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SCHEDULE 14A
(Rule 14a-101)
INFORMATION REQUIRED IN PROXY STATEMENT
SCHEDULE 14A INFORMATION
Proxy Statement Pursuant to Section 14(a) of the Securities Exchange Act of 1934
Filed by the Registrant |X|
Filed by a Party other than the Registrant |_|
Check the appropriate box:
|X| Preliminary Proxy Statement
|_| Confidential, for Use of the Commission Only (as permitted by
Rule 14a-6(e)(2))
|_| Definitive Proxy Statement
|_| Definitive Additional Materials
|_| Soliciting Material Pursuant to Rule 14a-12
PATIENT INFOSYSTEMS, INC.
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(Name of Registrant as Specified in Its Charter)
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(Name of Person(s) Filing Proxy Statement, if Other Than the Registrant)
Payment of Filing Fee (Check the appropriate box):
|_| No fee required.
|_| Fee computed on table below per Exchange Act Rules 14a-6(i)(1) and 0-11.
(1) Title of each class of securities to which transaction applies:
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(2) Aggregate number of securities to which transaction applies:
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(3) Per unit price or other underlying value of transaction computed
pursuant to Exchange Act Rule 0-11 (set forth the amount on which the
filing fee is calculated and state how it was determined):
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(4) Proposed maximum aggregate value of transaction:
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(5) Total fee paid:
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|X| Fee paid previously with preliminary materials:
|_| Check box if any part of the fee is offset as provided by Exchange Act
Rule 0-11(a)(2) and identify the filing for which the offsetting fee was
paid previously. Identify the previous filing by registration statement
number, or the form or schedule and the date of its filing.
(1) AmountPreviously Paid: $856
(2) Form, Schedule or Registration Statement No.: Schedule 14A
(3) Filing Party: Patient Infosystems, Inc.
(4) Date Filed: May 15, 2003
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PATIENT INFOSYSTEMS, INC.
46 Prince Street
Rochester, New York 14607
September 20, 2003
Dear Fellow Stockholder:
On behalf of the Board of Directors of Patient Infosystems, Inc. ("Patient
Infosystems"), I cordially invite you to attend a Special Meeting of
Stockholders (the "Special Meeting") of Patient Infosystems. The formal notice
of the Special Meeting appears on the next page. During the Special Meeting,
stockholders who are present will have the opportunity to meet and ask questions
of our senior management team.
We are purchasing substantially all of the assets (the "Acquisition") of
American CareSource Corporation ("ACS"). In connection with the Acquisition, ACS
will receive approximately 20% of our outstanding common stock on a fully
diluted basis. In order to complete the Acquisition, we will need the approval
of our stockholders to increase our authorized capital stock.
THE PROPOSALS. At the Special Meeting, you will be asked to consider the
following proposals:
AMENDMENTS OF CERTIFICATE OF INCORPORATION TO INCREASE AUTHORIZED CAPITAL
STOCK, CHANGE CORPORATE NAME AND PROVIDE FOR REVERSE STOCK SPLIT. At the Patient
Infosystems Special Meeting, you will be asked to consider and approve an
amendment of our Certificate of Incorporation which provides authority to issue
up to 100,000,000 shares of capital stock, divided into 80,000,000 shares of
common stock, par value $0.01 per share, and 20,000,000 shares of preferred
stock, par value $0.01 per share. In addition, you will be asked to consider and
approve an amendment of our Certificate of Incorporation to change our corporate
name to American CareSource Corporation and provide for a 1 for 12 reverse stock
split.
Officers, directors and stockholders of Patient Infosystems, owning in the
aggregate 59% of the issued and outstanding shares of Patient Infosystems
capital stock, have agreed, under certain voting agreements, to vote their
shares in favor of the amendment to the Certificate of Incorporation to increase
authorized capital stock. Accordingly, the approval of this matter is assured.
AMENDMENT OF STOCK OPTION PLAN. At the Patient Infosystems Special Meeting,
you will be asked to consider and approve an amendment of our Amended and
Restated Stock Option Plan to increase the number of authorized shares reserved
for issuance under the plan from 1,680,000 to 3,500,000 shares.
Our Board of Directors unanimously approved each of the proposals and
recommends that you vote FOR its approval.
THE SPECIAL MEETING. All stockholders are invited to attend the Special
Meeting in person. The approval of each of the amendments of our Certificate of
Incorporation and the amendment of our Amended and Restated Stock Option Plan
requires the affirmative vote of a majority of outstanding shares of capital
stock of Patient Infosystems.
Whether or not you expect to attend the Patient Infosystems Special Meeting
in person, please complete, sign and promptly return the enclosed proxy card in
the enclosed envelope, which does not require postage if mailed in the United
States, to assure representation of your shares. You may revoke your proxy at
any time before it has been voted, and if you attend the meeting, you may vote
in person even if you have previously returned your proxy card.
Stockholders are urged to review carefully the information contained in the
accompanying proxy statement. We believe that interaction between stockholders
and management is important and hope that you will be able to attend the Special
Meeting. Your interest and support in the affairs of Patient Infosystems are
appreciated.
Sincerely,
Roger L. Chaufournier
Chief Executive Officer
ii
PATIENT INFOSYSTEMS, INC.
46 Prince Street
Rochester, New York 14607
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Notice Of Special Meeting Of Stockholders
To Be Held October 15, 2003
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NOTICE IS HEREBY GIVEN that a Special Meeting of the Stockholders of
Patient Infosystems, Inc. ("Patient Infosystems") will be held at Patient
Infosystems' offices at 46 Prince Street, Rochester, New York, 14607 on
October 15, 2003 at 10 a.m., Eastern Time for the following purposes:
(1) To approve an amendment of the Certificate of Incorporation of Patient
Infosystems to increase the number of authorized shares of capital stock to
100,000,000 divided into 80,000,000 shares of common stock, par value $0.01
per share and 20,000,000 shares of preferred stock, par value $0.01 per
share;
(2) To approve an amendment of the Certificate of Incorporation of Patient
Infosystems to change the name of the company to American CareSource
Corporation;
(3) To approve an amendment of the Certificate of Incorporation of Patient
Infosystems to provide for a 1 for 12 reverse stock split;
(4) To approve an amendment of the Amended and Restated Stock Option Plan of
Patient Infosystems to increase the number of shares of common stock
reserved for issuance under the plan from 1,680,000 to 3,500,000 shares;
and
(5) To approve such other matters that come before the Special Meeting, or any
adjournment thereof, that are required to be approved by the stockholders
of Patient Infosystems.
The Board of Directors of Patient Infosystems has fixed the close of
business on September 15, 2003, as the record date for the determination of
stockholders of Patient Infosystems entitled to notice of, and to vote at, the
Special Meeting. Only holders of record of Patient Infosystems capital stock at
the close of business on that date will be entitled to notice of, and to vote
at, the Special Meeting or any adjournments or postponements thereof.
Your attention is directed to the accompanying proxy statement for further
information regarding each proposal to be made.
All stockholders are asked to complete, sign and date the enclosed proxy
and return it promptly by mail in the enclosed self-addressed envelope, which
does not require postage if mailed in the United States.
By Order of the Board of Directors
Kent Tapper
Assistant Secretary
September 20, 2003
Rochester, New York
iii
PATIENT INFOSYSTEMS, INC.
Proxy Statement
This proxy statement is furnished by the Board of Directors of Patient
Infosystems, Inc., a Delaware corporation, in connection with the solicitation
of proxies to be used at the Special Meeting of Stockholders to be held on
October 15, 2003 at Patient Infosystems' offices at 46 Prince Street, Rochester,
New York 14607 at 10 a.m., Eastern Time, and at any adjournment thereof.
Only stockholders who hold capital stock of Patient Infosystems at the
close of business on September 15, 2003, the record date, will be entitled to
vote at the Special Meeting. At the Special Meeting, Patient Infosystems
stockholders will be asked:
(1) To approve an amendment of the Certificate of Incorporation of Patient
Infosystems to increase the number of authorized shares of capital stock to
100,000,000 divided into 80,000,000 shares of common stock, par value $0.01
per share and 20,000,000 shares of preferred stock, par value $0.01 per
share;
(2) To approve an amendment of the Certificate of Incorporation of Patient
Infosystems to change the name of the company to American CareSource
Corporation;
(3) To approve an amendment of the Certificate of Incorporation of Patient
Infosystems to provide for a 1 for 12 reverse stock split;
(4) To approve an amendment of the Amended and Restated Stock Option Plan of
Patient Infosystems to increase the number of shares of common stock
reserved for issuance under the plan from 1,680,000 to 3,500,000 shares;
and
(5) To approve such other matters that come before the Special Meeting, or any
adjournment thereof, that are required to be approved by the stockholders
of Patient Infosystems.
Whether or not you plan to attend the Special Meeting, please take the time
to vote by completing and mailing the enclosed proxy card to us. Your vote is
very important.
We encourage you to read this entire document carefully. IN PARTICULAR,
PLEASE CONSIDER THE MATTERS DISCUSSED UNDER "RISK FACTORS" BEGINNING ON PAGE 12
OF THIS PROXY STATEMENT.
NEITHER THE SECURITIES AND EXCHANGE COMMISSION NOR ANY STATE SECURITIES
COMMISSION HAS APPROVED OR DISAPPROVED THE ACQUISITION OR DETERMINED THAT THIS
PROXY STATEMENT IS ACCURATE OR ADEQUATE. ANY REPRESENTATION TO THE CONTRARY IS A
CRIMINAL OFFENSE.
Proxy Statement dated _______, 2003, and first mailed to stockholders on or
about September 20, 2003.
iv
Proxy Statement Table of Contents
Page
QUESTIONS AND ANSWERS....................................................... 1
SUMMARY..................................................................... 5
RISK FACTORS................................................................ 11
Risks Particular to the Acquisition...................................... 11
Risks Specific to Our Business........................................... 12
Risks Specific to ACS' Business.......................................... 17
Risks Specific to Ownership of Our Stock................................. 20
SPECIAL NOTE REGARDING FORWARD LOOKING STATEMENTS........................... 21
THE SPECIAL MEETING......................................................... 22
Date, Time and Place; Proposal to Be Considered.......................... 22
Record Date and Voting................................................... 22
Proxies.................................................................. 23
Revocability of Proxies.................................................. 23
Solicitation of Proxies.................................................. 23
Voting Electronically or by Telephone.................................... 24
Share Ownership of Management and Certain Stockholders .................. 24
Regulatory Matters....................................................... 24
No Appraisal Rights...................................................... 24
PROPOSAL 1 - APPROVAL OF THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION
TO INCREASE AUTHORIZED CAPITAL STOCK..................................... 25
Background of the Acquisition............................................ 25
Recommendation of Patient Infosystems Board of Directors and Reasons for
the Acquisition....................................................... 27
ACS' Reasons for the Acquisition; Approval by ACS' Board of Director
and Stockholders...................................................... 29
Accounting Treatment..................................................... 30
Federal Income Tax Consequences of the Acquisition....................... 30
No Appraisal Rights...................................................... 30
Securities Law Consequences.............................................. 30
The Asset Purchase Agreement............................................. 31
PROPOSAL 2 - APPROVAL OF THE AMENDMENT OF THE CERTIFICATE OF
INCORPORATION TO CHANGE THE COMPANY'S NAME............................... 36
PROPOSAL 3 - APPROVAL OF THE AMENDMENT OF THE CERTIFICATE OF
INCORPORATION TO PROVIDE FOR A REVERSE STOCK SPLIT....................... 36
PROPOSAL 4 - APPROVAL OF THE AMENDMENT OF THE STOCK OPTION PLAN............. 40
UNAUDITED PRO FORMA COMBINED CONDENSED FINANCIAL STATEMENTS................. 44
Management's Discussion and Analysis of Financial Condition and Results
of Operations of Patient Infosystems.................................. 51
Management's Discussion and Analysis of Financial Condition and Results
of Operations of ACS.................................................. 60
Business of Patient Infosystems.......................................... 67
Business of ACS.......................................................... 73
Market Price and Dividend Information.................................... 79
Voting Securities and Principal Holders Thereof.......................... 80
Pro Forma Voting Securities and Principal Holders Thereof................ 81
Management of Patient Infosystems........................................ 82
Management of ACS........................................................ 83
Compensation of Directors and Executive Officers......................... 85
Certain Transactions..................................................... 86
Description of Patient Infosystems Capital Stock......................... 87
Stockholder Proposals for 2004 Annual Meeting............................ 90
Where You Can Find More Information...................................... 90
Other Matters............................................................ 90
INDEX TO FINANCIAL STATEMENTS............................................... F-1
APPENDICES
Appendix A - Certificate of Amendment of Certificate of Incorporation A-1
Appendix B - Amended and Restated Stock Option Plan B-1
Appendix C - Amended and Restated Agreement for Purchase and Sale of Assets C-1
Appendix D - Amendment No. 1 to Amended and Restated Agreement for Purchase
and Sale of Assets D-1
v
QUESTIONS AND ANSWERS
Q. Why are we purchasing substantially all of the assets of ACS?
A. We are purchasing substantially all of the assets of ACS because we believe
that the transaction will allow us to enter into a new business of
providing ancillary healthcare benefits management so that we may increase
and diversify the sources of our revenues and add experienced members of
management. Following the closing of the Acquisition, we will change our
name to American CareSource Corporation.
Q. Are we assuming any of ACS' liabilities in connection with the Acquisition?
A. We are assuming all of ACS' obligations and liabilities except for:
o Liabilities that were actually known by ACS or any of the ACS
stockholders that are signatories to the Asset Purchase Agreement, but
are not disclosed to us;
o Tax obligations of ACS stockholders that are signatories to the Asset
Purchase Agreement; and
o Liabilities arising from the sale of newly issued ACS securities by
ACS, Today Realty Advisors, Inc. or Today Financial Corporation.
Included in the obligations and liabilities we are assuming are $75,000 of
accounts payables, $1.8 million of accrued expenses, $93,000 of debt owed
to banks and financial institutions, $3.5 million of debt owed to bridge
lenders and $2.5 million of debt owed to stockholders, officers, directors
and other affiliates of ACS.
Q. What will ACS receive in the Acquisition?
A. The assets of ACS that we are purchasing in the Acquisition and the
liabilities we are assuming will be exchanged for 2,091,366 shares of our
common stock, which will constitute approximately 20% of our outstanding
common stock determined on a fully-diluted basis after giving effect to the
1 for 12 reverse stock split.
Q. When do you expect the Acquisition to close?
A. We are working towards completion of the Acquisition as quickly as
possible. If the Acquisition does not close by November 30, 2003, either
party may terminate the Asset Purchase Agreement.
Q. Why aren't you seeking stockholder approval of the Acquisition?
A. We are incorporated under the laws of the State of Delaware. Under Delaware
law, we are not required to seek stockholder approval of the Acquisition.
In addition, shares of our common stock are traded on the OTC Bulletin
Board. The OTC Bulletin Board does not require that we seek stockholder
approval of the Acquisition in order for our shares to be quoted.
Q. Why am I receiving these materials?
A. The Amendment of the Certificate of Incorporation:
Under Delaware law, an amendment of the Certificate of Incorporation
requires stockholder approval. We have entered into an agreement with ACS
pursuant to which we will acquire substantially all of the assets and
assume substantially all the liabilities of ACS in exchange for
approximately 20% of our outstanding common stock. The number of shares of
our common stock which will be issued in the proposed Acquisition would
exceed the maximum of 20,000,000 shares currently authorized by our
Certificate of Incorporation. We must increase our authorized capital stock
in order to close the Acquisition.
In addition, our Board of Directors approved the conversion of $4,482,500
in debt and $438,099 of accrued interest owed to Mr. Pappajohn and Dr.
Schaffer, members of our Board of Directors, into 35,147,136 shares of
Patient Infosystems common stock. We must increase our authorized capital
stock in order to give effect to this debt conversion.
1
Also, on April 10, 2003, we entered into a Note and Stock Purchase
Agreement with certain investors, including Mr. Pappajohn, pursuant to
which the investors agreed to loan to Patient Infosystems an aggregate of
up to $2.5 million. This Note and Stock Purchase Agreement was subsequently
amended on September 11, 2003 to increase the amount of the loan to an
aggregate of $3.5 million. The purpose of the loan from the investors is to
provide funds for Patient Infosystems to loan to ACS to provide working
capital for ACS' operations. In consideration for the loans, Patient
Infosystems signed a series of promissory notes and issued 286,182 shares
of Series D 9% Cumulative Convertible Preferred Stock ("Series D Preferred
Stock") to the investors. The 286,182 shares of Series D Preferred Stock
are convertible into up to 34,341,840 shares of Patient Infosystems common
stock subject to approval by our stockholders of the amendment to our
Certificate of Incorporation to increase our authorized capital stock. In
addition, upon closing of the private placement of at least $4 million of
our capital stock, as contemplated by the Asset Purchase Agreement, the
notes issued pursuant to the Note and Stock Purchase Agreement, as amended,
will be convertible into Series D Preferred Stock. The investors have
indicated that they intend to convert the notes into shares of Series D
Preferred Stock, and therefore, we do not expect to have to repay the
outstanding amount owed to the investors under the notes. In order to have
sufficient shares of common stock reserved for issuance upon conversion of
the Series D Preferred Stock, including shares of common stock underlying
shares of Series D Preferred Stock issued upon conversion of the notes, we
must increase our authorized capital stock.
Our Board of Directors has approved the Acquisition and the amendment to
the Certificate of Incorporation. We are sending you these materials to
help you decide whether to approve the amendment of the Certificate of
Incorporation to increase our authorized capital stock. Additionally, we
are requesting approval of an amendment of our Certificate of Incorporation
to change our corporate name and effect a 1 for 12 reverse stock split.
After giving effect to the reverse stock split, Mr. Pappajohn and Dr.
Schaffer would receive an aggregate of 2,928,928 shares of common stock and
the shares of Series D Preferred Stock of the investors would be
convertible into 2,861,820 shares of common stock. The Certificate of
Amendment of our Certificate of Incorporation is attached as Appendix A to
this proxy statement.
The Amendment of the Stock Option Plan:
In connection with the Acquisition, several employees of ACS will become
our employees upon the closing of the Acquisition. In order to have
sufficient shares for issuance of options to our employees, including
former ACS employees, after the closing of the Acquisition, we must
increase the number of shares of common stock reserved for issuance under
the Amended and Restated Stock Option Plan of Patient Infosystems (the
"Stock Option Plan"). The increase in the number of shares reserved for
issuance is provided in the Second Amended and Restated Stock Option Plan,
attached as Appendix B to this proxy statement.
Q. Why are we changing our name to American CareSource Corporation?
A. Following the closing of the Acquisition, we intend to focus our business
strategy on developing the ancillary healthcare benefits management
business currently conducted by ACS. We wish to take advantage of ACS' name
recognition in such field.
Q. Why are we effecting a reverse stock split?
A. We are effecting a reverse stock split because we wish to increase the
trading price of our common stock and decrease the number of outstanding
shares of our common stock.
Q. How will the amendments to the Certificate of Incorporation affect my
ownership of Patient Infosystems?
A. As a result of the reverse stock split, you will have less shares of
Patient Infosystems common stock than you presently have, although you will
have substantially all of the rights you now hold. In addition, as a result
of the issuance of stock to ACS pursuant to the terms of the Acquisition,
your shares will represent a significantly smaller percentage of the total
shares that will be outstanding after all of the shares are issued pursuant
to the Acquisition.
Q. Does the Board of Directors of Patient Infosystems recommend voting in
favor of each of the amendments of the Certificate of Incorporation and the
amendment of the Stock Option Plan?
A. Our Board of Directors has unanimously determined that each of the
amendments of the Certificate of Incorporation and the amendment of the
Stock Option Plan are fair to, and in the best interests of, the
stockholders of Patient Infosystems. Our Board of Directors unanimously
recommends that stockholders vote FOR each of the amendments of the
Certificate of Incorporation and the amendment of the Stock Option Plan.
2
Q. Who can vote on the amendments of the Certificate of Incorporation and the
amendment of the Stock Option Plan?
A. Holders of Patient Infosystems capital stock at the close of business on
September 15, 2003, the Record Date relating to the Special Meeting, may
vote on the amendments of the Certificate of Incorporation and the
amendment of the Stock Option Plan.
Q. What if I do not vote or abstain?
A. If you fail to respond, it will have the same effect as a vote against the
proposal to be considered at the Special Meeting.
o If you respond and do not indicate how you want to vote, your proxy
will be counted as a vote in favor of the proposals to be considered
at the Special Meeting.
o If you respond and abstain from voting, your proxy will have the same
effect as a vote against the proposals to be considered at the Special
Meeting.
Q. Do I have Appraisal Rights?
A. Under Delaware law, you are not entitled to appraisal rights with respect
to the issuance of shares of our common stock in connection with the
Acquisition or any other matters addressed herein.
Q. What do I need to do now?
A. Read this proxy statement. If your shares are held by a broker in "street
name," follow the voting directions provided to you by your broker. If your
shares are held in your name, and you wish to vote by proxy, complete your
proxy card and indicate how you want to vote. Sign and mail the proxy card
in the enclosed return envelope as soon as possible. You should complete,
sign and return your proxy card even if you currently expect to attend the
Special Meeting and vote in person. Mailing in a proxy card now will not
prevent you from later canceling or "revoking" your proxy right up to the
day of the Special Meeting, and you will ensure that your shares get voted
if you later find you are unable to attend. If you sign and send in the
proxy card and do not indicate how you want to vote, your proxy will be
voted FOR each of the amendments of the Certificate of Incorporation and
FOR the amendment of the Stock Option Plan.
Q. If my broker holds my shares in "street name," will my broker vote my
shares for me?
A. YOUR BROKER WILL VOTE YOUR SHARES ONLY IF YOU TELL THE BROKER HOW TO VOTE.
TO DO SO, FOLLOW THE DIRECTIONS YOUR BROKER PROVIDES. IF YOU DO NOT PROVIDE
VOTING INSTRUCTIONS TO YOUR BROKER, YOUR BROKER WILL NOT VOTE YOUR SHARES
AND THE FAILURE TO VOTE WILL HAVE THE SAME EFFECT AS A VOTE AGAINST EACH OF
THE AMENDMENTS OF THE CERTIFICATE OF INCORPORATION AND THE AMENDMENT OF THE
STOCK OPTION PLAN.
Q. Can I change my vote after I have mailed my signed proxy card?
A. Yes. You can change your vote at any time before the vote is taken at the
Special Meeting. You can do this in one of three ways. First, you can send
a written notice dated later than your proxy card stating that you would
like to revoke your current proxy. Second, you can complete and submit a
new proxy card dated later than your original proxy card. If you choose
either of these two methods, you must submit your notice of revocation or
your new proxy card to the Assistant Secretary of Patient Infosystems at 46
Prince Street, Rochester, New York 14607. We must receive the notice or new
proxy card before the vote is taken at the Special Meeting. Third, you can
attend the Special Meeting and vote in person. Simply attending the Special
Meeting, however, will not revoke your proxy. If you have instructed a
broker to vote your shares, you must follow the directions received from
your broker as to how to change your vote.
3
WHO CAN HELP ANSWER YOUR QUESTIONS
If you have more questions about the Special Meeting, the Asset Purchase
Agreement, the amendments of the Certificate of Incorporation or the amendment
of the Stock Option Plan, you should contact:
Patient Infosystems, Inc.
46 Prince Street
Rochester, New York 14607
Attention: Kent Tapper, Assistant Secretary
(585) 242-7200
4
SUMMARY
The following is a brief summary of certain information contained elsewhere
in this proxy statement. This summary discusses the most material aspects of the
transactions and is not intended to be a complete description and is qualified
in its entirety by, and should be read in conjunction with, the more detailed
information contained elsewhere in this proxy statement and the documents
incorporated herein by reference. This proxy statement contains forward-looking
statements that involve risks and uncertainties. Our actual results could differ
materially from those anticipated in the forward-looking statements as a result
of the factors described under the heading "Risk Factors" and elsewhere in this
proxy statement. All references to "we," "us," and/or "our" in this proxy
statement refer to Patient Infosystems, Inc. and its direct and indirect
subsidiaries. Unless otherwise noted, all references to American CareSource
Corporation include Health Data Solutions, Inc., a predecessor corporation.
Unless otherwise noted, share per share information regarding Patient
Infosystems capital stock does not give effect to the proposed 1 for 12 reverse
stock split.
The Special Meeting (page 22)
The Special Meeting will be held at 10 a.m. Eastern Time on October 15,
2003. At the Special Meeting, Patient Infosystems stockholders will be asked to
approve the following:
(1) an amendment of the Certificate of Incorporation of Patient Infosystems to
increase the number of authorized shares of capital stock to 100,000,000
divided into 80,000,000 shares of common stock, par value $0.01 per share
and 20,000,000 shares of preferred stock, par value $0.01 per share;
(2) an amendment of the Certificate of Incorporation of Patient Infosystems t
change the name of the company to American CareSource Corporation; and
(3) an amendment of the Certificate of Incorporation of Patient Infosystems t
provide for a 1 for 12 reverse stock split;
(4) an amendment of the Amended and Restated Stock Option Plan of Patient
Infosystems to increase the number of shares of common stock reserved for
issuance under the plan from 1,680,000 to 3,500,000 shares; and
(5) such other matters that come before the Special Meeting, or any adjournment
thereof, that are required to be approved by the stockholders of Patient
Infosystems.
The Special Meeting will be held at Patient Infosystems' offices at 46
Prince Street, Rochester, New York 14607. You can vote, or submit a proxy to
vote, at the Special Meeting if you were a record holder of Patient Infosystems
capital stock at the close of business on September 15, 2003. If a broker holds
your shares in "street name," you can vote by following the instructions
provided by your broker. If your shares are held in your name, you can vote your
shares by attending the meeting and voting in person or you can mark the
enclosed proxy card with your vote, sign it and mail it in the enclosed return
envelope. You can revoke your proxy at any time before it has been voted.
Record Date and Voting (page 22)
Approval of each of the amendments of the Certificate of Incorporation and
the amendment of the Stock Option Plan requires the affirmative vote of the
majority of the outstanding capital stock of Patient Infosystems assuming a
quorum is present at the Special Meeting in person or by proxy.
5
Patient Infosystems and ACS
Patient Infosystems, Inc.
46 Prince Street
Rochester, New York 14607
(585) 242-7200
Patient Infosystems, Inc. ("Patient Infosystems") is a health management
solutions company that integrates clinical expertise with advanced Internet,
call center and data management capabilities. Founded as a disease management
company, Patient Infosystems has evolved to offer a comprehensive portfolio of
products and services designed to improve patient clinical outcomes and quality
of life, reduce healthcare costs and facilitate patient-provider-payor
communication. Patient Infosystems offers clinical support services for
employees and patients. Services include a 24-hour nurse help and triage line,
chronic condition management programs, surveys and preventive care reminder
programs. Patient Infosystems' total health management model, Care Team Connect,
is a patient-centered approach to linking multiple sources of information,
interventions and outcomes under a single comprehensive management system. These
services enable providers and payors to make more informed and timely decisions
regarding the care of patients and members. The result is more cost effective
care and improvement in human, clinical and economic outcomes.
Patient Infosystems markets its services to a broad range of clients,
including pharmaceutical and medical equipment and device manufacturers,
pharmacy benefit managers, healthcare payors, insurance companies, employer
groups and healthcare providers. Patient Infosystems was incorporated in the
State of Delaware on February 22, 1995 under the name DSMI Corp., changed its
name to Disease State Management, Inc. on October 13, 1995, and then changed its
name to Patient Infosystems, Inc. on June 28, 1996. Patient Infosystems common
stock is traded on the Over-the-Counter Bulletin Board.
American CareSource Corporation
8080 Tristar Drive, Suite 100
Irving, TX 75063
American CareSource Corporation ("ACS") is an ancillary healthcare benefits
management company. It helps health benefit plan sponsors such as preferred
provider organizations ("PPOs"), third party administrators ("TPAs"), workers
compensation benefits administrators, insurance companies, employers and unions
improve the quality of ancillary care delivered to health plan members while
reducing overall ancillary benefits costs.
American CareSource Corporation, an Indiana corporation, was formed in
1997. It was formerly known as Health Data Solutions, Inc. ("HDS") until its
merger with American CareSource Corporation, a Delaware corporation, on July 31,
2001, when it changed its name to American CareSource Corporation.
Recent Developments
On May 2, 2000, the Board of Directors of Patient Infosystems concluded
that it was in the best long term interests of the company to seek a strategic
merger partner. ACS was identified as a potential partner. A two and a half year
dialogue with ACS culminated in an agreement by both parties to effect a
strategic merger. The details of this transaction and dialogue leading to the
transaction are outlined in detail in this proxy statement. An agreement for the
purchase and sale of assets was approved by the Board of Directors of Patient
Infosystems and executed on September 23, 2002, an amended and restated
agreement for the purchase and sale of assets was executed on April 10, 2003 and
an amendment to the amended and restated agreement for the purchase and sale of
assets was executed of July 30, 2003 (collectively, the "Asset Purchase
Agreement"). The transactions contemplated by the Asset Purchase Agreement
cannot be closed without approval of the stockholders of Patient Infosystems of
an increase in the number of authorized shares of common stock of Patient
Infosystems. Upon closing of the Asset Purchase Agreement, Patient Infosystems
will change its name to American CareSource Corporation and will focus its
business strategy on the development of the ancillary healthcare benefits
management business currently conducted by ACS.
6
On April 10, 2003, Patient Infosystems entered into a Note and Stock
Purchase Agreement, which was subsequently amended on September 11, 2003,
pursuant to which certain investors, including Mr. Pappajohn, a member of the
Board of Directors, agreed to loan to Patient Infosystems an aggregate of up to
$3,500,000. In consideration for the loans, Patient Infosystems signed a series
of promissory notes and issued an aggregate of 286,182 shares of Series D
Preferred Stock to the investors. The 286,182 shares of Series D Preferred Stock
are convertible into up to 34,431,840 shares of Patient Infosystems common stock
subject to approval by Patient Infosystems' stockholders of the amendment to the
Certificate of Incorporation to increase authorized capital stock. In addition,
upon closing of the private placement of at least $4 million of Patient
Infosystems' capital stock, as contemplated by the Asset Purchase Agreement, the
notes issued pursuant to the Note and Stock Purchase Agreement will be
convertible into Series D Preferred Stock. The purpose of the loan from the
investors is to provide funds for Patient Infosystems to loan to ACS to provide
working capital for ACS' operations.
The loan from Patient Infosystems to ACS is provided under a Credit
Agreement that was executed on April 10, 2003 and amended on July 30, 2003 to
increase the amount of the loan under the agreement to $3.4 million. In order to
have sufficient shares of common stock reserved for issuance upon conversion of
the Series D Preferred Stock, Patient Infosystems must increase its authorized
capital stock.
The private placement contemplated by the Asset Purchase Agreement is
intended to raise funds for use as working capital following the closing of the
Acquisition. Certain stockholders of ACS have committed to raise from investors,
or invest personally, an aggregate of $1.5 million in the private placement.
Patient Infosystems has raised $3.5 million in the private placement and has
used the funds for working capital and repayment of indebtedness.
ACS has received written notification of the termination of contractual
relations from Quest Diagnostics and HealthSouth, which are two of the largest
volume providers to ACS. Quest Diagnostics has provided ACS with verbal notice
that it intends to extend its contract until further notice. In addition, the
contract with Quest Diagnostics and the contract with HealthSouth each provide
"wind down" or "transition" periods of several months. However, when fully
terminated, these lost contracts will result in a significant reduction in ACS
revenues. ACS' revenues from these two providers were as follows during the
years ended December 31, 2001 and 2002 respectively:
Year Ended Year Ended
December 31, 2001 December 31, 2002
--------------------------- ---------------------------
Percentage of Percentage of
Amount Total Revenue Amount Total Revenue
------------- ------------- ------------- -------------
Quest Diagnostics $109,000 4.3% $1,206,000 12.5%
HealthSouth $89,000 3.5% $1,051,000 10.9%
The State of Texas recently passed a regulation requiring state funded
workers compensation claims to be paid directly to the provider of services.
Although Texas workers compensation claims accounted for less than 1% of ACS'
total revenues for the year ended December 31, 2002 and ACS anticipates that
such claims will account for less than 1% of its total revenue for the year
ended December 31, 2003, this regulation may restrict the ability of ACS to
perform services or expand services related to workers compensation claims in
Texas.
7
PROPOSAL 1 - APPROVAL OF THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION TO
INCREASE AUTHORIZED CAPITAL STOCK
General (page 25)
Our acquisition of substantially all the assets of ACS (the "Acquisition")
provides that in consideration for the assets purchased, ACS will receive
2,091,366 shares of Patient Infosystems common stock, or approximately 20% of
the outstanding common stock of Patient Infosystems on a fully diluted basis
after giving effect to the 1 for 12 reverse stock split. In order to have a
sufficient number of shares to issue to ACS pursuant to the Acquisition, we must
amend our Certificate of Incorporation in order to increase the number of
authorized shares.
Why the Directors Believe that the Acquisition is Fair (page 27)
Our Board of Directors considered a variety of positive and negitive
factors in approving the Acquisition. Our Board of Directors believes that the
positive factors listed above provides value to Patient Infosystems at least
equal to the negotiated purchase consideration, and offset the risks associated
with the Acquisition. There can be no assurance that such will be the case.
The Asset Purchase Agreement (page 31)
The Amended and Restated Agreement for Purchase and Sale of Assets and
Amendment No. 1 to Amended and Restated Agreement for Purchase and Sale of
Assets (the "Asset Purchase Agreement") are included as Appendix C and Appendix
D to this proxy statement. These are the legal documents that govern the
Acquisition and are incorporated herein by reference.
Structure of the Purchase (page 31)
The Asset Purchase Agreement provides that Patient Infosystems will acquire
substantially all the assets and liabilities of ACS. Patient Infosystems will be
the surviving corporation, but will change its name to American CareSource
Corporation. When we complete the Acquisition, a number of ACS directors and
officers will become directors and/or members of management of Patient
Infosystems. We hope to complete the Acquisition as soon as possible following
the Special Meeting.
What We Will Issue in the Acquisition (page 31)
When we complete the Acquisition, ACS will receive 2,091,366 shares of
Patient Infosystems common stock, which constitutes approximately 20% of the
outstanding common stock of Patient Infosystems on a fully diluted basis after
giving effect to the 1 for 12 reverse stock split.
Representations and Warranties (page 32)
We will make various customary representations and warranties to ACS and
its stockholders, and ACS and its stockholders will make various customary
representations and warranties to us.
There are Various Conditions to the Acquisition (page 33)
The Acquisition will be completed if certain conditions are met.
If legally permitted, Patient Infosystems or ACS may each waive conditions
for the benefit of their respective companies and stockholders and complete the
Acquisition even though one or more of these conditions has not been met. We
cannot assure you that the conditions will be satisfied or waived or that the
Acquisition will occur.
The Asset Purchase Agreement May be Terminated (page 35)
The Asset Purchase Agreement may be terminated and the Acquisition
abandoned at any time prior to the closing date of the transaction under the
following conditions:
o by mutual agreement in writing by Patient Infosystems and ACS;
8
o by either Patient Infosystems or ACS if the other party
materially breaches any of the representations, warranties,
covenants or agreements set forth in the Asset Purchase Agreement
at the time of its execution or on the closing date;
o by either Patient Infosystems or ACS if the other party fails to
perform timely, in all material aspects, the covenants and
obligations that it is required to perform under the Asset
Purchase Agreement and such party does not obtain in writing a
waiver of such performances; or
o by either Patient Infosystems or ACS at any time after November
30, 2003 if the closing of the Acquisition does not occur prior
to such date because the Securities and Exchange Commission has
determined to review this proxy statement.
Accounting Treatment (page 29)
The Acquisition will be accounted for by the purchase method of accounting
for financial reporting purposes.
Federal Income Tax Consequences of the Acquisition (page 30)
The Acquisition will not result in any federal income tax consequences to
Patient Infosystems stockholders. The Acquisition will not result in federal
income tax consequences to ACS stockholders other than those customarily applied
to holders of capital stock.
Interests of Officers and Directors in the Acquisition (page 35)
On June 11, 2002, the Board of Directors of Patient Infosystems approved
the conversion of up to $4,642,500 in debt and $438,099 of accrued interest owed
to Mr. Pappajohn and Dr. Schaffer into 36,289,993 shares of Patient Infosystems
common stock. On August 7, 2002, Patient Infosystems paid $160,000 of the
outstanding debt. As a result, $4,482,500 in debt and $438,099 of accrued
interest will be converted into 35,147,136 shares of Patient Infosystems common
stock. This information does not give effect to the proposed 1 for 12 reverse
stock split.
Currently, Patient Infosystems' Certificate of Incorporation authorizes
Patient Infosystems to issue up to 20,000,000 shares of common stock, 10,956,424
of which were issued and outstanding and 2,029,040 of which were reserved for
issuance under outstanding options, warrants and upon conversion of outstanding
convertible preferred stock. Giving effect to this debt conversion will require
an amendment to Patient Infosystems' Certificate of Incorporation to authorize
additional shares of common stock. The completion of this transaction cannot
occur unless and until the stockholders of Patient Infosystems approve this
amendment.
Also, on April 10, 2003, we entered into a Note and Stock Purchase
Agreement with certain investors, including Mr. Pappajohn, pursuant to which the
investors agreed to loan to Patient Infosystems an aggregate of up to
$2,500,000. This Note and Stock Purchase Agreement was subsequently amended on
September 11, 2003 to increase the amount of the loan to an aggregate of $3.5
million. The purpose of the loan from the investors is to provide funds for
Patient Infosystems to loan to ACS to provide working capital for ACS'
operations. In consideration for the loans, Patient Infosystems signed a series
of promissory notes and issued 286,182 shares of Series D 9% Cumulative
Convertible Preferred Stock ("Series D Preferred Stock") to the investors. The
286,182 shares of Series D Preferred Stock are convertible into up to 34,341,840
shares of Patient Infosystems common stock subject to approval by our
stockholders of the amendment to our Certificate of Incorporation to increase
our authorized capital stock. In addition, upon closing of the private placement
of at least $4 million of our capital stock, as contemplated by the Asset
Purchase Agreement, the notes issued pursuant to the Note and Stock Purchase
Agreement, as amended, will be convertible into Series D Preferred Stock. The
investors have indicated that they intend to convert the notes into shares of
Series D Preferred Stock, and therefore, we do not expect to have to repay the
outstanding amount owed to the investors under the notes. In order to have
sufficient shares of common stock reserved for issuance upon conversion of the
Series D Preferred Stock, including shares of common stock underlying shares of
Series D Preferred Stock issued upon conversion of the notes, we must increase
our authorized capital stock.
Our Board of Directors concluded that the Acquisition is in the best
interests of Patient Infosystems and its stockholders. Our Board of Directors
has unanimously approved the amendment of the Certificate of Incorporation to
increase authorized capital stock and recommends that you vote FOR such
amendment.
9
PROPOSAL 2 - APPROVAL OF THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION TO
CHANGE THE COMPANY'S NAME
Change of Corporate Name (page 36)
Following the closing of the Acquisition, Patient Infosystems will focus
its business strategy on the current business conducted by ACS. Therefore,
Patient Infosystems will change its corporate name to American CareSource
Corporation.
Our Board of Directors has unanimously approved the amendment of the
Certificate of Incorporation to change the company's name and recommends that
you vote FOR such amendment.
PROPOSAL 3 - APPROVAL OF THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION TO
PROVIDE FOR A REVERSE STOCK SPLIT
Reverse Stock Split (page 36)
On September 14, 2000, Patient Infosystems common stock was delisted from
the Nasdaq National Market because Patient Infosystems was unable to maintain
the requisite net assets and market price standards for continued listing.
Accordingly, trading of Patient Infosystems common stock is now conducted on the
Over-the-Counter Bulletin Board. The proposed reverse stock split of 1 for 12
shares is expected to increase the trading price of Patient Infosystems stock,
which may enable Patient Infosystems to have its securities listed on an
interdealer quotations system or securities exchange. However, there can be no
assurance that even if the reverse stock split is effected, Patient Infosystems
will meet the other listing criteria of an interdealer quotation system or
securities exchange and there can be no assurance that the reverse stock split
will in fact cause an increase in the trading price of Patient Infosystems
common stock.
Our Board of Directors has unanimously approved the amendment of the
Certificate of Incorporation to provide for a reverse stock split and recommends
that you vote FOR such amendment.
PROPOSAL 4 - APPROVAL OF THE AMENDMENT OF THE STOCK OPTION PLAN (page 40)
Patient Infosystems stockholders are being asked to approve an amendment of
the Amended and Restated Stock Option Plan of Patient Infosystems to increase
the number of shares of common stock reserved for issuance under the plan from
1,680,000 to 3,500,000 shares. In order to have sufficient shares for issuance
of options to our employees and former ACS employees after the closing of the
Acquisition, we must increase the number of shares of common stock reserved for
issuance under the plan.
Our Board of Directors has unanimously approved the amendment of the Stock
Option Plan and recommends that you vote FOR such amendment.
10
RISK FACTORS
Risks Particular to the Acquisition
We may have difficulty integrating the business of ACS with our existing
operations.
Patient Infosystems is health management solutions company. The acquisition
of ACS will involve the integration of Patient Infosystems into an ancillary
health benefits company, a business completely different from that currently
conducted by Patient Infosystems. We cannot assure you that the integration of
Patient Infosystems with ACS will be successfully completed without encountering
difficulties or experiencing the loss of key Patient Infosystems or ACS
employees, customers or suppliers, or that the benefits from such integration
will be realized. In addition, we cannot assure you that the management teams of
ACS and Patient Infosystems will be able to successfully work with each other.
We may need to raise additional capital following the Acquisition to fund
continuing losses.
