================================================================
WEIGHTED AVERAGE COMMON
  AND POTENTIAL COMMON SHARES                      8,071,095           8,028,186          8,070,095          8,024,125
                                               =======================================================================
See notes to consolidated financial statements.
</TABLE>
<PAGE>
<TABLE>
<CAPTION>
PATIENT INFOSYSTEMS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
-----------------------------------------------------------------------------------------------------
                                                                    Six Months           Six Months
                                                                       Ended                Ended
                                                                   June 30, 2000        June 30, 1999
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
      (Gain) 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 ACTIVITY:
  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            1,012,983                1,801
  Line of credit borrowings                                            2,000,000                 -
                                                                 ------------------------------------
            Net cash provided by financing activities                  3,012,983                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 purchasewarrants 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                 -
                                                                 ====================================
See notes to consolidated financial statements.
</TABLE>
<PAGE>
PATIENT INFOSYSTEMS, INC.


Notes to Consolidated Financial Statements

1.   The  consolidated  financial  statements  for the three 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 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  months  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.   In March 2000, the Company  completed a private placement of 100,000 shares
     of newly issued Series C 9% Cumulative Convertible Preferred Stock, 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 Preferred  Stock.
     Each  Series C share has  voting  rights  equivalent  to 8 shares of Common
     Stock.  The  proceeds  from this  issuance  are being used to  support  the
     Company's operations.

     In December 1999, the Company  established a credit facility for $1,500,000
     guaranteed by two of the Company's  Board  members.  In  consideration  for
     their  guarantees,  the Company granted to Dr. Derace Schaffer and Mr. John
     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 borrowed at March 31, 2000 and December 31, 1999 are reported
     as current and long term liabilities, respectively. Additional warrants for
     the 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.
<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  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.

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         $328,624        $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        1,136,294       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
                                      -------------------------       --------------------------
</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  $1,136,294  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 20% and 17% 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 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  $407,578,  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 $874,037,  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 decrease in these costs was a direct result of management's cost
reduction  initiatives.  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,  which were no longer  considered  collectable.  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 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 $264,479  and  $359,306 in other income for
the three and six-month periods ended June 30, 2000 respectively, as compared to
a gain of $48,886 and  $129,571 for the three and six-month  periods  ended June
30, 1999 respectively. The Company is amortizing $857,500 of debt issuance costs
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 expense  recorded was $192,750 and $279,250 for the
three and six-month periods ended June 30, 2000. 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. The balance of the loss of $27,125 and $16,557 for
the three and six-month  periods ending June 30, 2000 primarily relate to a loss
on the sale of certain fixed assets.

     The Company had a net loss of  $1,628,371  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 for the  six-month  period ended June 30, 2000 is
$3,263,277  as  compared  to  $3,756,616  for the  same  period  of  1999.  This
represents a net loss per share of $0.40 for the first half of 2000, as compared
to a net loss of $0.47 per share in the first half of 1999.

     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.

     In March 2000, the Company  completed a private placement of 100,000 shares
of newly issued  Series C 9% Cumulative  Convertible  Preferred  Stock,  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 Preferred Stock.  Each Series C
share has voting rights equal to the number of shares of Common Stock into which
it can be converted. The proceeds resulting from this issuance have been used to
support the Company's operations.

     In December 1999, the Company  established a credit facility for $1,500,000
guaranteed by two of the Company's  Board members.  In  consideration  for their
guarantees,  the Company  granted to Dr. Derace  Schaffer and Mr. John 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  borrowed at
March 31,  2000 and  December  31,  1999 are  reported  as current and long term
liabilities,  respectively. Additional warrants for the 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  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.

<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:  August 14, 2000

                                                       PATIENT INFOSYSTEMS, INC.
                                                              (Registrant)


Date  August 14, 2000                       /s/ Roger L. Chaufournier
      ---------------                       -------------------------
                                            Roger L. Chaufournier
                                            Director, President and
                                            Chief Executive Officer

Date  August 14, 2000                       /s/ Kent A. Tapper
      ---------------                       -------------------------
                                            Kent A. Tapper
                                            Principal Accounting Officer


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