ACS has never earned profits and its operations have been supported
substantially by loans from Patient Infosystems, ACS' majority stockholders and
related parties. For the years ended December 31, 2001 and 2002, ACS recorded a
net loss of approximately $3.2 million and $4.5 million. ACS expects that it
will continue to incur losses for the foreseeable future. ACS has not, since its
inception, operated profitably and there can be no assurance that it will be
able to generate increased revenue or achieve profitable operations in the
future. In addition, Patient Infosystems' operations have not been profitable
and Patient Infosystems has suffered severe working capital shortfalls. ACS will
need continued funding through the date of the Acquisition in order to meet its
obligations under its loan commitments and to maintain its operations. Its needs
for capital will continue following the date of the Acquisition after its
operations are integrated into Patient Infosystems' operations. Although Patient
Infosystems expects to have completed a private placement of securities as a
condition precedent to the closing of the Acquisition, and has raised $3.5
million as of September 12, 2003 in connection with such private placement, the
$3.5 million has already been spent on working capital and repayment of
indebtedness. There can be no assurance that any additional proceeds of the
private placement will be adequate to sustain operations for an extended period
of time. In addition, there can be no assurance that Patient Infosystems will be
able to obtain additional sources of funds, or that such funds will be available
on favorable terms.
You will suffer immediate and substantial dilution of your percentage equity and
voting interest; ACS will own approximately 20% of the combined company.
Patient Infosystems will issue 2,091,366 shares of common stock to ACS in
connection with the Acquisition. These shares will represent approximately 20%
of the number of shares of Patient Infosystems outstanding common stock on a
fully diluted basis after giving effect to the 1 for 12 reverse stock split.
Accordingly, the Acquisition will have the effect of substantially reducing the
percentage equity and voting interest of each of Patient Infosystems' current
stockholders.
ACS will be able to significantly influence us following the Acquisition.
The substantial ownership of our common stock by ACS after the Acquisition
will provide it with the ability to exercise substantial influence in the
election of directors and other matters submitted for approval by Patient
Infosystems' stockholders. Following the closing of the Acquisition, the
ownership of our common stock by ACS will represent approximately 20% of the
outstanding common stock of Patient Infosystems on a fully diluted basis after
giving effect to the 1 for 12 reverse stock split. This concentration of
ownership of our common stock may make it difficult for other Patient
Infosystems stockholders to successfully approve or defeat matters which may be
submitted for action by our stockholders. It may also have the effect of
delaying, deterring or preventing a change in control of Patient Infosystems
without the consent of ACS.
We may lose rights under contracts with customers and other third parties as a
result of the Acquisition.
Patient Infosystems and ACS each have contracts with suppliers, customers,
licensors, licensees and other business partners. The Acquisition may trigger
requirements under some of these contracts to obtain the consent, waiver or
approval of the other parties. If Patient Infosystems cannot do so, it may lose
some of these contracts or have to renegotiate the contracts on terms that are
less favorable to it. In addition, many of these contracts are for a short term
or may be terminated following a short notice period. A loss of these contracts
would reduce Patient Infosystems' revenues and may, in the case of some
contracts, affect rights that are important to the operation of its business.
11
Risks Specific to Our Business
We face working capital shortfalls and have an urgent need for working capital.
If we are unable to obtain sufficient working capital, we may face possible
cessation of operations. Our auditors have expressed uncertainty regarding our
ability to continue as a going concern.
Patient Infosystems has never earned profits and has been dependent upon
proceeds of its initial public offering and private placements of its equity
securities and debt, through which Patient Infosystems has raised over $25
million to date, to fund its working capital requirements. Patient Infosystems
incurred an operating loss of approximately $1.7 million for the year ended
December 31, 2002 and had an approximate $6.1 million deficit in working capital
and a stockholders' deficit of approximately $8.7 million at December 31, 2002.
Since September 2000, Patient Infosystems' operations have been supported
substantially by loans from certain directors of Patient Infosystems. On March
23, 2003, Mr. Pappajohn and Dr. Schaffer made a commitment to Patient
Infosystems to obtain the operating funds that Patient Infosystems believes
would be sufficient to fund its operations through December 31, 2003 based upon
an operation forecast of the company. As with any forward looking projection, no
assurances can be given concerning the outcome of Patient Infosystems' actual
financial status given the substantial uncertainties that exist. There can be no
assurance given that Patient Infosystems can raise either the required working
capital through the sale of its securities or that Patient Infosystems can
borrow the additional amounts needed. If it is unable to identify additional
sources of capital, Patient Infosystems will be required to cease operations. As
a result of the above, the Independent Auditors' Report on Patient Infosystems'
consolidated financial statements includes an emphasis paragraph indicating that
Patient Infosystems' recurring losses from operations, negative working capital
and stockholders' deficit raise substantial doubt about its ability to continue
as a going concern. The accompanying consolidated financial statements do not
include any adjustments that might result from the outcome of this uncertainty.
We have substantial indebtedness and will require additional funds in order to
continue operations.
As of December 31, 2002, Patient Infosystems had total liabilities of
$9,887,505 and a working capital deficit of $6,135,451. Also at December 31,
2002, Patient Infosystems had a stockholders' deficit of $8,670,239. Through
December 31, 2002 these amounts reflect the effects of Patient Infosystems'
continuing losses, issuance of demand notes totaling $5,077,500 to directors of
Patient Infosystems and long term borrowings of $3,000,000 against its line of
credit. Patient Infosystems has never earned profits and, since its inception,
Patient Infosystems has primarily funded its operations, working capital needs
and capital expenditures from debt and the sale of equity securities. Patient
Infosystems is currently maintaining it operations only through the receipt of
continuing loans from one of its directors. If these loans or additional funds
were not available, Patient Infosystems would likely be required to cease
operations.
We have a history of operating losses and continued limited patient enrollment.
Patient Infosystems has incurred losses in every quarter since its
inception in February 1995. Patient Infosystems' ability to operate profitably
is dependent upon its ability to develop and market its products in an
economically successful manner. To date, Patient Infosystems has been unable to
do so. No assurances can be given that Patient Infosystems will be able to
generate revenues or ever operate profitably in the future.
Patient Infosystems' prospects must be considered in light of the numerous
risks, expenses, delays and difficulties frequently encountered in an industry
characterized by intense competition, as well as the risks inherent in the
development of new programs and the commercialization of new services
particularly given its failure to date to operate profitably. There can be no
assurance that Patient Infosystems will achieve recurring revenue or
profitability on a consistent basis, if at all.
In October 1996, Patient Infosystems began enrolling patients in its first
disease management program and only began substantial patient contacts during
1998. Patient Infosystems currently has patients enrolled in five of its
disease-specific programs. Through February 2002, an aggregate of approximately
650,000 persons have been enrolled in Patient Infosystems' programs. However,
Patient Infosystems has never been able to enroll a sufficient number of
patients to cover the cost of its programs. The participation of patients in
Patient Infosystems' programs has been limited by several factors, including the
limited ability of clients to provide Patient Infosystems with accurate
information with respect to the specific patient populations, including coding
errors that necessitated extensive labor-intensive data processing prior to
program implementation. In addition, Patient Infosystems has encountered
resistance to its systems from patients and other sources of information.
12
We have recently lost two important clients.
During the fiscal year ended December 31, 2002, approximately 54% of
Patient Infosystems' revenue came from two clients, AstraZeneca, Inc. ("Zeneca")
and a healthcare insurance entity (the "Client"). Zeneca sponsored patients from
an affiliate of Client (the "Sponsored Group") in a program operated by Patient
Infosystems. Client directly sponsored patients from other of its affiliates in
substantially the same program as that provided to the Sponsored Group. In
September 2002, Patient Infosystems received notification from Zeneca that it
intended to terminate its service agreement with Patient Infosystems as of
January 1, 2003. In January 2003, Client assumed approximately 20% of the
Sponsored Group under its service agreement with Patient Infosystems. In
February 2003, Patient Infosystems received notification that Client intends to
terminate its service agreement with Patient Infosystems, effective July 1,
2003. Neither Zeneca nor Client cited any dispute with or breach of any
agreement by Patient Infosystems.
The interests of our current stockholders may be diluted as a result of our need
to raise additional working capital.
In connection with their financing of Patient Infosystems' operations, Mr.
Pappajohn and Dr. Schaffer have been awarded 2,735,822 shares of common stock
over the last two years. As Patient Infosystems seeks additional financing or
purchases, it is likely that it will issue a substantial number of additional
shares that may be extremely dilutive to the current stockholders. As a result,
the value of outstanding shares of common stock could decline further. Our
customers are highly concentrated.
During 2000, a significant customer ceased operation of services supplied
by Patient Infosystems, which had a material adverse effect on the results of
operations. Patient Infosystems' business is concentrated in a small number of
customers, with several of Patient Infosystems' most significant contracts being
with Zeneca, CHA Health and Independence Blue Cross. Patient Infosystems has
received notice of termination from Zeneca and expects that its sales of
services will be concentrated in a small number of customers for the foreseeable
future. Consequently, the loss of any one of its customers could have a material
adverse effect on Patient Infosystems and its operations. There can be no
assurance that customers will maintain their agreements with Patient
Infosystems, enroll a sufficient number of patients in the programs developed by
Patient Infosystems for it to achieve or maintain profitability, or that
customers will renew their contracts upon expiration or on terms favorable to
Patient Infosystems.
One of our directors resigned recently. We have no independent directors and
will likely encounter difficulty in obtaining independent directors.
In February 2002, Carl Korht, a director of Patient Infosystems, resigned
effective April 1, 2002. Mr. Korht did not cite any dispute with Patient
Infosystems and indicated that his reasons for departing from Patient
Infosystems were personal. No assurance can be given that Patient Infosystems'
current or future members of management will be able to operate the business of
Patient Infosystems effectively. As a result, the Board of Directors of Patient
Infosystems now only consists of three persons. One director, Mr. Chaufournier,
is also the Chief Executive Officer of Patient Infosystems. The other two, Mr.
Pappajohn and Dr. Schaffer, are owed significant amounts of money by Patient
Infosystems. Due to the current regulatory environment and financial condition
of Patient Infosystems, it is anticipated that it will be difficult to attract
independent directors to join the Board of Directors.
Our services agreements are generally terminable upon short notice.
Patient Infosystems' current services agreements with its customers
generally automatically renew and may be terminated by those customers without
cause upon notice of between 30 and 90 days. In general, customer contracts may
include significant performance criteria and implementation schedules for
Patient Infosystems. Failure to satisfy such criteria or meet such schedules
could result in termination of the agreements.
13
Our services incorporate a new concept which may not be widely accepted and we
may encounter limitations on our commercialization strategy.
In connection with the commercialization of Patient Infosystems' health
information system, Patient Infosystems is marketing relatively new services
designed to link patients, healthcare providers and payors in order to provide
specialized disease management services for targeted chronic diseases. However,
at this time, services of this type have not gained general acceptance from
Patient Infosystems' customers. This is still perceived to be a new business
concept in an industry characterized by an increasing number of market entrants
who have introduced or are developing an array of new services. As is typical in
the case of a new business concept, demand and market acceptance for newly
introduced services are subject to a high level of uncertainty, and there can be
no assurance as to the ultimate level of market acceptance for Patient
Infosystems' system, especially in the healthcare industry, in which the
containment of costs is emphasized. Because of the subjective nature of patient
compliance, Patient Infosystems may be unable, for an extensive period of time,
to develop a significant amount of data to demonstrate to potential customers
the effectiveness of its services. Even after such time, no assurance can be
given that Patient Infosystems' data and results will be convincing or
determinative as to the success of its system. There can be no assurance that
increased marketing efforts and the implementation of Patient Infosystems'
strategies will result in market acceptance for its services or that a market
for Patient Infosystems' services will develop or not be limited.
Our success depends upon the accuracy of information provided by patients.
The ability of Patient Infosystems to monitor and modify patient behavior
and to provide information to healthcare providers and payors, and consequently
the success of Patient Infosystems' disease management system, is dependent upon
the accuracy of information received from patients. Patient Infosystems has not
taken, and does not expect that it will take, specific measures to determine the
accuracy of information provided to Patient Infosystems by patients regarding
their medical histories. No assurance can be given that the information provided
to Patient Infosystems by patients will be accurate. To the extent that patients
have chosen not to comply with prescribed treatments, such patients might
provide inaccurate information to avoid detection. Because of the subjective
nature of medical treatment, it will be difficult for Patient Infosystems to
validate or confirm any such information. In the event that patients enrolled in
Patient Infosystems' programs provide inaccurate information to a significant
degree, Patient Infosystems would be materially and adversely affected.
Furthermore, there can be no assurance that patient interventions by Patient
Infosystems will be successful in modifying patient behavior, improving patient
health or reducing costs in any given case. Many potential customers may seek
data from Patient Infosystems with respect to the results of its programs prior
to retaining it to develop new disease management or other health information
programs. Patient Infosystems' ability to market its system to new customers may
be limited if it is unable to demonstrate successful results for its programs.
Our market is highly competitive. Competitive pressures may adversely affect our
operating results.
The market for healthcare information products and services is intensely
competitive. Competitors vary in size and in scope and breadth of products and
services offered, and Patient Infosystems competes with various companies in
each of its disease target markets. Many of Patient Infosystems' competitors
have significantly greater financial, technical, product development and
marketing resources than Patient Infosystems. Furthermore, other major
information, pharmaceutical and healthcare companies not presently offering
disease management or other healthcare information services may enter the
markets in which Patient Infosystems intends to compete. In addition, with
sufficient financial and other resources, many of these competitors may provide
services similar to those of Patient Infosystems without substantial barriers.
Patient Infosystems does not possess any patents with respect to its integrated
information capture and delivery system.
Patient Infosystems' competitors include specialty healthcare companies,
healthcare information system and software vendors, healthcare management
organizations, pharmaceutical companies and other service companies within the
healthcare industry. Many of these competitors have substantial installed
customer bases in the healthcare industry and the ability to fund significant
product development and acquisition efforts. Patient Infosystems also competes
against other companies that provide statistical and data management services,
including clinical trial services to pharmaceutical companies.
14
Patient Infosystems believes that the principal competitive factors in its
market are the ability to link patients, healthcare providers and payors, and
provide the relevant healthcare information at an acceptable cost. In addition,
Patient Infosystems believes that the ability to anticipate changes in the
healthcare industry and identify current needs are important competitive
factors. There can be no assurance that competitive pressures will not have a
material adverse effect on Patient Infosystems.
Our quarterly operating results have been, and may continue to be, volatile.
Patient Infosystems' results of operations have fluctuated significantly
from quarter to quarter as a result of a number of factors, including the volume
and timing of sales and the rate at which customers implement disease management
and other health information programs within their patient populations.
Accordingly, Patient Infosystems' future operating results are likely to be
subject to variability from quarter to quarter and could be adversely affected
in any particular quarter.
We are dependent upon data processing capabilities and telecommunications.
The business of Patient Infosystems is dependent upon its ability to store,
retrieve, process and manage data and to maintain and upgrade its data
processing capabilities. Interruption of data processing capabilities for any
extended length of time, loss of stored data, programming errors, other computer
problems or interruptions of telephone service could have a material adverse
effect on the business of Patient Infosystems.
We are subject to extensive government regulation.
The healthcare industry, including the current and proposed business of
Patient Infosystems, is subject to extensive regulation by both the Federal and
state governments. A number of states have extensive licensing and other
regulatory requirements applicable to companies that provide healthcare
services. Additionally, services provided to health benefit plans in certain
cases are subject to the provisions of the Employee Retirement Income Security
Act of 1974, as amended ("ERISA") and may be affected by other state and Federal
statutes. Generally, state laws prohibit the practice of medicine and nursing
without a license. Many states interpret the practice of nursing to include
health teaching, health counseling, the provision of care supportive to or
restorative of life and well being and the execution of medical regimens
prescribed by a physician. Accordingly, to the extent that Patient Infosystems
assists providers in improving patient compliance by publishing educational
materials or providing behavior modification training to patients, such
activities could be deemed by a state to be the practice of medicine or nursing.
Although Patient Infosystems has not conducted a survey of the applicable law in
all 50 states, it believes that it is not engaged in the practice of medicine or
nursing. There can be no assurance, however, that Patient Infosystems'
operations will not be challenged as constituting the unlicensed practice of
medicine or nursing. If such a challenge were made successfully in any state,
Patient Infosystems could be subject to civil and criminal penalties under such
state's law and could be required to restructure its contractual arrangements in
that state. Such results or the inability to successfully restructure its
contractual arrangements could have a material adverse effect on Patient
Infosystems.
Patient Infosystems is subject to state laws governing the confidentiality
of patient information. A variety of statutes and regulations exist safeguarding
privacy and regulating the disclosure and use of medical information. State
constitutions may provide privacy rights and states may provide private causes
of action for violations of an individual's "expectation of privacy." Tort
liability may result from unauthorized access and breaches of patient
confidence. Patient Infosystems intends to comply with state law and regulations
governing medical information privacy.
In addition, on August 21, 1996 Congress passed the Health Insurance
Portability and Accountability Act of 1996 ("HIPAA"), P.L. 104-191. This
legislation requires the Secretary of the Department of Health and Human
Services to adopt national standards for electronic health transactions and the
data elements used in such transactions. The Secretary is required to adopt
safeguards to ensure the integrity and confidentiality of such health
information. Violation of the standards is punishable by fines and, in the case
of wrongful disclosure of individually identifiable health information,
imprisonment. The Secretary is in the process of promulgating and publishing
proposed rules addressing the standards, however, not all of the final rules
have been adopted to date. Certain of the final rules were adopted during 2000
and 2001; however, the implementation time line extends into 2003 and beyond.
Although Patient Infosystems intends to comply with all applicable laws and
regulations regarding medical information privacy, failure to do so could have
an adverse effect on Patient Infosystems' business.
15
Patient Infosystems and its customers may be subject to Federal and state
laws and regulations that govern financial and other arrangements among
healthcare providers. These laws prohibit certain fee splitting arrangements
among healthcare providers, as well as direct and indirect payments, referrals
or other financial arrangements that are designed to induce or encourage the
referral of patients to, or the recommendation of, a particular provider for
medical products and services. Possible sanctions for violation of these
restrictions include civil and criminal penalties. Criminal penalties range from
misdemeanors, which carry fines of not more than $10,000 or imprisonment for not
more than one year, or both, to felonies, which carry fines of not more than
$25,000 or imprisonment for not more than five years, or both. Further, criminal
violations may result in permanent mandatory exclusions and additional
permissive exclusions from participation in Medicare and Medicaid programs.
Furthermore, Patient Infosystems and its customers may be subject to
federal and state laws and regulations governing the submission of false
healthcare claims to the government and private payors. Possible sanctions for
violations of these laws and regulations include minimum civil penalties between
$5,000 to $10,000 for each false claim and treble damages.
Regulation in the healthcare field is constantly evolving. Patient
Infosystems is unable to predict what government regulations, if any, affecting
its business may be promulgated in the future. Patient Infosystems' business
could be adversely affected by the failure to obtain required licenses and
governmental approvals, comply with applicable regulations or comply with
existing or future laws, rules or regulations or their interpretations.
We may be adversely affected by significant changes in the healthcare industry.
The healthcare industry is subject to changing political, economic and
regulatory influences that may affect the procurement practices and operations
of healthcare industry participants. Several lawmakers have announced that they
intend to propose programs to reform the U.S. healthcare system. These programs
may contain proposals to increase governmental involvement in healthcare, lower
reimbursement rates and otherwise change the operating environment for Patient
Infosystems and its targeted customers. Healthcare industry participants may
react to these proposals and the uncertainty surrounding such proposals by
curtailing or deferring certain expenditures, including those for Patient
Infosystems' programs. Patient Infosystems cannot predict what impact, if any,
such changes in the healthcare industry might have on its business, financial
condition and results of operations. In addition, many healthcare providers are
consolidating to create larger healthcare delivery enterprises with greater
regional market power. As a result, the remaining enterprises could have greater
bargaining power, which may lead to price erosion of Patient Infosystems'
programs. The failure of Patient Infosystems to maintain adequate price levels
could have a material adverse effect on its business.
We are dependent on our customers for marketing and patient enrollment.
Patient Infosystems has limited financial, personnel and other resources to
undertake extensive marketing activities. One element of Patient Infosystems'
marketing strategy involves marketing specialized disease management programs to
pharmaceutical companies and managed care organizations, with the intent that
those customers will market the program to parties responsible for the payment
of healthcare costs, who will enroll patients in the programs. Accordingly,
Patient Infosystems will, to a degree, be dependent upon its customers, over
whom it has no control, for the marketing and implementation of its programs and
for the receipt of valid patient information. The timing and extent of patient
enrollment is completely within the control of Patient Infosystems' customers.
Patient Infosystems has faced difficulty in receiving reliable patient
information from certain customers, which has hampered its ability to complete
certain of its projects. To the extent that an adequate number of patients are
not enrolled in the program, or enrollment of initial patients by a customer is
delayed for any reason, Patient Infosystems' revenue may be insufficient to
support its activities.
We face potential medical liability claims. We may not have sufficient insurance
to cover such claims.
Patient Infosystems will provide information to healthcare providers and
managed care organizations upon which determinations affecting medical care will
be made, and it could share in potential liabilities for resulting adverse
medical consequences to patients. In addition, Patient Infosystems could have
potential legal liability in the event it fails to record or disseminate
correctly patient information. Patient Infosystems maintains an errors and
omissions insurance policy with coverage of $5 million in the aggregate and per
occurrence. Although Patient Infosystems does not believe that it will directly
engage in the practice of medicine or direct delivery of medical services and
has not been a party to any such litigation, it maintains a professional
liability policy with coverage of $5 million in the aggregate and per
occurrence. There can be no assurance that Patient Infosystems' procedures for
limiting liability have been or will be effective, that Patient Infosystems will
not be subject to litigation that may adversely affect Patient Infosystems'
results of operations, that appropriate insurance will be available to it in the
future at acceptable cost or at all or that any insurance maintained by Patient
Infosystems will cover, as to scope or amount, any claims that may be made
against Patient Infosystems.
16
Any inability to adequately protect our intellectual property could harm our
competitive position.
Patient Infosystems considers its methodologies, processes and know-how to
be proprietary. Patient Infosystems seeks to protect its proprietary information
through confidentiality agreements with its employees. Patient Infosystems'
policy is to have employees enter into confidentiality agreements containing
provisions prohibiting the disclosure of confidential information to anyone
outside Patient Infosystems, requiring employees to acknowledge, and, if
requested, assist in confirming Patient Infosystems' ownership of any new ideas,
developments, discoveries or inventions conceived during employment, and
requiring assignment to Patient Infosystems of proprietary rights to such
matters that are related to Patient Infosystems' business. There can be no
assurance that the steps we have taken to protect our intellectual property will
be successful. If we do not adequately protect our intellectual property,
competitors may be able to use our technologies and erode or negate our
competitive advantage.
Risks Specific to ACS' Business
ACS has a history of operating losses.
ACS has incurred losses in each of the past five years. For the years ended
December 31, 2001 and 2002, ACS recorded a net loss of approximately $3.2
million and $4.5 million. ACS expects that it will continue to incur losses for
the foreseeable future. ACS has not, since its inception, operated profitably
and there can be no assurance that it will be able to generate increased revenue
or achieve profitable operations in the future. As a result of the above, the
Independent Auditors' Report on ACS' financial statements includes an emphasis
paragraph indicating that there is substantial doubt about its ability to
continue as a going concern. The accompanying financial statements do not
include adjustments that might result from the outcome of this uncertainty.
ACS faces working capital shortfalls and has an urgent need for working capital.
ACS has never earned profits and its operations have been supported
substantially by loans from Patient Infosystems, its majority stockholders and
related parties. ACS will need continued funding in order to meet its
obligations under its loan commitments and to maintain its operations. Although
Patient Infosystems is committed to loaning up to $3.4 million to ACS, this may
not be sufficient to fund operations. There can be no assurance that ACS will be
able to obtain additional sources of funds, or that such funds will be available
on terms favorable to ACS. In addition, ACS must incur costs associated with
capital expenditures to systemize operations. There can be no assurance that ACS
will have sufficient funds for such capital expenditures.
ACS is dependent on payments from third party payors.
The profitability of ACS will depend on payments provided by third-party
payors. Competition for patients, efforts by traditional third-party payors to
contain or reduce healthcare costs and the increasing influence of managed care
payors such as health maintenance organizations in recent years have resulted in
reduced rates of reimbursement. If these trends continue, they could adversely
affect ACS' results of operations unless ACS can implement measures to offset
the loss of revenues and decreased profitability. In addition, changes in
reimbursement policies of private and governmental third-party payors, including
policies relating to the Medicare and Medicaid programs, could reduce the
amounts reimbursed to these customers for ACS' services and consequently, the
amount these customers would be willing to pay for the services.
17
ACS has a limited number of customers, a few of which account for a substantial
portion of its business.
Four of ACS' customers were responsible for approximately $7,145,000, or
75%, of its revenue for the year ended December 31, 2002 and four customers were
responsible for approximately $2,086,000, or 82%, of its revenue for the year
ended December 31, 2001. Further, ACS has received written notification of the
termination of contractual relations from Quest Diagnostics and HealthSouth,
which in the aggregate accounted for over 23% of ACS' revenues during the fiscal
year ended December 31, 2002. The termination of these contacts will result in a
significant reduction of ACS's revenues. In addition, ACS generally does not
have long-term contracts with its other customers. Significant declines in the
level of use of ACS services by one or more of these customers could have a
material adverse effect on ACS' business and results of operations.
Additionally, an adverse change in the financial condition of any of these
customers, including an adverse change as a result of a change in governmental
or private reimbursement programs, could have a material adverse effect on its
business.
ACS is dependent upon discounted rates made available by ancillary service
providers.
ACS has contracts with over 5,000 ancillary service providers; however,
such contracts generally are not long term. ACS obtains revenue from cost
savings that it is able to receive from the ancillary service providers and pass
on to customers. Should the ancillary service providers not continue to provide
a discount to ACS, ACS will be unable to recognize any profit from the sale of
services to payors or networks.
Changes in state and federal regulations could restrict ACS' ability to conduct
its business.
Numerous state and federal laws and regulations affect ACS' business and
operations. These laws and regulations include, but are not necessarily limited
to:
o healthcare fraud and abuse laws and regulations, which prohibit
illegal referral and other payments;
o Employee Retirement Income Security Act of 1974 and related
regulations, which regulate many healthcare plans;
o mail pharmacy laws and regulations;
o privacy and confidentiality laws and regulations;
o consumer protection laws and regulations;
o legislation imposing benefit plan design restrictions;
o various licensure laws, such as managed care and third party
administrator licensure laws;
o drug pricing legislation; and
o Medicare and Medicaid reimbursement regulations.
ACS believes it is operating its business in substantial compliance with
all existing legal requirements material to the operation of its business. There
are, however, significant uncertainties regarding the application of many of
these legal requirements to its business, and there cannot be any assurance that
a regulatory agency charged with enforcement of any of these laws or regulations
will not interpret them differently or, if there is an enforcement action, that
ACS' interpretation would prevail. In addition, there are numerous proposed
healthcare laws and regulations at the federal and state levels, many of which
could materially affect ACS' ability to conduct its business or adversely affect
its results of operations.
The State of Texas requires state funded workers compensation claims to be
paid directly to the provider of services. This regulation may restrict the
ability of ACS to perform and expand its services related to workers
compensation claims in Texas.
ACS is subject to HIPAA.
On August 21, 1996 Congress passed the Health Insurance Portability and
Accountability Act of 1996 ("HIPAA"), P.L. 104-191. This legislation requires
the Secretary of the Department of Health and Human Services to adopt national
standards for electronic health transactions and the data elements used in such
transactions. The Secretary is required to adopt safeguards to ensure the
integrity and confidentiality of such health information. Violation of the
standards is punishable by fines and, in the case of wrongful disclosure of
individually identifiable health information, imprisonment. The Secretary is in
the process of promulgating and publishing proposed rules addressing the
standards, however, not all of the final rules have been adopted to date.
Certain of the final rules were adopted during 2000 and 2001; however, the
implementation time line extends into 2003 and beyond. Although ACS intends to
comply with all applicable laws and regulations regarding medical information
privacy, failure to do so could have an adverse effect on ACS's business.
18
Competition in the pharmacy benefits management industry could reduce ACS'
profit margins.
Pharmacy benefit management companies ("PBMs") are actual or potential
competitors of ACS. These companies include well-established companies which may
have greater financial, marketing and technological resources than ACS, such as
Merck-Medco, Express Scripts, Advance PCS and Caremark Rx. Competition in the
marketplace has caused many PBMs to reduce the prices charged to clients for
core services and share a larger portion of the formulary fees and related
revenues received from drug manufacturers with clients. Increased price
competition could reduce ACS' profit margins and have a material adverse effect
on its results of operations.
There are limited barriers to entry into the ancillary services market.
Although ACS is not aware of any organization or company that currently
provides similar ancillary services management, there are limited barriers to
entry into the ancillary services management market. Major benefit management
companies and healthcare companies not presently offering ancillary services
management may decide to enter the market. These companies may have greater
financial, marketing and other resources than ACS. Competition from other
companies may have a material adverse effect on ACS' financial condition and
results of operations.
ACS faces risks related to changes in the healthcare industry.
In recent years, the healthcare industry has undergone significant change
driven by various efforts to reduce costs, including potential national
healthcare reform, trends toward managed care, cuts in Medicare reimbursements,
and horizontal and vertical consolidation within the healthcare industry. ACS'
inability to react effectively to these and other changes in the healthcare
industry could adversely affect its operating results. ACS cannot predict
whether any healthcare reform efforts will be enacted and what effect any such
reforms may have on ACS or its customers. The inability of ACS to react
effectively to changes in the healthcare industry may result in a material
adverse effect on its business.
Efforts to reduce healthcare costs and alter healthcare financing practices
could adversely affect ACS' business.
ACS designed its business to compete within the current structure of the
U.S. healthcare system. Changing political, economic and regulatory influences
may affect healthcare financing and reimbursement practices. If the current
healthcare financing and reimbursement system changes significantly, ACS'
business could be materially adversely affected. Proposed changes to the U.S.
healthcare system may increase governmental involvement in healthcare and
ancillary health services, and otherwise change the way payors, networks and
providers do business. Healthcare organizations may react to these proposals and
the uncertainty surrounding them by reducing or delaying purchases of cost
control mechanisms and related services that ACS provides. Other legislative or
market-driven changes in the healthcare system that ACS cannot anticipate could
also materially adversely affect ACS' business.
The continued services and leadership of ACS' senior management is critical to
its ability to maintain growth and any loss of key personnel could adversely
affect its business.
The future of the business of ACS depends to a significant degree on the
skills and efforts of its senior executives. If ACS loses the services of any of
these senior executives, and especially if any of these executives joins a
competitor or forms a competing company, ACS' business and financial performance
could be seriously harmed.
19
ACS' future growth depends on successful hiring and retention of skilled
personnel. ACS may be unable to hire and retain the skilled personnel.
The future growth of ACS' business depends on successful hiring and
retention of skilled personnel, and ACS may be unable to hire and retain the
skilled personnel it needs to succeed. Qualified personnel are in great demand
throughout the healthcare industry. The failure of ACS to attract and retain
sufficient skilled personnel may limit the rate at which its business can grow,
which will harm its financial performance.
ACS is dependent upon data processing capabilities and telecommunications.
The business of ACS is dependent upon its ability to store, retrieve,
process and manage data and to maintain and upgrade its data processing
capabilities. Interruption of data processing capabilities for any extended
length of time, loss of stored data, programming errors, other computer problems
or interruptions of telephone service could have a material adverse effect on
its business.
Any inability to adequately protect its intellectual property could harm ACS'
competitive position.
ACS considers its methodologies, processes and know-how to be proprietary.
ACS seeks to protect its proprietary information through confidentiality
agreements with its employees. ACS' policy is to have employees enter into
confidentiality agreements containing provisions prohibiting the disclosure of
confidential information to anyone outside of ACS, requiring employees to
acknowledge, and, if requested, assist in confirming ACS' ownership of new
ideas, developments, discoveries or inventions conceived during employment, and
requiring assignment to ACS of proprietary rights to such matters that are
related to ACS' business. There can be no assurance that the steps taken by ACS
to protect its intellectual property will be successful. If ACS does not
adequately protect its intellectual property, competitors may be able to use its
technologies and erode or negate its competitive advantage.
Risks Specific to Ownership of Our Stock
It may be difficult for another company to acquire us, which may depress our
stock price.
Provisions in our certificate of incorporation, by-laws and Delaware law
could make it difficult for a third party to acquire us, even if doing so would
be beneficial to our stockholders. These provisions may defer or prevent tender
offers for our common stock or purchases of large blocks of our common stock,
thereby limiting the opportunities for our stockholders to receive a premium for
their common stock over then prevailing market rates.
We may need additional capital in the future, which may not be available to us.
The raising of additional capital may dilute your ownership of our stock.
We believe we have sufficient resources to satisfy our short-term capital
requirements assuming the approval and closing of the transactions described in
this proxy statement. However, while we do not see an immediate need, in the
future, we may need to raise additional funds through public or private debt or
equity financing in order to:
o take advantage of opportunities, including more rapid expansion or
acquisitions of, or investments in, business or technologies;
o develop new services; or
o respond to competitive pressures.
Any additional capital raised through the sale of equity may dilute our
stockholders' ownership percentage of our stock. Furthermore, we cannot assure
you that any additional financing we may need will be available on terms
favorable to us, or at all. In such case, our results of operations, liquidity
and financial condition would suffer.
20
Our common stock qualifies as a "penny stock" under SEC rules, which may make it
more difficult for our stockholders to resell their shares of our common stock.
Our common stock trades on the Over-The-Counter Bulletin Board. As a
result, the holders of our common stock may find it more difficult to obtain
accurate quotations concerning the market value of our stock. Stockholders also
may experience greater difficulties in attempting to sell the stock than if it
were listed on a stock exchange or quoted on the Nasdaq National Market or the
Nasdaq Small-Cap Market. Because our common stock does not trade on a stock
exchange or on the Nasdaq National Market or the Nasdaq Small-Cap Market, and
the market price of the common stock is less than $5.00 per share, our common
stock qualifies as a "penny stock." The rules of the Securities and Exchange
Commission impose additional sales practice requirements on broker-dealers that
recommend the purchase or sale of penny stocks to persons other than those who
qualify as an "established customer" or an "accredited investor." This includes
the requirement that a broker-dealer must make a determination or the
appropriateness of investments in penny stocks for its customer and must make
special disclosures to the customer concerning the risks of penny stocks.
Application of the penny stock rules to our common stock could adversely affect
the market liquidity of the shares, which in turn may affect the ability of our
stockholders to resell their stock.
SPECIAL NOTE REGARDING FORWARD LOOKING STATEMENTS
Some of the statements contained in or considered a part of this proxy
statement discuss future expectations, contain projections of results of
operations or financial condition or state other forward-looking information.
Those statements are subject to known and unknown risks, uncertainties and other
factors that could cause the actual results to differ materially from those
contemplated by the statements. The "forward-looking" information is based on
various factors and was derived using numerous assumptions. In some cases, you
can identify these so-called forward-looking statements by words like "may,"
"will," "should," "expects," "plans," "anticipates," "believes," "estimates,"
"predicts," "potential," or "continue" or the negative of those words and other
comparable words. You should be aware that those statements only reflect our
predictions or the predictions of ACS. Actual events or results may differ
substantially. Important factors that could cause our actual results and the
actual results of ACS to be materially different from the forward-looking
statements are disclosed under the heading "Risks Factors" in this proxy
statement.
21
THE SPECIAL MEETING
This proxy statement is first being mailed or delivered by Patient
Infosystems to its stockholders on or about September 20, 2003, and is
accompanied by the notice of the Special Meeting and a form of proxy that is
solicited by the Patient Infosystems' Board of Directors for use at the Special
Meeting and at any adjournments or postponements thereof.
Date, Time and Place; Proposals to be Considered
The Special Meeting is scheduled to be held on September 15, 2003, at 10
a.m. Eastern Time at Patient Infosystems' offices at 46 Prince Street,
Rochester, New York 1407. At the Special Meeting, Patient Infosystems
stockholders will be asked to consider and approve:
(1) an amendment of the Certificate of Incorporation of Patient Infosystems to
increase the number of authorized shares to 100,000,000 divided into
80,000,000 shares of common stock, par value $0.01 per share and 20,000,000
shares of preferred stock, par value $0.01 per share;
(2) an amendment of the Certificate of Incorporation of Patient Infosystems to
change the name of the company to American CareSource Corporation; and
(3) an amendment of the Certificate of Incorporation of Patient Infosystems to
provide for a 1 for 12 reverse stock split;
(4) an amendment of the Amended and Restated Stock Option Plan of Patient
Infosystems to increase the number of shares of common stock reserved for
issuance under the plan from 1,680,000 to 3,500,000 shares; and
(5) such other matters that come before the Special Meeting, or any adjournment
thereof, that are required to be approved by the stockholders of Patient
Infosystems.
Record Date and Voting
Our Board of Directors has fixed September 15, 2003 as the record date for
determination of holders of Patient Infosystems capital stock entitled to notice
of, and to vote at, the Special Meeting. Only holders of record of our capital
stock at the close of business on the record date will be entitled to notice of,
and to vote at, the Special Meeting or any adjournment thereof. On September 12,
2003, there were issued and outstanding, 10,956,424 shares of Patient
Infosystems common stock, 100,000 shares of Series C 9% Cumulative Convertible
Preferred Stock ("Series C Preferred Stock") and 286,182 shares of Series D
Preferred Stock. Each share of common stock is entitled to one vote; each share
of Series C Preferred Stock is entitled to eight votes and each share of Series
D Preferred Stock is entitled to one hundred twenty votes on all matters to be
voted upon at the Special Meeting.
Votes will be counted and certified by one or more Inspectors of Elections
who are expected to be employees of Patient Infosystems or Continental Stock
Transfer & Trust, the transfer agent for Patient Infosystems.
A quorum consists of a majority of our outstanding capital stock
represented in person or by proxy and entitled to vote at the Special Meeting.
Any stockholder present in person or by proxy who abstains from voting on any
particular matter will be counted in determining whether or not a quorum is
present. The affirmative vote of a majority of the outstanding shares of capital
stock of Patient Infosystems is required to approve the amendment of the
Certificate of Incorporation and the amendment of the Stock Option Plan.
If the enclosed proxy card is executed properly and received by Patient
Infosystems by October 15, 2003 in time to be voted at the Special Meeting, the
shares represented thereby will be voted in accordance with the instructions
marked thereon. EXECUTED PROXIES WITH NO INSTRUCTIONS INDICATED THEREON WILL BE
VOTED "FOR" EACH OF THE AMENDMENTS OF THE CERTIFICATE OF INCORPORATION AND FOR
THE AMENDMENT OF THE STOCK OPTION PLAN.
22
Our Board of Directors is not aware of any matters other than the
amendments of the Certificate of Incorporation and amendment of the Stock Option
Plan that may be properly brought before the Special Meeting. If any other
matters properly come before the Special Meeting or any adjournments or
postponements of the Special Meeting and are voted on, the persons named in the
accompanying proxy will vote the shares represented by all properly executed
proxies on such matters in such manner as shall be determined by a majority of
the Board of Directors of Patient Infosystems.
Proxies
All shares of Patient Infosystems capital stock represented by properly
executed proxies or voting instructions received before or at the Special
Meeting will, unless the proxies or voting instructions are revoked, be voted in
accordance with the instructions indicated on those proxies or voting
instructions. If no instructions are indicated on a properly executed proxy card
or voting instruction, the shares will be voted FOR the proposals. You are urged
to mark the box on the proxy card to indicate how to vote your shares.
If a properly executed proxy card or voting instruction is returned and the
stockholder has abstained from voting on adoption of the proposals, the Patient
Infosystems capital stock represented by the proxy or voting instruction will be
considered present at the special meeting for purposes of determining a quorum,
but will not be considered to have been voted in favor of adoption of the
proposals. If your shares are held in an account at a brokerage firm or bank,
you must instruct your broker or bank on how to vote your shares. If an executed
proxy card is returned by a broker or bank holding shares which indicates that
the broker or bank does not have discretionary authority to vote on adoption of
the proposals, the shares will be considered present at the meeting for purposes
of determining the presence of a quorum, but will not be considered to have been
voted in favor of adoption of the proposals. Your broker or bank will vote your
shares only if you provide instructions on how to vote by following the
information provided to you by your broker or bank.
Because adoption of the proposals requires the affirmative vote of at least
a majority of the outstanding capital stock of Patient Infosystems voting at the
meeting, abstentions, failures to vote and broker non-votes will have the same
effect as a vote against adoption of the proposals.
Revocability of Proxies
The accompanying form of proxy is for use at the meeting if a holder of
Patient Infosystems capital stock is unable to attend in person. The presence of
a stockholder at the Special Meeting will not automatically revoke such
stockholder's proxy. However, a stockholder may revoke a proxy at any time prior
to its exercise by:
o delivering to Kent Tapper, Assistant Secretary, Patient Infosystems,
Inc., 46 Prince Street, Rochester, New York, 14607, a written notice
of revocation prior to the Special Meeting or a duly executed proxy
bearing a later date; or
o attending the Special Meeting and voting in person.
If you have instructed a broker or bank to vote your shares, you must
follow the directions received from your broker or bank as to how to change your
vote.
All shares represented by valid proxies received pursuant to this
solicitation, and not revoked before they are voted, will be voted in the manner
specified therein.
Solicitation of Proxies
The costs of soliciting proxies in the form enclosed herewith will be borne
entirely by Patient Infosystems. In addition to the solicitation of proxies by
mail, proxies may be solicited by our officers and directors and our regular
employees, without additional remuneration, by personal interviews, telephone,
telegraph or otherwise. Copies of solicitation materials may be furnished to
brokers, custodians, nominees and other fiduciaries for forwarding to beneficial
owners of shares of our capital stock and normal handling charges may be paid
for such forwarding services.
23
Voting Electronically or by Telephone
Patient Infosystems does not provide electronic, internet or telephone
voting for the record holders of its stock because of the relatively small
number of record holders of Patient Infosystems capital stock.
Share Ownership of Management and Certain Stockholders
On June 30, 2003, Patient Infosystems' directors, executive officers and
their affiliates owned and were entitled to vote 8,230,902 shares of Patient
Infosystems common stock, or approximately 67% of the shares of Patient
Infosystems common stock outstanding on that date.
Certain Patient Infosystems stockholders holding an aggregate of 59% of
Patient Infosystems outstanding stock have executed voting agreements agreeing
to vote all of their stock in favor of the amendment of the Certificate of
Incorporation assuredof Patient Infosystems to increase authorized capital
stock. While the voting agreements do not cover the other proposals, it is
anticipated that the stockholders will also vote in favor of all of the
proposals in this proxy statement.
Regulatory Matters
Other than compliance with the applicable rules and regulations of the
Securities and Exchange Commission and any state securities law administrators
in connection with the issuance of shares in the Acquisition, no federal or
state regulatory requirements must be complied with, and no approvals must be
obtained, in connection with the Acquisition.
No Appraisal Rights
Under the Delaware General Corporation Law, the stockholders of Patient
Infosystems are not entitled to appraisal rights with respect to the Acquisition
or any other matters addressed herein.
24
PROPOSAL 1 - APPROVAL OF THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION TO
INCREASE AUTHORIZED CAPITAL STOCK
General
Our acquisition of substantially all of the assets and assumption of
substantially all of the liabilities of ACS (the "Acquisition") provides that in
consideration for the assets purchased, ACS will receive 2,091,366 shares of
Patient Infosystems common stock, which constitutes approximately 20% of Patient
Infosystems' common stock on a fully diluted basis after giving effect to the 1
for 12 reverse stock split. In order to have a sufficient number of shares to
issue to ACS pursuant to the Acquisition, we must amend our Certificate of
Incorporation in order to increase the number of authorized shares.
Additionally, on June 11, 2002, the Board of Directors of Patient
Infosystems approved the conversion of up to $4,642,500 in debt and $438,099 of
accrued interest owed to Mr. Pappajohn and Dr. Schaffer into 36,289,993 shares
of Patient Infosystems common stock using a value of $0.14 per share of common
stock. The average value of Patient Infosystems common stock based upon an
average closing price for a period immediately before June 11, 2002 was $0.1354
per share. On August 7, 2002, Patient Infosystems paid $160,000 of the
outstanding debt. As a result, $4,482,500 in debt and $438,099 of accrued
interest will be converted into 35,147,136 shares of Patient Infosystems common
stock. As of September 12, 2003, Patient Infosystems' Certificate of
Incorporation authorized Patient Infosystems to issue up to 20,000,000 shares of
common stock, 10,956,424 of which were issued and outstanding and 2,029,040 of
which were reserved for issuance under outstanding options, warrants and upon
conversion of outstanding convertible preferred stock. Giving effect to this
debt conversion will require an amendment to Patient Infosystems' Certificate of
Incorporation to authorize additional shares of common stock. The completion of
this transaction cannot occur unless and until the stockholders of Patient
Infosystems approve this amendment.
On April 10, 2003, Patient Infosystems entered into a Note and Stock
Purchase Agreement, which was subsequently amended on September 11, 2003,
pursuant to which certain investors, including Mr. Pappajohn, a member of the
Board of Directors, agreed to loan to Patient Infosystems an aggregate of up to
$3,500,000. In consideration for the loans, Patient Infosystems signed a series
of promissory notes and issued an aggregate of 286,182 shares of Series D
Preferred Stock to the investors. The 286,182 shares of Series D Preferred Stock
are convertible into up to 34,341,840 shares of Patient Infosystems common stock
subject to approval by Patient Infosystems' stockholders of the amendment to the
Certificate of Incorporation to increase authorized capital stock. In addition,
upon closing of the private placement of at least $4 million of Patient
Infosystems' capital stock, as contemplated by the Asset Purchase Agreement, the
notes issued pursuant to the Note and Stock Purchase Agreement will be
convertible into Series D Preferred Stock. The purpose of the loan from the
investors is to provide funds for Patient Infosystems to loan to ACS to provide
working capital for ACS' operations. The loan from Patient Infosystems to ACS is
provided under a Credit Agreement, which was executed on April 10, 2003 and
subsequently amended on July 30, 2003. Currently, under the terms of the Credit
Agreement, Patient Infosystems has loaned $2,850,000 to ACS. In order to have
sufficient shares of common stock reserved for issuance upon conversion of the
Series D Preferred Stock, Patient Infosystems must increase its capital stock.
The shares of common stock issued upon conversion of the Series D Preferred
Stock will be restricted securities under the Securities Act of 1933.
Background of the Acquisition
On May 2, 2000, our Board of Directors instructed management to explore
opportunities relating to a strategic partnership that might lead to an
acquisition or merger transaction with another company.
On May 12, 2000, Roger Chaufournier, our Chief Executive Officer, met Mark
Goode, an investment broker with the firm Euram Partners, LLC. Mr. Goode
informed Mr. Chaufournier that he had a partner who had invested in ACS. He
suggested that ACS might be interested in a strategic dialogue.
On May 25, 2000, Mr. Chaufournier met with Mr. Goode in Tysons Corner,
Virginia. Mr. Goode expressed an interest in representing us in securing equity
capital. Mr. Goode also agreed to arrange a meeting with his partner.
On June 1, 2000, Mr. Chaufournier had a conference call with the Finance
Committee of our Board of Directors and briefed them on Euram and ACS. The
Committee advised Mr. Chaufournier to proceed with exploring the relationships.
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From July 7, 2000 through July 18, 2000, Mr. Chaufournier met with Mr.
Goode on several occasions to review a potential transaction.
On July 20, 2000, Mr. Chaufournier and Mr. Goode met with the ACS team at
the ACS offices, including Mark Bodnar, the Chief Executive Officer of ACS and
Werner Eric Brauss, a principal stockholder of ACS.
From July 20, 2000 through August 29, 2000, several meetings were held in
person and by telephone between Mr. Chaufournier, Mr. Bodnar, Mr. Brauss, Mr.
Goode, members of our Board of Directors and other representatives of ACS and us
to discuss the underlying businesses and the terms of a proposed transaction
between us and ACS.
From August 8 through the end of August, 2000, Mr. Chaufournier worked with
our counsel and counsel to ACS to negotiate the terms of an asset purchase
agreement.
On August 29, 2000, Mr. Chaufournier briefed our Board of Directors on the
proposed transaction. A detailed discussion was held on the strategic
positioning of the deal and its benefit to us and our stockholders.
From November 8, 2000 until December 20, 2000, our representatives and
ACS's representatives were involved in regular negotiations with respect to the
terms of an asset purchase agreement.
On December 21, 2000 our Board of Directors met to review the transaction.
Our Board of Directors authorized Mr. Chaufournier to proceed with the
negotiation.
Discussions continued through January 20, 2001, when the parties concluded
that the transaction was not currently feasible.
From February through March 7, 2001, Mr. Chaufournier worked with Mr.
Bodnar on the terms of a strategic alliance between us and ACS. We and ACS began
co-marketing our services and began to explore operational synergies more
aggressively.
On March 12, 2001, we entered into a strategic alliance with ACS.
On April 9, 2001, our representatives and ACS' representatives renewed
discussions with respect to an asset purchase.
From May 2, 2001 through May 28, 2001, we engaged in discussions and
negotiations with ACS and its representatives with regard to a transaction.
On May 28, 2001, Mr. Chaufournier and Mr. Pappajohn met with Mr. Bodnar,
Mr. Brauss and other representatives of both companies. An afternoon meeting
resulted in a signing by both parties of an asset purchase agreement.
From May 28, 2001 to September 28, 2001 there were numerous meetings and
phone conferences by and among the parties and the various representatives to
complete due diligence, review the integration of the two companies and discuss
closing issues.
On September 28, 2001, the ACS Board of Directors met with its investors
and concluded that the international political crisis coupled with the turmoil
of the financial markets caused by the events of September 11, 2001 presented an
unfavorable environment for a merger. ACS notified Patient Infosystems that it
was terminating the relationship.
On January 20, 2002, and in April 2002, Mr. Bodnar met with Mr. Pappajohn
in New York City to discuss the possibility of completing a transaction.
On June 7, 2002, staff from our company met with Mr. Bodnar to discuss the
framework for a new deal.
On June 25, 2002, Mr. Chaufournier initiated contact with Michael Caolo,
general counsel to ACS, and discussed a work plan on the proposed deal.
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On June 26, 2002, a meeting was held in Dallas with Mr. Caolo, Mr.
Bodnar, Christine St. Andre, our Chief Operating Officer, and Kent Tapper, our
Chief Financial Officer, on business vision for the combined companies.
On August 6, 2002, Mr. Caolo, Mr. Bodnar, Mr. Chaufournier and Mr.
Pappajohn met in New York City to discuss the vision for the new company and the
prospects of raising additional working capital.
On August 20 and 21, 2002, Mr. Chaufournier and Mr. Tapper, met with Mr.
Caolo and Mr. Bodnar in Dallas to refine a joint business plan, conduct due
diligence reviews and continue negotiations.
On August 27, 2002, Mr. Chaufournier, Mr. Caolo, Mr. Pappajohn and Mr.
Bodnar met in New York City to discuss a capital formation strategy.
On August 27 and 28, 2002, Maria Baker, Vice President for Operations with
ACS completed a due diligence meeting in Rochester, New York. Ms. Baker met with
Ms. St. Andre, Mr. Chaufournier and Mr. Tapper.
From August 28, 2002 through September 2002 we continued negotiations. We
and ACS staff continued due diligence reviews of schedules included in the asset
purchase agreement.
On September 23, 2002, our Board of Directors approved the transaction.
On September 23, 2002, the Agreement for the Purchase and Sale of Assets
was executed.
From September 23, 2002 through April 2003, we and ACS were engaged in the
preparation of this proxy statement and financial information. In the course of
these activities, issues arose, including a need for increased working capital
for ACS and the provision of financing by Patient Infosystems to ACS. As a
result, we and ACS agreed to amend the Asset Purchase Agreement in April 2003.
On April 10, 2003, our Board of Directors approved the Amended and Restated
Agreement for the Purchase and Sale of Assets and it was executed.
On July 30, 2003, ACS borrowed additional funds from us for working
capital. As a result, we and ACS decided to amend the Amended and Restated
Agreement for the Purchase and Sale of Assets. On July 30, 2003 the Amendment
No. 1 to Amended and Restated Agreement for the Purchase and Sale of Assets was
executed (the Agreement for the Purchase and Sale of Assets, as amended, is
referred to herein as the "Asset Purchase Agreement").
Recommendation of the Patient Infosystems Board of Directors and Reasons For The
Acquisition
Our Board of Directors concluded unanimously that the Acquisition was in
the best interests of Patient Infosystems and our stockholders, authorized and
approved the Asset Purchase Agreement, the issuance of shares of Patient
Infosystems common stock in connection with the Acquisition, and the amendment
of the Certificate of Incorporation to increase authorized capital stock.
The decision of our Board of Directors was based upon the potential
benefits of the Acquisition, including the following:
o a new business model that is unique in the market and has significant
growth potential;
o an opportunity to leverage Patient Infosystems' client base and
provide a more integrated solution to the market;
o an opportunity to enter into a new business which may provide
increased revenue;
o diversification of the sources of Patient Infosystems' revenues; and
o the addition of experienced members of management.
In its evaluation of the Acquisition, our Board of Directors reviewed
several factors, including the following:
o historical information concerning the respective businesses of Patient
Infosystems and ACS including financial performance and condition and
operations and management;
o the status and quality of ACS' relationships with its clients;
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o management's view of the financial condition, results of operations
and businesses of Patient Infosystems and ACS before and after giving
effect to the Acquisition;
o reports of management regarding the results of the due diligence
investigation of ACS;
o the potential impact of the Acquisition on the employees, customers
and business partners of Patient Infosystems; and
o the potential impact of the Acquisition on the business of Patient
Infosystems.
In its evaluation of the Acquisition, our Board of Directors also
considered various risks and uncertainties, including:
o immediate and substantial dilution of Patient Infosystems
stockholders' percentage equity and voting interest;
o inability of Patient Infosystems and ACS to successfully integrate
operations;
o change in the current business of Patient Infosystems;
o the risk that the potential benefits of the Acquisition might not be
fully realized;
o the possibility that the Acquisition might not be completed, or that
completion might be unduly delayed;
o the costs associated with integrating Patient Infosystems and ACS;
o the possibility that despite the efforts of the combined company, key
employees might not remain employed by the combined company;and
o possible loss of contracts with customers and other third parties.
Our Board of Directors concluded that the potential benefits of the
Acquisition and the amendments to the Certificate of Incorporation to Patient
Infosystems and its stockholders outweigh the risks associated with the
Acquisition and the amendment to the Certificate of Incorporation to icrease
authorized capital stock. This discussion of the information and factors
considered by our Board of Directors is not intended to be exhaustive. In view
of the variety of factors considered in connection with its evaluation of the
Acquisition and the amendment to the Certificate of Incorporation, our Board of
Directors did not find it practicable to, and did not quantify or otherwise
assign relative weight to, the specific factors considered in reaching its
determination. After careful consideration, our Board of Directors determined
that the Acquisition and the amendment of the Certificate of Incorporation are
in the best interests of Patient Infosystems and its stockholders.
Our Board of Directors chose not to retain a fairness opinion from an
outside financial advisor with respect to the Acquisition. Our Board of
Directors concluded that Patient Infosystems had sufficient in-house
sophistication, knowledge and expertise to assist the Board of Directors in
evaluating the financial impact of the Acquisition and the fairness of the terms
of the transaction.
ACS' Reasons for the Acquisition; Approval by ACS' Board of Directors and
Stockholders
The ACS Board of Directors believes that the terms of the Acquisition are
in the best interests of ACS and its stockholders. Accordingly, the ACS Board of
Directors unanimously approved the Acquisition. ACS believes that it will obtain
the necessary approval of the Acquisition by the holders of a majority of its
outstanding common stock.
The terms of the Acquisition, including the consideration, were the result
of arm's-length negotiations between ACS and Patient Infosystems. In fixing the
consideration consisting mainly of Patient Infosystems common stock, ACS'
management considered the relative values of the two companies. In considering
the Acquisition, the ACS Board of Directors consulted with legal advisors and
management of ACS.
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In reaching its decision to approve the Acquisition, in addition to the
factors described above, the ACS Board of Directors considered the following
factors:
o the strategic benefits of the Acquisition;
o the lack of liquidity for ACS common stock;
o the effects of the Acquisition on ACS' stockholders;
o the strength of the management team of the combined company;
o historical information regarding Patient Infosystems' and ACS'
respective businesses, prospects, financial performance and condition
and competitive positions;
o the prospects of ACS as an independent company;
o the terms of the Asset Purchase Agreement.
o reports of management regarding the results of the due diligence
investigation of ACS;
o the potential impact of the Acquisition on the employees, customers
and business partners of ACS; and
o the potential impact of the Acquisition on the business of ACS.
In its evaluation of the Acquisition, the ACS Board of Directors also
considered various risks and uncertainties, including:
o change in control of ACS;
o inability of Patient Infosystems and ACS to successfully integrate
operations;
o the possibility that the potential benefits sought from the
Acquisition might not be fully realized;
o the challenges of integrating the management teams, strategies,
cultures and organizations of the two companies;
o the risk that despite the efforts of the combined company, key
employees might not remain employed by the combined company;
o the costs associated with integrating Patient Infosystems and ACS;
o the possibility that the Acquisition might not be completed or might
be unduly delayed; and
o possible loss of contracts with customers and other third parties.
Accounting Treatment
The Acquisition will be accounted for as a "purchase." Under the purchase
method of accounting, tangible and identifiable intangible assets acquired and
liabilities assumed are recorded at their estimated fair values. The excess of
the purchase price, including estimated fdirect costs related to the merger,
over the value of the net assets acquired is classified as goodwill on the
unaudited pro forma combined condensed balance sheet included in this proxy
statement.
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Federal Income Tax Consequences of the Acquisition
The following is a summary of the material anticipated U.S. federal income
tax consequences of the Acquisition. The summary is based on the Internal
Revenue Code (the "Internal Revenue Code"), Treasury regulations issued under
the Internal Revenue Code, and administrative rulings and court decisions in
effect as of the date of this proxy statement, all of which are subject to
change at any time, possibly with retroactive effect. This summary is not a
complete description of all of the U.S. federal income tax consequences of the
Acquisition and, in particular, may not address considerations applicable to ACS
stockholders subject to special treatment under U.S. federal income tax law. ACS
stockholders subject to special treatment include, for example, foreign persons,
financial institutions, dealers in securities, traders in securities who elect
to apply a mark-to-market method of accounting, insurance companies, tax-exempt
entities, and holders who hold common stock as part of a "hedge," "straddle" or
"conversion transaction." In addition, no information is provided in this
document with respect to the tax consequences of the Acquisition under any
foreign, state or local laws.
STOCKHOLDERS ARE URGED TO CONSULT THEIR TAX ADVISORS REGARDING THE TAX
CONSEQUENCES OF THE ACQUISITION TO THEM IN THEIR PARTICULAR SITUATIONS,
INCLUDING THE EFFECTS OF U.S. FEDERAL, STATE, LOCAL, FOREIGN, ESTATE AND OTHER
TAX LAWS.
For U.S. federal income tax purposes, the Acquisition will be treated as a
"reorganization" -- that is, a transaction of a type that is generally tax-free.
As a result, Patient Infosystems' tax basis in the assets acquired pursuant to
the Asset Purchase Agreement should equal ACS' basis in such assets. Although
such basis would be increased by any gain recognized in the transaction to ACS,
it is anticipated that no such gain will be recognized and, accordingly, that no
such increase in tax basis will occur.
This discussion regarding tax consequences is not binding on the Internal
Revenue Service (the "IRS") or the courts, and the parties do not intend to
request a ruling from the IRS with respect to the Acquisition. Accordingly,
there can be no assurance that the IRS will not challenge the conclusion
reflected in this discussion or that a court will not sustain such a challenge.
No Appraisal Rights
While Section 262 of the Delaware General Corporation Law provides
appraisal rights (sometimes referred to as "dissenters' rights") to stockholders
of Delaware corporations in certain situations, these appraisal rights are not
available to the stockholders of Patient Infosystems in connection with the
Acquisition or the amendment to the Certificate of Incorporation of Patient
Infosystems.
Securities Law Consequences
The shares to be issued to ACS pursuant to the Acquisition have not been
registered under the Securities Act of 1933. These shares can be resold only if
they are registered for resale under the Securities Act or exempt from
registration. Under the terms of the Asset Purchase Agreement, ACS may
distribute Patient Infosystems stock issued in connection with the Acquisition
only to stockholders of ACS who are signatories to the Asset Purchase Agreement
or to persons who become stockholders of ACS before the closing of the
Acquisition. ACS stockholders who receive such shares may not distribute them
for a period of twelve months from the closing date of the Acquisition. However,
should an ACS stockholder who received shares of Patient Infosystems stock from
the Acquisition dissolve or liquidate, such ACS stockholder may distribute the
Patient Infosystems shares to its stockholders provided that its stockholders
agree to the twelve month holding period and agree to be subject to the
indemnification obligation contained in the Asset Purchase Agreement.
Patient Infosystems does not intend to register the shares that ACS
receives in the Acquisition. ACS currently does not intend to transfer these
shares to its stockholders. However, since all of the stockholders of ACS are
accredited investors, it is likely that in the event ACS wishes to distribute
the shares to its stockholders, ACS will be able to rely on the exemption from
registration provided under Section 4(2) of the Securities Act of 1933 and
Regulation D.
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THE ASSET PURCHASE AGREEMENT
The following is a summary of the Asset Purchase Agreement. This summary
does not purport to be complete, and is qualified in its entirety by reference
to the text of the Asset Purchase Agreement. The agreements which constitute the
Asset Purchase Agreement are attached as Appendix C and Appendix D to this Proxy
Statement.
Structure of the Purchase
The Asset Purchase Agreement contemplates our purchase of substantially all
of the business and assets of ACS. We will also assume substantially all
liabilities of ACS. When we complete the Acquisition, a number of ACS directors
will become directors and/or members of management of Patient Infosystems.
Acquisition Consideration
Patient Infosystems intends to acquire substantially all of the assets and
assume substantially all of the liabilities of ACS. In consideration of the sale
of assets, Patient Infosystems agreed to issue to ACS 2,091,366 shares or
Patient Infosystems common stock, which constitutes approximately 20% of the
outstanding common stock of Patient Infosystems on a fully diluted basis after
giving effect to the 1 for 12 reverse stock split. Under the terms of the Asset
Purchase Agreement, ACS will retain all records related to the corporate
organization of ACS, including, among other things, its minute books, stock
books and corporate seals. In addition, ACS will retain the funded portion of
any pension or profit sharing plans and all rights that will accrue to ACS under
the Asset Purchase Agreement, including the shares of Patient Infosystems common
stock it will receive as consideration.
Certain Covenants
Interim Operations of ACS and Patient Infosystems. From the date of execution of
the Asset Purchase Agreement until the closing date of the Acquisition, Patient
Infosystems and ACS are each required to conduct its business in the ordinary
course consistent with past practice and to use its reasonable best efforts to
preserve intact its business organization and relationships with customers and
to keep available the services of its employees. In particular, during this
period, Patient Infosystems and ACS each may not:
o declare or pay dividends or make any distribution or transfers of any
amount including cash to any employees, officers, directors or
stockholders, except in the ordinary course of business;
o make any payment or dispose any assets in excess of $5,000 of fair
market value;
o acquire, or commit to acquire, any assets, other than assets involving
$25,000 or less in any one transaction or series of related
transactions;
o subject to certain exceptions, assume, create, guarantee or incur any
indebtedness other than indebtedness incurred in the ordinary course
of business;
o grant any lien except in the ordinary course of business consistent
with past practices;
o except as contemplated by the Asset Purchase Agreement, amend, modify
or terminate any contract or other agreement, authorization,
commitment, lease, mortgage, or other document, including articles of
incorporation or bylaws, outside the ordinary course of business
consistent with past business practices;
o enter into any new contract or other agreement, authorization,
commitment, lease, mortgage or other document that is material;
o change the accounting principles used when maintaining accounting
records or presenting financial statements, or otherwise alter the
manner of keeping accounts, books or records, except for converting
accounting basis to the accrual method;
31
o make, change or forgive any loan in excess of $5,000 between Patient
Infosystems or ACS and any of their affiliates, directors, employees,
officers, related parties or stockholders;
o make any payments in any case greater than $5,000 or $25,000 in the
aggregate of any kind, including dividends, distributions, bonuses and
repayment of indebtedness, to affiliates, directors, employees,
officers, related parties or stockholders, other than normal,
recurring payments of salary, commissions, bonuses, retainers,
reimbursements, repayment of indebtedness, and the like, in accordance
with existing contractual obligations or in the ordinary course of
business consistent with past practices; or
o agree or commit to take any of the actions described above.
Special Meeting; Proxy Material. We have agreed under the Asset Purchase
Agreement to prepare and file with the Securities and Exchange Commission, a
proxy statement for a special meeting of our stockholders to approve all matters
necessary for the Acquisition.
No Solicitation. ACS has agreed in the Asset Purchase Agreement that, unless
such agreement is terminated, it will not, and its affiliates and stockholders
will not cause it to (i) directly or indirectly encourage, solicit, initiate or
participate with any person, entity or group regarding any merger, sale of
substantially all of the assets, business combination, sale of shares of capital
stock, or similar transaction involving ACS or (ii) directly or indirectly
disclose any confidential information concerning Patient Infosystems to any
person, entity or group other than Patient Infosystems and its advisors and
representatives. Patient Infosystems will be promptly notified of any offer or
inquiry regarding the above received by ACS or an ACS stockholder.
Employment Agreements. Pursuant to the Asset Purchase Agreement, we agreed to
enter into an employment agreement with Mark Bodnar on the closing date of the
Asset Purchase Agreement. Under the terms of his agreement, Mr. Bodnar will
receive an annual salary of $150,000. Upon termination of his current automobile
lease, Mr. Bodnar will receive a monthly automobile allowance in the amount of
$1,000. Also, the agreement provides that Mr. Bodnar will receive options to
purchase 100,000 shares of our common stock at an exercise price of $1.00 per
share. In addition, the agreement provides that Mr. Bodnar will receive certain
commissions.
Patient Infosystems Shareholder Voting Agreement. Certain Patient
Infosystems stockholders holding an aggregate of 59% of our outstanding stock
have executed voting agreements agreeing to vote all of their stock in favor of
the amendment of the Certificate of Incorporation of Patient Infosystems to
increase authorized capital stock. While the voting agreements do not cover the
other proposals, it is anticipated that the stockholders will also vote in favor
of all of the proposals in this proxy statement.
Certain Other Covenants. The Asset Purchase Agreement contains certain other
mutual covenants of the parties, including covenants relating to public
announcements; notification of certain matters; access to information;
disclosure supplements; further assurances and confidential treatment of
non-public information.
Certain Representations and Warranties
The Asset Purchase Agreement contains, subject to certain exceptions,
representations and warranties made by ACS and certain of its stockholders as
to, among other things: due organization and good standing; corporate
authorization to enter into the contemplated transactions; execution, delivery
and enforceability of the Asset Purchase Agreement; governmental authorizations;
absence of any conflict or breach of organizational documents and certain
material agreements as a result of the contemplated transactions; absence of the
creation of any lien as a result of the contemplated transactions;
capitalization; absence of subsidiaries; financial statements; absence of
undisclosed material facts or liabilities; compliance with laws and court
orders; litigation; title to and character of assets; tax matters; employee
matters; employee benefits plans; required consents; insurance; accounts
receivable; contracts; conditions affecting the business of ACS; absence of any
broker; solvency; sufficiency of assets to conduct the business of ACS;
ownership and use of real property; and intellectual property rights.
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The Asset Purchase Agreement contains, subject to certain exceptions,
representations and warranties made by Patient Infosystems and certain of our
stockholders as to, among other things: due organization and good standing;
corporate authorization to enter into the contemplated transactions; execution,
delivery and enforceability of the Asset Purchase Agreement; absence of any
conflict or breach of organizational documents and certain material agreements
as a result of the contemplated transactions; absence of the creation of any
lien as a result of the contemplated transactions; capitalization; filings with
the Securities and Exchange Commission; financial statements; absence of
undisclosed material facts or liabilities; compliance with laws and court
orders; litigation; tax matters; and absence of any restriction that materially
affects or restricts the business and assets of Patient Infosystems after the
consummation of the contemplated transactions.
The representations and warranties in the Asset Purchase Agreement survive
for a period of one year from the date of the agreement.
Conditions to the Acquisition
Conditions to the Obligations of Patient Infosystems to Effect the Acquisition.
The obligations of Patient Infosystems to effect the Acquisition are subject to
the satisfaction of the following conditions:
o the representations and warranties of ACS and its stockholders
contained in the Asset Purchase Agreement being true in all material
respects as of the date of the Asset Purchase Agreement and as of the
closing date;
o the performance by ACS of all agreements, covenants and obligations
that it is required to perform under the Asset Purchase Agreement as
of the closing date;
o ACS' delivery to Patient Infosystems of a closing certificate signed
by an officer of ACS certifying the above;
o ACS' delivery to Patient Infosystems of an assignment of contracts;
o Patient Infosystems' receipt of a legal opinion regarding the
Acquisition from counsel to ACS;
o Patient Infosystems' receipt of stockholder representation letters
from each stockholder of ACS that is a signatory to the Asset Purchase
Agreement;
o Patient Infosystems' receipt of conveyance instruments regarding the
sale, conveyance, transfer and assignment of the assets of ACS;
o Patient Infosystems' receipt of all customer contracts duly executed
from ACS;
o Patient Infosystems' receipt of all vendor and supplier contracts duly
executed from ACS;
o Patient Infosystems' receipt of all contracts and all other documents
relating to the purchased assets;
o ACS' delivery of all consents required to be obtained or given by ACS
in order to consummate the transactions contemplated by the Asset
Purchase Agreement and the other transaction documents; and
o ACS' delivery to Patient Infosystems of certified resolutions of the
Board of Directors and stockholders of ACS authorizing the execution,
delivery and performance of the Asset Purchase Agreement and each
other document, agreement, instrument or certificate to which such
person is party and the transactions contemplated by such agreements.
Conditions to the Obligations of ACS to Effect the Acquisition. The obligations
of ACS to effect the Acquisition is subject to the satisfaction of the following
conditions:
o the representations and warranties of Patient Infosystems contained in
the Asset Purchase Agreement being true in all material respects as of
the date of the Asset Purchase Agreement and as of the closing date;
33
o the performance by Patient Infosystems of all agreements, covenants
and obligations that it is required to perform under the Asset
Purchase Agreement as of the closing date;
o Patient Infosystems' delivery to ACS of a closing certificate signed
by an officer of Patient Infosystems certifying the above;
o Acceptance by Patient Infosystems' of an assignment of contracts from
ACS;
o ACS' receipt of a legal opinion regarding the Acquisition from counsel
to Patient Infosystems;
o Acceptance by Patient Infosystems of all customer contracts;
o Acceptance by Patient Infosystems of vendor and supplier contracts;
and
o Patient Infosystems' delivery to ACS of certified resolutions of the
Board of Directors of Patient Infosystems authorizing the execution,
delivery and performance of the Asset Purchase Agreement and each
other document, agreement, instrument or certificate to which such
person is party and the transactions contemplated by such agreements.
Other Agreements and Documents Required to Effect the Acquisition. The
obligations of both Patient Infosystems and ACS to effect the Acquisition
require the following:
o The execution by certain stockholders of ACS and Patient Infosystems
of a Shareholders' Agreement providing for the voting of all shares of
Patient Infosystems owned by such stockholders in favor of the
election of John Pappajohn, Derace Schaffer, Mark Bodnar, one
reasonably qualified individual designated by Eric Brauss, Mark Bodnar
and Michael Caolo, Jr. and one reasonably qualified individual
designated by John Pappajohn and Derace Schaffer as members of the
Board of Directors of Patient Infosystems;
o the execution of agreements by Werner Eric Brauss and Today Financial
Corporation and related entities and affiliates to hold all
indebtedness of ACS in abeyance until March 31, 2007, and to not
demand repayment of principal or accrued interest unless required in
accordance with the terms of the promissory notes relating thereto;
o the execution of agreements by John Pappajohn and Derace Schaffer to
hold all indebtedness of Patient Infosystems in abeyance until
September 30, 2004, and to not demand repayment of principal or
accrued interest unless required in accordance with the terms of the
promissory notes relating thereto;
o Written documentation that the bank debt of Patient Infosystems to
Wells Fargo Bank has been renegotiated so as to provide a grace and
forbearance period until December 31, 2003 before any principal
payments are required and that John Pappajohn and Derace Schaffer will
remain guarantors of such bank debt if required by Wells Fargo Bank.
o Proceeds from the private placement of equity securities in the
minimum amount of $4.0 million placed into an escrow account to be
released immediately following the closing of the Acquisition.
o The execution of a Voting Agreement by each stockholder of Patient
Infosystems owning more than 10% of the outstanding shares of the
common stock of Patient Infosystems providing that such stockholder
will vote all shares owned by him in favor of the Acquisition and all
related matters.
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Termination of the Asset Purchase Agreement
The Asset Purchase Agreement may be terminated and the Acquisition
abandoned at any time prior to the closing date of the transaction as follows:
o by mutual agreement in writing by Patient Infosystems and ACS;
o by either Patient Infosystems or ACS if the other party materially
breaches any of the representations, warranties, covenants or
agreements set forth in the Asset Purchase Agreement at the time of
its execution or on the closing date;
o by either Patient Infosystems or ACS if the other party fails to
perform timely, in all material aspects, the covenants and obligations
that it is required to perform under the Asset Purchase Agreement and
such party does not obtain in writing a waiver of such performances;
or
o by either Patient Infosystems or ACS at any time after November 30,
2003 if the closing of the Acquisition does not occur by such date
because the Securities and Exchange Commission has determined to
review this proxy statement.
In the event that the Asset Purchase Agreement is validly terminated by
either Patient Infosystems or ACS as provided in the first and fourth bullet
points above, the Asset Purchase Agreement will become void and have no effect
except that ACS and its stockholders are prohibited from disclosing the contents
of negotiations regarding the Asset Purchase Agreement or the terms of the Asset
Purchase Agreement. Upon such termination, there will be no further obligation
on the part of Patient Infosystems, ACS, their respective officers or directors,
or their respective stockholders that are signatories to the Asset Purchase
Agreement. Upon termination of the Asset Purchase Agreement for any reason other
than those in the first and fourth bullet points above, each party to the Asset
Purchase Agreement may pursue any and all remedies that such party may have
under the Asset Purchase Agreement or by law.
Fees and Expenses. Each party to the Asset Purchase Agreement shall pay all of
their costs and expenses, including accountant and legal fees and expenses,
incurred in connection with the Acquisition.
Interests of Certain Persons in Acquisition and Related Matters
On June 11, 2002, the Board of Directors of Patient Infosystems approved
the conversion of up to $4,642,500 in debt and $438,099 of accrued interest owed
to Mr. Pappajohn and Dr. Schaffer into 36,289,993 shares of Patient Infosystems
common stock using a value of $0.14 per share of common stock. The average value
of Patient Infosystems common stock based upon an average closing price for a
period immediately before June 11, 2002 was $0.1354 per share. On August 7,
2002, Patient Infosystems paid $160,000 of the outstanding debt. As a result,
$4,482,500 in debt and $438,099 of accrued interest will be converted into
35,147,136 shares of Patient Infosystems common stock. Currently, Patient
Infosystems' Certificate of Incorporation authorized Patient Infosystems to
issue up to 20,000,000 shares of common stock, 10,956,424 of which were issued
and outstanding and 2,029,040 of which were reserved for issuance under
outstanding options, warrants and upon conversion of outstanding convertible
preferred stock. Giving effect to this debt conversion will require an amendment
to Patient Infosystems' Certificate of Incorporation to authorize additional
shares of common stock. The completion of this transaction cannot occur unless
and until the stockholders of Patient Infosystems approve this amendment.
On April 10, 2003, Patient Infosystems entered into a Note and Stock
Purchase Agreement, which was subsequently amended on September 11, 2003,
pursuant to which certain investors, including Mr. Pappajohn, a member of the
Board of Directors, agreed to loan to Patient Infosystems an aggregate of up to
$3,500,000. In consideration for the loans, Patient Infosystems signed a series
of promissory notes and issued an aggregate of 286,182 shares of Series D
Preferred Stock to the investors. The 286,182 shares of Series D Preferred Stock
are convertible into up to 34,341,840 shares of Patient Infosystems common stock
subject to approval by Patient Infosystems' stockholders of the amendment to the
Certificate of Incorporation to increase authorized capital stock. In addition,
upon closing of the private placement of at least $4 million of Patient
Infosystems' capital stock, as contemplated by the Asset Purchase Agreement, the
notes issued pursuant to the Note and Stock Purchase Agreement will be
convertible into Series D Preferred Stock. The purpose of the loan from the
investors is to provide funds for Patient Infosystems to loan to ACS to provide
working capital for ACS' operations. The loan from Patient Infosystems to ACS is
provided under a Credit Agreement, which was executed on April 10, 2003 and
subsequently amended on July 30, 2003. In order to have sufficient shares of
common stock reserved for issuance upon conversion of the Series D Preferred
Stock, Patient Infosystems must increase its capital stock.
35
Our Board of Directors concluded that the Acquisition is in the best
interests of Patient Infosystems and its stockholders. Our Board of Directors
has unanimously approved the amendment of the Certificate of Incorporation to
increase authorized capital stock and recommends that you vote FOR such
amendment.
PROPOSAL 2 - APPROVAL OF THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION TO
CHANGE THE COMPANY'S NAME
Following the closing of the Acquisition, we intend to focus our business
strategy on developing the ancillary healthcare benefits management business
currently conducted by ACS. We wish to take advantage of ACS' name recognition
in such field. As a result, following the closing of the Acquisition, we will
change our corporate name to American CareSource Corporation.
Our Board of Directors concluded that changing the company's name to
American CareSource Corporation is in the best interests of Patient Infosystems
and its stockholders. Our Board of Directors has unanimously approved the
amendment of the Certificate of Incorporation to change the company's name to
American CareSource Corporation and recommends that you vote FOR such amendment.
PROPOSAL 3 - APPROVAL OF THE AMENDMENT OF THE CERTIFICATE OF INCORPORATION TO
PROVIDE FOR A REVERSE STOCK SPLIT
On September 14, 2000, Patient Infosystems common stock was delisted from
the Nasdaq National Market because Patient Infosystems was unable to maintain
the requisite net assets and market price standards for continued listing.
Accordingly, trading of Patient Infosystems common stock is now conducted on the
Over-the-Counter Bulletin Board. The Board of Directors has determined that it
is in the best interests of Patient Infosystems and its stockholders to effect a
1 for 12 reverse stock split. The reverse stock split will not affect the number
of authorized shares of Patient Infosystems common stock or preferred stock or
the par value of Patient Infosystems common stock or preferred stock. Except for
any changes as a result of the treatment of fractional shares, each stockholder
will hold the same percentage of common stock outstanding as such stockholder
held immediately prior to the reverse stock split.
Certain Risks Associated With the Reverse Stock Split
There can be no assurance that the total market capitalization of Patient
Infosystems common stock after the proposed reverse stock split will be equal to
or greater than the total market capitalization before the proposed reverse
stock split or that the per share market price of Patient Infosystems common
stock following the reverse stock split will either exceed or remain higher than
the current per share market price.
There can be no assurance that the market price per new share of Patient
Infosystems common stock (the "New Shares") after the reverse stock split will
rise or remain constant in proportion to the reduction in the number of old
shares of Patient Infosystems common stock (the "Old Shares") outstanding before
the reverse stock split. For example, based on the market price of Patient
Infosystems common stock on September 12, 2003 of $0.16 per share, there can be
no assurance that the post-split market price of Patient Infosystems common
stock would be $1.80 per share or greater. Accordingly, the total market
capitalization of Patient Infosystems common stock after the proposed reverse
stock split may be lower than the total market capitalization before the
proposed reverse stock split and, in the future, the market price of Patient
Infosystems common stock following the reverse stock split may not exceed or
remain higher than the market price prior to the proposed reverse stock split.
In many cases, the total market capitalization of a company following a reverse
stock split is lower than the total market capitalization before the reverse
stock split.
36
There can be no assurance that the reverse stock split will result in a per
share price that will increase Patient Infosystems' ability to attract and
retain employees and other service providers.
While the Board of Directors believes that a higher stock price may help
Patient Infosystems attract and retain employees and other service providers who
are less likely to work for a company with a low stock price, there can be no
assurance that the reverse stock split will result in a per share price that
will increase Patient Infosystems' ability to attract and retain employees and
other service providers.
A decline in the market price for Patient Infosystems common stock after the
reverse stock split may result in a greater percentage decline than would occur
in the absence of a reverse stock split, and the liquidity of Patient
Infosystems common stock could be adversely affected following a reverse stock
split.
The market price of Patient Infosystems common stock will also be based on
Patient Infosystems' performance and other factors, some of which are unrelated
to the number of shares outstanding. If the reverse stock split is effected and
the market price of Patient Infosystems common stock declines, the percentage
decline as an absolute number and as a percentage of Patient Infosystems'
overall market capitalization may be greater than would occur in the absence of
a reverse stock split. In many cases, both the total market capitalization of a
company and the market price of a share of such company's common stock following
a reverse stock split are lower than they were before the reverse stock split.
Furthermore, the liquidity of Patient Infosystems common stock could be
adversely affected by the reduced number of shares that would be outstanding
after the reverse stock split.
Principal Effects of the Reverse Stock Split
Corporate Matters. If approved and effected, the reverse stock split would
have the following effects:
o Twelve Old Shares owned by a stockholder would be exchanged for one
New Share;
o the number of shares of Patient Infosystems common stock issued and
outstanding will be reduced from approximately 11,000,000 shares to
approximately 917,000 shares;
o all outstanding options and warrants entitling the holders thereof to
purchase shares of Patient Infosystems common stock will enable such
holders to purchase, upon exercise of their options or warrants, 1/12
of the number of shares of Patient Infosystems common stock that such
holders would have been able to purchase upon exercise of their
options and warrants immediately preceding the reverse stock split at
an exercise price equal to twelve times the exercise price specified
before the reverse stock split, resulting in approximately the same
aggregate price being required to be paid therefor upon exercise as
immediately preceding the reverse stock split;
o the number of shares reserved for issuance under the Patient
Infosystems' existing stock option plan will be reduced to 1/12 of the
number currently reserved under such plan;
o a proportionate adjustment will be made to the conversion ratio of the
Series C Preferred Stock of Patient Infosystems which will enable the
holders of Series C Preferred Stock to convert each share of Series C
Preferred Stock into 1/12 of the number of shares of common stock for
which such share of Series C Preferred Stock was convertible prior to
the reverse stock split; and
o a proportionate adjustment will be made to the conversion ratio of the
Series D Preferred Stock of Patient Infosystems which will enable the
holders of Series D Preferred Stock to convert each share of Series D
Preferred Stock into 1/12 of the number of shares of common stock for
which such share of Series D Preferred Stock was convertible prior to
the reverse stock split.
37
The reverse stock split will affect all of Patient Infosystems'
stockholders uniformly and will not affect any stockholder's percentage
ownership interests in Patient Infosystems, except to the extent that the
reverse stock split results in any of Patient Infosystems' stockholders owning a
fractional share. As described below, stockholders holding fractional shares
will be entitled to cash payments in lieu of such fractional shares. Such cash
payments will reduce the number of post-split stockholders to the extent there
are stockholders presently holding fewer than twelve shares. This, however, is
not the purpose for which Patient Infosystems is effecting the reverse stock
split. Common stock issued pursuant to the reverse stock split will remain fully
paid and non-assessable. Following the reverse stock split, Patient Infosystems
will continue to be subject to the periodic reporting requirements of the
Securities Exchange Act of 1934.
Fractional Shares. No scrip or fractional certificates will be issued in
connection with the reverse stock split. Stockholders who otherwise would be
entitled to receive fractional shares because they hold a number of Old Shares
not evenly divisible by twelve will be entitled, upon surrender of
certificate(s) representing such shares, to a cash payment in lieu thereof. The
cash payment will equal the product obtained by multiplying (a) the fraction to
which the stockholder would otherwise be entitled by (b) the per share closing
sales price of Patient Infosystems common stock on the day immediately prior to
the effective time of the reverse stock split, as reported on the OTC Bulletin
Board. The ownership of a fractional interest will not give the holder thereof
any voting, dividend or other rights except to receive payment therefor as
described herein.
Stockholders should be aware that, under the escheat laws of the various
jurisdictions where stockholders reside, where Patient Infosystems is domiciled
and where the funds will be deposited, sums due for fractional interests that
are not timely claimed after the effective time may be required to be paid to
the designated agent for each such jurisdiction. Thereafter, stockholders
otherwise entitled to receive such funds may have to seek to obtain them
directly from the state to which they were paid.
If approved and effected, the reverse stock split will result in some
stockholders owning "odd lots" of less than 100 shares of Patient Infosystems
common stock. Brokerage commissions and other costs of transactions in odd lots
are generally somewhat higher than the costs of transactions in "round lots" of
even multiples of 100 shares.
Authorized Shares. Upon the effectiveness of the reverse stock split, the
number of authorized shares of common stock that are not issued or outstanding
would increase due to the reduction in the number of shares of Patient
Infosystems common stock issued and outstanding based on the 1 for 12 ratio. As
of September 12, 2003, Patient Infosystems had 20,000,000 shares of common stock
authorized and 10,956,424 shares of common stock issued and outstanding.
Authorized but unissued shares will be available for issuance, and Patient
Infosystems may issue such shares in financings or otherwise. If Patient
Infosystems issues additional shares, the ownership interest of holders of
Patient Infosystems common stock may also be diluted.
Accounting Matters. The reverse stock split will not affect the par value
of Patient Infosystems common stock. As a result, as of the effective time of
the reverse stock split, the stated capital on Patient Infosystems' balance
sheet attributable to Patient Infosystems common stock will be reduced
proportionately based on the reverse stock split ratio, and the additional
paid-in capital account will be credited with the amount by which the stated
capital is reduced. The per share net income or loss and net book value of
Patient Infosystems common stock will be restated because there will be fewer
shares of Patient Infosystems common stock outstanding.
Potential Anti-Takeover Effect. Although the increased proportion of
unissued authorized shares to issued shares could, under certain circumstances,
have an anti-takeover effect (for example, by permitting issuances that would
dilute the stock ownership of a person seeking to effect a change in the
composition of Patient Infosystems' Board of Directors or contemplating a tender
offer or other transaction for the combination of Patient Infosystems with
another company), the reverse stock split proposal is not being proposed in
response to any effort of which we are aware to accumulate Patient Infosystems'
shares of common stock or obtain control of Patient Infosystems.
Procedure for Effecting Reverse Stock Split and Exchange of Stock Certificates
If the stockholders approve the proposal to authorize the Board of
Directors to implement the reverse stock split, Patient Infosystems will file an
amendment to its Certificate of Incorporation with the Secretary of State of the
State of Delaware. The reverse stock split will become effective at the time
specified in the amendment to the Certificate of Incorporation (the "Effective
Time"). Beginning at the Effective Time, each certificate representing Old
Shares will be deemed for all corporate purposes to evidence ownership of New
Shares.
38
As soon as practicable after the Effective Time, stockholders will be
notified that the reverse stock split has been effected. Patient Infosystems
expects that its transfer agent, Continental Stock Transfer and Trust, will act
as exchange agent for purposes of implementing the exchange of stock
certificates. Holders of Old Shares will be asked to surrender to the exchange
agent certificates representing Old Shares in exchange for certificates
representing New Shares in accordance with the procedures to be set forth in the
letter of transmittal Patient Infosystems sends to its stockholders. No new
certificates will be issued to a stockholder until such stockholder has
surrendered such stockholder's outstanding certificate(s), together with the
properly completed and executed letter of transmittal, to the exchange agent.
Any Old Shares submitted for transfer, whether pursuant to a sale, other
disposition or otherwise, will automatically be exchanged for New Shares.
STOCKHOLDERS SHOULD NOT DESTROY ANY STOCK CERTIFICATE(S) AND SHOULD NOT SUBMIT
ANY CERTIFICATE(S) UNTIL REQUESTED TO DO SO.
No Dissenters' Rights
Under the Delaware General Corporation Law, Patient Infosystems'
stockholders are not entitled to dissenters' rights with respect to the reverse
stock split.
Federal Income Tax Consequences of the Reverse Stock Split
The following is a summary of certain material federal income tax
consequences of the reverse stock split, does not purport to be a complete
discussion of all of the possible federal income tax consequences of the reverse
stock split and is included for general information only. Further, it does not
address any state, local or foreign income or other tax consequences. Also, it
does not address the tax consequences to holders that are subject to special tax
rules, such as banks, insurance companies, regulated investment companies,
personal holding companies, foreign entities, nonresident alien individuals,
broker-dealers and tax-exempt entities. The discussion is based on the
provisions of the United States federal income tax law as of the date hereof,
which is subject to change retroactively as well as prospectively. This summary
also assumes that the Old Shares were, and the New Shares will be, held as a
"capital asset," as defined in the Internal Revenue Code (i.e., generally,
property held for investment). The tax treatment of a stockholder may vary
depending upon the particular facts and circumstances of such stockholder. Each
stockholder is urged to consult with such stockholder's own tax advisor with
respect to the tax consequences of the reverse stock split.
Other than the cash payments for fractional shares discussed above, no gain
or loss should be recognized by a stockholder upon such stockholder's exchange
of Old Shares for New Shares pursuant to the reverse stock split. The aggregate
tax basis of the New Shares received in the reverse stock split (including any
fraction of a New Share deemed to have been received) will be the same as the
stockholder's aggregate tax basis in the Old Shares exchanged therefor. In
general, stockholders who receive cash in exchange for their fractional share
interests in the New Shares as a result of the reverse stock split will
recognize gain or loss based on their adjusted basis in the fractional share
interests redeemed. The stockholder's holding period for the New Shares will
include the period during which the stockholder held the Old Shares surrendered
in the reverse stock split.
Patient Infosystems' view regarding the tax consequences of the reverse
stock split is not binding on the Internal Revenue Service or the courts.
ACCORDINGLY, EACH STOCKHOLDER SHOULD CONSULT WITH HIS OR HER OWN TAX ADVISOR
WITH RESPECT TO ALL OF THE POTENTIAL TAX CONSEQUENCES TO HIM OR HER OF THE
REVERSE STOCK SPLIT.
Our Board of Directors has concluded that the reverse stock split is in the
best interests of Patient Infosystems and its stockholders. Our Board of
Directors has unanimously approved the amendment of the Certificate of
Incorporation to provide for a 1 for 12 reverse stock split and recommends that
you vote FOR such amendment.
39
PROPOSAL 4 - APPROVAL OF THE AMENDMENT OF THE STOCK OPTION PLAN
Patient Infosystems stockholders are being asked to approve the Second
Amended and Restated Stock Option Plan of Patient Infosystems which provides for
an increase in the number of shares of common stock reserved for issuance under
the Stock Option Plan as currently in effect from 1,680,000 to 3,500,000 shares.
Reasons for the Proposal
Under the Stock Option Plan as currently in effect, options for up to
1,680,000 shares of Patient Infosystems common stock may be granted. As of
December 31, 2002, options for 1,115,140 shares of Patient Infosystems common
stock have been granted under the Stock Option Plan to approximately 21
employees and directors. In connection with the Acquisition, several employees
of ACS will become our employees upon the closing of the Acquisition. In order
to have sufficient shares for issuance of options to our employees and former
ACS employees after the closing of the Acquisition, we must increase the number
of shares of common stock reserved for issuance under the Amended and Restated
Stock Option Plan of Patient Infosystems.
Description Of The Stock Option Plan And The Proposed Amendment
The following is a summary of the Stock Option Plan and the proposed amendment.
This summary does not purport to be complete, and is qualified in its entirety
by reference to the text of the Second Amended and Restated Stock Option Plan,
which is attached as Appendix B to this Proxy Statement.
Purpose. The Stock Option Plan is designed to furnish additional incentives to
key employees and directors of Patient Infosystems, upon whose judgment,
initiative and efforts the successful conduct of the business of Patient
Infosystems largely depends, and to strengthen the ability of Patient
Infosystems to attract and retain in its employ, or as a member of the Board of
Directors, persons of training, experience and ability. The Stock Option Plan
presently authorizes the granting of options of up to 1,680,000 shares of common
stock ("Options"), and if the amendment is approved, up to an additional
1,820,000 shares of common stock, subject to adjustment in the event of a stock
dividend, recapitalization, merger, consolidation, combination, exchange of
shares or similar transaction. The Board of Directors believes it is beneficial
to increase the number of shares subject to the Stock Option Plan to make
additional shares available, subject to the discretion of the Board of
Directors, to such key employees and directors.
Administration. The Stock Option Plan is currently administered by either the
full Board of Directors or such committee as may be designated by the Board of
Directors (the "Committee"). In administering the Stock Option Plan, the
Committee has the power to interpret its provisions and to prescribe, amend and
rescind rules and regulations for its administration, to select individuals to
receive grants, to determine the terms and provisions of grants of options and
to make all other determinations necessary or advisable for administration of
the Stock Option Plan.
Option Grants. The Stock Option Plan provides for the granting of both incentive
stock options (an "ISO") and nonqualified stock options (a "NQO"). NQO's may be
issued generally to any employee or director of Patient Infosystems or its
subsidiaries. ISO's may only be issued generally to employees of Patient
Infosystems and its subsidiaries, and may not be issued to any director. The
Committee also determines the times at which options become exercisable, their
transferability and the dates, not more than ten years after the date of grant
(five years in the case of optionees holding more than 10% of the combined
voting power of all classes of stock of Patient Infosystems), on which options
will expire. The fair market value of the stock with respect to which ISO's
under the Stock Option Plan or any other plan of Patient Infosystems first
become exercisable may not exceed $100,000 in any year. The option price of an
ISO is to be at least 100% of the fair market value on the date of grant (110%
in the case of optionees holding more than ten percent of the combined voting
power of all classes of stock of Patient Infosystems). The Stock Option Plan,
however, permits the Committee to grant NQO's at any exercise price consistent
with the purposes of the Stock Option Plan, whether or not such exercise price
is equal to the fair market value of the stock on the date of grant of the NQO.
NQO's with an exercise price of less than fair market value on the date of grant
will not qualify as performance-based compensation under Section 162(m) of the
Internal Revenue Code of 1986, as amended (the "Code") and so any compensation
expense generated by the exercise of such an option would not be deductible by
Patient Infosystems if the optionee is a "covered employee" who is paid
compensation from Patient Infosystems in an amount in excess of $1,000,000 in
the year of exercise.
40
Options may be exercised by the payment of the exercise price in cash or by
certified or bank check. Under the Stock Option Plan, non-employee directors are
entitled to receive a one-time grant of a NQO to purchase 36,000 shares at an
exercise price equal to fair market value per share on the date of his or her
initial election to the Board of Directors. Such NQO is exercisable only during
the non-employee director's term and automatically expires on the date such
director's service terminates.
Income Tax Consequences. Under present law the federal income tax treatment of
stock options under the Stock Option Plan is generally as follows:
Incentive Stock Options. For regular income tax purposes, an optionee will not
realize taxable income upon either the grant of an ISO or its exercise if the
optionee has been an employee of Patient Infosystems or a subsidiary at all
times from the date of grant to a date not more than three months before the
date of exercise. The difference between the fair market value of the stock at
the date of exercise and the exercise price of an ISO, however, will be treated
as an item of tax preference in the year of exercise for purposes of the
alternative minimum tax.
If the shares acquired upon an exercise of an ISO are not disposed of by the
optionee within two years from the date of grant or within one year from the
date of exercise, any gain realized upon a subsequent sale of the shares will be
taxable as a capital gain. In that case, Patient Infosystems will not be
entitled to a deduction in connection with the grant or the exercise of the ISO
or the subsequent disposition of the shares by the optionee. The amount of gain
or loss realized upon such a sale or other disposition will be measured by the
difference between the amount realized and the earlier exercise price of the ISO
(the optionee's basis in the stock).
If the optionee disposes of the shares within two years from the date of grant
of the ISO or within one year from the date of exercise of the ISO, the optionee
will realize ordinary income in an amount equal to the excess of the fair market
value of the shares at the date of exercise (or the amount realized on
disposition, if less) over the option price, and Patient Infosystems will be
allowed a corresponding deduction. If the amount realized on the disposition
exceeds the fair market value of the shares at the date of exercise the gain on
disposition in excess of the amount treated as ordinary income will be treated
as a capital gain. Any such capital gain will be a mid-term capital gain if the
optionee holds the shares for more than one year, but not more than 18 months,
from the date of exercise. If the optionee holds the shares for more than 18
months from the date of exercise, any such gain will be a long-term capital
gain.
Nonqualified Stock Options. An optionee will not realize income upon the grant
of a nonqualified option. Upon the exercise of a nonqualified option, an
optionee will be required to recognize ordinary income in an amount equal to the
excess of the fair market value at the date of exercise of the NQO over the
option price. Any compensation includable in the gross income of an employee
with respect to a NQO will be subject to appropriate federal income and
employment taxes. Patient Infosystems will be entitled to a business expense
deduction in the same amount and at the same time as when the optionee
recognizes compensation income. Upon a subsequent sale of the stock, any amount
realized in excess of such fair market value will constitute a capital gain. Any
such capital gain will be a mid-term capital gain if the optionee holds the
shares for more than one year, but not more than 18 months, from the date of
exercise. If the optionee holds the shares for more than 18 months from the date
of exercise, any such gain will be a long-term capital gain.
In the limited circumstances in which an officer who is subject to Section 16(b)
of the Securities Exchange Act of 1934, as amended (the "1934 Act") exercises a
NQO, which exercise is not exempt under Section 16(b), no income is recognized
for federal income tax purposes at the time of exercise unless the optionee
makes an election under Section 83(b) of the Code within 30 days after the date
of exercise, in which case the rules described in the second preceding paragraph
would apply. Where such an election is not made, the optionee will recognize
ordinary income on the first date that sale of such shares would not create
liability under Section 16(b) of the 1934 Act (this is generally, but not
necessarily, six months after the date of exercise). The ordinary income
recognized to such an optionee will be the excess, if any, of the fair market
value of shares on such later date over the option exercise price.
The foregoing discussion does not purport to be a complete analysis of all the
potential tax consequences relevant to recipients of options or to Patient
Infosystems or its subsidiaries. The above discussion does not take into account
the effect of state and local tax laws. Moreover, no assurance can be given that
legislative, administrative, regulatory or judicial changes or interpretations
will not occur which could modify such analysis. In addition, an individual's
particular tax status and his other tax attributes may result in different tax
consequences from those described above. Therefore, any participant in the Stock
Option Plan should consult with his own tax adviser concerning the tax
consequences of the grant, exercise and surrender of such options and the
disposition of any stock acquired pursuant to the exercise of such options.
41
Amendments. The Committee may amend the Stock Option Plan at any time, but may
not, without prior stockholder approval, increase the maximum number of options
that may be granted thereunder; change the eligibility requirements for
individuals entitled to receive options under the Stock Option Plan, or cause
ISO's granted or to be granted under the Stock Option Plan to fail to qualify as
ISO's under the Code.
Termination. The Stock Option Plan does not contain a provision for termination
of the Stock Option Plan.
Vote Required. The affirmative vote of a majority of the outstanding shares of
common stock voted in person or by proxy at the Special Meeting is required for
approval of the amendment to the Stock Option Plan to increase the number of
shares of common stock reserved for issuance under the Stock Option Plan to
3,500,000 shares.
Our Board of Directors concluded that the amendment of the Stock Option
Plan is in the best interests of Patient Infosystems and its stockholders. Our
Board of Directors has unanimously approved the amendment of the Stock Option
Plan and unanimously recommends that you vote FOR the amendment of the Stock
Option Plan.
Equity Compensation Plan Information
The following table gives information with respect to the equity securities
that are authorized for issuance under Patient Infosystems' compensation plans
as of December 31, 2002. The table does not include information about the
proposed Second Amended and Restated Stock Option Plan that is being submitted
for stockholder approval at the Special Meeting.
Number of securities
remaining available for
Number of Securities to Weighted-average future issuance under
be issued upon exercise exercise price of equity compensation plans
of outstanding options, outstanding options, (excluding securities
Plan Category warrants and rights warrants and rights reflected in column)
------------------------------- ------------------------- ------------------------ ---------------------------
Equity compensation plans
approved by security holders 1,115,140 $0.76 301,780
------------------------------- ------------------------- ------------------------ ---------------------------
Equity compensation plans not
approved by security holders - - -
------------------------------- ------------------------- ------------------------ ---------------------------
Total 1,115,140 $0.76 301,780
------------------------------- ------------------------- ------------------------ ---------------------------
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As of December 31, 2002, options to acquire 1,115,140 shares of common
stock had been granted to employees and directors of Patient Infosystems. The
following table sets forth information regarding the number of options
outstanding and the exercise price of these options.
Number of Options Outstanding at
December 31, 2002 Exercise Price
7,100 $0.09
36,000 $0.14
525,000 $0.19
150,000 $0.50
72,000 $0.69
77,040 $1.38
30,000 $1.88
200,000 $2.06
9,500 $2.44
8,500 $2.75
Of these options, 345,000, exercisable for $0.1875 per share, were granted
as of January 26, 2001 to certain officers and key members of management and
vested immediately in lieu of a cash bonus. The remainder of the options granted
on January 26, 2001 and all other options granted under the Stock Option Plan
vest to the extent of 20% of the option grant on the first anniversary of the
grant, and 20% on each subsequent anniversary.
43
UNAUDITED PRO FORMA COMBINED CONDENSED FINANCIAL STATEMENTS
Patient Infosystems has entered into an agreement to acquire the assets and
liabilities of ACS (the "Acquisition") in exchange for 2,091,366 shares of
Patient Infosystems Common Stock, or approximately 20% of the outstanding
Patient Infosystems common stock on a fully diluted basis after giving effect to
the 1 for 12 reverse stock split. The following unaudited pro forma combined
condensed financial statements give effect to the proposed Acquisition to be
accounted for by the purchase method of accounting.
The unaudited pro forma combined condensed balance sheet gives effect to
the Acquisition as though it had occurred on January 1, 2002. The unaudited pro
forma combined condensed statements of operations for the year ended December
31, 2002 give effect to the Acquisition as if it occurred on January 1, 2002.
The unaudited pro forma combined statement of operations for the year ended
December 31, 2002 combines the audited historical statements of operations of
Patient Infosystems and ACS for the year ended December 31, 2002. The unaudited
pro forma combined statement of operations for the year ended December 31, 2002
and the six month period ended June 30, 2003 combines the unaudited historical
statements of operations of Patient Infosystems and ACS giving effect to the
Acquisition as though it had occurred on January 1, 2002.
The unaudited pro forma combined condensed financial statements do not
include the realization of cost savings from operating efficiencies, synergies
or other restructurings that may result from the Acquisition, except those that
are attributable directly to the transaction.
The unaudited pro forma information is presented for illustrative purposes
only and is not necessarily indicative of the operating results or financial
position that would have occurred if the Acquisition had been consummated at the
beginning of the earliest period presented, nor is it necessarily indicative of
future operating results or financial position. The unaudited pro forma
adjustments are based upon information and assumptions available at the time of
the filing of this proxy statement. The unaudited pro forma information should
be read in conjunction with the accompanying notes thereto, Patient Infosystems'
historical financial statements and ACS' historical financial statements and
related notes included elsewhere in this proxy statement, and the Management's
Discussion and Analysis of Financial Condition and Results of Operations of both
companies included elsewhere in this proxy statement.
In accordance with statements of Financial Accounting Standards No. 141
"Business Combinations", a portion of the purchase consideration has been
attributed to the intangible assets of ACS and will be amortized over the life
of those assets, estimated at five years for the purposes of the pro forma. At
closing, the actual value of these intangible assets may change significantly
based upon the final determination of valuation. Any change in the valuation
will be offset by a change in goodwill.
The pro forma presentation contemplates a purchase consideration of
2,091,366 shares of Patient Infosystems common stock with an assumed value of
$3,513,495. In addition, the pro forma presentation:
o gives effect to a private placement of $4 million of Series D
Preferred Stock which is a condition of the Asset Purchase Agreement;
o reflects the issuance of 286,182 shares of Series D Preferred Stock;
o upon conversion of the Series D Preferred Stock, anticipates a
beneficial conversion feature upon conversion of the Series D
Preferred Stock the assumed based upon market price of Patient
Infosystems common stock since it is assumed that the conversion price
is less than the market price;
o uses the average market price of Patient Infosystems Common Stock two
days before and one day after the measurement date to assign value to
the purchase consideration. The measurement date for this transaction
in accordance with EITF 99-12 is April 14, 2003, which is the date the
terms of the proposed transaction were agreed and announced to the
public;
o accounts for the broker fee as incremental purchase consideration;
o reflects the pro forma balance sheet conversion of debt which the
Board of Directors approved in June 2002 and will be completed
following the approval of Proposal 1; and
44
o eliminates the existing ACS stockholders equity from the pro forma
combined balance sheet since the ACS entity is not being merged into
Patient Infosystems, only its assets and liabilities acquired.
Consequently the existing ACS shareholders equity will remain with the
ACS entity.
45
SUMMARY PRO FORMA FINANCIAL STATEMENTS
Pro Forma Combined Condensed Balance Sheet
As of June 30, 2003
Patient
ASSETS Infosystems ACS Adjustments Pro Forma
CURRENT ASSETS:
Cash and cash equivalents $ 225,059 $42,463 $ 1,500,000 b $ 1,767,522
Accounts receivable, net 555,030 460,977 1,016,007
Notes receivable 2,250,000 - (2,250,000) -
Prepaid expenses and other current assets 121,907 23,098 145,005
---------------------------------- -------------------
Total current assets 3,151,996 526,538 2,928,534
PROPERTY AND EQUIPMENT, net 223,108 193,311 416,419
Intangible assets, net 107,679 - 878,000 f
(263,400) l 722,279
Debt issuance cost, net 1,664,275 - (1,664,275) m -
Goodwill, net - - 8,941,009 f
30,800 e 8,971,809
---------------------------------- -------------------
TOTAL ASSETS $ 5,147,058 $ 719,849 $ 13,039,041
46
Pro Forma Combined Condensed Balance Sheet
As of June 30, 2003
Patient
LIABILITIES AND STOCKHOLDERS' (DEFICIT) EQUITY Infosystems ACS Adjustments Pro Forma
CURRENT LIABILITIES:
Accounts payable and accrued expense $ 2,174,630 $ 1,180,425 (438,099) d $2,916,956
Due to service providers - 735,041 735,041
Borrowings from directors 6,127,500 - (900,000) b
(4,482,500) d 745,000
Borrowings from stockholders 1,600,000 - (1,600,000) b -
Line of credit 3,000,000 - 3,000,000
Other short term debt - 14,311 14,311
Current Maturities of long-term debt - 2,666,105 (2,250,000) g 416,105
Deferred revenue 133,038 - 133,038
------------------------------ -----------------
Total current liabilities 13,035,168 4,595,882 7,960,451
LONG TERM DEBT - 2,429,481 2,429,481
STOCKHOLDERS' (DEFICIT) EQUITY:
Preferred Stock 2,981 - 4,000 b
881 c 7,862
Common Stock 109,564 4,500,100 (4,500,100) f
(100,434) a
29,289 d
183 e
20,914 f 59,517
Additional paid-in capital 27,374,128 - 100,434 a
3,996,000 b
1,478,427 c
4,891,310 d
30,617 e
3,492,581 f
2,720,000 h 44,083,496
Accumulated (deficit) earnings (35,374,783) (10,805,614) (1,479,307) c
10,805,614 f
(2,720,000) h
(263,400)
l
(1,664,275)
m
(41,501,765)
Total stockholders' (deficit) equity (7,888,110) (6,305,514) 2,649,109
------------------------------ -----------------
TOTAL LIABILITIES AND STOCKHOLDERS' (DEFICIT) EQUITY $ 5,147,058 $ 719,849 $ 13,039,041
47
Pro Forma Combined Condensed Statement of Operations
For the Year Ended
December 31, 2002
Patient
Infosystems ACS Adjustments Pro Forma
REVENUES $2,355,677 $9,641,140 $11,996,817
------------------------------ ----------------
COSTS AND EXPENSES:
Cost of revenue 1,914,464 11,175,947 175,600 l 13,266,011
Selling, general and administrative 2,029,036 2,619,029 4,648,065
Research and development 105,614 - 105,614
------------------------------ ----------------
Total costs and expenses 4,049,114 13,794,976 18,019,690
------------------------------ ----------------
OPERATING LOSS (1,693,437) (4,153,836) (6,022,873)
Other expense (530,924) (366,274) 425,838 k
(1,479,307) c
(3,328,550) m
(5,279,218)
Provision for taxes - - -
------------------------------ ----------------
NET LOSS $ (2,224,361) $(4,520,110) $ (11,302,091)
CONVERTIBLE PREFERRED STOCK DIVIDENDS (90,000) - (2,720,000) j (2,810,000)
------------------------------ ----------------
NET LOSS ATTRIBUTABLE TO
COMMON STOCKHOLDERS $ (2,314,361) $(4,520,110) $ (14,112,091)
============================== ================
NET LOSS PER SHARE - BASIC
AND DILUTED $ (0.21) $(212.17) $ (2.37)
------------------------------ ----------------
WEIGHTED AVERAGE COMMON
SHARES OUTSTANDING 10,956,024 21,304 i 5,951,662
------------------------------ ----------------
48
Pro Forma Combined Condensed Statement of Operations
For the Six Month Period Ended
June 30, 2003
Patient
Infosystems ACS Adjustments Pro Forma
REVENUES $2,527,716 $4,780,131 $ 7,307,847
------------------------------ ----------------
COSTS AND EXPENSES:
Cost of revenue 1,946,457 5,532,164 87,800 l 7,566,421
Selling, general and administrative 1,017,372 1,219,274 2,236,646
Research and development 65,228 - 65,228
------------------------------ ----------------
Total costs and expenses 3,029,057 6,751,438 9,868,295
------------------------------ ----------------
OPERATING LOSS (501,341) (1,971,307) (2,560,448)
Other expense (1,960,492) (123,037) (1,479,307) c
(1,664,275) m (5,227,111)
Provision for taxes - - -
------------------------------ ----------------
NET LOSS $ (2,461,833) $(2,094,344) $ (7,787,559)
CONVERTIBLE PREFERRED STOCK DIVIDENDS (84,626) - (84,626)
------------------------------ ----------------
NET LOSS ATTRIBUTABLE TO
COMMON STOCKHOLDERS $ (2,546,459) $(2,094,344) $ (7,872,185)
============================== ================
NET LOSS PER SHARE - BASIC
AND DILUTED $ (0.23) $ (73.49) $ (1.32)
------------------------------ ----------------
WEIGHTED AVERAGE COMMON
SHARES OUTSTANDING 10,956,064 28,500 i 5,951,662
------------------------------ ----------------
49
Notes to the
Pro Forma Combined Condensed Financial Statements
For the Year Ended December 31, 2002 and
As of and For the Three Month Period Ended March 31, 2003
NOTES
a 1 for 12 reverse split of Patient Infosystems Common Stock, Par $0.01.
10,956,424 shares having a total par value of $109,564, converts to
913,035 shares having a total par value of $9,130. A reduction of
(100,434) to common stock and a corresponding increase in additional
paid-in capital gives effect to the reverse split.
b Issue 400,000 shares of Series D Preferred Stock priced at $10.00 per
share in exchange for $3,500,000 cash and forgiveness of $2,250,000 of
debt. Each share of Series D Preferred Stock is convertible into 10
shares of Common Stock.
c Issuance of 286,182 shares of Series D Preferred Stock, Par $0.01,
198,128 of which was issued and outstanding as of June 30, 2003, as
additional consideration for certain investors to enter into a Note
and Stock Purchase Agreement pursuant to which the investors agreed to
make loans to Patient Infosystems.
The 198,128 shares issued and outstanding on June 30, 2003 were valued
at $3,328,550 using the current trading price of $0.14 per share and
is treated as a debt issuance cost, amortized over the term of the
loans. An additional 88,054 shares issued subsequent to June 30, 2003
pursuant to an amendment to the Note and Stock Purchase Agreement were
valued at $1,479,307 using the current trading price of $0.14 per
share.
Each share of Series D Preferred Stock is convertible into 120 shares
of Common Stock. Since the Note and Stock Purchase Agreement requires
that the notes terminate upon the closing of the proposed transaction,
the pro forma financial presentation reflects full amortization of the
related issuance costs.
d Conversion of $ 4,482,500 of debt securities and $438,099 of accrued
interest, using an agreed upon valuation of $0.14 per share. The
number of shares of Common Stock gives effect to the 1 for 12 reverse
split.
e Broker compensation, pursuant to agreement, whereby the broker shall
receive 220,000 shares of Patient Infosystems Common Stock. Each share
of Common Stock is valued at $0.14 per share resulting in a cost of
$30,800. The number of shares recorded gives effect to the 1 for 12
reverse stock split, resulting in 18,333 shares of Common Stock.
f The shareholders equity of ACS is eliminated by the acquisition of the
assets and assumption of the liabilities of ACS.
The purchase consideration of 2,091,366 shares of Patient Infosystems
Common Stock, Par $0.01, has an assumed value of $3,513,495, using
$1.68 per share based upon the pre-split estimated market value of
$0.14 per share based upon the average market price of Patient
Infosystems common stock two days before and one day after the
measurement date. The measurement date for this transaction in
accordance with EITF 99-12 is April 14, 2003, which is the date the
terms of the proposed transaction were agreed and announced to the
public.
For purposes of pro forma presentation, it is assumed that $878,000 of
the purchase price can be assigned to ACS intangible assets. The
intangible assets would potentially include (i) provider
relationships, (ii) certain non-competition agreements and (iii) other
identifiable intangible assets such as Internet domain names. The
contractual legal obligations surrounding these assets are short term
in nature and therefore a five year amortization period has been
assumed. The actual value of ACS intangible assets, will be based upon
a valuation that will be conducted as of the closing date. Goodwill is
the difference between the fair value of the purchase consideration
and the fair value of the net assets acquired.
Debit Credit
Purchase consideration, Common Stock 20,914
Purchase consideration, APIC 3,492,581
Intangible assets acquired 878,000
Assets acquired 719,849
Liabilities assumed 7,025,363
Goodwill 8,941,009
------------ -----------
Total 10,538,858 10,538,858
50
g Elimination of the $2,250,000 notes payable by ACS and receivable by
Patient Infosystems as of June 30, 2003.
h The pro forma valuation of the Patient Infosystems Common Stock based
on recent trading is $0.14 per share. Giving effect to the 1 for 12
reverse stock split, the post split shares will have a market value of
$1.68 per share. The Series D Preferred Stock has a purchase price of
$10 per share and each share Series D Preferred Stock will be
convertible into 10 shares of Common Stock, having a value of $16.80.
The difference of $6.80 per share is a beneficial conversion feature
of the Series D Preferred Stock. The 400,000 shares of Series D
Preferred Stock would have a $2,720,000 beneficial conversion feature,
which is recorded as though it were a dividend by crediting Additional
Paid In Capital and debiting Retained earnings.
i 5,951,662 shares of Common Stock will be outstanding on a pro forma
basis. Refer to Common Stock in the Pro Forma Balance Sheet for the
Year Ended December 31, 2002. The computation of the fully diluted
loss per share does not include outstanding convertible preferred
stock, options and warrants because the effect would be antidilutive
due to the net loss reported
j Includes $2,720,000 beneficial conversion feature for 400,000 shares
of Series D Preferred Stock.
k Interest on $4,482,500 of debt at 9.5% that will be converted into
Common Stock and will no longer have interest expense associated with
it.
l Pro forma amortization of identifiable intangible assets that results
from the acquisition based upon an estimated life of the ACS
intangible assets of five years.
m The remaining $1,664,275 of debt issuance cost related to the 198,128
shares of Series D Preferred Stock issued and outstanding on June 30,
2003 (see note c) will be fully amortized prior to the Acquisition.
51
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS OF PATIENT INFOSYSTEMS
The following discussion and analysis of our financial condition and
results of operations should be read in conjunction with our financial
statements and notes thereto and the other financial information included
elsewhere in this proxy statement. In addition to historical information, this
management's discussion and analysis of financial condition and results of
operations and other parts of this proxy statement contain forward-looking
information that involve risks and uncertainties. Our actual results could
differ materially from those indicated in such forward-looking information as a
result of certain factors, including, but not limited to, those set forth under
Risk Factors and elsewhere in this proxy statement.
Management's discussion and analysis provides a review of our operating
results for the years ended December 31, 2002 and 2001 and the three and six
months ended June 30, 2003 and 2002. The focus of this review is on the
underlying business reasons for significant changes and trends affecting our
revenues, net losses and financial condition.
Overview
Patient Infosystems was formed on February 22, 1995. Although Patient
Infosystems has completed the development of its integrated information capture
and delivery system and has developed several disease management programs for
specific diseases, Patient Infosystems is continuing to refine its products for
additional applications. In October 1996 Patient Infosystems began enrolling
patients in its first disease management program and began substantial patient
contacts during 1998. Also in 1998, Patient Infosystems expanded its offered
products to include demand management and health related surveys. Patient
Infosystems currently has patients enrolled in more than 30 of its
disease-specific, demand management or survey programs. Through January 2003, an
aggregate of over 675,000 persons have been enrolled or participated in Patient
Infosystems' programs. However, Patient Infosystems has never been able to
enroll a sufficient number of patients to cover the cost of its programs. The
enrollment of patients in Patient Infosystems' programs has been limited by
several factors, including the limited ability of clients to provide Patient
Infosystems with accurate information with respect to the specific patient
populations and coding errors that necessitated extensive labor-intensive data
processing prior to program implementation.
In response to these market dynamics, Patient Infosystems has taken several
tactical and strategic steps including, formal designation of internal personnel
at customer sites to assist clients with implementation; closer integration of
Patient Infosystems' systems personnel with clients to facilitate accurate data
transfers; promotion of a broader product line to enable clients to enter
Patient Infosystems' disease management programs through a variety of channels;
fully integrating demand, disease and case management services to facilitate
internal mechanisms for patient referrals and providing the customers access and
control over their patients' confidential information though targeted use of
Internet technology. Patient Infosystems' demand management services and
automated surveys (general health and disease-specific), can provide mechanisms
for enrollment to Patient Infosystems' disease management programs. Patient
Infosystems continues to develop capabilities or relationships that will enable
its customers to more effectively leverage the data stored in their legacy
systems. Nevertheless, no assurance can be given that Patient Infosystems'
efforts will succeed in increasing patient enrollment in its programs.
Patient Infosystems has entered into services agreements to develop,
implement and operate programs for: (i) patients who have recently experienced
certain cardiovascular events; (ii) patients who have been diagnosed with
primary congestive heart failure; (iii) patients suffering from asthma; (iv)
patients suffering from diabetes, (v) patients who are suffering from
hypertension, (vi) demand management, which provides access to nurses, and (vii)
various survey initiatives which assess, among other things, satisfaction,
compliance of providers or payors to national standards, health status or risk
of specific health related events. These contracts provide for fees paid by its
customers based upon the number of patients participating in each of its
programs, as well as initial program implementation and set-up fees from
customers. To the extent that Patient Infosystems has had limited enrollment of
patients in its programs, Patient Infosystems' operations revenue has been, and
may continue to be, limited. During 1999 and 2000, Patient Infosystems committed
increased resources to developing strategic upgrades of its information and
telecommunications technologies to leverage the emerging capabilities of the
Internet. Moreover, as Patient Infosystems has completed the development of its
primary disease management programs, it anticipates that development revenue
will continue to be minimal unless and until Patient Infosystems enters into new
development agreements. Patient Infosystems' program development contracts
typically require payment from the customer at the time that the contract is
executed, with additional payments made as certain development milestones are
met. Development contract revenue is recognized on a percentage of completion
basis, in accordance with the ratio of total
52
development cost incurred to the estimated total development costs for the
entire project. Losses, if any, related to program development will be
recognized in full as identified. Patient Infosystems' contracts typically call
for a fee to be paid by the customer for each patient enrolled for a series of
program services, require payment for services incrementally as they are
delivered or require payment of a fixed fee per patient or member each month for
bundled program services. The timing of customer payments for the delivery of
program services varies by contract. Revenues from program operations are
recognized ratably as the program services are delivered. The amount of the per
patient fee varies from program to program depending upon the number of patient
contacts required, the complexity of the interventions, the cost of the
resources used and the detail of the reports generated.
Revenues from operations, which includes fees received by Patient
Infosystems for operating its programs, is the most significant source of
Patient Infosystems' revenues. Patient Infosystems is continuing to devote
significant efforts to increasing the number of programs that are in operation,
as well as developing resources to expand its products that include licensing of
Internet-based technology. Nevertheless, Patient Infosystems is still supporting
a substantial infrastructure in maintaining the capacity necessary to deliver
its services and to offer its services to new customers. Therefore, Patient
Infosystems will be required to increase substantially the number of patient
contacts and management programs to cover the costs necessary to maintain the
capability to service its customers. In that Patient Infosystems began
substantial patient contacts during 1998 and has still, to this date, increased
contacts at a relatively slow rate, Patient Infosystems is continually examining
its costing structures to determine the levels that will be necessary to achieve
profitability.
During 2002, Patient Infosystems found new sources of revenue that
increased its revenue from $1.6 million for the fiscal year ended December 31,
2001 to $2.4 million for the same period of 2002. Patient Infosystems maintained
control on costs and reduced its operating loss from $3.9 million for the fiscal
year ended December 31, 2001 to $1.7 million for the same period of 2002.
The sales cycle for Patient Infosystems' programs may be extensive from
initial contact to contract execution. During these periods, Patient Infosystems
may expend substantial time, effort and funds to prepare a contract proposal and
negotiate the contract. Patient Infosystems may be unable to consummate a
commercial relationship after the expenditure of such time, effort and financial
resources.
During 2002, Patient Infosystems felt the pressure of severe working
capital shortfalls. Patient Infosystems' available cash had been reduced to a
level that substantially limits its operations. Although Patient Infosystems
established lines of credit in the amount of $3 million, raised $1 million in
equity in 2000 and issued $5.1 million in demand notes, Patient Infosystems is
continuing to incur losses and must identify substantial additional capital to
sustain its operations. Patient Infosystems' operations are currently being
funded by loans being made on a monthly basis by a director of Patient
Infosystems. There can be no assurances given that Patient Infosystems can raise
either the required working capital through the sale of its securities or that
Patient Infosystems can borrow the additional amounts needed. In such instance,
if Patient Infosystems is unable to identify any additional sources of capital,
it will likely be forced to cease operations. As a result of the above, the
Independent Auditors' Report on Patient Infosystems' consolidated financial
statements includes an emphasis paragraph indicating that Patient Infosystems'
recurring losses from operations, negative working capital and stockholders'
deficit raise substantial doubt about Patient Infosystems' ability to continue
as a going concern. The accompanying consolidated financial statements do not
include any adjustments that might result from the outcome of this uncertainty.
In November 2002, Patient Infosystems began providing increased technical
assistance and project management support to the federal government's national
Health Disparities Collaboratives, a chronic disease program focusing on
improving the care of underserved populations with chronic disease served by
federally qualified health centers. Patient Infosystems supports the management
of the development of a clinical registry software program and provides faculty
and staff support to the project. This initiative is administered by the Bureau
of Primary Health Care through a partnership with the Institute for Healthcare
Improvement. Although this contract is a growing product line for Patient
Infosystems, there is no guarantee that the contract will continue through the
Institute for Healthcare Improvement or will continue to be supported by the
Bureau of Primary Health Care.
53
Results of Operations
Three and Six Months Ended June 30, 2003 Compared to Three and Six Months Ended
June 30, 2002
Revenues
Revenues consist of revenues from operations, development fees and
licensing fees. Revenues increased to $1,580,037 from $542,715 during the three
months ended June 30, 2003 and 2002, respectively, or 191%. Revenues increased
to $2,527,716 from $1,042,043 during the six months ended June 30, 2003 and
2002, respectively, or 143%.
Three Months Ended Six Months Ended
June 30, June 30,
Revenues 2003 2002 2003 2002
-------- ---- ---- ---- ----
Operations Fees
Consulting $ 927,854 $ 30,000 $ 1,297,850 $ 59,538
Disease and Demand Management 615,842 436,294 1,133,004 832,112
Surveys 27,231 56,341 59,376 104,805
-------------------------------------------------------------------
Total Operations 1,570,927 522,635 2,490,230 996,455
Fees
Development Fees 7,230 6,450 33,726 21,538
Licensing Fees 1,880 13,630 3,760 24,050
-------------------------------------------------------------------
Total Revenues $ 1,580,037 $ 542,715 $ 2,527,716 $ 1,042,043
-------------------------------------------------------------------
Operations fee revenues are the primary source of revenue for the Company
and are generated as the Company provides services to its customers. Operations
fee revenues increased to $1,570,927 for the three months ended June 30, 2003 as
compared to $522,635 for the three months ended June 30, 2002. Operations fee
revenues increased to $2,490,230 for the six months ended June 30, 2003 as
compared to $996,455 for the six months ended June 30, 2002.
The Company's consulting revenue was primarily attributable to assistance
provided to organizations for the development of clinical registries used to
increase effective management of patients with chronic disease. The Company is
supporting the development, including project management and implementation, of
a patient registry for federally qualified health centers, through a national
initiative known as the Health Disparities Collaboratives. The Company
participates in this project as a subcontractor of the Institute for Healthcare
Improvement. While the Company anticipates that it will continue to provide
these and other consulting services, no assurances can be given that the Company
will continue to provide these services at the current levels, or at all, and
revenue recognized during the three and six month periods ended June 30, 2003 is
not necessarily indicative of the results for the entire year ending December
31, 2003.
The increase in the Company's disease and demand management revenue was
primarily attributable to new customers and a joint marketing relationship that
has contributed new sources of revenue net of revenue lost due to the
termination of one customer effective December 31, 2002. The new customers
accounted for increased revenue of $132,485 and $261,445 for the three and six
month periods ended June 30, 2003. Revenues from the joint marketing
relationship increased from $20,893 and $42,100 for the three and six month
periods ended June 30, 2002, respectively, to $238,378 and $344,689 for the same
respective periods of 2003. The Company received revenue of $155,666 and
$213,039 for the three and six month periods ended June 30, 2003, respectively,
from the customer that terminated in 2002 and from which the Company received no
revenue during 2003. In addition, a customer who provided revenue of $129,270
and $316,553 during the three and six month periods ended June 30, 2003,
respectively, elected to terminated services effective June 30, 2003, citing no
disputes with the Company. The Company has identified other possible new
customers, but there can be no assurance that such prospects will contribute
revenue in the near term, or at all.
Development fee revenues were $7,230 and $6,450 for the three month periods
ended June 30, 2003 and 2002, respectively and $33,726 and $21,538 for the six
month periods ended June 30, 2003 and 2002, respectively. The Company received
development revenues from a variety of customers for modification of specific
programs. The Company has completed substantially all services under these
agreements and anticipates primarily receiving development fee revenues in
connection with the enhancement of its existing programs. Development fee
revenues include clinical, technical and operational design and modification of
the Company's programs. The Company anticipates that revenue from development
fees will continue to be low unless the Company enters into new development
agreements.
54
License fee revenues recognized from the Case Management Support System
were $1,880 and $13,630 for the three month periods ended June 30, 2003 and
2002, respectively and $3,760 and $24,050 for the six month periods ended June
30, 2003 and 2002, 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 revenue generated exclusively from the existing
agreement.
Costs and Expenses
Cost of sales includes salaries and related benefits, services provided by
third parties, and other expenses associated with the implementation and
delivery of the Company's consulting services, standard and customized
population, demand and disease management programs. Cost of sales for the three
and six month periods ended June 30, 2003 was $1,184,855 and $1,946,457,
respectively, as compared to $461,726 and $949,579 for the three and six month
periods ended June 30, 2002. The increase in these costs was primarily the
result of increased operational activity. The Company's gross margin, being the
percentage of revenues available to offset other costs and expenses after
subtracting the cost of sales was 25% and 23% for the three and six month
periods ended June 30, 2003, respectively, as compared to 15% and 9% for the
same respective periods of 2002. The Company anticipates that revenue must
increase for it to recognize economies of scale adequate to improve its margins.
No assurance can be given that revenues will increase or that, if they do, they
will continue to exceed costs and 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 and six month periods ended June 30,
2003 were $202,458 and $445,061, respectively, as compared to $175,188 and
$353,563 for the same respective periods of 2002. Spending in this area has
increased due to an increase in sales activity. The Company anticipates
expansion of the Company's sales and marketing staff and expects it will
continue to invest in the sales and marketing process, and that such expenses
related to sales and marketing might increase in future periods.
General and administrative expenses include the costs of corporate
operations, finance and accounting, human resources and other general operating
expenses of the Company. General and administrative expenses for the three and
six month periods ended June 30, 2003 were $296,842 and $572,311, as compared to
$306,498 and $656,634 for the same respective periods of 2002. These
expenditures have been incurred to maintain the corporate infrastructure
necessary to support anticipated program operations. The decrease in these costs
during the three and six month periods ended June 30, 2003 was primarily due to
the allocation of a portion of staff costs to cost of sales related to
consulting revenue.
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 and six month periods ended June 30, 2003 were $33,470
and $65,228, respectively, as compared to $23,786 and $47,636 for the same
respective periods of 2002.
Financing costs were $1,664,275 for the three and six month period ended
June 30, 2003. This cost relates to 198,128 shares of Series D Preferred Stock
issued as of June 30, 2003 as additional consideration to certain investors to
enter into the Note and Stock Purchase Agreement dated April 10, 2003, pursuant
to which the investors agreed to make short term loans to the Company. The
198,128 shares of Series D Preferred Stock issued was assigned a valued of
$3,328,550 using the current trading price of $0.14 per share. Each share of
Series D Preferred Stock is convertible into 120 shares of Common Stock. Because
the term of the Note and Stock Purchase Agreement is approximately six months
ending September 30, 2003, 50% of the value of the 198,128 shares of Series D
Preferred Stock, or $1,664,275, was an amortized expense during the three month
period ended June 30, 2003. The remaining $1,664,275 will be an amortization
expense during the three month period ending September 30, 2003. If additional
amounts must be borrowed, there may be additional consideration to the lenders
and additional financing costs associated with such loans.
The Company recorded net interest expense of $154,764 and $296,217 for the
three and six month periods ended June 30, 2003, respectively, as compared to
$132,036 and $252,671 for the same respective periods of 2002, principally due
to the net increase of interest expense on debt.
Income (loss)
The Company had a net loss attributable to the common stockholders after
preferred stock dividends, of $2,018,753 and $2,546,459 for the three and six
month periods ended June 30, 2003, respectively, with a net loss per share of
$0.18 and $0.23 per share for the same respective periods. The loss includes
$1,664,275 in financing cost. Without the financing cost, the Company had a net
loss attributable to the common shareholders after preferred stock dividends, of
$354,478 and $882,184 for the three and six month periods ended June 30, 2003,
respectively, as compared to $579,019 and $1,263,040 for the three and six month
periods ended June 30, 2002. This represents a net loss per common share of
$0.03 and $0.08 for the three and six month periods ended June 30, 2003, which
is comparable to the net loss of $0.05 and $0.12 per common share shown for the
same respective periods of 2002.
Year Ended December 31, 2002 Compared to Year Ended December 31, 2001
Revenues
Revenues are comprised of revenues from operations fees, development fees
and licensing fees. Revenues increased 49% to $2,355,677 for the fiscal year
ended December 31, 2002 from $1,586,443 for the fiscal year ended December 31,
2001.
55
A summary of these revenues by category, is as follows for the fiscal years
ended December 31:
Revenues 2002 2001
Operations Fees $ 2,125,522 $ 1,314,311
Consulting Fees
168,606 72,000
Development Fees 36,239 78,632
Licensing Fees 25,310 121,500
------------------ ------------------
Total $ 2,355,677 $ 1,586,443
================== ==================
Revenues from operations fees increased 61.7% from $1,314,311 for the
fiscal year ended December 31, 2001 to $2,125,522 for the fiscal year ended
December 31, 2002. Operations revenues are generated as Patient Infosystems
provides services to its customers for their disease-specific programs, patient
surveys, health risk assessments, patient satisfaction surveys, physician
education programs and marketing support programs. Operations revenues increased
in 2002 due to the growth of its disease and demand management business. This
growth is attributable primarily to its Congestive Heart Failure program and new
revenues being realized from its strategic marketing partners. Revenues from the
Congestive Heart Failure program increased 131.0% from $549,592 for the fiscal
year ended December 31, 2001 to $1,267,919 for the fiscal year ended December
31, 2002. Revenues realized from the strategic marketing partners increased from
$3,572 for the fiscal year ended December 31, 2001 to $110,354 for the fiscal
year ended December 31, 2002. The strategic marketing partnerships provide the
partners the right to sell Patient Infosystems' services to their customers.
Patient Infosystems is compensated for the services it provides based upon an
agreed price list. The current agreements may be terminated with no less than 90
days notice.
Due in part to the impact of the Health Insurance Portability and
Accountability Act of 1996 ("HIPAA"), P.L. 104-191, one of Patient Infosystems'
customers, which provided 50% of Patient Infosystems' revenue in 2002, has
elected to terminate its services agreement with Patient Infosystems effective
January 1, 2003. Under the terms of the agreement, Patient Infosystems had
provided its services to a third party that is considered a Covered Entity under
HIPAA. Patient Infosystems has a services agreement and a business associate
agreement to provide substantially the same services directly to an affiliate of
that Covered Entity and anticipates that it will continue to perform some or all
of the terminated services under such agreements. No assurance can be given that
the terminated services will be assumed under the other existing agreements, or
that any new revenues Patient Infosystems may receive, if any, will offset the
loss of revenue from the terminated services agreement. Patient Infosystems
believes that any amounts due from this customer at December 31, 2002 are
collectible since the customer has a good credit standing and no disputes exist
regarding the services provided by Patient Infosystems to the customer.
Revenues from consulting increased 134% from $72,000 for the fiscal year
ended December 31, 2001 to $168,606 for the fiscal year ended December 31, 2002.
This increase is due to Patient Infosystems' expanded role in support of the
Health Disparities Collaboratives funded by the Bureau of Primary Healthcare and
administered by the Institute for Healthcare Improvement. Revenues from
consulting may increase during 2003. No assurances can be given that these
revenues will increase, or that any change will be material to Patient
Infosystems operating results.
Revenues from development fees decreased 53.9% from $78,632 for the fiscal
year ended December 31, 2001 to $36,239 for the fiscal year ended December 31,
2002. In 2001 and 2002, Patient Infosystems received development revenues in
connection with the enhancement of its existing programs. Development revenues
include clinical, technical and operational design or modification of Patient
Infosystems' primary disease management programs. Development revenues have
declined from year to year since the fiscal year ended December 31, 1997, as
Patient Infosystems reduced the amount of development work it has performed for
its customers. Patient Infosystems anticipates that revenue from development
fees may continue to decline unless Patient Infosystems enters into new
development agreements.
Revenues from licensing fees decreased 79.2% from $121,500 for the fiscal
year ended December 31, 2001 to $25,310 for the fiscal year ended December 31,
2002. Licensing revenue represents amounts that Patient Infosystems charges its
customers, either on a one-time only or continuing basis, for the right to
enroll patients in, or the right to license other entities, certain of its
programs, primarily Patient Infosystems' Internet-based Case Management Support
System product line. Patient Infosystems terminated one license agreement and
has not entered into any new licensing contracts. All remaining initial license
fees have been collected. Patient Infosystems anticipates that revenue from
licensing may decrease in future periods unless new license agreements are
signed.
56
During the fiscal year ended December 31, 2002, approximately 54% of
Patient Infosystems' revenue came from two clients, AstraZeneca, Inc. ("Zeneca")
and a healthcare insurance entity (the "Client"). Zeneca sponsored patients from
an affiliate of Client (the "Sponsored Group") in a program operated by Patient
Infosystems. Client directly sponsored patients from other of its affiliates in
substantially the same program as that provided to the Sponsored Group. In
September 2002, Patient Infosystems received notification from Zeneca. that it
intended to terminate its service agreement with Patient Infosystems as of
January 1, 2003. In January 2003, Client assumed approximately 20% of the
Sponsored Group under its service agreement with Patient Infosystems. In
February 2003, Patient Infosystems received notification that Client intends to
terminate its service agreement with Patient Infosystems, effective July 1,
2003. Neither Zeneca nor Client cited any dispute with or breach of any
agreement by Patient Infosystems. Patient Infosystems has replaced this lost
revenue with other client contracts, but no assurance can be given the new
sources of revenue will be permanent.
Costs and Expenses
Cost of sales includes salaries and related benefits, services provided by
third parties, and other expenses associated with the development of Patient
Infosystems' customized disease state management programs, as well as the
operation of each of its disease state management programs.
Cost of sales decreased 20.9% from $2,420,151 for the fiscal year ended
December 31, 2001 to $1,914,464 for the fiscal year ended December 31, 2002.
Patient Infosystems' introduction of internet based systems during the three
month period ended December 31, 2001 and its focus on selling products that
require less customization have enabled Patient Infosystems to improve economies
of scale while decreasing the staff required to customize Patient Infosystems'
products from approximately 11 employees with expenses of approximately
$1,100,000 for the fiscal year ended December 31, 2001 to 5 employees with
expenses of approximately $700,000 for the fiscal year ended December 31, 2002.
Sales and marketing expenses decreased 8.3% from $813,975 for the fiscal
year ended December 31, 2001 to $746,353 for the fiscal year ended December 31,
2002. These costs consist primarily of salaries, related benefits and travel
costs, sales materials and other marketing related expenses. Decreased spending
in this area is attributable to Patient Infosystems' efforts to reduce costs and
to its limited available capital, resulting in a smaller sales and marketing
staff and increased dependence on marketing partners during the fiscal year
ended December 31, 2002. It is anticipated that Patient Infosystems will need to
invest heavily in the sales and marketing process in future periods, and intends
to do so if funds are available. To the extent that Patient Infosystems has
limited funds available for sales and marketing, or cannot leverage its
marketing partnerships adequately, it will likely be unable to invest in the
necessary marketing activities to generate substantially greater sales.
General and administrative expenses include the costs of corporate
operations, finance and accounting, human resources and other general operating
expenses of Patient Infosystems. General and administrative expenses decreased
36.38% from $2,028,804 for the fiscal year ended December 31, 2001 to $1,282,683
for the fiscal year ended December 31, 2002. The decrease in these costs was
caused by : (i) the reduction in the amortization of in debt issuance from
$567,424 to $8,934 for the fiscal years ended December 31, 2001 and 2002,
respectively, and other financing costs related to funding operations, (ii)
aggregate pay decreases of $85,250 for officers of Patient Infosystems and (iii)
a renegotiation and elimination of $114,953 of accrued expense related to the
minimum obligation under a vendor agreement. Patient Infosystems expects that
general and administrative expenses will remain relatively constant in future
periods, but may experience fluctuations due to uncertainties related to
financing costs.
Research and development expenses consist primarily of salaries and related
benefits and administrative costs allocated to Patient Infosystems' research and
development personnel for development of certain components of its integrated
information capture and delivery system, its Internet-based software products
and its standardized disease state management programs. Research and development
expenses decreased 44.6% from $190,731 for the fiscal year ended December 31,
2001 to $105,614 for the fiscal year ended December 31, 2002. The decrease in
research and development expenses reflects the transition of Patient
Infosystems' decreased investment in information systems and new technology.
57
Other Income/Expense is comprised of interest expense and losses on
investments. The totals are as follows for the fiscal years ended December 31:
2002 2001
------------------ -------------------
Interest expense $ (535,269) $ (410,063)
Other income (expense)
Other 4,345 11,976
ReCall Services, Inc. (200,000)
------------------ -------------------
Total Expense $ (530,924) $ (598,087)
------------------ -------------------
Interest expense is due to debt. Interest expense increased to $535,269 for
the fiscal year ended December 31, 2002 from $410,063 for the fiscal year ended
December 31, 2001. The increase in interest expense reflects the increased debt
required to fund operations.
The other expense for the fiscal year ended December 31, 2001 consists
primarily of an impairment of an investment. In September of 2001 Patient
Infosystems was notified that Recall Services, Inc. was ceasing operations and
declared its $200,000 investment in Recall Services, Inc. impaired.
Patient Infosystems had no tax benefit in 2002 due, in part, to recording a
full valuation allowance to reduce its deferred tax assets. Patient Infosystems'
deferred tax assets consist primarily of the tax benefit associated with its net
operating loss carryforwards.
Management of Patient Infosystems has evaluated the available evidence
about future taxable income and other possible sources of realization of
deferred tax assets. The valuation allowance reduces deferred tax assets to
zero, which represents management's best estimate of the amount of such deferred
tax assets that more likely than not will be realized.
For the fiscal year ended December 31, 2002, Patient Infosystems declared
$90,000 in dividends on convertible preferred stock.
Patient Infosystems had a net loss attributable to common stockholders of
$2,314,361 for the fiscal year ended December 31, 2002, compared to $4,555,305
for the fiscal year ended December 31, 2001. This represents a loss of $.21 per
basic and diluted share for 2002 and $.47 for 2001.
58
Liquidity and Capital Resources
At June 30, 2003, Patient Infosystems had a working capital deficit of
$9,883,172 as compared to $6,135,451 at December 31, 2002. Through June 30,
2003, these amounts reflect the effects of Patient Infosystems' continuing
losses as well as increased borrowings, $3,000,000 of which was considered to be
a long-term liability at December 31, 2002 but is classified as a current
liability at June 30, 2003. Since its inception, Patient Infosystems has
primarily funded its operations, working capital needs and capital expenditures
from the sale of equity securities or the incurrence of debt.
On March 28, 2003, Patient Infosystems entered into an Amended and Restated
Credit Agreement with Wells Fargo Bank Iowa, N.A., which extended the term of
Patient Infosystems' $3,000,000 credit facility to January 2, 2004, under
substantially the same terms. Certain directors of Patient Infosystems
guaranteed this extension.
Patient Infosystems borrowed $1,050,000 for working capital from Mr.
Pappajohn during the six month period ended June 30, 2003. On April 10, 2003,
Patient Infosystems replaced notes in the aggregate principal amount of $500,000
owed to Mr. Pappajohn with a new note for the principal amount of $900,000,
representing the amount due under the original notes plus an additional $400,000
borrowed from Mr. Pappajohn for working capital. As of September 12, 2003, a
total of $6,577,500 has been borrowed from Mr. Pappajohn and Dr. Schaffer (both
of whom are members of Patient Infosystems' Board of Directors), all of which is
secured by the assets of Patient Infosystems.
On March 28, 2003, Mr. Pappajohn and Dr. Schaffer signed a letter to
Patient Infosystems in which they made a commitment to obtain the operating
funds that Patient Infosystems believes would be sufficient to fund its
operations through December 31, 2003. There can be no assurances given that Mr.
Pappajohn or Dr. Schaffer can raise either the required working capital through
the sale of Patient Infosystems' securities or that Patient Infosystems can
borrow the additional amounts needed.
On April 10, 2003, Patient Infosystems entered into a Note and Stock
Purchase Agreement with certain investors, including Mr. Pappajohn, a member of
the Board of Directors of Patient Infosystems, pursuant to which the investors
agreed to loan to Patient Infosystems an aggregate of up to $2.5 million,
$500,000 of which replaces notes payable to Mr. Pappajohn, which were
outstanding at March 31, 2003. The Note and Stock Purchase Agreement was
subsequently amended on September 11, 2003 to increase the loan from the
investors to an aggregate of $3.5 million. In consideration for the loans,
Patient Infosystems signed a series of promissory notes and issued a total of
286,182 shares of Series D Preferred Stock to the investors; 198,128 of such
shares were issued and outstanding at June 30, 2003. The notes bear interest at
a rate equal to the prime rate plus 3% per annum and mature on September 30,
2003. The 286,182 shares of Series D Preferred Stock are convertible into up to
34,341,840 shares of common stock of Patient Infosystems, subject to the
approval by the stockholders of Patient Infosystems of an amendment to the
Certificate of Incorporation, authorizing an increase in the number of
outstanding shares of common stock of Patient Infosystems necessary to provide
for the issuance of common stock upon conversion of such shares. The 198,128
shares of Series D Preferred Stock outstanding at June 30, 2003, which are
convertible into 23,775,360 share of common stock, are valued at $3,328,550
using the average trading price of $0.14 per share taken 2 days before and 1 day
after the measurement date of April 14, 2003 in accordance with EITF 99-12.
59
Because the term of the Note and Stock Purchase Agreement is approximately six
months ending September 30, 2003, 50% of the value of the 198,128 shares of
Series D Preferred Stock, or $1,664,275, was an amortized expense during the
three month period ended June 30, 2003. The remaining $1,664,275 will be an
amortization expense during the three month period ending September 30, 2003.
Holders of the Series D Preferred Stock have the right to elect two members of
Patient Infosystems' Board of Directors. Upon closing of a private placement of
a minimum of $4 million in value of additional shares of Series D Preferred
Stock and after the closing of the proposed acquisition of ACS, as contemplated
by the Asset Purchase Agreement, any notes issued pursuant to the Note and Stock
Purchase Agreement are convertible into Series D Preferred Stock. The purpose of
the loan from the Investors is to provide funds to Patient Infosystems for it to
loan to ACS in order to provide working capital for the operations of ACS.
Simultaneously with the closing of the Note and Stock Purchase Agreement,
Patient Infosystems and ACS entered into a Credit Agreement, subsequently
amended on July 30, 2003 pursuant to which Patient Infosystems agreed to loan to
ACS up to an aggregate of $3.4 million secured by all of the assets of ACS. As
of June 30, 2003, Patient Infosystems had notes receivable of $2.25 million from
ACS. Patient Infosystems received a warrant to purchase 18,050 shares of common
stock of ACS, exercisable only if the Asset Purchase Agreement with ACS is
terminated. Additional warrants to purchase ACS common stock may be issued
depending on the total amount of funds it borrows from Patient Infosystems under
the Credit Agreement.
Patient Infosystems has expended substantial funds to establish its
operational capabilities and infrastructure. Patient Infosystems' cash has been
steadily depleted as a result of operating losses. Although Patient Infosystems
has raised $3.5 million in the private placement contemplated by the Asset
Purchase Agreement, the $3.5 million has already been used for working capital
and repayment of indebtedness. Patient Infosystems anticipates that its losses
will continue and, but for the continuing loans from Mr. Pappajohn, Patient
Infosystems has no available cash to continue operations. Accordingly, Patient
Infosystems has been required to seek cash to maintain its operations. Patient
Infosystems is continuing its efforts to raise additional funds privately, which
may involve the sale of convertible preferred stock or further debt securities.
No assurance can be given that Patient Infosystems will successfully raise the
necessary funds. Any additional financing, which includes the issuance of
additional securities of Patient Infosystems, may be dilutive to Patient
Infosystems' existing stockholders. If Patient Infosystems is unable to raise
additional funds, it will be required to cease operations.
Inflation
Inflation did not have a significant impact on Patient Infosystems' costs
during the three and six month periods ended June 30, 2003 and 2002. Patient
Infosystems continues to monitor the impact of inflation in order to minimize
its effects through pricing strategies, productivity improvements and cost
reductions.
Recent Accounting Pronouncements
Recently issued statements by the Financial Accounting Standards Board
("FASB") that are applicable to Patient Infosystems have little or no immediate
effect and will have an effect in the future only in the event Patient
Infosystems enters into transactions governed by those statements. Those
statements and interpretations included SFAS No. 143, Accounting for Asset
Retirement Obligations, SFAS No. 145; Rescission of FASB Statements No. 4, 44,
and 64, Amendment of FASB Statement No. 13 (leases), and Technical Corrections;
SFAS No. 146, Accounting for Costs Associated with Exit or Disposal Activities;
SFAS No. 149, Amendment of Statement 133 on Derivative Instruments and Hedging
Activities; SFAS No. 150, Accounting for Certain Financial Instruments and
Characteristics of Both Liabilities and Equity; FASB Interpretation ("FIN") No.
45, "Guarantor's Accounting and Disclosure Requirements for Guarantees,
Including Indirect Guarantees of Others"; and FIN No. 46, "Consolidation of
Variable Interest Entities, an Interpretation of ARB No. 51".
60
Critical Accounting Policies
The SEC recently issued disclosure guidance for critical accounting
policies. The SEC defines critical accounting policies as those that require
application of management's most difficult, subjective or complex judgments,
often as a result of the need to make estimates about the effect of matters that
are inherently uncertain and may change in subsequent periods.
Patient Infosystems significant accounting policies are described in Note 1
to the Consolidated Financial Statements. Not all of these significant
accounting policies require management to make difficult, subjective or complex
judgments or estimates. However, the following accounting policies could be
deemed to be critical by SEC.
Use of Estimates. In preparing the consolidated financial statements
Patient Infosystems uses estimates in determining the economic useful lives of
its assets, provisions for doubtful accounts, tax valuation allowances and
various other recorded or disclosed amounts. Estimates require management to use
its judgment. While Patient Infosystems believes that its estimates for these
matters are reasonable, if the actual amount is significantly different than the
estimated amount, its assets, liabilities or results of operations may be
overstated or understated.
Impairment of Long-Lived Assets. Patient Infosystems records impairment
losses on long-lived assets used in operations when events and circumstances
indicate that the assets might be impaired and the undiscounted future cash
flows estimated to be generated by those assets are less than the carrying
amount of those assets. Recoverability of assets to be held and used is measured
by a comparison of the carrying amount of the asset to future net cash flows
expected to be generated by the asset. If the asset is considered to be
impaired, the impairment to be recognized is measured by the amount by which the
carrying amount of the asset exceeds the fair value of the asset. If the actual
value is significantly less than the estimated value, Patient Infosystems assets
may be overstated.
61
MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS OF ACS
The following discussion and analysis of ACS' financial condition and
results of operations should be read in conjunction with its financial
statements and notes thereto and the other financial information included
elsewhere in this proxy statement. In addition to historical information, this
management's discussion and analysis of financial condition and results of
operations and other parts of this proxy statement contain forward-looking
information that involve risks and uncertainties. ACS' actual results could
differ materially from those anticipated by such forward-looking information as
a result of certain factors, including but not limited to, those set forth under
Risk Factors and elsewhere in this proxy statement.
Management's discussion and analysis provides a review of ACS' operating
results for the years ended December 31, 2002 and 2001 and for the three and six
months ended June 30, 2003 and 2002. The focus of this review is on the
underlying business reasons for significant changes and trends affecting the
revenues, net losses and financial condition of ACS.
Overview
ACS was incorporated in October 1997 as Health Data Solutions, Inc. ("HDS")
under the laws of Indiana. HDS was originally formed to provide information
technology services to insurance companies, third party administrators ("TPAs"),
healthcare networks and self-insured employers.
Effective July 31, 2001, HDS acquired substantially all of the assets and
assumed all outstanding liabilities of American CareSource Corporation ("Old
ACS"), a related entity (but not under common control). HDS acquired these
assets in exchange for the issuance of shares of its common stock representing
33% of its common stock after the acquisition (the "ACS Acquisition"). As a
result of this acquisition, HDS changed its name to American CareSource
Corporation. The results of Old ACS' operations are included in the accompanying
statement of operations for ACS from July 31, 2001 forward.
The successor company, ACS, is an ancillary healthcare benefits management
company. Ancillary healthcare services include a broad array of services that
supplement or support the care provided by hospitals and physicians, including
but not limited to, the non-physician services associated with (i) operating
outpatient surgery centers and free-standing diagnostic imaging centers, and
(ii) providing home infusion, durable medical equipment, orthotics and
prosthetics, laboratory and many other services. These ancillary services are
provided to patients as benefits under group health plans and workers
compensation plans. ACS manages the administration of these ancillary healthcare
benefits.
ACS enters into agreements with the providers of ancillary services
pursuant to which ACS provides administrative services for its contracted
providers, including patient scheduling services, call center services, payor
contracting services, and billing and collection services. ACS also enters into
agreements with preferred provider organizations ("PPOs"), TPAs, workers
compensation benefits administrators, utilization review companies, case
management companies and other healthcare networks pursuant to which ACS
provides ancillary benefits management services for these payor clients.
Under its provider agreements, the contracted providers assign their claims
for contracted services to ACS, which then re-prices the claims in accordance
with its negotiated payor fee schedules and submits such claims for payment by
the appropriate payors. ACS collects payment for these claims and pays the
contracted provider pursuant to a provider fee schedule negotiated by ACS and
the contracted provider. In such circumstances, ACS is obligated to pay the
ancillary provider the applicable provider fee despite the insufficient payor
payment. Covered services refer to services that are listed as covered under a
health plan administered by a client of ACS. Covered persons are those persons
eligible for ancillary health benefits under the plans administered by ACS
clients.
ACS recognizes revenues for Ancillary Services when services by providers
have been authorized, and performed and collections from payors are reasonably
assured. Patient Claims Revenues are recognized by ACS as services are provided.
Cost of Revenues for Ancillary Services consist of expenses due to providers for
providing employee (patient) services and Patient Infosystems' related direct
labor and overhead of processing such services. ACS is not liable for costs
incurred by independent contract service providers until payment is received by
ACS from the payors. ACS recognizes actual or estimated liabilities to
independent contract service providers as related revenues are recognized.
Patient Claims costs of revenue consist of direct labor and overhead to
administer the patient claims.
62
After its organization, ACS spent several years developing its business
model, know-how, infrastructure, client base and provider base. Until 2001, ACS
focused on providing information technology services to insurance companies,
TPAs, healthcare networks and self-insured employers. In early 2001, ACS decided
to expand and refocus its business to address the management of ancillary
benefits in the group health market. It launched its group health initiatives
through healthcare networks in 2001 and began to see the impact of these
initiatives by the fourth quarter of 2001.
ACS now has over 15 group health clients including exclusive ancillary
network management contracts for two of the largest PPOs in the U.S. Despite
this progress, ACS has so far achieved only a minimal percentage of the
potential revenue opportunity represented by its existing client base.
During the previous two years, ACS has experienced severe operating
limitations and constraints due to continuous under capitalization and working
capital shortfalls. It incurred losses of $1.0 million and $1.2 million for the
three months ended June 30, 2003 and 2002, respectively, and $2.1 million and
$2.3 million for the six months ended June 30, 2003 and 2002, respectively, and
had negative cash flows from operations of $2.4 million and $1.3 million for the
six months ended June 30, 2003 and 2002, respectively. ACS had negative working
capital of $4.1 million and $2.0 million at June 30, 2003 and December 31, 2002,
respectively. On September 23, 2002 (amended April 10, 2003 and further amended
on July 30, 2003) ACS signed an Asset Purchase Agreement with Patient
Infosystems for the sale of substantially all of the assets of ACS. Under the
terms of a Credit Agreement dated April 10, 2003 with Patient Infosystems, ACS
as of August 29, 2003 has received $2.85 million in bridge loans committed for
working capital. However, if the Acquisition does not close, there is no
assurance that these funds will be adequate for ACS to reach breakeven
operations or that ACS will ever reach breakeven operations or that the planned
funding will ultimately be realized. In addition, in connection with the Credit
Agreement, Patient Infosystems received warrants to purchase shares of common
stock of ACS, exercisable only if the Asset Purchase Agreement with ACS is
terminated. In connection with the amendment to the Credit Agreement, dated July
30, 2003, additional warrants to purchase 11,220 shares of ACS common stock will
be issued as consideration for increasing the aggregate amount of the loans from
$2.25 million to $3.4 million. These warrants are also exercisable only if the
Asset Purchase Agreement is terminated. As of August 29, 2003, Patient
Infosystems has received warrants to purchase 23,905 shares of ACS common stock.
No adjustments have been made to the financial statements for the issuance of
these warrants since management considers their value to be deminimis.
Additional warrants to purchase ACS common stock may be issued depending on the
total amount of funds it borrows from Patient Infosystems under the Credit
Agreement. Furthermore, Patient Infosystems received a note signed by ACS to
repay the outstanding amount under the bridge loans. If the Asset Purchase
Agreement does not close, there can be no assurance that ACS will be able to
repay the outstanding amount.
ACS had long-term debt of $5.1 million and $2.8 million at June 30, 2003
and December 31, 2002, respectively, of which current maturities at such dates
were $2.7 million and $461,000. As a result, ACS' long-term debt (less current
maturities) was $2.4 million at June 30, 2003 and December 31, 2002. The
long-term debt at June 30, 2003 included a $2.25 million bridge loan as a result
of the Asset Purchase Agreement with Patient Infosystems, a $2.4 million
subordinated note payable to a stockholder of ACS, $375,000 of other long-term
debt obligations owed to four entities or individuals and $75,000 for capital
lease obligations.
On November 5, 2002, ACS completed a private placement of 8,500 shares of
newly issued common stock raising $4.5 million in total proceeds. The proceeds
from this issuance have been used to repay debt and to support ACS' operations.
Results of Operations
Three and Six Months Ended June 30, 2003 Compared to Three and Six Months Ended
June 30, 2002
Revenues are comprised of revenues from ancillary service claims (relating
to group health activities) and data processing of patient claims. Revenues
decreased to $2.2 million from $2.4 million during the three months ended June
30, 2003 and 2002, respectively, or 10%. Revenues increased to $4.8 million from
$4.0 million during the six months ended June 30, 2003 and 2002 respectively, or
19%.
Three Months Ended Six Months Ended
June 30, June 30,
Revenues 2003 2002 2003 2002
-------- ---- ---- ---- -----
Ancillary Health $ 2,100,625 $ 2,316,086 $ 4,577,569 $3,765,490
Patient Claims 97,889 124,547 202,562 263,704
--------------------------------------------------------
Total Revenues $ 2,198,514 $ 2,440,633 $ 4,780,131 4,029,194
Ancillary health claims revenue decreased to $2.1 million for the three
months ended June 30, 2003 as compared to $2.3 million for the three months
ended June 30, 2002. This decrease was primarily caused by the termination of
contracts by HealthSouth and Quest or $376,000 decrease, the loss of smaller
providers among the four major payors or $148,000, offset by the $309,000
increase for Pinnacol. Ancillary health claims revenue increased to $4.6 million
for the six months ended June 30, 2003 as compared to $3.8 million for the six
months ended June 30, 2002. This increase is due primarily to Pinnacol Assurance
(the primary administrator of workers compensation benefits for the State of
Colorado), which increased $813,000. Increased volume from Pinnacol was
primarily caused by the addition of orthotics, prosthetics and other higher
priced claims and the start up of processing of claims for the Denver area
during the first half of 2003 as compared to the first half of 2002. The
$326,000 decrease in HealthSouth revenues for the six months ended June 30, 2003
were offset by increased revenues of four other payors primarily in the three
months ended March 31, 2003. The termination of the HealthSouth and Quest
contracts will continue to result in a significant reduction of ACS' revenues.
The data processing of patient claims revenues decreased to $98,000 for the
three months ended June 30, 2003 as compared to $125,000 for the three months
ended June 30, 2002. The data processing of patient claims revenues decreased to
$203,000 for the six months ended June 30, 2003 as compared to $264,000 for the
six months ended June 30, 2002. This is not the core business of ACS and is
projected to continue to decline.
The State of Texas recently passed a regulation requiring state funded
workers compensation claims to be paid directly to the provider of services.
Although Texas workers compensation claims accounted for less than 1% of ACS'
total revenues for the year ended December 31, 2002 and ACS anticipates that
such claims will account for less than 1% of its total revenue for the year
ended December 31, 2003, this regulation may restrict the ability of ACS to
perform services or expand services related to workers compensation claims in
Texas.
63
Costs of revenues
Cost of revenues includes provider payments, direct expenses incurred for
providing services and the related direct labor and overhead of providing such
services. ACS is not liable for costs incurred by its contracted providers
unless and until these providers obtain approval from the appropriate payors,
provide the contracted services and ACS receives payment from the payors. Costs
of revenues also include direct expenses to administer claims, including direct
labor associated with recruitment and contracting with providers, database
maintenance, data entry of claims, claims repricing and fulfillment and overhead
costs. Costs of revenues decreased to $2.6 million for the three month period
ended June 30, 2003 as compared to $2.8 million for the three month period ended
June 30, 2002. This $200,000 decrease was due primarily to a corresponding
decrease of provider payments of $161,000 as a percentage of reduced revenues
and a reduction in system development costs. Cost of revenues increased $700,000
to $5.5 million for the six months ended June 30, 2003 as compared to $4.8
million for the six months period ended June 30, 2002. This increase is due
primarily to $648,000 of Pinnacol provider costs associated with the
corresponding $813,000 increase in Pinnacol revenues.
Operating Expenses
Selling, general and administrative expenses include the salaries and
related benefits of ACS' executive employees, human resources, development,
provider relations, and finance and accounting employees, travel and other costs
for those employees, and sales materials and other marketing or sales expenses
of ACS. Commissions paid to independent outside salesman are based directly on
net margin per client. Payments to providers and all billing and processing of
claims expenses are included in cost of revenues. Operating expenses decreased
$97,000 to $562,000 for the three months ended June 30, 2003 as compared to
$659,000 for the three months ended June 30, 2002. This decrease in expenses was
primarily related to $85,000 spent on temporary hires for pre-audit work.
Operating expenses decreased $100,000 to $1.2 million for the six months ended
June 30, 2003 as compared to $1.3 million for the six months ended June 30,
2002. This decrease in expenses was also primarily related to temporary hires
for pre-audit work during the first half of 2003.
ACS recorded net interest expense of $80,000 and $123,000 for the three and
six month periods ended June 30, 2003, respectively, as compared to $142,000 and
$238,000 for the same respective periods of 2002, principally due to proceeds
from the sale of stock used to pay down debt during the second half of 2002.
ACS had a net loss of $1.0 million and $2.1 million for the three and six
month periods ended June 30, 2003, respectively, as compared to $1.2 million and
$2.3 million for the same respective periods of 2002. This represents a loss per
share on a basic and diluted basis of $35 and $74 for the three and six month
periods ended June 30, 2003, respectively, compared to $58 and $116 for the same
respective periods of 2002.
Year Ended December 31, 2002 Compared to Year Ended December 31, 2001
Revenues
Revenues are comprised of revenues from ancillary service claims (relating
to group health activities) and data processing of patient claims. Revenues
increased 279% from $2.5 million for the year ended December 31, 2001 to $9.6
million for the year ended December 31, 2002. This increase reflects ACS'
expansion into the group health market during 2002. Ancillary health claims
revenue increased from $1.5 million for the year ended December 31, 2001 to $9.2
for the year ended December 31, 2002, while data processing of patient claims
revenues decreased from $1.1 million for the year ended December 31, 2001 to
$480,000 for the year ended December 31, 2002. Revenues from Pinnacol, ACS'
largest ancillary service client, was $1.2 million for the year ended December
31, 2001. ACS obtained contracts with seven new ancillary service clients during
the first quarter of 2002 as part of the expansion program into this market. The
two largest clients accounted for $4.6 million, or 48%, of the total 2002
revenues. These changes further reflect the impact of ACS' decision to focus on
the ancillary group health market. ACS anticipates that revenues from data
processing of patient claims will decline as it continues to focus on the
ancillary service market as its core business.
Costs of revenues
Cost of revenues includes provider payments, direct expenses incurred for
providing services and the related direct labor and overhead of providing such
services. ACS is not liable for costs incurred by its contracted providers
unless and until these providers obtain approval from the appropriate payors,
provide the contracted services and ACS receives payment for these services from
the payor. Costs of revenues also include direct expenses to administer claims,
including direct labor associated with recruitment and contracting with
providers, database maintenance, data entry of claims, claims repricing and
fulfillment and overhead costs. Costs of revenues increased 271% from $3.0
million for the year ended December 31, 2001 to $11.2 million for the year ended
December 31, 2002. In addition to the corresponding increase in provider
payments as a percentage of increased revenues, this increase reflects the
increased personnel and other costs associated with the growth of ACS' business
and the development of infrastructure to support ACS' expansion into the group
health market.
64
Operating Expenses
For the year ended December 31, 2002, selling, general and administrative
expenses of $2.5 million include the salaries and related benefits of ACS'
executive employees, human resources, development, provider relations, and
finance and accounting employees, travel and other costs for those employees,
and sales materials and other marketing or sales expenses of ACS. Commissions
paid to independent outside salesman are based directly on net margin per
client. Payments to providers are included in cost of goods sold as are all
billing and processing of claims expenses. Selling, general and administrative
expenses increased 108% from $1.2 million for the year ended December 31, 2001
to $2.5 million for the year ended December 31, 2002. This increase reflects the
increased costs associated with the growth of ACS' business, the Acquisition,
and the development of infrastructure to support ACS' expansion into the group
health market, which includes the costs of investments in software, training of
employees and development of form client contracts, agent agreements and
commission sales agreements. The $1.3 million increase is attributable to
$363,000 for legal and audit fees primarily associated with the Acquisition,
$296,000 for employee salaries, $274,000 for systems development and $363,000
for all other categories such as travel, sales commissions and facilities
associated with the growth of ACS' business.
Impairment of goodwill includes goodwill recorded in connection with the
ACS acquisition of assets on July 31, 2001 in the amount of $1.3 million, which
was written off as impaired in compliance with SFAS 142 "Goodwill and Other
Intangible Assets." The impairment was a result of ACS' inability to support the
valuation of goodwill generated from the ACS Acquisition. Impairment of goodwill
decreased from $1.3 million for the year ended December 31, 2001 to $0 for the
year ended December 31, 2002. This decrease reflects the write off of goodwill
in 2001 resulting from the ACS acquisition.
Interest expense is due to debt. Interest expense increased from $153,000
for the year ended December 31, 2001 to $363,000 for the year ended December 31,
2002.
ACS had a net loss of $4.5 million for the year ended December 31, 2002,
compared to a net loss of $3.2 million for the year ended December 31, 2001.
This represents a loss per share on a fully diluted basis of $212 for 2002 and
$160 for 2001, respectively.
Liquidity and Capital Resources
At June 30, 2003, ACS had a working capital deficit of $4.1 million as
compared to working capital deficits of $2.0 million at December 31, 2002.
Through June 30, 2003, these amounts reflect the effects of ACS' continuing
losses as well as $2.3 million in increased borrowings. ACS has never earned
profits and since its inception, has primarily funded its operations, working
capital needs and capital expenditures from the sale of equity securities and
the issuance of debt. ACS' cash balance was $42,000 and $159,000 at June 30,
2003 and December 31, 2002, respectively.
On September 23, 2002 (amended April 10, 2003 and further amended on July
30, 2003) ACS signed an Asset Purchase Agreement with Patient Infosystems for
the sale of substantially all of the assets of ACS. Under the terms of a Credit
Agreement dated April 10, 2003 (amended July 30, 2003) with Patient Infosystems,
ACS as of August 29, 2003 has received $2.85 million in bridge loans committed
for working capital. However, if the Acquisition does not close, there is no
assurance that these funds will be adequate for ACS to reach breakeven
operations or that ACS will ever reach breakeven operations or that the planned
funding will ultimately be realized. In addition, in connection with the Credit
Agreement, Patient Infosystems received warrants to purchase shares of common
stock of ACS, exercisable only if the Asset Purchase Agreement with ACS is
terminated. In accordance with the amended Credit Agreement dated July 30, 2003,
additional warrants will be issued to Patient Infosystems to purchase 11,220
shares of ACS common stock in exchange for increasing the aggregate amount of
the loans from $2.25 million to $3.4 million. As of August 29, 2003, Patient
Infosystems has received warrants to purchase 23,905 shares of ACS common stock.
No adjustments have been made to the financial statements for the issuance of
these warrants since management considers their value to be deminimis.
Furthermore, Patient Infosystems received notes signed by ACS to repay the
outstanding amount under the bridge loans. If the Asset Purchase Agreement does
not close, there can be no assurance that ACS will be able to repay the
outstanding amount.
The long-term debt at June 30, 2003 included $2.25 million as a result of
the Asset Purchase Agreement with Patient Infosystems, a $2.4 million
subordinated note payable to a stockholder of ACS, $375,000 of other long-term
debt obligations owed to five entities or individuals and $75,000 for capital
lease obligations. The $2.25 million bridge loan from Patient Infosystems
(collateralized by all intangible and tangible assets) originated at Index rate
(4.25%) converted to Index rate plus 3% (7.25%) on April 10, 2003 and will
convert to Patient Infosystems Series D Preferred Stock. The $2.4 million
subordinated note originated at a stated interest rates of 10% per annum also
converted to Index plus 3% (7.25%) on April 10, 2003. Principal on this note is
due at maturity, which matures in March 2007, and interest payments start in
March 2005.
65
At December 31, 2001, ACS owed $400,000 on a line of credit and $400,000 on
a note payable to a financial institution. On February 12, 2002, ACS was
notified of a default and acceleration of the amounts owed on the line of credit
and debt. Effective May 9, 2002, a stockholder of ACS purchased the line of
credit from the financial institution for the outstanding amount owed by ACS of
$384,000 plus accrued interest and late fees and purchased the outstanding debt
owed by ACS in the principal of $400,000 plus accrued interest. As of June
30,2003, this line of credit and debt are included in the balance of the Index
rate plus 3% subordinated note payable to the stockholder.
On November 5, 2002, ACS completed a private placement of 8,500 shares of
newly issued common stock raising $4.5 million in total proceeds. The proceeds
from this issuance have been used to repay debt and to support ACS' operations.
Inflation
Inflation did not have a significant impact on ACS' operations during the
three and six month periods ended June 30, 2003 and 2002. ACS continues to
monitor the impact of inflation in order to minimize its effects through pricing
strategies, productivity improvements and cost reductions.
Recent Accounting Pronouncements
In August 2001, the Financial Accounting Standards Board issued Statement
of Financial Accounting Standards No. 143, Accounting for Asset Retirement
Obligations (SFAS 143). This statement requires that the fair value for an asset
retirement obligation be recognized in the period in which it is incurred, if a
reasonable estimate of fair value can be made, and that the carrying amount of
the asset, including capitalized asset retirement costs, be tested for
impairment. SFAS 143 is effective for fiscal years beginning after June 15,
2002. Adoption of this standard will not have any immediate effect on ACS'
financial statements.
In April 2002, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 145, Rescission of Statement of Financial
Accounting Standards No. 4, 44, and 64, Amendment of Statement of Financial
Accounting Standards No. 13, and Technical Corrections (SFAS 145). This
statement eliminates the current requirement that gains and losses on debt
extinguishment must be classified as extraordinary items in the income
statement. Instead, such gains and losses will be classified as extraordinary
items only if they are deemed to be unusual and infrequent, in accordance with
the current GAAP criteria for extraordinary classification. In addition, SFAS
145 eliminates an inconsistency in lease accounting by requiring that
modifications of capital leases that result in reclassification as operating
leases be accounted for consistent with sale-leaseback accounting rules. The
statement also contains other nonsubstantive corrections to authoritative
accounting literature. The changes related to debt extinguishment are effective
for fiscal years beginning after May 15, 2002, and the changes related to lease
accounting are effective for transactions occurring after May 15, 2002. Adoption
of this standard will not have any immediate effect on ACS' financial
statements.
In June 2002, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 146, Accounting for Costs Associated with
Exit or Disposal Activities (SFAS 146), which addresses accounting for
restructuring and similar costs. SFAS No. 146 supersedes previous accounting
guidance, principally Emerging Issues Task Force (EITF) Issue No. 94-3. SFAS 146
requires that the liability for costs associated with an exit or disposal
activity be recognized when the liability is incurred. Under EITF No. 94-3, a
liability for an exit cost was recognized at the date of a company's commitment
to an exit plan. SFAS 146 also establishes that the liability should initially
be measured and recorded at fair value. Accordingly, SFAS 146 may affect the
timing of recognizing future restructuring costs as well as the amount
recognized. Adoption of this standard will not have any immediate effect on ACS'
financial statements.
66
In November 2002, the Financial Accounting Standards Board issued
Interpretation No. 45, Guarantor's Accounting and Disclosure Requirements for
Guarantees, Including Indirect Guarantees of Indebtedness to Others.
Interpretation 45 requires disclosures in interim and annual financial
statements about obligations under certain guarantees issued by ACS.
Furthermore, it requires recognition at the beginning of a guarantee of a
liability for the fair value of the obligation undertaken in issuing the
guarantee, with limited exceptions including: 1) a parent's guarantee of a
subsidiary's debt to a third party, and 2) a subsidiary's guarantee of the debt
owed to a third party by either its parent or another subsidiary of that parent.
The initial recognition and initial measurement provisions are only applicable
on a prospective basis for guarantees issued or modified after December 31,
2002. Adoption of this standard will not have a material impact on ACS'
financial statements.
In December 2002, the Financial Accounting Standards Board issued Statement
of Financial Accounting Standards 148, Accounting for Stock-Based Compensation -
Transition and Disclosure (SFAS 148), which amended Statement of Financial
Accounting Standards 123, Accounting for Stock-Based Compensation (SFAS 123).
The new standard provides alternative methods of transition for a voluntary
change to the fair value based method of accounting for stock-based employee
compensation. Additionally, the statement amends the disclosure requirements of
SFAS 123 to require prominent disclosures in both annual and interim financial
statements about the method of accounting for stock-based employee compensation
and the effect of the method used on reported results. SFAS 148, paragraphs 2(a)
- 2(e), are effective for financial statements for the fiscal years ending after
December 15, 2002. SFAS 148, paragraph 2(f), and the amendment to APB Opinion
28, Interim Financial Reporting, shall be effective for financial reports
containing condensed financial statements for interim periods beginning after
December 15, 2002. Earlier adoption is permitted. Adoption of this standard did
not have any immediate effect on ACS' financial statements.
In January 2003, the Financial Accounting Standards Board issued FASB
Interpretation No. 46, Consolidation of Variable Interest Entities, an
interpretation of Accounts research Bulletin No. 51, Consolidated Financial
Statements (FIN No. 46). FIN No. 46 explains how to identify variable interest
entities and how an enterprise assesses its interest in a variable interest
entity, to decide whether to consolidate that entity. The Interpretation
requires existing unconsolidated variable interest entities to be consolidated
by their primary beneficiaries if the entities do not effectively disperse risks
among parties involved. FIN No. 46 is effective immediately for variable
interest entities created after January 31, 2003, and to variable interest
entities in which an enterprise obtains an interest after that date. The
Interpretation applies in the first fiscal year or interim period beginning
after June 15, 2003, to variable interest entities in which an enterprise holds
a variable interest that it acquired before February 1, 2003. Adoption of this
standard did not have any immediate effect on ACS' financial statements.
In April 2003, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 149, Amendment of Statement 133 on Derivative
Instruments and Hedging Activities (SFAS 149), which amends SFAS 133, Accounting
for Derivative Instruments and Hedging Activities, to amend and clarify
financial accounting and reporting for derivative instruments embedded in other
contracts (collectively referred to as derivative and hedging activities). SFAS
149 is effective for contracts entered into or modified after June 30, 2003.
Adoption of this standard did not have any immediate effect on ACS' financial
statements.
In May 2003, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 150, Accounting for Certain Financial
Instruments with Characteristics of Both Liability and Equity (SFAS 150), which
establishes standards for how an issuer classifies and measures certain
financial instruments with characteristics of both debt and equity. It requires
that an issuer classify a financial instrument that is within scope as a
liability (or an asset in some circumstances) because that financial instrument
embodies an obligation to the issuer. Effective June 30, 2003, ACS adopted SFAS
150, which will not have any immediate effect on ACS' financial statements.
Adoption of this standard did not have any immediate effect on ACS' financial
statements.
67
BUSINESS OF PATIENT INFOSYSTEMS
You should read the following description of our business in conjunction
with the information included elsewhere in this proxy statement. This
description contains certain forward-looking statements that involve risks and
uncertainties. Our actual results could differ significantly from the results
discussed in the forward-looking statements as a result of certain of the
factors set forth in "Risk Factors" and elsewhere in this proxy statement.
General
Patient Infosystems, Inc. ("Patient Infosystems") was incorporated in the
State of Delaware on February 22, 1995 under the name DSMI Corp., changed its
name to Disease State Management, Inc. on October 13, 1995, and then changed its
name to Patient Infosystems, Inc. on June 28, 1996. Patient Infosystems'
principal executive offices are located at 46 Prince Street, Rochester, New York
14607 and its telephone number is 585-242-7200. Patient Infosystems' Internet
address is www.ptisys.com.
Patient Infosystems is a health management solutions company that
integrates clinical expertise with advanced Internet, call center and data
management capabilities. Founded in 1995 as a disease management company,
Patient Infosystems has evolved to offer a comprehensive portfolio of products
and services designed to improve patient clinical outcomes and quality of life,
reduce healthcare costs and facilitate patient-provider-payor communication.
Care Team Connect for Health, Patient Infosystems' principal product line that
provides a complete solution for population health management, can be marketed
as a comprehensive solution or a set of discrete services that complement a
client's existing operations. Care Team Connect integrates a number of
components that had historically been marketed by Patient Infosystems as stand
alone products. During the 2002 year, the clinical content of these components
were revised and all components were migrated to an updated technology platform.
Care Team Connect includes the following:
1) Population Health Management and Analysis. Systems to collect, analyze
and report data about an overall target patient population. These
systems utilize telephone, Internet, electronic or print media as
input sources and may be used for risk identification and
stratification, obtaining information on care quality and
patient/member satisfaction, and the provision of patient and provider
education.
2) Disease Management. Patient-centered disease management and case
management support systems designed to improve patient compliance with
prescribed treatment protocols and to improve the process of patient
management outside the traditional "office visit." The system utilizes
trained telephone operators and computerized interactive voice
response technology to communicate via telephone and gather relevant
information directly from the patient. This data is subsequently
automatically transmitted via electronic or print media to healthcare
payors, providers and patients, as appropriate. These services are
also available via the Internet.
3) Nurse Help Line and Demand Management. Services to facilitate the
appropriate deployment of costly healthcare resources. These systems
provide enrolled patients with 24-hour access to a registered nurse
for access to health information and management of their care between
episodes of medical intervention.
Patient Infosystems markets its services to a broad range of clients,
including self-insured employers and trust funds, insurance companies,
pharmaceutical and medical equipment and device manufacturers, pharmacy benefit
managers ("PBMs"), other healthcare payors, such as managed care organizations
("MCOs") and healthcare providers, including integrated delivery networks
("IDN's").
Initially, during its first two years of operations, Patient Infosystems
emphasized the development of disease management programs, which accounted for a
substantial portion of its revenue through 1997. However, since 1998, Patient
Infosystems has devoted resources to the development of other applications of
its technology platform, including demand management, patient surveys, outcomes
analysis and Internet-based capabilities. These additional products accounted
for nearly 45% of the total revenue of Patient Infosystems during the fiscal
year ended December 31, 2002 and accounted for 59% and 62% of total revenue of
Patient Infosystems during the fiscal years ended December 31, 2001 and 2000,
respectively.
68
Recent Developments
During the fiscal year ended December 31, 2002, approximately 54% of
Patient Infosystems' revenue came from two clients, AstraZeneca, Inc. ("Zeneca")
and a healthcare insurance entity (the "Client"). Zeneca sponsored patients from
an affiliate of Client (the "Sponsored Group") in a program operated by Patient
Infosystems. Client directly sponsored patients from other of its affiliates in
substantially the same program as that provided to the Sponsored Group. In
September 2002, Patient Infosystems received notification from Zeneca that it
intended to terminate its service agreement with Patient Infosystems as of
January 1, 2003. In January 2003, Client assumed approximately 20% of the
Sponsored Group under its service agreement with Patient Infosystems. In
February 2003, Patient Infosystems received notification that Client intends to
terminate its service agreement with Patient Infosystems, effective July 1,
2003. Neither Zeneca nor Client cited any dispute with or breach of any
agreement by Patient Infosystems. Patient Infosystems has replaced this lost
revenue with other client contracts, but no assurance can be given the new
sources of revenue will be permanent.
On May 2, 2000, the Board of Directors of Patient Infosystems concluded
that it was in the best long term interests of Patient Infosystems to seek a
strategic merger partner. ACS was identified as a potential partner. A two and a
half year dialogue with ACS culminated in an agreement by both parties to effect
a strategic merger. The details of this transaction and dialogue leading to the
transaction are outlined in detail in this proxy statement. An asset purchase
agreement was approved by the Board of Directors of Patient Infosystems and
executed on September 23, 2002 and subsequently amended on April 10, 2003 and
July 30, 2003 (the "Asset Purchase Agreement"). The transactions contemplated by
the Asset Purchase Agreement cannot be closed without approval of the
stockholders of Patient Infosystems of an increase in the number of authorized
shares of common stock of Patient Infosystems. Upon closing of the Asset
Purchase Agreement, Patient Infosystems will change its name to American
CareSource Corporation.
In December 2002, Patient Infosystems loaned to ACS $200,000 of working
capital, which was loaned to Patient Infosystems by Mr. Pappajohn. The loan from
Patient Infosystems to ACS is secured by substantially all the assets of ACS.
During January of 2003, Patient Infosystems made additional loans of $300,000 to
ACS under substantially the same terms. Furthermore, as of May 2, 2003, Patient
Infosystems has loaned an additional $1 million to ACS under substantially the
same terms.
On April 10, 2003, Patient Infosystems entered into a Note and Stock
Purchase Agreement, which was subsequently amended on September 11, 2003,
pursuant to which certain investors, including Mr. Pappajohn, a member of the
Board of Directors, agreed to loan to Patient Infosystems an aggregate of up to
$3,500,000. In consideration for the loans, Patient Infosystems signed a series
of promissory notes and issued an aggregate of 286,182 shares of Series D
Preferred Stock to the investors. The 286,182 shares of Series D Preferred Stock
are convertible into up to 34,341,840 shares of Patient Infosystems common stock
subject to approval by Patient Infosystems' stockholders of the amendment to the
Certificate of Incorporation to increase authorized capital stock. In addition,
upon closing of the private placement of at least $4 million of Patient
Infosystems' capital stock, as contemplated by the Asset Purchase Agreement, the
notes issued pursuant to the Note and Stock Purchase Agreement will be
convertible into Series D Preferred Stock. The purpose of the loan from the
investors is to provide funds for Patient Infosystems to loan to ACS to provide
working capital for ACS' operations. The loan from Patient Infosystems to ACS is
provided under a Credit Agreement, which was executed on April 10, 2003 and
subsequently amended on July 30, 2003. In order to have sufficient shares of
common stock reserved for issuance upon conversion of the Series D Preferred
Stock, Patient Infosystems must increase its authorized capital stock.
In order to have sufficient shares of common stock reserved for issuance
upon conversion of the Series D Preferred Stock, including shares of common
stock underlying shares of Series D Preferred Stock issued upon conversion of
the notes, we must increase our authorized capital stock.
Upon closing of the Acquisition, Patient Infosystems will change its name
to American CareSource Corporation and will focus its business strategy on the
development of the ancillary healthcare benefits management business currently
conducted by ACS.
On February 1, 2003, Patient Infosystems initiated operations on a smoking
cessation program for two healthcare insurance entities. The call center program
is being offered through a strategic alliance with Behavioral Solutions, the
developers of an innovative program using behavioral health counselors. This
program represents a new product line for Patient Infosystems.
69
Information Capture, Delivery and Analysis Technologies Utilizing the
Internet
Patient Infosystems' technology platform integrates an advanced voice
recognition telephone system, high-speed data processing and analysis
capability, demand publishing and information distribution capabilities and
behavior modification-based compliance algorithms with a real time Internet
on-line communication system. The system utilizes its call center and Internet
technology to communicate via telephone directly with the patient at home as
well as with payors and providers in order to gather and deliver relevant
patient data. Depending on a patient's response, situation-specific algorithms
are applied to target future questions and thus help customize the collection of
data.
Patient Infosystems' system analyzes and prepares the captured data for
automatic delivery to the payor, provider and patient using its Internet and
demand publishing capabilities. Patient Infosystems' Internet capabilities
enable Patient Infosystems' systems to interface on a real-time basis with
patients, payors and providers. Demand publishing technology enables the
creation of highly individualized reports by inserting stored graphic images and
text that can be customized for race, gender and age. These reports are also
customized to the patient's specific situation, and the system can utilize the
information received during contacts with the patient to customize the content
of the report. The data relevant to the separate report for healthcare providers
is formatted to be automatically transmitted via mail, fax or Internet.
Each contact with a patient contributes to the establishment of a
longitudinal database, which can be analyzed to provide information about
treatment modalities for patients, providers and payors. Patient Infosystems'
system is designed to analyze patient compliance to prescribed treatment
regimens and gather additional clinical information so that the patient's
caregivers can develop improvements in such regimens.
Internet Capabilities
In 1999, Patient Infosystems acquired substantially all the assets of
HealthDesk Corporation ("HealthDesk"), a consumer healthcare software company
that focuses on general health and chronic disease management through ongoing
targeted support for patients, families and caregivers. The acquired assets
include HealthDesk OnLine and HealthDesk OnLine for Diabetes, which are both
accessible through the Internet and on CD-ROM. Patient Infosystems also acquired
HealthDesk's Care Team Connect product, which is accessible over the Internet
and provides a communication mechanism to caregivers. Patient Infosystems uses
the core technologies associated with the HealthDesk products to support Patient
Infosystems' current Care Team Connect for Health product, which includes the
case management support system, disease management, demand management, quality
of life assessments and clinical data analysis.
Integrated Disease Management System
Patient Infosystems' primary application of its integrated information
capture and delivery technology is its integrated Care Team Connect approach to
chronic condition management---Care Team Connect for Asthma, Hypertension,
Diabetes, and Congestive Heart Failure. This system is designed to assist
patients in managing their chronic disease, to improve patient compliance with
care plans, and, as a consequence, improve patient outcomes.
Patient Infosystems' disease management programs have been developed for
targeted diseases on both a customized and standardized basis. All follow the
same conceptual approach.
First, using a panel of medical and clinical experts, Patient Infosystems
develops a disease-specific patient intervention and compliance program that
includes a template for the integration of each patient's history, current
medical status and treatment protocol. The panel identifies guidelines for
generally accepted treatment protocols and diagnostic interventions for
particular diseases and then uses these guidelines to determine an intervention
protocol and the information to be gathered from the patient.
Second, when a patient is enrolled, a limited patient history is obtained,
which may include the histories of the chronic illness, medications, and
surgical procedures as well as other information deemed relevant by the
disease-specific compliance program. This information is included in Patient
Infosystems' database for each patient and is used to create the reports that
are distributed to the patient's healthcare provider and payor, as well as to
the patient.
Third, Patient Infosystems establishes periodic telephone contacts with
each patient to monitor the patient's compliance with prescribed therapies, as
well as the patient's overall health status treatment progress. Contacts are
made in accordance with a designated patient contact schedule, which is
established for each disease management program and the risk level identified
for that particular patient. The frequency varies depending upon the disease
under management and the goal of the applicable treatment.
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Fourth, the data gathered from the patient during each contact is processed
and stored in Patient Infosystems' database. Using the information obtained from
patient contacts and other available information regarding the patient and his
or her treatment, personalized reports are prepared, typically following each
patient contact, for evaluation by the patient, the patient's healthcare
provider and, on a routine basis, payors.
Fifth, each patient enrolled in one of the disease management programs is
provided with 24 hour telephonic access to a registered nurse for questions
regarding his or her illness or other health information.
Patient Infosystems' demand publishing and Internet technology further
support its disease management programs. These technologies enable Patient
Infosystems to provide personalized behavior modification and educational
materials to patients in addition to individual patient reports, which may
include pictures, diagrams and informative discussions relating to the treatment
course intended to modify or reinforce certain behaviors. At the same time,
individual patient reports are provided to the healthcare provider. These
reports are more factual in nature and contain the relevant clinical and
behavioral information that has been gathered. On a routine basis, Patient
Infosystems can provide summary information to the patient's healthcare payor
with respect to patient progress and activity. The summary reporting for
customers are made available through the Internet.
Patient Infosystems enrolled its first patients in a disease management
program in October 1996, and has enrolled more than 532,000 patients in those
programs through January 31, 2003.
Patient Infosystems' customer agreements, which are typically terminable
without cause by either party, require payment to Patient Infosystems of
operational fees. The amount of the program operational fee generally varies
with the length, complexity and frequency of patient contacts as dictated by the
respective program protocols. Patient enrollment in each of Patient Infosystems'
programs will depend upon the identification and referral by Patient
Infosystems' customers of patients to Patient Infosystems' system, which will
vary from program to program. During the fiscal year ended December 31, 2002,
Patient Infosystems has introduced a product enhancement to capture potential
patient enrollments through the analysis of historical medical and pharmacy
claims.
Patient Infosystems' disease specific management programs are as follows:
Asthma
Patient Infosystems has developed disease management programs for asthmatic
patients that have been marketed to payors and other participants in the
healthcare industry, and such programs have been provided to patients since
1997. Through January 31, 2003, Patient Infosystems has had approximately 15,000
patients participate in these programs.
Congestive Heart Failure
Patient Infosystems has services agreements to operate disease management
programs to aid in the treatment of patients suffering from congestive heart
failure. Patient Infosystems has completed the development of the program in the
English and Spanish languages. These programs have been provided to patients
since 1997, and through January 31, 2003, Patient Infosystems has had
approximately 32,700 patients participate in the programs. During the fiscal
year ended December 31, 2002, approximately 54% of Patient Infosystems' revenue
came from two clients, AstraZeneca, Inc. ("Zeneca") and a healthcare insurance
entity (the "Client"). Zeneca sponsored patients from an affiliate of Client
(the "Sponsored Group") in a program operated by Patient Infosystems. Client
directly sponsored patients from other of its affiliates in substantially the
same program as that provided to the Sponsored Group. In September 2002, Patient
Infosystems received notification from Zeneca. that it intended to terminate its
service agreement with Patient Infosystems as of January 1, 2003. In January
2003, Client assumed approximately 20% of the Sponsored Group under its service
agreement with Patient Infosystems. In February 2003, Patient Infosystems
received notification that Client intends to terminate its service agreement
with Patient Infosystems, effective July 1, 2003. Neither Zeneca nor Client
cited any dispute with or breach of any agreement by Patient Infosystems.
Diabetes
Patient Infosystems has developed disease management programs for diabetic
patients that have been marketed to payors and other participants in the
healthcare industry. These programs have been provided to patients since 1997,
and through January 31, 2003, Patient Infosystems has had approximately 10,700
patients participate in these programs.
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Secondary Cardiovascular Disease
Patient Infosystems has entered into a services agreement with
Bristol-Myers to develop, implement and operate a disease management program
relating to the prevention of cardiovascular sequelae in patients who have
recently experienced certain cardiovascular illnesses or treatments such as
angina, cardiac bypass surgery or myocardial infarction. Patient Infosystems has
completed the development of this program in both the English and Spanish
languages. This program has been provided to patients since 1997, and through
January 31, 2003, Patient Infosystems has had approximately 500 patients
participate in this program.
Hypertension
Patient Infosystems has developed a compliance program for patients with
hypertension that has been marketed to payors and other participants in the
healthcare industry. Bristol-Myers and RxAmerica have each retained Patient
Infosystems to provide this compliance program for patients who are suffering
from hypertension and are enrolled in healthcare programs for which these
companies provide services. Through January 31, 2003, approximately 830 patients
have participated in this program.
Program Re-designs
During 2002, Patient Infosystems re-designed each of its disease management
products in order to be more responsive to the market. Specific changes to the
programs which are now operational under the Care Team Connect label include
claims data analysis to identify patients with chronic disease and assign each
risk level, targeted interventions by severity of the patient's disease,
introduction of additional clinical content and inclusion of the Nurse 411
Demand Management service as a 24-hour nurse help line.
Pharmaceutical and Medical Equipment Support Programs
Patient Infosystems has delivered custom programs sold to pharmaceutical
and medical device manufacturers that are intended to add value to their direct
to consumer marketing efforts. Patient Infosystems was retained by
Bristol-Myers, Zeneca, Janssen and Abbott to develop and operate programs that
support specific products in the areas of diabetes, anxiety, prostatis and
others. In September 2002, Patient Infosystems received notification that Zeneca
intended to terminate it service agreement with Patient Infosystems as of
January 1, 2003. As of January 31, 2003, approximately 32,000 patients have
participated in Patient Infosystems' pharmaceutical and medical equipment
support programs. In October 2000, Patient Infosystems was retained by Urologix,
Inc. to develop and operate a Prostate Care Center to provide telephonic and
Internet support for their direct to consumer advertising campaign. During the
one year term of the Urologix agreement, 1,500 men participated in this program.
"Nurse411" demand management programs
Nurse411 provides a 24 hour telephonic help line for enrolled populations
as well as demand management services. Demand management involves assisting
providers in evaluating patient treatment needs to identify those patients who
may not require immediate or intensive services. The goal of demand management
is to reduce the need for, and use of, costly, often clinically unnecessary,
medical services and arbitrary managed-care interventions while improving the
overall quality of life of patients. During 2002, Patient Infosystems provided
demand management services to approximately 142,700 enrollees.
Patient survey programs
Organizations in many different areas of the healthcare industry survey
users regarding their products and services for a variety of reasons including
regulatory, marketing and research purposes. Patient Infosystems' information
systems, with their ability to proactively contact patients in a cost-efficient
manner, may be used for this type of application. Patient Infosystems has
developed a series of automated surveys ranging from general health to disease
specific instruments. Through January 31, 2003, approximately 440,200 patients
have participated in these survey programs.
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Internet-based products and services
Patient Infosystems' Case Management Support System ("CMSS") is an
Internet-based software product that is used by case management organizations.
The customer's case managers access the system using an approved browser and
Internet Service Provider ("ISP") connection. (Browser and ISP are not supplied
by Patient Infosystems.) The system enables case managers to effectively
interface with, and utilize, Patient Infosystems' intervention programs for
patient care planning and implementation improves case managers' efficiency and
productivity. Additionally, the CMSS provides the case management organization
with a reporting tool and a case distribution and documentation tool that can be
used to better monitor and manage case management activity. Patient Infosystems
licenses its CMSS software and operating system to customers who agree to an
initial license fee plus ongoing user and support fees. There were no new sales
of this product during 2002. As of January 31, 2003, there is one licensee.
Other Applications of the Integrated Information Capture and Delivery Technology
Outcomes Analysis
Patient Infosystems expects to utilize aggregate anonymous information
gathered from patients enrolled in its programs to serve two purposes. First,
information regarding treatment results, success of the compliance program and
patient reaction to differing treatments or compliance protocols may be used by
Patient Infosystems to further improve each disease-specific compliance program.
Second, this information may be used by payors, pharmaceutical companies and
healthcare providers to assist in the development of improved treatment
modalities. Patient Infosystems has developed analytical methodologies using
database management and information technologies.
Clinical Studies
Many pharmaceutical companies and contract research organizations are
seeking more economical, efficient and reliable methods for compiling and
analyzing clinical data in conducting clinical trials. Furthermore, many drug
development protocols have begun to emphasize subjective criteria and outcomes
information. Patient Infosystems believes that its system will allow it to
develop programs tailored to the measurement of outcomes data relating to the
conduct of later stage clinical trials. Patient Infosystems believes that its
system can also assist pharmaceutical companies in studying and documenting the
efficacy of approved products in order to provide ongoing information to the
Food and Drug Administration or for marketing purposes.
Clinical Registry Technical Assistance
Patient Infosystems assists organizations with the development of clinical
registries used to increase effective management of patients with chronic
disease. Patient Infosystems is supporting the development, including project
management and implementation, of a patient registry for federally qualified
health centers, through a national initiative known as the Health Disparities
Collaboratives. This project is administered as a subcontract through the
Institute for Healthcare Improvement.
Sales and Marketing
Through 1997, Patient Infosystems' efforts focused primarily on the
development of disease management programs. Beginning in 1998, Patient
Infosystems began aggressively marketing the other services that its technology
platform can provide including demand management, patient surveys,
pharmaceutical support programs and outcomes analysis. Patient Infosystems
markets its integrated disease management system to organizations within the
healthcare industry that are involved in the treatment of disease or payment of
medical services for patients who require complex or long-term medical
therapies. These industry organizations include five distinct groups:
pharmaceutical and medical equipment manufacturers, healthcare providers,
pharmacy benefits managers, healthcare payors and self-funded trust
funds/employer groups. As of July 2000, Patient Infosystems has also entered
into an agreement with USI Administrators, Inc. along with several of its
subsidiaries (collectively known as "USI"), one of the country's largest
third-party administrators ("TPA"), to co-market its products and services to
USI's potential employer client base. Similar agreements have been executed with
ACS and Future Health. ACS is a company that provides claims processing services
and ancillary network referral services to provider networks, managed care
organizations and TPAs. Future Health is a population risk management company
that provides risk identification case management, utilization management and
disease management, primarily for self-funded employer groups. Patient
Infosystems currently employs a sales and marketing staff of two persons to
market its systems. In addition, the senior members of Patient Infosystems'
management are actively engaged in marketing Patient Infosystems' programs.
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Studies have been conducted to document the clinical and cost benefits that
result from the application of Patient Infosystems' integrated information
capture and delivery system. The results of these studies are being used to
supplement Patient Infosystems' marketing efforts. Patient Infosystems intends
to continue to promote the benefits of its products through press releases,
direct marketing and possibly through publication in clinical journals and
presentations at scientific conferences referencing the favorable near
term-results of these studies. To date, these studies have pertained to Patient
Infosystems' asthma, diabetes and congestive heart failure programs.
Research and Development
Research and development expenses consist primarily of salaries, related
benefits and administrative costs allocated to Patient Infosystems' research and
development personnel. These personnel are actively involved in the conversion
of Patient Infosystems' technology platform to a fully web-enabled design.
Patient Infosystems' research and development expenses were $105,614, or 4.5% of
total revenues, for the fiscal year ended December 31, 2002, $190,731, or 12.0%,
of total revenues, for the fiscal year ended December 31, 2001, and $305,543, or
14.3% of total revenues, for the fiscal year ended December 31, 2000. Research
and development costs have decreased as Patient Infosystems has completed the
development of its primary disease management programs. Patient Infosystems
anticipates that the amount spent on research and development will remain
relatively constant in future periods as it continues its internal process to
update its products.
Employees
As of May 1, 2003, Patient Infosystems had 66 full and part-time employees.
Description of Properties
Patient Infosystems' executive and corporate offices are located in
Rochester, New York in approximately 5,000 square feet of leased office space
under an operating lease that expires on June 30, 2004. Patient Infosystems
believes its offices are suitable to meet its current needs.
Legal Proceedings
Neither Patient Infosystems, nor any of its subsidiaries, is a party to any
material legal proceeding, nor, to the knowledge of Patient Infosystems, is any
such proceeding threatened against it or any of its subsidiaries.
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BUSINESS OF ACS
Overview
ACS is an ancillary health benefits management company. ACS assists health
benefits plan sponsors such as preferred provider organizations ("PPOs"), third
party administrators ("TPAs"), workers compensation benefits administrators,
insurance companies, employers and unions improve the quality of ancillary care
delivered to health plan members while reducing overall ancillary benefits
costs.
Ancillary healthcare services are the non-physician, non-hospital portion
of the healthcare market. Ancillary services represent approximately 20% of the
U.S. healthcare market or approximately $320 billion per year. ACS manages the
administration of the ancillary benefits provided under group health plans and
workers compensation plans.
American CareSource Corporation, an Indiana corporation, was formed in
1997. It was formerly known as Health Data Solutions, Inc. until its merger with
American CareSource Corporation, a Delaware corporation, on July 31, 2001 when
it changed its name to American CareSource Corporation. ACS' headquarters are
located in Irving, Texas.
Ancillary Services
ACS manages the administration of ancillary health benefits. Ancillary
benefits management involves the design and administration of programs aimed at
reducing the costs and improving the quality and convenience of ancillary
healthcare services.
Ancillary healthcare services include a broad array of services that
supplement or support the care provided by hospitals and physicians, including
the non-hospital, non-physician services associated with (i) operating surgery
centers and free-standing diagnostic imaging centers, and (ii) providing home
health and infusion, durable medical equipment, orthotics and prosthetics,
laboratory and many other services. These ancillary services are provided to
patients as benefits under group health plans and workers compensation plans.
Ancillary services include the following categories, among others:
o Outpatient Therapy/Rehab o Orthotics and Prosthetics
o Home Health Services o Pain Management
o Surgical Centers o Specialty Pharmacy
o Laboratory Services o Respiratory Services
o Home Infusion Therapy o Sleep Studies
o Chiropractic Services o Sub-Acute and Skilled Nursing Facilities
o Diagnostic Imaging/Radiology o Hospice Services
o Dialysis Services o Bone Growth Stimulators
o Durable Medical Equipment
ACS Clients
ACS manages ancillary benefits for PPOs, TPAs, workers compensation
benefits administrators, utilization review companies, case management companies
and other healthcare networks. These healthcare networks typically serve 25 to
150 healthcare payors and may cover 10,000 to several million lives. ACS
currently has contracts with 22 such healthcare networks, including ppoNext,
Medical Control, National Plan Network/Plan Vista, Accountable Health Plans of
America, Inc. and Pinnacol Assurance (the primary administrator of workers
compensation benefits for the State of Colorado). For the year ended December
31, 2001, revenue from Pinnacol Assurance was $1.2 million (46% of ACS
revenues), revenue from Lutheran Preferred was $380,000 (15% of ACS revenues),
revenue from APPO was $290,000 (11% of ACS revenues), revenue from Kaiser was
$253.000 (10% of ACS revenues) and revenue from Sagamore was $156,000 (6% of ACS
revenues). For the year ended December 31, 2002, revenue from Pinnacol was $2.8
million (29% of ACS revenues), revenue from Accountable Health Plans of America
was $1.8 million (19% of ACS revenues), revenue from Med Control was $1.5
million (16% of ACS revenues), revenue from National Plan Network/ Plan Vista
was $1.1 million (11% of ACS revenues), revenue from ppoNext was $911,000 (9% of
ACS revenues) and revenue from Lutheran Health Network was $522,000 (5% of ACS
revenues).
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Products and Services
General. Ancillary benefits management involves the design and
administration of programs aimed at reducing the costs and improving the quality
and convenience of ancillary services. Through these services, ACS offers its
clients direct and administrative cost savings. Due to the large number of
small, independent providers offering a wide range of different ancillary
services, it is impractical for most ACS clients to negotiate the thousands of
discounted fee-for-service provider contracts needed to control effectively the
costs of ancillary care. For the same reasons, managing ancillary healthcare
benefits represents an administrative burden and significant cost for ACS
clients.
Through its contracts with over 5,000 ancillary services providers (with
over 13,000 sites nationwide), ACS is able to offer its clients direct cost
savings in the form of discounted rates for contracted services and
administrative cost savings by functioning as a single point of contact for
managing a comprehensive array of ancillary benefits. ACS benefits management
services include processing the claims submitted by its covered providers,
re-pricing the claims, submitting the claims for payment, receiving and
disbursing claims payments and performing customer service functions for its
clients and contracted providers. For PPO, TPA and similar clients, contracting
with ACS also allows the clients to market comprehensive, efficient and
affordable ancillary services benefits to their payor customers.
ACS' menu of services includes ancillary analysis, ancillary out-of-network
negotiations, the creation of ancillary custom networks, ancillary reimbursement
services, ancillary network management, ancillary utilization management
support, ancillary systems integration, ancillary claims management, ancillary
electronic claims services and ancillary call center services.
Description of Selected Services
Ancillary Network Analysis. ACS analyzes the available claims history from
each client and develops a specific plan to meet its needs. This analysis
identifies high-volume providers that are not already under contract with ACS.
ACS attempts to contract with such out-of-network providers to maximize discount
levels and ACS capture rates.
Out-of-Network Negotiations. For services performed by providers outside of
the ACS network, ACS negotiates a discounted rate for the client on a case
specific basis.
Custom Networks. ACS customizes its network to meet the needs of each
client. In particular, ACS reviews the "out-of-network" claims history through
its network analysis service and develops a strategy to create a network that
efficiently serves the client's needs. This may involve adding additional
providers for a client and removing providers the client wants excluded from
their network.
Ancillary Reimbursement. ACS uses its network analysis to develop a single
reimbursement level for all ancillary providers. A large national payor with
20,000 ancillary providers may have 20,000 different fee schedules and contracts
to maintain. With ACS, there is only one fee schedule to maintain and that fee
schedule is designed to increase the payor's overall discount level. ACS also
processes denials and appeals for its clients and for its contracted providers,
saving time and costs for both.
Ancillary Network Management. ACS manages ancillary service provider
contracts, reimbursement and credentialing for its clients. This provides
administrative benefits to ACS clients and reduces the burden on providers who
typically must supply credentialing documentation and engage in contract
negotiation with separate payors.
Ancillary Utilization Management Support. ACS provides support for
utilization and case management efforts used by each payor. ACS facilitates
pre-authorization at the point of referral based on pre-established criteria.
ACS also "flags" cases for follow-up, review and concurrent reviews to ensure
all the payor guidelines are followed by each service provider and the efficacy
of services and progress of the patient is satisfactory. There are a large
number of high demand cases that are subject to case management efforts. For
those cases, ACS helps coordinate the supporting documentation and preparation
of reports to manage and monitor progress and establishment of reserves for
specific claims.
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Ancillary Systems Integration. ACS has created a Network Management System
("NMS") that enables it to manage many different customized accounts. NMS is
also made available to the clients. ACS clients can maintain their provider and
reimbursement data using NMS. This saves the client the time and cost of
purchasing, installing and updating network management software.
Ancillary Reporting. ACS provides a complete suite of reports to each
client monthly. The reports cover contracting efforts and capture rates,
discount levels, referral volumes by service category and complete claims and
utilization reports.
Ancillary Claims Management. ACS provides claims management services
through its operation in Pittsboro, Indiana. ACS also has a contractual
relationship with IDS Infotech LTD. located in Charndigarh, India for additional
processing and programming support as needed. ACS can manage ancillary claims
flow, both electronic and paper, and integrate into the client's process
electronically or through repriced paper claims. ACS can also perform a number
of customized processes that add additional value for each client. As part of
the claims management process, ACS manages the documentation requirements
specific to each payor. When claims are submitted from the service provider
without required documentation, ACS works with the provider to get the
documentation so that the claim is not denied by the payor. This also saves
labor costs for the payors.
Ancillary Electronic Claims. ACS is working to improve its electronic
claims process ("A-EDI"). An improved A-EDI may increase ACS revenue from
current clients and future clients, decrease ACS processing costs and deepen ACS
relationships with its clients. ACS estimates that at least 80% of all claims in
ACS ancillary categories are submitted by paper. The cost for a payor to process
these claims typically ranges between $1.25 and $2.00 per claim over the cost of
an electronic claim submission.
The net effect of HIPAA regulations on an ancillary provider (who is not
required to submit claims electronically) serves to further discourage
electronic submission. The cost for a provider to submit a claim electronically
averages between $0.50 and $0.80 per claim. Most clearinghouses plan to charge
additional fees for other transactions such as eligibility, benefit and claim
status that further raise the provider's electronic costs.
Ancillary Call Center. ACS staffs a 24/7 call center to provide customer
service, referral management and support for providers, patients and clients.
ACS believes that this service increases patient satisfaction. For example, a
patient who has just been discharged from the hospital or an inpatient
rehabilitation facility may require home care, infusion and durable medical
equipment which may all be supplied by different providers. A patient can
schedule all three services with one call to ACS. ACS will also follow up with
the patient to ensure that the services or products were delivered as expected.
ACS Contracted Providers
Provider Base. ACS' base of contracted providers includes over 13,000 sites
nationwide. The contracted providers range from sole proprietor service
providers to large corporations. ACS seeks to identify and utilize providers who
offer efficient, high quality services in each of the local markets it services.
Using its provider profiling, quality control and outcomes assessments
capabilities, ACS regularly adds and removes ancillary services providers from
its recommended lists for its payor customers.
Advantages for Providers. ACS offers ancillary providers improved
administrative efficiency, access to claims automation and other systems,
improved competitiveness and access to the large patient populations covered by
ACS healthcare network clients.
o Administrative efficiency. ACS provides administrative services for
its contracted providers, including patient scheduling services, call
center services, payor contracting services, and billing and
collection services. These services save costs for ACS contracted
providers and are intended to improve their administrative efficiency.
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o Claims automation and systems. For economic and other reasons, many
payors seek to increase the percentage of their claims that are
processed electronically. Electronic claims are generally processed
and paid more rapidly, yielding cash flow advantages to providers that
are able to submit claims electronically. Many providers of ancillary
services, however, are small, independent businesses with limited
financial, technical, technological and management resources. It is
impractical for such providers to develop and maintain the claims
automation and other systems needed to take advantage of payor
preferences for electronic claims. ACS allows ancillary providers to
access the advantages of automated claims processes, including faster
payments of claims and improved administration. In addition, the net
effect of HIPAA regulations on an ancillary provider (who is not
required to submit claims electronically) serves to further discourage
electronic submission. The cost for a provider to submit a claim
electronically averages between $0.50 and $0.80 per claim. Most
clearinghouses plan to charge additional fees for other transactions
such as eligibility, benefit and claim status that further raises the
provider's electronic costs.
o Improved Competitiveness. ACS manages ancillary claims using a
standardized reimbursement methodology that brings consistency and
clarity to ancillary benefits management. By contracting with ACS, the
claims of ancillary providers are submitted by ACS using this
standardized methodology. This standardization, combined with ACS
administrative services and the claims automation services described
above, improve the competitiveness of independent providers of
ancillary services.
o Access to member populations. By contracting with ACS, an ancillary
provider becomes an eligible provider for members of the health plans
administered by ACS clients. ACS uses its call center and other
programs to assist payors and their members in locating appropriate
ancillary providers.
The collective impact of these benefits allows ACS to negotiate provider
fee schedules with significant discounts, particularly for ancillary providers
that have fixed facility, equipment or other costs.
Sales and Marketing
ACS markets its products and services through independent contractors
providing commission salespersons. Additionally, ACS contracts with outside
sales organizations that have expertise in particular sub-markets or portions of
ACS target markets.
ACS currently focuses its sales and marketing efforts on healthcare
networks such as PPOs, TPAs and similar organizations. The typical network has
between 25 and 150 payor clients. ACS seeks cross-selling and up-selling
opportunities within its client network organizations and with the payors served
by its client networks.
ACS Revenues
As part of its ancillary benefits management services, ancillary providers
submit claims at full retail charges to ACS for services performed for covered
members. ACS re-prices these claims under the relevant payor fee schedules,
performs electronic conversion and HIPAA formatting services, and submits the
re-priced claims to the appropriate payors. After adjudication of the claims by
the payor, the payor issues an explanation of benefits and check for each claim.
In most cases, these checks are sent to ACS. ACS then pays the providers under
the relevant provider fee schedules. The difference between the amounts received
by ACS from its clients and the amounts paid by ACS to its contracted providers
represents ACS' gross margin on its benefits management services.
Competition
While ACS is aware of no competitor that currently offers ancillary
benefits management services similar to its own, several companies offer
benefits or other management services relating to workers compensation benefits
and specific categories of ancillary services. It should be noted that ACS
provided its services for the workers compensation market until January 2001
when it expanded into the group health market. Its growth in the group health
market may encourage other companies active in the workers compensation market
to develop service offerings competitive with ACS in the group health market.
Similar competitors may include companies that have created niche market
management businesses, such as companies aggregating or managing chiropractic
services, sub-acute healthcare services (such as so-called step-down facilities)
and laboratory services.
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Pharmacy benefit management companies ("PBMs") represent actual or
potential competitors. ACS is developing an ancillary benefits management
business model that in some respects is analogous to the business model employed
by PBMs. These companies manage pharmacy benefits for health plan providers, and
in some cases manage selected ancillary benefits as well. A number of these
companies are very large, including Merck-Medco, Express Scripts, AdvancePCS and
Caremark Rx, all of whom have revenues over $1 billion per year. These and other
PBMs possess substantially greater financial and personnel resources than ACS,
have current contracts with large numbers of payors and could enter the
ancillary benefits management market. ACS considers these companies to be
potential acquirers of its business.
In addition to the companies described above, a large number of companies
offer health benefit plans and related services to payors and other groups.
These plans cover hospital and physician services, as well as ancillary
services. While these companies are potential competitors for ACS, they also
constitute the core of ACS current client base and its potential client pool.
Employees
ACS currently has approximately 66 full time employees, approximately 38 of
which are employed at our facilities in Irving, Texas and approximately 28 of
which are employed at our facility in Pittsboro, Indiana. None of ACS employees
are covered by a collective bargaining agreement and ACS believes that its
relationships with its employees are good.
Description of Properties
ACS corporate, executive and operational offices are located in Irving,
Texas in approximately 18,400 square feet of office space. The lease for this
property expires on April 30, 2008. These offices are leased from Today Tristar,
L.P., an entity controlled by Werner Eric Brauss, a director and stockholder of
ACS. ACS believes that the terms of its lease with Today Tristar, L.P. are
reasonable and not less favorable to ACS than the fair market value of the
facilities leased.
ACS operational offices for claims administration, management, marketing
and sales, and processing are located in Pittsboro, Indiana in approximately
7,500 square feet of office space. The lease for this property expires on July
31, 2008.
ACS believes that its plants and facilities are suitable and adequate, and
have sufficient capacity, to meet its current needs.
Legal Proceedings
ACS is not is a party to any material legal proceedings.
Inde-Dutch
Since 1996 ACS has maintained a contractual relationship with IDS Infotech
Ltd. ("Inde-Dutch") to process claims. Inde-Dutch is a volume based information
technology management company, located in Chandigarh, India, approximately 150
miles north of New Delhi. Inde-Dutch employs over 100 programmers and processors
who provide programming services to ACS via satellite on a daily basis.
Through satellite linkage, ACS and Inde-Dutch transfer high volumes of data
for processing on a daily basis. Inde-Dutch provides ACS with technology
expertise and experience on an economical and efficient basis. By utilizing the
intellectual human resources and labor available in India through Inde-Dutch,
ACS is able to reduce the cost of programmers and processors essential to its
operations.
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MARKET PRICE AND DIVIDEND INFORMATION
Patient Infosystems' stock was traded on the Nasdaq National Market until
September 14, 2000 and is now traded on the Over-the-Counter Bulletin Board. The
following table sets forth, for the periods indicated, the high and low sale
price for Patient Infosystems common stock on the Nasdaq National Market and the
Over-the-Counter Bulletin Board.
High Low
2001
First Quarter $0.20 $0.09
Second Quarter $0.43 $0.06
Third Quarter $0.29 $0.17
Fourth Quarter $0.17 $0.04
2002
First Quarter $0.20 $0.06
Second Quarter $0.20 $0.12
Third Quarter $0.30 $0.09
Fourth Quarter $0.51 $0.08
2003
First Quarter $0.26 $0.14
Second Quarter $0.25 $0.08
Third Quarter (through September 12, 2003) $0.25 $0.08
On October 16, 2002, the last full trading day prior to the public
announcement of the Acquisition, the closing sale price of Patient Infosystems
common stock was $0.30 per share after a high of $0.35 and a low of $0.25 during
the course of trading that day. On September 12, 2003, the closing sale price of
Patient Infosystems common stock was $0.16 per share.
The prices set forth above reflect inter-dealer prices, without retail
mark-up, mark-down or commission and may not represent actual transactions.
The approximate record number of holders of Patient Infosystems common
stock as of September 12, 2003 is 83.
Patient Infosystems is paying 9% cumulative dividends on its Series C
Preferred Stock. Patient Infosystems anticipates payment of dividends on this
class of stock annually and expects that it may be required to pay additional
dividends on any classes of preferred stock that may be issued to raise working
capital. Patient Infosystems has not paid any dividends on its common stock and
does not anticipate payment of dividends on its common stock in the foreseeable
future.
Patient Infosystems is paying 9% cumulative dividends on its Series D
Preferred Stock. Patient Infosystems anticipates payment of dividends on this
class of stock annually and expects that it may be required to pay additional
dividends on any classes of preferred stock that may be issued to raise working
capital. Patient Infosystems has not paid any dividends on its common stock and
does not anticipate payment of dividends on its common stock in the foreseeable
future.
ACS
ACS' common stock is not traded in any public market. ACS has never paid
any cash dividends and does not contemplate the payment of cash dividends in the
foreseeable future. As of September 12, 2003, there were approximately 17
holders of record of ACS common stock.
80
VOTING SECURITIES AND PRINCIPAL HOLDERS THEREOF
The following table sets forth certain information regarding the beneficial
ownership of Patient Infosystems common stock as of June 30, 2003 for (i) each
person or entity who is known by us to own beneficially more than five percent
of our common stock; (ii) each named executive officer listed in the Summary
Compensation table below; (iii) each director of Patient Infosystems; and (iv)
all directors and executive officers as a group.
Beneficial Owner (1) Number of Shares Percent of
(2) Class (2)
----------------------------------------------------------------------------------
John Pappajohn (3) 4,197,495 36.84%
Derace L. Schaffer (4) 2,487,307 22.22%
Edgewater Private Equity Fund II, L.P.,
900 North Michigan Avenue, 14th Floor
Chicago, IL 60611 970,000 8.85%
Roger Louis Chaufournier (5) 281,000 2.50%
Christine St. Andre (6) 210,000 1.88%
Kent A. Tapper (7) 115,100 1.04%
-------------------------------------
All directors and executive officers as
a group (5 persons) 8,260,902 67.52%
(1) Unless otherwise noted, the address of each of the listed persons is c/o
Patient Infosystems at 46 Prince Street, Rochester, New York 14607.
(2) Beneficial ownership is determined in accordance with the rules and
regulations of the Securities and Exchange Commission. In computing the
number of shares beneficially owned by a person and the percentage
ownership of that person, shares of common stock subject to options or
warrants held by that person that are currently exercisable or exercisable
within 60 days of June 30, 2003 are deemed outstanding. Except as indicated
in the footnotes to this table and pursuant to applicable community
property laws, each stockholder named in the table has sole voting and
investment power with respect to the shares set forth opposite such
stockholder's name. The percentage beneficial ownership is based on
10,956,424 shares of common stock outstanding as of June 30, 2003.
(3) Includes 360,000 shares held by Halkis, Ltd., a sole proprietorship owned
by Mr. Pappajohn, 360,000 shares held by Thebes, Ltd., a sole
proprietorship owned by Mr. Pappajohn's spouse and 360,000 shares held
directly by Mr. Pappajohn's spouse. Mr. Pappajohn disclaims beneficial
ownership of the shares owned by Thebes, Ltd. and by his spouse. Includes
options to purchase 36,000 shares that are either currently exercisable or
that become exercisable within 60 days of June 30, 2003 and 400,000 common
stock equivalents for 50,000 shares of Series C Preferred Stock
beneficially owned as of June 30, 2003. Does not include 32,268,550 shares
of Patient Infosystems common stock resulting from the conversion of
$4,135,000 in debt and $382,597 of accrued interest. Such shares will be
issued upon approval of Patient Infosystems' stockholders of the amendment
of the certificate of incorporation to increase the authorized capital
stock.
(4) Includes 288,000 shares held by Dr. Schaffer's minor children. Also
includes 36,000 shares that are issuable upon the exercise of options that
are either currently exercisable or that become exercisable within 60 days
of June 30, 2003 and 200,000 common stock equivalents for the 25,000 shares
of Series C Preferred Stock beneficially owned as of June 30, 2003. Does
not include 2,878,586 shares of Patient Infosystems common stock resulting
from the conversion of $347,500 in debt and $55,502 of accrued interest.
Such shares will be issued upon approval of Patient Infosystems'
stockholders of the amendment of the certificate of incorporation to
increase the authorized capital stock.
81
(5) Includes options to purchase 281,000 shares that are either currently
exercisable or that become exercisable within 60 days of June 30, 2003.
Does not include 119,000 shares subject to outstanding options that are not
exercisable within 60 days of June 30, 2003.
(6) Includes options to purchase 210,000 shares that are either currently
exercisable or that become exercisable within 60 days of June 30, 2003.
Does not include 90,000 shares subject to outstanding options that are not
exercisable within 60 days of June 30, 2003.
(7) Includes options to purchase 115,000 shares that are either currently
exercisable or that become exercisable within 60 days of June 30, 2003.
Does not include 21,000 shares subject to outstanding options that are not
exercisable within 60 days of June 30, 2003.
PRO FORMA VOTING SECURITIES AND PRINCIPAL HOLDERS THEREOF
The following table sets forth certain information regarding the beneficial
ownership of Patient Infosystems common stock as of October 15, 2003 for (i)
each person or entity who is known by us to own beneficially more than five
percent of our common stock; (ii) each named executive officer listed in the
Summary Compensation table below; (iii) each director of Patient Infosystems;
and (iv) all directors and executive officers as a group, giving effect to (a)
the Acquisition, (b) the conversion of $4,482,500 in debt and $438,099 of
accrued interest owed to Mr. Pappajohn and Dr. Schaffer into 35,147,136 shares
of Patient Infosystems common stock and (c) the 1 for 12 reverse stock split.
Beneficial Owner (1) Number of Percent of
Shares Class
---------------------------------------------------------------------------------------
ACS (2) 2,091,366 35.14%
John Pappajohn (3) 6,277,474 68.04%
Derace L. Schaffer (4) 873,007 13.96%
Roger Louis Chaufournier (5) 23,417 *
Christine St. Andre (6) 17,500 *
Kent A. Tapper (7) 9,591 *
Principal Life Insurance Company 3,462,340 36.78%
c/o Principal Global Investors, LLC
801 Grand Avenue
Des Moines, Iowa 50392
-----------------------------------
All directors and executive officers as a
group (5 persons) 12,754,695 97.79%
* Less than 1% beneficial ownership.
(1) Unless otherwise noted, the address of each of the listed persons is c/o
Patient Infosystems at 46 Prince Street, Rochester, New York 14607.
(2) Includes 2,091,366 shares of common stock issuable to ACS pursuant to the
Asset Purchase Agreement, on a pro forma basis.
(3) Includes 30,000 shares held by Halkis, Ltd., a sole proprietorship owned by
Mr. Pappajohn, 30,000 shares held by Thebes, Ltd. a sole proprietorship
owned by Mr. Pappajohn's spouse and 65,660 shares held directly by Mr.
Pappajohn's spouse. Mr. Pappajohn disclaims beneficial ownership of the
shares owned by Thebes, Ltd. and by his spouse. Includes options to
purchase 3,000 shares that are either currently exercisable or that become
exercisable within 60 days of October 15, 2003 and 600,000 common stock
equivalents for 50,000 shares of Series C Preferred Stock beneficially
owned as of October 15, 2003.
82
(4) Includes 24,000 shares held by Dr. Schaffer's minor children. Also includes
3,000 shares that are issuable upon the exercise of options that are either
currently exercisable or that become exercisable within 60 days of
September 15, 2003 and 300,000 common stock equivalents for the 25,000
shares of Series C Preferred Stock beneficially owned as of October 15,
2003.
(5) Includes options to purchase 23,417 shares that are either currently
exercisable or that become exercisable within 60 days of September 15,
2003. Does not include 9,916 shares subject to outstanding options that are
not exercisable within 60 days of October 15, 2003.
(6) Includes options to purchase 17,500 shares that are either currently
exercisable or that become exercisable within 60 days of September 15,
2003. Does not include 7,500 shares subject to outstanding options that are
not exercisable within 60 days of October 15, 2003.
(7) Includes options to purchase 9,591 shares that are either currently
exercisable or that become exercisable within 60 days of September 15,
2003. Does not include 1,750 shares subject to outstanding options that are
not exercisable within 60 days of October 15, 2003.
MANAGEMENT OF PATIENT INFOSYSTEMS
The following table sets forth the names, ages and principal positions of
the directors and executive officers of Patient Infosystems.
Name Age Title
Derace L. Schaffer 54 Chairman of the Board of Directors
Roger Louis Chaufournier 44 President, Chief Executive Officer and Director
John Pappajohn 75 Director
Christine St. Andre 51 Chief Operating Officer
Kent Tapper 46 Vice President, Financial Planning and Chief Financial Officer
Derace L. Schaffer, M.D. Dr. Schaffer has been Chairman of the Board and a
Director of Patient Infosystems since its inception in February 1995. Dr.
Schaffer is President of the Ide Imaging Group, P.C., as well as the Lan Group,
a venture capital firm specializing in healthcare and high technology
investments. He serves as a director of the following public companies: Allion
Healthcare, Inc. and Radiologix, Inc. He is also a director of several private
companies, including Analytika, Inc., Card Systems, Inc. and Logisticare, Inc.
Dr. Schaffer is a board certified radiologist. He received his postgraduate
radiology training at Harvard Medical School and Massachusetts General Hospital,
where he served as Chief Resident. Dr. Schaffer is a member of Alpha Omega
Alpha, the national medical honor society, and is Clinical Professor of
Radiology at the University of Rochester School of Medicine. Dr. Schaffer
provides services to Patient Infosystems on a part-time basis.
Roger Louis Chaufournier. Mr. Chaufournier has been the President and Chief
Executive Officer of Patient Infosystems since April 1, 2000. Prior to joining
Patient Infosystems, Mr. Chaufournier was President of the STAR Advisory Group,
a healthcare consulting firm he founded in 1998. From August 1996 to July 1999,
Mr. Chaufournier was the Chief Operating Officer of the Managed Care Assistance
Company, a company that developed and operated Medicaid health plans. Managed
Care Assistance Company filed for protection under the federal bankruptcy laws
in June 2000. From 1993 to 1996, Mr. Chaufournier was Assistant Dean for
Strategic Planning for the Johns Hopkins University School of Medicine. In
addition, Mr. Chaufournier spent twelve years in progressive leadership
positions with the George Washington University Medical Center from 1981 to
1993. Mr. Chaufournier was also Chairman of the Board and acting President of
Metastatin Pharmaceuticals, a privately held company developing therapeutics in
the area of prostate cancer. Mr. Chaufournier was a three time Examiner with the
Malcolm Baldrige National Quality Award and has served as the national
facilitator for the federal Bureau of Primary Health Care chronic disease
collaboratives.
83
John Pappajohn. Mr. Pappajohn has been a Director of Patient Infosystems since
its inception in February 1995, and served as its Secretary and Treasurer from
inception through May 1995. Since 1969, Mr. Pappajohn has been the sole owner of
Pappajohn Capital Resources, a venture capital firm and President of Equity
Dynamics, Inc., a financial consulting firm, both located in Des Moines, Iowa.
He serves as a Director for the following public companies: Allion Healthcare,
Inc., MC Informatics, Inc. and Pace Health Management Systems, Inc.
Christine St. Andre. Ms. St. Andre has been the Executive Vice President and
Chief Operating Officer of Patient Infosystems since June 5, 2000. Ms. St. Andre
has more than 20 years experience managing complex healthcare organizations.
From 1994 to 2000, Ms. St. Andre was Chief Executive Officer for the University
of Utah Hospitals and Clinics. Prior to 1994, Ms. St. Andre served as Chief
Executive Officer of George Washington University Medical Center. Ms. St.
Andre's career in healthcare began in the area of information technology at the
Thomas Jefferson University.
Kent Tapper. Mr. Tapper has been Vice President, Financial Planning of Patient
Infosystems since April 1999. Mr. Tapper has served as Chief Information Officer
and Vice President, Systems Engineering and has been with Patient Infosystems
since July 1995. Mr. Tapper became the acting Chief Financial Officer of Patient
Infosystems in April 2000. From 1992 to 1995, Mr. Tapper served as Product
Manager, Audio Response and Call Center Platforms for Northern Telecom, Inc.
From 1983 to 1992, Mr. Tapper held Product Manager, Systems Engineering Manager
and various engineering management positions with Northern Telecom.
Board Composition and Committees
We currently have three directors, each serving a term until the next
annual meeting of stockholders. Under the terms of the shareholders' agreement
to be entered into upon consummation of the Acquisition, the parties of the
shareholders' agreement will agree to vote all shares of Patient Infosystems
owned by then in favor of the election of John Pappajohn, Derace Schaffer, Mark
Bodnar, one reasonably qualified individual designated by Eric Brauss, Mark
Bodnar and Michael Caolo, Jr. and one reasonably qualified individual designated
by John Pappajohn and Derace Schaffer as members of the Board of Directors of
Patient Infosystems.
MANAGEMENT OF ACS
The following table sets forth the names, ages and principal positions of
the directors and executive officers of ACS.
Name Age Title
Robert Prosek 58 Chief Executive Officer and President
Mark Bodnar 40 Executive Vice President, Director
Michael Caolo, Jr. 58 Executive Vice President of Corporate
Development, General Counsel
Maria L. Baker 53 Vice President Business Development
Jennifer Boone 44 Vice President of Network Development
and Client Services
Werner Eric Brauss 59 Director
Susan Shelton 47 Director
84
Robert Prosek. Mr. Prosek has served as the Chief Executive Officer of ACS
since January 2003. Mr. Prosek is a senior healthcare executive who has had a
successful career in early stage, turnaround and growth companies. From 1998
until 2002, Mr. Prosek was the Chairman of the Board and Chief Executive Officer
of AccentCare, Inc, a specialty elder care service company. Mr. Prosek was
previously Chief Executive Officer of Asthma and Allergy Care America (AACA), a
specialty physician practice management company until 1997. Mr. Prosek has also
previously served as President and Chief Executive Officer of Care Partners, a
provider of home infusion therapy and interactive home medical monitoring
services, and as President of Psicor, the nations leading provider of turnkey
cardiopulmonary services to open heart hospitals.
Mark Bodnar. Mr. Bodnar has worked in the healthcare industry in the United
States for the past 18 years focusing on the automation of healthcare claims
administration and adjudication. He founded Health Data Solutions, Inc. ("HDS")
in 1997 to perform data processing and claims automation for healthcare
companies and organizations and has served as its President, Chief Executive
Officer and a director since that time. In July 2001, HDS acquired the business
of American CareSource in Dallas, Texas ("Old ACS"), and changed its corporate
name to American CareSource. From 1995 to 1997, Mr. Bodnar worked as a
healthcare consultant for the automation of claims administration and
adjudication in Ohio and surrounding states. From 1983 to 1995, Mr. Bodnar
worked in various capacities relating to claims adjudication, customer
relations, information technology, claims automation and managed care for
several insurance companies and managed care organizations, including Aetna
Insurance, Blue Cross/Blue Shield of Ohio, Blue Cross/Blue Shield Super Group
PPO and Health Power HMO (Columbus, Ohio). He attended the University of Toledo
studying towards a major in computer programming.
Michael Caolo, Jr. Mr. Caolo has served as General Counsel and Executive
Vice President of Corporate Development of ACS since 2001. Mr. Caolo co-founded
Old ACS and served as general counsel and a director of that company from 1994
until it was acquired by HDS in 2001. Mr. Caolo is an attorney whose practice
focused on start-up companies, transaction-oriented entrepreneurs and emerging
growth businesses. He was a co-founder and served as a director and as general
counsel of several companies, including Snyder General Corporation, a
manufacturer of air conditioning, heating and ventilation equipment, Eddie
Haggar LTD., Inc. a Dallas-based women's apparel manufacturing company, Emerald
Petroleum Corporation, an independent oil and gas exploration company, and
Millbrook Corporation, a Dallas-based physician office practice management
software company. Mr. Caolo received a B.A. from the University of Notre Dame
and J.D. from the University of Texas School of Law.
Maria L. Baker. Ms. Baker has served as Vice President Business Development
of ACS since January 2002. From 1994 through 2001, Ms. Baker held various
positions with Medical Control, Inc., a preferred provider organization located
in Dallas, Texas, and most recently was Vice President Network Development of
that company. After Medical Control, Inc. was purchased by ppoNext, Inc., a
preferred provider organization based in Long Beach, California, in 2001, Ms.
Baker served as Regional Vice President of Provider Relations of ppoNext until
joining ACS. Ms. Baker holds a Bachelor of Arts from Texas Tech University.
Jennifer Boone. Ms. Boone joined ACS in January 1996, and has served as
Vice President of Network Development and Client Services since 2001. From 1995
to 1996, Ms. Boone held various positions at Genex Services, a managed care
organization located in Dallas, Texas, and most recently was a case manager for
lost time cases for that company. From 1992 to 1995, Ms. Boone was the Director
of Admissions at BTS Healthcareers, a career school located in Dallas, Texas.
Prior to 1992, Ms. Boone worked as a licensed nurse at Midway Park Hospital and
as a registered nurse at Dallas-Fort Worth Hospital where she was responsible
for admissions and the development of Care Plans. Ms. Boone has maintained
several certifications such as CCM (certified case manager) and CADAC (certified
alcohol and drug abuse counselor). She holds nursing degrees from Baylor
University and Excelsior University.
Werner Eric Brauss. Mr. Brauss has been a director of ACS since July 2001.
Since 1990 he has been the President and owner of Today Realty Advisors, a real
estate management company based in Dallas, Texas, that owns and manages over 100
commercial, retail and multi-family properties in Texas.
Susan Shelton. Ms. Shelton has been a director of ACS since July 2002.
Since 1992, Ms. Shelton has been employed by Today Realty Advisors, Inc., a real
estate management company based in Dallas, Texas, that owns and manages over 100
commercial, retail and multi-family properties in Texas. Today Realty Advisors,
Inc. is owned by Werner Eric Brauss, a director and stockholder of ACS. Since
August 1997, Ms. Shelton has been the Chief Operating Officer of Today Realty
Advisors, Inc. She oversees Today Realty Advisors' acquisitions, dispositions
and financing of real estate properties, as well as its operations, construction
and development activities. Ms. Shelton holds a B.S. from East Texas State
University.
85
COMPENSATION OF DIRECTORS AND EXECUTIVE OFFICERS
The following table sets forth information concerning the annual and
long-term compensation for services in all capacities to Patient Infosystems and
its subsidiary for each of the fiscal years ended December 31, 2002, 2001 and
2000 for those persons who were at December 31, 2002, (i) the Chief Executive
Officer and (ii) certain other executive officers of Patient Infosystems who
received compensation in excess of $100,000 during the year ended December 31,
2002 (the "Named Executive Officers"):
Summary Compensation Table
Long-Term
Compensation
Annual Compensation Securities
Name and Principal Position Underlying
Year Salary ($) Bonus ($) Options (#)
Roger L. Chaufournier, President and Chief 2002 $180,841 - -
Executive Officer (1) 2001 $196,502 - 200,000
2000 $151,546 - 200,000
Christine St. Andre, Chief Operating 2002 $157,512 -
Officer (2) 2001 $171,893 - 150,000
2000 $97,885 - 150,000
Kent A. Tapper, Vice President, Financial 2002 $107,942 - -
Planning 2001 $116,628 - 100,000
2000 $119,335 - -
(1) Mr. Chaufournier was appointed President and Chief Executive Officer as of
March 23, 2000.
(2) Ms. St. Andre was appointed Chief Operating Officer as of June 5, 2000.
Neither the Chief Executive Officer nor any of the Named Executive Officers
of Patient Infosystems was awarded stock options during 2002.
No stock options were exercised by the Chief Executive Officer or any of
the Named Executive Officers of Patient Infosystems during 2002. The following
table sets forth certain information regarding unexercised options held by the
Chief Executive Officer and the Named Executive Officers of Patient Infosystems
at December 31, 2001. The table does not give effect to grants of options that
occurred after December 31, 2002.
Aggregated Option Exercises
and Fiscal Year End Option Values
Number of securities underlying Value of unexercised
unexercised options at in-the-money options
December 31, 2002 (#) at
December 31, 2002 ($)(1)
Name Exercisable Unexercisable Exercisable Unexercisable
Roger Chaufournier 228,000 172,000 $ 1,850 $ 650
Christine St. Andre 170,000 130,000 $ 1,375 $ 500
Kent Tapper 108,000 28,000 $ 3,096 $ 350
(1) Calculated based upon $0.20 market value of the underlying securities as of
December 31, 2002.
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401(k) Profit Sharing Plan
Patient Infosystems adopted a 401(k) Profit Sharing Plan. The 401(k) plan
is available to all employees who have attained age 21. An employee may
contribute a portion of their wages on a pre-tax basis, subject to limitations
specified under the Internal Revenue Code. Under the terms of the 401(k) plan,
Patient Infosystems may make a discretionary matching contribution equal to a
percentage of the employee's contribution to the 401(k) plan and a discretionary
amount determined annually by Patient Infosystems and divided among eligible
participants based upon an employee's annual compensation in relation to the
aggregate annual compensation of all eligible participants. Contributions are
allocated to each employee's individual account and are, at the employee's
election, invested in one, all or some combination of the investment funds
available under the 401(k) plan. Employee contributions are fully vested and
non-forfeitable. Any matching or discretionary contributions vest 25% for each
year of service. To date, Patient Infosystems has not made any matching
contributions under the 401(k) plan.
Employment Arrangements
Pursuant to the Asset Purchase Agreement, we agreed to enter into an
employment agreement with Mark Bodnar on the closing date of the Asset Purchase
Agreement. Under the terms of his agreement, Mr. Bodnar will serve as our
Executive Vice President, Business Development until December 31, 2004. Mr.
Bodnar will receive an annual salary of $150,000. Upon termination of his
current automobile lease, Mr. Bodnar will receive a monthly automobile allowance
in the amount of $1,000. Also, the agreement provides that Mr. Bodnar will
receive options to purchase 100,000 shares of our common stock at an exercise
price of $1.00 per share. In addition, the agreement provides that Mr. Bodnar
will receive certain commissions.
Certain Transactions
In December 1999, Patient Infosystems established a credit facility for
$1,500,000 guaranteed by Dr. Schaffer and Mr. Pappajohn. In consideration for
their guarantees, Patient Infosystems 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 and also guaranteed by the same Board members
resulting in a total amount due of $2,500,000 as of December 31, 2001 and 2000.
Additional warrants to purchase an aggregate of 250,000 shares of common stock
for $2.325 per share, were granted to Dr. Schaffer and Mr. Pappajohn for their
guarantee of this additional line of credit.
On March 28, 2001, Patient Infosystems entered into an Amended and Restated
Credit Agreement with Wells Fargo Bank, N.A., which extended the term of Patient
Infosystems' credit facility to March 31, 2002 under substantially the same
terms. Dr. Schaffer and Mr. Pappajohn guaranteed this extension. In
consideration for their guarantees, Patient Infosystems re-priced 625,000
warrants previously granted in connection with prior guarantees to $0.05 per
share, effective April 1, 2001.
On June 28, 2002, Patient Infosystems and Wells Fargo agreed on an addendum
to the Amended and Restated Credit Agreement that extends the credit facility by
an additional $500,000, increasing the total credit to $3,000,000. Mr. Pappajohn
and Dr. Schaffer also guaranteed the extended credit facility.
In 2002, Patient Infosystems borrowed $1,170,000 from Mr. Pappajohn,
bringing the total borrowed from Mr. Pappajohn to $4,730,000. Proceeds from
these loans were used to support the Patient Infosystems' operations. The
interest rate on these loans is 9.5% per year. Patient Infosystems has borrowed
an additional $600,000 from Mr. Pappajohn subsequent to January 1, 2003. The
interest on the loans after January 1, 2003 is 7.5% per year.
Patient Infosystems did not borrow any additional amounts from Dr. Schaffer
in 2002. The total borrowed from Dr. Schaffer is $347,500. Proceeds from these
loans were used to support Patient Infosystems' operations. The interest rate on
this loan is 9.5% per year.
The loans from Mr. Pappajohn and Dr. Schaffer are demand notes that total
$5,077,500 as of December 31, 2002 and are secured by the assets of Patient
Infosystems.
On June 6, 2001, Patient Infosystems issued a total of 2,319,156 shares of
unregistered common stock to Mr. Pappajohn and Dr. Schaffer as consideration for
their continued financial support of Patient Infosystems.
87
On June 11, 2002, the Board of Directors of Patient Infosystems approved
the conversion of up to $4,642,500 in debt and $438,099 of accrued interest owed
to Mr. Pappajohn and Dr. Schaffer into 36,289,993 shares of Patient Infosystems'
common stock using a value of $0.14 per common share. The average value of
Patient Infosystems' common stock based upon an average closing price for a
period immediately before June 11, 2002 was $0.1354. As of December 31, 2002,
Patient Infosystems' Certificate of Incorporation authorizes Patient Infosystems
to issue up to 20,000,000 shares of common stock, 10,956,024 of which were
issued and outstanding and 2,217,340 of which were reserved for issuance under
outstanding options, warrants and upon conversion of outstanding convertible
preferred stock. Giving effect to this debt conversion transaction will require
an amendment to Patient Infosystems' Certificate of Incorporation to authorize
additional shares of common stock. Accordingly, this debt conversion transaction
cannot occur unless and until the stockholders of Patient Infosystems approve
this amendment.
Also, on April 10, 2003, Patient Infosystems entered into a Note and Stock
Purchase Agreement with certain investors, including Mr. Pappajohn, pursuant to
which the investors agreed to loan to Patient Infosystems an aggregate of up to
$2,500,000. In consideration for the loans, Patient Infosystems signed a series
of promissory notes and issued 198,128 shares of Series D Preferred Stock to the
investors. The 198,128 shares of Series D Preferred Stock are convertible into
up to 23,775,360 shares of Patient Infosystems common stock subject to approval
by Patient Infosystems' stockholders of the amendment to the Certificate of
Incorporation to increase authorized capital stock. In addition, upon closing of
the private placement of at least $4 million of Patient Infosystems' capital
stock, as contemplated by the Asset Purchase Agreement, the notes issued
pursuant to the Note and Stock Purchase Agreement will be convertible into
Series D Preferred Stock. The purpose of the loan from the investors is to
provide funds for Patient Infosystems to loan to ACS to provide working capital
for ACS' operations. The loan from Patient Infosystems to ACS is provided under
a Credit Agreement, also executed on April 10, 2003. In order to have sufficient
shares of common stock reserved for issuance upon conversion of the Series D
Preferred Stock, Patient Infosystems must increase its authorized capital stock.
88
DESCRIPTION OF PATIENT INFOSYSTEMS CAPITAL STOCK
We are authorized to issue 20,000,000 shares of common stock, par value
$0.01 per share, and 5,000,000 shares of preferred stock, par value $0.01 per
share. There were 10,956,024 shares of common stock, 100,000 shares of Series C
Preferred Stock and 198,128 shares of Series D Preferred Stock outstanding as of
May 1, 2003.
Common Stock
The holders of common stock are entitled to one vote for each share held of
record on all matters submitted to a vote of stockholders. Holders of common
stock are entitled to receive ratably such dividends as may be declared by the
Board of Directors out of funds legally available therefor. In the event of a
liquidation, dissolution, or winding-up of Patient Infosystems, holders of
common stock are entitled to share ratably in all assets remaining after payment
of liabilities. Holders of common stock have no preemptive rights and have no
rights to convert their common stock into any other securities. All of the
outstanding shares of common stock are fully paid and non-assessable.
Series C Preferred Stock
The holders of Series C Preferred Stock are entitled to eight votes for
each share held of record on all matters submitted to a vote of stockholders.
Holders of Series C Preferred Stock are entitled to receive cumulative 9%
dividends on an annual basis and ratably such dividends as may be declared by
the Board of Directors of Patient Infosystems out of funds legally available
therefor. In the event of any voluntary or involuntary liquidation, dissolution
or winding up of Patient Infosystems, then, prior, and in preference to any
distribution of any assets to the holders of common stock, the holders of Series
C Preferred Stock will be entitled to be paid in full in an amount equal to (i)
a per share price for each share of Series C Preferred Stock outstanding plus
(ii) an amount equal to a cumulative, unpaid dividend at an 9% rate per annum
plus (iii) an amount equal to all declared but unpaid dividends on each such
share accrued up to such date of distribution. For purposes of calculating these
preference payments, the per share price has been $10.00 for the Series C
Preferred Stock. One share of the Series C Preferred Stock may be converted at
any time, at the holder's option, into eight shares of common stock. Holders of
Series C Preferred Stock have no preemptive rights.
The conversion rate will be adjusted if Patient Infosystems pays a dividend
on its common stock or subdivides or combines its outstanding common stock. If
at any time, Patient Infosystems proposes to offer and sell shares of preferred
stock having a conversion rate that is less than $1.25 per share of common
stock, then the conversion rate for the Series C Preferred Stock will be
adjusted such that each share of Series C Preferred Stock will be convertible in
to such number of shares that equals $10.00 divided by the conversion rate of
the new shares of preferred stock offered and sold.
Series D Preferred Stock
The holders of Series D Preferred Stock are entitled to one hundred twenty
votes for each share held of record on all matters submitted to a vote of
stockholders (ten votes after giving effect to the 1 for 12 reverse stock
split). Holders of Series D Preferred Stock are entitled to receive cumulative
9% dividends on an annual basis and ratably such dividends as may be declared by
the Board of Directors of Patient Infosystems out of funds legally available
therefore. In the event of any voluntary or involuntary liquidation, dissolution
or winding up of Patient Infosystems, then, prior, and in preference to any
distribution of any assets to the holders of Common Stock, the holders of Series
D Preferred Stock will be entitled to be paid in full in an amount equal to (i)
a per share price for each share of Series D Preferred Stock outstanding plus
(ii) an amount equal to a cumulative, unpaid dividend at a 9% rate per annum
plus (iii) an amount equal to all declared but unpaid dividends on each such
share accrued up to such date of distribution. For purposes of calculating these
preference payments, the per share price will be $10.00 for each share of Series
D Preferred Stock. One share of the Series D Preferred Stock may be converted at
any time, at the holder's option, into one hundred twenty shares of Common Stock
(ten shares after giving effect to the 1 for 12 reverse stock split). Holders of
Series D Preferred Stock have no preemptive rights.
The conversion rate will be adjusted if Patient Infosystems pays a dividend
on its common stock or subdivides or combines its outstanding common stock. The
conversion rate will also be adjusted if Patient Infosystems issues or sells
common stock or securities convertible into common stock at a price less than
the then effective conversion rate, in which case the conversion rate will be
adjusted to an amount equal to the effective price per share of the securities
sold in the transaction giving rise to the adjustment.
89
Holders of a majority in voting power of the Series D Preferred Stock have
the right to elect two members of the Board of Directors of Patient Infosystems.
Registration Rights; Stockholders' Agreement
Patient Infosystems is not presently obligated to any holder of Patient
Infosystems common stock to register such common stock. Patient Infosystems is
not a party to any Stockholders' Agreement. The holders of the Series C
Preferred Stock have demand registration rights and can request that Patient
Infosystems effect any registration, qualification, or compliance with respect
to the securities held by the holders of Series C Preferred Stock in connection
with an underwritten public offering. The holders of the Series D Preferred
Stock have demand registration rights and can request that Patient Infosystems
effect any registration, qualification, or compliance with respect to the
securities held by the holders of Series D Preferred Stock in connection with an
underwritten public offering.
Transfer Agent and Registrar
The transfer agent and registrar for Patient Infosystems common stock is
Continental Stock Transfer and Trust Company, 2 Broadway, New York, New York
10004.
Reports to Stockholders
As part of our initial public offering, we registered our common stock
under the provisions of Section 12(g) of the Securities Exchange Act of 1934 and
we will use our best efforts to maintain registration. Such registration
requires us to comply with periodic reporting, proxy solicitation and certain
other requirements of the Securities Exchange Act of 1934.
Shares Eligible for Future Sale
Pursuant to our initial public offering and assuming no exercise of
outstanding options and warrants, we have 10,956,024 shares of common stock
outstanding. However, only the 4,943,122 shares offered pursuant to the initial
public offering are freely tradable without restriction or further registration
under the Securities Act, except for any shares purchased by an "affiliate,"
which will be subject to the resale limitations of Rule 144 promulgated under
the Securities Act.
All of the remaining 6,012,902 shares of common stock currently outstanding
are "restricted securities" or owned by "affiliates," as those terms are defined
in Rule 144, and may not be sold publicly unless they are registered under the
Securities Act or are sold pursuant to Rule 144 or another exemption from
registration. As of May 1, 2003, there were outstanding options to purchase
1,221,240 shares of Patient Infosystems common stock which have been registered
on Form S-8 under the Securities Act to register the shares of Patient
Infosystems common stock subject to outstanding stock options and shares that
may be issued under the Plan, which permits the resale of these shares in the
public market without restriction.
Rule 144
Generally, under Rule 144 as currently in effect, subject to the
satisfaction of certain other conditions, a person, including an affiliate of
Patient Infosystems or persons whose shares are aggregated with an affiliate,
who has owned restricted shares of common stock beneficially for at least one
year, is entitled to sell, within any three-month period, a number of shares
that does not exceed the greater of:
o 1% of our then outstanding shares of common stock; or
o the average weekly trading volume of shares of our common stock during
the four calendar weeks preceding such sale.
A person who is not an affiliate, has not been an affiliate within three
months prior to sale, and has beneficially owned the restricted shares for at
least two years, is entitled to sell such shares under Rule 144(k) without
regard to any of the limitations described above.
90
Market for Patient Infosystems common stock
Shares of Patient Infosystems common stock are listed on the
Over-the-Counter Bulletin Board under the symbol "PATI."
Charter and Bylaws Provisions and Delaware Anti-Takeover Statute
We are subject to Section 203 of the Delaware General Corporation Law
regulating corporate takeovers. This section prevents Delaware corporations from
engaging under certain circumstances, in a "business combination," which
includes an acquisition or sale of more than 10% of the corporation's assets,
with any "interested stockholder," or a stockholder who owns 15% or more of the
corporation's outstanding voting stock, as well as affiliates and associates of
any such persons, for three years following the date such stockholder became an
"interested stockholder," unless:
o the transaction in which such stockholder became an "interested
stockholder" is approved by the Board of Directors prior to the date
the "interested stockholder" attained such status;
o upon consummation of the transaction that resulted in the stockholder
becoming an interested stockholder, the interested stockholder owned
at least 85% of the voting stock of the corporation outstanding at the
time the transaction commenced, excluding those shares owned by
persons who are directors and also officers; or
o on or after the date the business combination is approved by the Board
of Directors and authorized at an annual or special meeting of
stockholders by the affirmative vote of at least two-thirds of the
outstanding voting stock that is not owned by the interested
stockholder.
Our Certificate of Incorporation and bylaws do not provide for cumulative
voting in the election of directors. The authorization of undesignated preferred
stock makes it possible for the Board of Directors to issue preferred stock with
voting or other rights or preferences that could impede the success of any
attempt to effect a change in our control. These and other provisions may have
the effect of delaying, deferring or preventing hostile takeovers or changes in
the control or management of Patient Infosystems, even if doing so would be
beneficial to our stockholders.
STOCKHOLDER PROPOSALS FOR THE NEXT ANNUAL MEETING
Stockholders who wish to present proposals appropriate for consideration at
Patient Infosystems' 2004 Annual Meeting of Stockholders must submit the
proposal in proper form to Patient Infosystems at its address set forth on the
first page of this proxy statement not later than May 24, 2004 in order for the
proposal to be considered for inclusion in Patient Infosystems' proxy statement
and form of proxy relating to such annual meeting. Any such proposals, as well
as any questions related thereto, should be directed to the Assistant Secretary
of Patient Infosystems.
Where You Can Find More Information
Patient Infosystems files annual, quarterly and special reports, proxy
statements and other information with the Securities and Exchange Commission.
These SEC filings are available to the public from commercial document retrieval
services and at the Internet world wide web site maintained by the SEC at
"http://www.sec.gov."
OTHER MATTERS
As of the date of this proxy statement, the management of Patient
Infosystems is not aware of any matters that will be presented for consideration
at the Special Meeting other than the items referred to in this proxy statement.
If any other matter is properly brought before the meeting for action by
stockholders, the holders of the proxies will vote and act with respect thereto
in accordance with their best judgment. Discretionary authority to do so is
conferred by the enclosed proxy.
91
PATIENT INFOSYSTEMS, INC.
INDEX TO FINANCIAL STATEMENTS
Patient Infosystems, Inc.
Annual Financial Statements
Independent Auditors' Report.................................................F-2
Consolidated Balance Sheets at December 31, 2002 and 2001....................F-3
Consolidated Statements of Operations for the years ended
December 31, 2002 and 2001...............................................F-4
Consolidated Statements of Changes in Stockholders' Equity for the years
ended December 31, 2002, 2001 and 2000...................................F-5
Consolidated Statements of Cash Flows for the years ended
December 31, 2002 and 2001...............................................F-6
Notes to Consolidated Financial Statements...................................F-7
Schedule II.................................................................F-16
American CareSource Corporation
Annual Financial Statements
Independent Auditors' Report................................................F-17
Consolidated Balance Sheets at December 31, 2002 and 2001...................F-19
Consolidated Statements of Operations for the years ended
December 31, 2002 and 2001..............................................F-20
Consolidated Statements of Changes in Stockholders' Equity for the years
ended December 31, 2002 and 2001........................................F-21
Consolidated Statements of Cash Flows for the years ended
December 31, 2002 and 2001..............................................F-22
Notes to Consolidated Financial Statements..................................F-23
Patient Infosystems, Inc.
Interim Financial Statements
Consolidated Balance Sheet at June 30, 2003 (unaudited).....................F-38
Consolidated Statements of Operations for the three and six months ended
June 30, 2003 and 2002 (unaudited)......................................F-39
Consolidated Statements of Cash Flows for the six months ended
June 30, 2003 and 2002 (unaudited)......................................F-40
Notes to Unaudited Consolidated Financial Statements........................F-41
American CareSource Corporation
Interim Financial Statements
Consolidated Balance Sheet at June 30, 2003 (unaudited).....................F-44
Consolidated Statements of Operations for the three and six months ended
June 30, 2003 and 2002 (unaudited)......................................F-46
Consolidated Statements of Cash Flows for the six months ended
June 30, 2003 and 2002 (unaudited)......................................F-47
Notes to Unaudited Consolidated Financial Statements........................F-48
F-1
INDEPENDENT AUDITORS' REPORT
To the Board of Directors and Stockholders
of Patient InfoSystems, Inc.
Rochester, New York
We have audited the accompanying consolidated balance sheets of Patient
Infosystems, Inc. and subsidiary as of December 31, 2002 and 2001, and the
related consolidated statements of operations, stockholders' equity (deficit),
and cash flows for each of the three years in the period ended December 31,
2002. Our audits also included the financial statement schedule on page F-16.
These financial statements and financial statement schedule are the
responsibility of the Company's management. Our responsibility is to express an
opinion on these financial statements and financial statement schedule based on
our audits.
We conducted our audits in accordance with auditing standards generally accepted
in the United States of America. Those standards require that we plan and
perform the audit to obtain reasonable assurance about whether the financial
statements are free of material misstatement. An audit includes examining, on a
test basis, evidence supporting the amounts and disclosures in the financial
statements. An audit also includes assessing the accounting principles used and
significant estimates made by management, as well as evaluating the overall
financial statement presentation. We believe that our audits provide a
reasonable basis for our opinion.
In our opinion, such consolidated financial statements present fairly, in all
material respects, the financial position of Patient Infosystems, Inc. and
subsidiary at December 31, 2002 and 2001, and the results of their operations
and their cash flows for each of the three years in the period ended December
31, 2002, in conformity with accounting principles generally accepted in the
United States of America. Also, in our opinion, such financial statement
schedule, when considered in relation to the basic consolidated financial
statements taken as a whole, presents fairly in all material respects the
information set forth therein.
The accompanying consolidated financial statements have been prepared assuming
that the Company will continue as a going concern. As discussed in Note 1 to the
consolidated financial statements, the Company's recurring losses from
operations, negative working capital and stockholders' deficit raise substantial
doubt about its ability to continue as a going concern. Management's plans
concerning this matter are also described in Note 1. The consolidated financial
statements do not include any adjustments that might result from the outcome of
this uncertainty.
/s/Deloitte & Touche LLP
Deloitte & Touche LLP
Rochester, New York
January 17, 2003
(March 28, 2003 as to Note 3)
F-2
PATIENT INFOSYSTEMS, INC.
CONSOLIDATED BALANCE SHEETS
DECEMBER 31, 2002 AND 2001
-------------------------------------------------------------------------------------------------------------------
ASSETS 2002 2001
CURRENT ASSETS:
Cash and cash equivalents $ 5,011 $ 29,449
Accounts receivable (net of doubtful accounts allowance of $55,000and $37,217) 441,216 273,791
Prepaid expenses and other current assets 105,827 88,449
Notes receivable 200,000 -
---------------------------------
Total current assets 752,054 391,689
PROPERTY AND EQUIPMENT, net 285,747 498,472
Other assets - 8,934
Intangible assets (net of accumulated amortization of $443,258 and $299,685) 179,465 323,038
---------------------------------
TOTAL ASSETS $ 1,217,266 $ 1,222,133
---------------------------------
LIABILITIES AND STOCKHOLDERS' DEFICIT
CURRENT LIABILITIES:
Accounts payable $ 379,004 $ 111,018
Accrued salaries and wages 208,752 176,618
Accrued expenses 351,621 477,205
Accrued Interest 713,554 282,530
Borrowings from directors 5,077,500 3,907,500
Deferred revenue 157,074 123,140
---------------------------------
Total current liabilities 6,887,505 5,078,011
LINE OF CREDIT 3,000,000 2,500,000
COMMITMENTS (Note 7)
STOCKHOLDERS' DEFICIT:
Preferred stock - $.01 par value: shares authorized: 5,000,000
Series C, 9% cumulative, convertible
issued and outstanding: 100,000 1,000 1,000
Common stock - $.01 par value: shares authorized:
20,000,000; issued and outstanding: 10,956,024 109,560 109,560
Additional paid-in capital 24,132,153 24,222,153
Accumulated deficit (32,912,952) (30,688,591)
---------------------------------
Total stockholders' deficit (8,670,239) (6,355,878)
---------------------------------
TOTAL LIABILITIES AND STOCKHOLDERS' DEFICIT $ 1,217,266 $ 1,222,133
---------------------------------
See notes to consolidated financial statements.
F-3
PATIENT INFOSYSTEMS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS
YEARS ENDED DECEMBER 31, 2002, 2001 AND 2000
----------------------------------------------------------------------------------------------------------
2002 2001 2000
REVENUES $ 2,355,677 $ 1,586,443 $ 2,139,262
-------------------------------------------------------
COSTS AND EXPENSES:
Cost of revenue 1,914,464 2,420,151 3,906,010
Sales and marketing 746,353 813,975 1,425,990
General and administrative 1,282,683 2,028,804 2,329,585
Research and development 105,614 190,731 305,543
-------------------------------------------------------
Total costs and expenses 4,049,114 5,453,661 7,967,128
-------------------------------------------------------
OPERATING LOSS (1,693,437) (3,867,218) (5,827,866)
Other expense, net (530,924) (598,087) (211,340)
-------------------------------------------------------
NET LOSS (2,224,361) (4,465,305) (6,039,206)
CONVERTIBLE PREFERRED STOCK DIVIDENDS (90,000) (90,000) (617,500)
-------------------------------------------------------
NET LOSS ATTRIBUTABLE TO COMMON STOCKHOLDERS $ (2,314,361) $ (4,555,305) $ (6,656,706)
=======================================================
NET LOSS PER SHARE - BASIC
AND DILUTED $ (0.21) $ (0.47) $ (0.82)
=======================================================
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING 10,956,024 9,770,501 8,135,635
-------------------------------------------------------
See notes to consolidated financial statements.
F-4
PATIENT INFOSYSTEMS, INC.
CONSOLIDATED STATEMENTS OF STOCKHOLDERS' EQUITY (DEFICIT)
YEARS ENDED DECEMBER 31, 2002, 2001 AND 2000
---------------------------------------------------------------------------------------------------------------------------
Additional Total
Common Stock Preferred Stock Paid-in Accumulated Stockholders'
Shares Amount Shares Amount Capital Deficit Equity(Deficit)
Balance at January 1, 2000 8,040,202 $ 80,402 - $- $21,970,341 $(19,634,080) $2,416,663
Compensation expense related to
issuance of stock warrants and
options - - - - 1,042 - 1,042
Debt issuance costs in the form
of stock warrants 475,000 475,000
Issuance of Series C Preferred Stock - - 100,000 1,000 999,000 1,000,000
Beneficial conversion feature of
Series C Convertible Preferred Stock - - - - 550,000 (550,000) -
Exercise of stock options 180,000 1,800 - - 23,220 - 25,020
Dividends on
Series C Convertible Preferred Stock - - - - (67,500) - (67,500)
Net loss for the year ended
December 31, 2000 - - - - - (6,039,206) (6,039,206)
----------------------------------------------------------------------------------
Balance at December 31, 2000 8,220,202 82,202 100,000 1,000 23,951,103 (26,223,286) (2,188,981)
Compensation expense related to
issuance of stock 2,319,156 23,191 - - 329,482 - 352,673
Debt issuance costs in the form
stock warrants - - - - 35,735 35,735
Immaculate exercise of stock warrants 416,666 4,16 - - (4,167) -
Dividends on
Series C Convertible Preferred Stock - - - - (90,000) - (90,000)
Net loss for the year ended
December 31, 2001 - - - - - (4,465,305) (4,465,305)
-----------------------------------------------------------------------------------
Balance at December 31, 2001 10,956,024 109,560 100,000 1,000 24,222,153 (30,688,591) (6,355,878)
Dividends on
Series C Convertible Preferred Stock - - - - (90,000) - (90,000)
Net loss for the year ended
December 31, 2002 - - - - - (2,224,361) (2,224,361)
-----------------------------------------------------------------------------------
Balance at December 31, 2002 10,956,024 $ 109,560 100,000 $ 1,000 $24,132,153 $(32,912,952) $(8,670,239)
-----------------------------------------------------------------------------------
See notes to consolidated financial statements.
F-5
PATIENT INFOSYSTEMS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS
YEARS ENDED DECEMBER 31, 2002, 2001 AND 2000
----------------------------------------------------------------------------------------------------------------------------
2002 2001 2000
OPERATING :
Net loss $ (2,224,361) $ (4,465,305) $ (6,039,206)
Adjustments to reconcile net loss to net cash used in
operating activities:
Depreciation and amortization 374,099 695,369 1,222,153
(Gain) loss on sale of property (400) 4,772 21,337
Loss on investments - 200,000 -
Compensation expense related to issuance of stock warrants and - 352,673 1,042
options
(Increase) decrease in accounts receivable (167,425) 137,645 238,843
(Increase) decrease in prepaid expenses and other current assets (17,378) 77,718 35,897
Increase (decrease) in accounts payable 267,986 (122,527) (262,988)
Increase (decrease) in accrued salaries and wages 32,134 460 (14,074)
(Decrease) increase in accrued expenses (215,584) 198,745 98,426
Increase in accrued interest 431,024 232,429 49,868
Increase (decrease) in deferred revenue 33,934 (38,821) (56,239)
--------------------------------------------------
Net cash used in operating activities (1,485,971) (2,726,842) (4,704,941)
--------------------------------------------------
INVESTING:
Property and equipment additions (8,867) (9,240) (16,404)
Proceeds from sale of property and equipment 400 800 20,024
Increase in notes receivable (200,000) - -
Decrease in other assets - - 44,011
--------------------------------------------------
Net cash (used in) provided by investing activities (208,467) (8,440) 47,631
--------------------------------------------------
FINANCING:
Proceeds from issuance of common and preferred stock, net - - 1,025,020
Borrowings from directors 1,170,000 2,736,500 1,171,000
Proceeds from line of credit 500,000 - 2,000,000
--------------------------------------------------
Net cash provided by financing activities 1,670,000 2,736,500 4,196,020
--------------------------------------------------
NET (DECREASE) INCREASE IN CASH AND CASH EQUIVALENTS (24,438) 1,218 (461,290)
CASH AND CASH EQUIVALENTS AT BEGINNING OF YEAR 29,449 28,231 489,521
--------------------------------------------------
CASH AND CASH EQUIVALENTS AT END OF YEAR $ 5,011 $ 29,449 $ 28,231
--------------------------------------------------
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 - $ 35,735 $ 475,000
==================================================
Dividends declared on Series C Convertible Preferred Stock $ 90,000 $ 90,000 $ 67,500
==================================================
Value of beneficial conversion feature on Class C Convertible
Preferred Stock recognized as a dividend - - $ 550,000
==================================================
See notes to consolidated financial statements.
F-6
PATIENT INFOSYSTEMS, INC.
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
YEARS ENDED DECEMBER 31, 2002, 2001 AND 2000
1. DESCRIPTION OF BUSINESS AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Organization - Patient Infosystems, Inc. (the "Company") designs and
develops health care information systems and services to manage, collect
and analyze patient-related information to improve patient compliance with
prescribed treatment protocols. Through its various patient compliance
programs for disease state management, the Company provides important
benefits for the patient, the health care provider and the payor.
The consolidated financial statements include the accounts of the Company
and its wholly owned subsidiary, Patient Infosystems Canada, Inc., which
ceased operations in January 2001. Significant intercompany transactions
and balances have been eliminated in consolidation.
Going Concern - The accompanying 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 consolidated financial statements,
the Company incurred a net loss for 2002 of $2,224,361 and had negative
working capital of $6,135,451 and a stockholders' deficit of $8,670,239 at
December 31, 2002. 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 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, to
obtain additional financing and, ultimately, to attain successful
operations.
Management is currently assessing an acquisition of a business and 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. In addition, recent successes in outcomes from
disease management programs are being leveraged in an attempt to increase
revenues from sales.
Use of Estimates in the Preparation of Financial Statements - The
preparation of financial statements in conformity with accounting
principles generally accepted in the United States of America requires
management to make estimates and assumptions that affect the reported
amounts of assets and liabilities and disclosure of contingent assets and
liabilities at the date of the financial statements and the reported
amounts of revenues and expenses during the reporting period. Actual
amounts could differ from those estimates.
Fair Value of Financial Instruments - The Company's financial instruments
consist primarily of cash and cash equivalents, accounts receivable,
accounts payable, accrued expenses, borrowings from directors and the line
of credit. The fair value of instruments is determined by reference to
various market data and other valuation techniques, as appropriate. Unless
otherwise disclosed, the fair value of short-term financial instruments
approximates their recorded values due to the short-term nature of the
instruments.
Revenue Recognition and Deferred Revenue - The Company's principal source
of revenue to date has been from contracts with various pharmaceutical
companies and managed care organizations for the development and operation
of disease management programs for chronic diseases, disease management
programs and other health care information system applications. Deferred
revenue represents amounts billed in advance of delivery under these
contracts.
Development Contracts - The Company's program enhancements consist of
specific changes or modifications to existing products requested by
customers and are short-term in nature. Therefore, revenue is recognized
upon delivery of the enhancement.
F-7
Program Operations - The Company's program operation contracts call for a
per-enrolled patient fee to be paid by the customer for a series of program
services as defined in the contract. The timing of customer payments varies
by contract, but typically occurs in advance of the associated services
being provided. Revenues from program operations are recognized ratably as
the program services are delivered.
Licenses - Revenue derived from software license fees is recognized when
the criteria established by Statement of Position 97-2, Software Revenue
Recognition, is satisfied. License fees associated with hosting
arrangements (e.g. arrangements that include the right of the customer to
use the software stored on the Company's hardware), are recognized ratably
over the hosting period when such fees are fixed and determinable. Hosting
fees with payment terms extending past one year are recognized as payments
become due.
Cash and Cash Equivalents - Cash and cash equivalents include all highly
liquid debt instruments with original maturities of three months or less.
Concentrations of Credit Risk - Financial instruments, which potentially
subject the Company to concentration of credit risk, consist principally of
cash and cash equivalents and accounts receivable. The Company places its
cash and cash equivalents with high credit quality institutions.
The Company operates in only one business segment and its current contracts
are concentrated in a small number of customers, consequently, the loss of
any one of its customers could have a material adverse effect on the
Company and its operations. During the years ended December 31, 2002, 2001
and 2000, approximately $1,552,943 (66%), $955,931 (60%), and $1,030,139
(48%) respectively, of the Company's revenues arose from contracts with two
customers. One of these customers, which accounts for 50%, 34% and 17% of
the Company's revenues for the years ended December 31, 2002, 2001 and
2000, respectively, terminated its service agreement with the Company
effective January 1, 2003. At December 31, 2002 and 2001, accounts
receivable included balances of $305,788 and $210,829, respectively, from
contracts with these customers.
Property and Equipment - Property and equipment are stated at cost.
Depreciation is computed using the straight-line method over the estimated
useful lives of the assets, which range from 3 to 10 years.
Asset Impairment - The Company regularly assesses all of its long lived
assets for impairment and recognizes a loss when the carrying value of an
asset exceeds its fair value. The Company determined that no impairment
loss of long lived assets need be recognized for applicable assets in 2002,
2001 and 2000.
Intangible Assets - Intangible assets represent a purchased software asset
being used in the delivery of the Company's web based services that is
being amortized over 4 years using the straight-line method.
Research and Development - Research and development costs are expensed as
incurred.
Income Taxes - Deferred income tax assets and liabilities are recognized
for the future tax consequences attributable to differences between the
financial statement carrying amounts of existing assets and liabilities and
their respective tax bases and net operating loss and tax credit
carryforwards.
Net Loss Per Share - The calculations for the basic and diluted loss per
share were based on loss available to common stockholders of $(2,314,361),
$(4,555,305) and $(6,656,706) and a weighted average number of common
shares outstanding of 10,956,024, 9,770,501 and 8,135,635 for the years
ended December 31, 2002, 2001 and 2000 respectively. The computation of
fully diluted loss per share for 2002, 2001 and 2000 did not
include1,915,140, 2,037,540 and 2,126,880 shares of common stock,
respectively, which consist of outstanding convertible preferred shares,
options and warrants because the effect would be antidilutive due to the
net loss in those years.
Retirement Plan - The Company has a retirement plan that qualifies under
Section 401(k) of the Internal Revenue Code. This retirement plan allows
eligible employees to contribute a portion of their income on a pretax
basis to the plan, subject to the limitations specified under the Internal
Revenue Code. The Company's annual contribution to the plan is at the
discretion of the Board of Directors. The Company made no contributions to
this plan in 2002, 2001 and 2000.
New Accounting Pronouncements - New accounting pronouncements that became
effective for the Company in 2002 did not have any material impact on the
Company's consolidated financial statements, other than certain new
disclosure requirements regarding options.
F-8
Stock-Based Compensation - In 2002, the Company adopted Statement of
Financial Accounting Standards ("SFAS") No. 148, "Accounting for
Stock-Based Compensation - Transition and Disclosure." This standard
provides alternative methods of transition for voluntary change to the fair
value based method of accounting for stock-based employee compensation.
Additionally, the standard also requires prominent disclosures in the
Company's financial statements about the method of accounting used for
stock-based employee compensation, and the effect of the method used when
reporting financial statements.
The Company accounts for stock-based compensation in accordance with SFAS
No. 123, "Accounting for Stock-Based Compensation". As permitted by SFAS
No. 123, the Company continues to measure compensation for such plans using
the intrinsic value based method of accounting, prescribed by Accounting
Principles Board ("APB"), Opinion No. 25, "Accounting for Stock Issued to
Employees." Had compensation cost for the Company's stock-based
compensation plans been determined based on the fair value at the date of
grant for awards consistent with the provisions of SFAS No. 123, the
Company's net loss and net loss per share would have been increased to the
pro forma amounts indicated below:
2002 2001 2000
Net loss attributable to common
shareholders - as reported $ (2,314,361) $ (4,555,305) $ (6,656,706)
Net loss - pro forma $ (2,818,135) $ (4,992,091) $ (6,929,601)
Net loss per share - basic
and diluted - as reported $ (0.21) $ (0.47) $ (0.82)
Net loss per share - basic
and diluted - pro forma $ (0.26) $ (0.51) $ (0.85)
The fair value of each option grant is estimated on the date of grant using
the Black-Scholes option-pricing model using an assumed risk-free interest
rates of 3.63% for the year ended December 31, 2002, 4.71% for the year
ended December 31, 2001 and 5.28% for the year ended December 31, 2000 and
an expected life of 7 years. The assumed dividend yield was zero. The
Company has used a volatility factor of 1.78 for the year ended December
31, 2002, 1.24 for the year ended December 31, 2001 and 1.33 for the year
ended December 31, 2000. For purposes of pro forma disclosure, the
estimated fair value of each option is amortized to expense over that
option's vesting period.
2. PROPERTY AND EQUIPMENT
Property and equipment are summarized as follows at December 31:
2002 2001
--------------------- ---------------------
Computer software $ 665,286 $ 663,887
Computer equipment 1,168,446 1,160,978
Telephone equipment 362,887 362,887
Leasehold improvements 41,504 41,504
Office furniture and equipment 354,329 354,329
--------------------------------------------
2,592,452 2,583,585
Less accumulated depreciation 2,306,705 2,085,113
--------------------------------------------
Property and equipment, net $ 285,747 $ 498,472
--------------------------------------------
F-9
3. Debt
Line of Credit - 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 and also guaranteed by the same Board members resulting in a total
amount due of $2,500,000 as of December 31, 2001 and 2000. Additional
warrants to purchase an aggregate of 250,000 shares of common stock for
$2.325 per share, were granted to Dr. Schaffer and Mr. Pappajohn for their
guarantee of this additional line of credit. The fair value of the warrants
were recorded as debt issuance costs, which have been fully amortized as of
March 31, 2001. The value ascribed to the warrants granted in 1999 and 2000
were calculated 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.
On March 28, 2001, the Company entered into an Amended and Restated Credit
Agreement with Wells Fargo Bank, N.A., which extended the term of the
Company's credit facility to March 31, 2002 under substantially the same
terms. Dr. Schaffer and Mr. Pappajohn guaranteed this extension. In
consideration for their guarantees, the Company re-priced 625,000 warrants
previously granted in connection with prior guarantees to $0.05 per share,
effective April 1, 2001. The fair value of these re-priced warrants was
$35,735, which was recorded as a debt issuance cost and a corresponding
increase to additional paid-in capital. The fair value of the re-priced
warrants was determined using the Black Scholes option pricing model.
On June 28, 2002, the Company and Wells Fargo agreed on an addendum to the
Amended and Restated Credit Agreement that extends the credit facility by
an additional $500,000, increasing the total credit to $3,000,000. Mr.
Pappajohn and Dr. Schaffer also guaranteed the extended credit facility.
On March, 28 2003 this line of credit was amended and is due and payable on
January 2, 2004. Accordingly, the amount outstanding at December 31, 2002
is reported as a long-term liability in the accompanying consolidated
balance sheets. Interest is due and payable at maturity at a floating rate
based upon LIBOR plus 1.75% (effective LIBOR rate at December 23, 2002 was
1.4%). There is a commitment fee of 0.25% per annum on the average daily
unused amount of the line of credit to be paid quarterly in arrears. The
line of credit is secured by substantially all of the Company's assets.
Borrowings from directors - In 2002, the Company borrowed $1,170,000 from
Mr. Pappajohn, bringing the total borrowed from Mr. Pappajohn to
$4,730,000. Proceeds from these loans were used to support the Company's
operations. The interest rate on these loans is 9.5% per year. The Company
has borrowed an additional $600,000 from Mr. Pappajohn subsequent to
January 1, 2003. The interest on the loans after January 1, 2003 is 7.5%
The Company did not borrow any additional amounts from Dr. Schaffer in
2002. The total borrowed from Dr. Schaffer is $347,500. Proceeds from these
loans were used to support the Company's operations. The interest rate on
this loan is 9.5% per year.
The loans from Mr. Pappajohn and Dr. Schaffer are demand notes that total
$5,077,500 as of December 31, 2002 and are secured by the assets of the
Company.
On June 6, 2001, the Company issued a total of 2,319,156 shares of
unregistered common stock to Mr. Pappajohn and Dr. Schaffer as
consideration for their continued financial support of the Company. Based
upon recent trading of the Company's common stock at the time of issuance,
the Company assigned a fair market value of $0.15 per share or a total of
$347,873, to these unregistered shares and recognized this amount as an
operating expense during the year ended December 31, 2001.
F-10
On June 11, 2002, the board of directors of the Company approved the
conversion of up to $4,642,500 in debt and $438,099 of accrued interest
owed to Mr. Pappajohn and Dr. Schaffer into 36,289,993 shares of the
Company's common stock using a value of $0.14 per common share. The average
value of the Company's common stock based upon an average closing price for
a period immediately before June 11, 2002 was $0.1354. As of December 31,
2002, the Company's Certificate of Incorporation authorizes the Company to
issue up to 20,000,000 shares of common stock, 10,956,024 of which were
issued and outstanding and 2,217,340 of which were reserved for issuance
under outstanding options, warrants and upon conversion of outstanding
convertible preferred stock. Giving effect to this debt conversion
transaction will require an amendment to the Company's Certificate of
Incorporation to authorize additional shares of common stock. Accordingly,
this debt conversion transaction cannot occur unless and until the
stockholders of the Company approve this amendment. A date for a meeting of
the stockholders of the Company has not yet been established.
4. INCOME TAXES
Income tax expense for the years ended December 31, 2002, 2001 and 2000
were: $0, $0 and $13,422, respectively. The 2000 amount represents state
and local income taxes only and are included in general and administrative
expenses in the accompanying consolidated statement of operations for 2000.
Income tax expense for the years ended December 31 differed from the U.S.
federal income tax rate of 34% as a result of the following:
2002 2001 2000
Computed "expected" tax benefit $ (756,283) $ (1,518,203) $ (2,050,624)
Change in the valuation allowance
for deferred tax assets 885,000 1,795,000 2,435,000
State and local income taxes at statutory rates,
net of federal income tax benefit (133,462) (267,918) (372,069)
Other, net 4,745 (8,879) 1,115
------------------------------------------------
- $ - $ 13,422
------------------------------------------------
F-11
The tax effects of temporary differences that give rise to significant
portions of the deferred income tax assets and deferred income tax
liabilities at December 31, are presented below.
Deferred income tax assets: 2002 2001
Accounts receivable, principally due
to allowance for doubtful accounts $ 22,000 $ 15,000
Deferred revenue 63,000 49,000
Compensation 40,000 31,000
Net operating loss carryforwards 12,698,000 11,975,000
Tax credit carryforwards 75,000 75,000
Amortization of intangibles 112,000 37,000
Other 36,000 -
----------------------------------
Total gross deferred income tax assets 13,046,000 12,182,000
Less valuation allowance (12,974,000) (12,089,000)
----------------------------------
Net deferred income tax assets 72,000 93,000
----------------------------------
Deferred income tax liabilities:
Property and equipment, principally due to
differences in depreciation and amortization (42,000) (68,000)
Other (30,000) (25,000)
----------------------------------
Total gross deferred income tax liability (72,000) (93,000)
----------------------------------
Net deferred income tax asset $ - $ -
----------------------------------
Management of the Company has evaluated the available evidence about future
taxable income and other possible sources of realization of deferred tax
assets. The valuation allowance reduces deferred tax assets to zero, which
represents management's best estimate of the amount of such deferred tax
assets that more likely than not will be realized.
At December 31, 2002 the Company has net operating loss carryforwards of
approximately $31,790,000, which are available to offset future taxable
income, if any, which begin to expire in 2010. The Company also has
investment tax credit carryforwards for federal income tax purposes of
approximately $75,000, which are available to reduce future federal income
taxes, if any, which begin to expire in 2010.
5. PREFERRED STOCK
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 Preferred Stock"), raising $1,000,000 in total proceeds. These
shares can be converted at any time by the holder into common stock at a
rate of 8 shares of common stock to 1 share of Series C Preferred Stock.
Each share of Series C Preferred Stock has voting rights equivalent to 8
shares of common stock.
The fair market value of the Company's common stock at the time of issuance
of Series C Preferred 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 incremental fair value of $550,000 for the 100,000 shares of
Series C Preferred Stock issued is deemed to be the equivalent of a
preferred stock dividend. The Company recorded the deemed dividend at the
date of issuance by offsetting charges and credits to additional paid-in
capital of $550,000, without any effect on total stockholders' equity. In
addition, as of December 31, 2002, the Company has accrued $247,500 in
dividends since inception, which was payable to the Series C stockholders.
F-12
6. STOCK OPTIONS AND WARRANTS
The Company has an Employee Stock Option Plan (the "Stock Option Plan") for
the benefit of certain employees, non-employee directors, and key advisors.
The Stock Option Plan authorizes 1,680,000 shares of common stock to be
issued. On May 2, 2000, the Company filed a Form S-8 registering all the
Stock Option Plan shares. Stock options granted under the Stock Option Plan
may be of two types: (1) incentive stock options and (2) nonqualified stock
options. The option price of such grants shall be determined by a Committee
of the Board of Directors (the "Committee"), but shall not be less than the
estimated fair market value of the common stock at the date the option is
granted. The Committee shall fix the terms of the grants with no option
term lasting longer than ten years. The ability to exercise such options
shall be determined by the Committee when the options are granted.
Generally, outstanding options vest at the rate of 20% per year. During
2001, some grants had a portion of the options vest immediately with the
balance of the options vesting at a rate of 20% per year.
A summary of stock option activity follows:
Outstanding Weighted-Average
Options Exercise Price
Options outstanding at December 31, 1999 1,303,760 $ 1.39
Options granted during the year ended December 31, 2000
(weighted average fair value of $1.44) 387,000 $ 1.44
Options forfeited by holders during the year
ended December 31, 2000 (808,880) $ 1.78
Options exercised during the year ended December 31, 2000 (180,000) $ 0.14
-----------------
Options outstanding at December 31, 2000 701,880 $ 1.28
Options granted during the year ended December 31, 2001
(weighted average fair value of $0.19) 536,500 $ 0.19
Options forfeited by holders during the year
ended December 31, 2001 (40,840) $ 1.83
-----------------
Options outstanding at December 31, 2001 1,197,540 $ 0.77
Options forfeited by holders during the year
ended December 31, 2002 (82,400) $ 0.86
-----------------
Options outstanding at December 31, 2002 1,115,140 $ 0.76
=================
Options exercisable at December 31, 2002 717,620 $ 0.64
=================
Options available for grant at December 31, 2002 302,180
=================
F-13
The following table summarizes information concerning outstanding and
exercisable options at December 31, 2002:
Options Outstanding Options Exercisable
-------------------------------------------- --------------------------
Weighted
Average Weighted Weighted
Remaining Average Average
Range of Number Contractual Exercise Number Exercise
Exercise Price Outstanding Life Price Exercisable Price
$.14 - $.99 790,100 6.90 $ .29 550,500 $ 0.28
$1.00 - $1.99 107,040 5.43 $1.52 76,320 $ 1.45
$2.00 - $2.75 218,000 6.52 $2.10 90,800 $ 2.12
-------------- -------------
1,115,140 717,620
============== =============
7. COMMITMENTS
The Company leases office space for its operating facilities under an
operating lease agreement that expires at June 30, 2003. Rent expense under
this operating lease for the years ended December 31, 2002, 2001 and 2000
was $95,508, $136,045 and $189,648 respectively.
At December 31, 2002, future minimum lease payments under this lease totals
$44,225
8. NOTES RECEIVABLE
In December 2002, the Company loaned an entity $200,000, which it received
from Mr. Pappajohn, secured by substantially all the assets of the entity.
The note is due on demand with annual interest of 4.25%. During January
2003, the Company made additional loans of $300,000 to the entity under
substantially the same terms. The Company and the entity have had ongoing
business combination discussions since September 2002 based on an asset
purchase agreement that was entered into at that time.
F-14
9. QUARTERLY RESULTS (UNAUDITED)
The following is a summary of the unaudited interim results of operations
by quarter:
First Second Third Fourth
--------------------------------------------------------------------------------------------------------------
Year ended December 31, 2002:
Revenues $ 499,328 $ 542,716 $ 586,100 $ 727,533
Gross margin 11,475 80,990 118,938 229,810
Net loss (661,521) (556,519) (474,147) (532,174)
Net loss attributable to common stockholders (684,021) (579,019) (496,647) (554,674)
Net loss per common share (0.06) (0.05) (0.05) (0.05)
Year ended December 31, 2001:
Revenues $ 400,027 $ 357,967 $ 353,612 $ 474,837
Gross margin (307,265) (255,450) (223,288) (47,705)
Net loss (1,215,893) (1,337,559) (1,221,361) (690,492)
Net loss attributable to common stockholders (1,238,393) (1,360,059) (1,243,861) (712,992)
Net loss per common share (0.15) (0.15) (0.11) (0.06)
F-15
Schedule II
Patient InfoSystems, Inc.
Valuation and Qualifying Accounts
For the Years Ended December 31, 2002, 2001 and 2000
Balance at Balance at
Beginning End of
of Year Additions Deductions Year
Allowance for Doubtful Accounts: 2002 $ 37,217 $ 59,117 $ 41,334 $ 55,000
2001 $ 48,122 $ 15,447 $ 26,352 $ 37,217
2000 $ 50,000 $ 92,852 $ 94,730 $ 48,122
Deferred Tax Assets Valuation
Allowance: 2002 $ 12,089,000 $ 885,000 - $ 12,974,000
2001 $ 10,294,000 $ 1,795,000 - $ 12,089,000
2000 $ 7,859,000 $ 2,435,000 - $ 10,294,000
F-16
Independent Auditors' Report
To the Board of Directors and
Stockholders of American CareSource Corporation
(formerly Health Data Solutions, Inc.)
Irving, Texas
We have audited the accompanying balance sheets of American CareSource
Corporation (formerly Health Data Solutions, Inc.) (the Company) as of December
31, 2002 and 2001 and the related statements of operations, stockholders'
deficit and cash flows for the years ended December 31, 2002 and 2001
(restated). These financial statements are the responsibility of the Company's
management. Our responsibility is to express an opinion on these financial
statements based on our audits.
We conducted our audits in accordance with auditing standards generally accepted
in the United States of America. Those standards require that we plan and
perform the audits to obtain reasonable assurance about whether the financial
statements are free of material misstatement. An audit includes examining, on a
test basis, evidence supporting the amounts and disclosures in the financial
statements. An audit also includes assessing the accounting principles used and
significant estimates made by management, as well as evaluating the overall
financial statement presentation. We believe that our audits provide a
reasonable basis for our opinion.
In our opinion, the financial statements referred to above present fairly, in
all material respects, the financial position of American CareSource Corporation
(formerly Health Data Solutions, Inc.) as of December 31, 2002 and 2001 and the
results of its operations and its cash flows for the years then ended in
conformity with accounting principles generally accepted in the United States of
America.
The accompanying financial statements have been prepared assuming that the
Company will continue as a going concern. As discussed in Note 1 to the
financial statements, the Company has suffered recurring losses from operations,
has negative working capital and has a net capital deficiency that raises
substantial doubt about its ability to continue as a going concern. Management's
plans in regard to these matters are also described in Note 1. The financial
statements do not include any adjustments that might result from the outcome of
this uncertainty.
We also audited the adjustments described in Note 1 that were applied to restate
the 2001 financial statements. In our opinion, such adjustments are appropriate
and have been properly applied.
/s/ BDO Seidman, LLP
BDO Seidman, LLP
Dallas, Texas
May 2, 2003
F-17
American CareSource Corporation
(formerly Health Data Solutions, Inc.)
Balance Sheets
December 31, 2002 2001
--------------------------------------------------------------------------------------------------------------------
Restated
(Note 1)
Assets
Current assets
Cash and cash equivalents $ 158,968 $ 17,827
Accounts receivable 958,334 319,040
Prepaid and other 17,352 15,577
--------------------------------------------------------------------------------------------------------------------
Total current assets 1,134,654 352,444
--------------------------------------------------------------------------------------------------------------------
Property and equipment, net 207,926 101,459
--------------------------------------------------------------------------------------------------------------------
Total assets $ 1,342,580 $ 453,903
--------------------------------------------------------------------------------------------------------------------
F-18
December 31, 2002 2001
--------------------------------------------------------------------------------------------------------------------
Restated
(Note 1)
Liabilities and Stockholders' Deficit
Current liabilities
Due to service providers $ 1,519,757 $ 372,189
Accounts payable and accrued liabilities 1,190,764 640,112
Line of credit - 391,801
Current maturities of long-term debt 460,823 834,325
--------------------------------------------------------------------------------------------------------------------
Total current liabilities 3,171,344 2,238,427
Long-term debt, substantially due to stockholders,
less current maturities 2,382,406 2,478,691
--------------------------------------------------------------------------------------------------------------------
Total liabilities 5,553,750 4,717,118
--------------------------------------------------------------------------------------------------------------------
Stockholders' Deficit
Common stock: no par value, 100,000 shares
authorized; 28,500 and 20,000 shares issued and outstanding as
of December 31, 2002 and 2001, respectively 4,500,100 100
Stockholder receivable - (72,155 )
Accumulated deficit (8,711,270 ) (4,191,160 )
--------------------------------------------------------------------------------------------------------------------
Total stockholders' deficit (4,211,170 ) (4,263,215 )
--------------------------------------------------------------------------------------------------------------------
Total liabilities and stockholders' deficit $ 1,342,580 $ 453,903
--------------------------------------------------------------------------------------------------------------------
See the accompanying summary of accounting
policies and notes to the financial
statements.
F-19
American CareSource Corporation
(formerly Health Data Solutions, Inc.)
Statements of Operations
Years ended December 31, 2002 2001
--------------------------------------------------------------------------------------------------------------------
Restated
(Note 1)
Revenues
Ancillary health $ 9,161,386 $ 1,470,306
Patient claims 479,754 1,075,208
--------------------------------------------------------------------------------------------------------------------
9,641,140 2,545,514
Costs of revenues 11,175,947 3,011,332
--------------------------------------------------------------------------------------------------------------------
Contribution Deficit (1,534,807 ) (465,818 )
--------------------------------------------------------------------------------------------------------------------
Operating Expenses:
Selling, general and administrative expenses 2,533,123 1,220,901
Depreciation and amortization 85,906 49,524
Impairment of goodwill - 1,323,693
--------------------------------------------------------------------------------------------------------------------
Total Operating Expenses 2,619,029 2,594,118
--------------------------------------------------------------------------------------------------------------------
Operating Loss (4,153,836 ) (3,059,936 )
Other (Income) Expense:
Interest expense 362,804 153,418
Loss on disposal of property and equipment - 16,926
Other 3,470 (28,200 )
--------------------------------------------------------------------------------------------------------------------
Net Loss $ (4,520,110 ) $ (3,202,080 )
--------------------------------------------------------------------------------------------------------------------
Loss pre Share - Basic and Diluted (212.17) (160.10)
--------------------------------------------------------------------------------------------------------------------
Weighted Average Common Shares 21,304 20,000
--------------------------------------------------------------------------------------------------------------------
See the accompanying summary of accounting
policies and notes to the financial
statements.
F-20
American CareSource Corporation
(formerly Health Data Solutions, Inc.)
Statements of Stockholders' Deficit
Common Stock Accumulated Stockholder
-------------------
Shares Amount Deficit Receivable Total
--------------------------------------------------------------------------------------------------------------------
Balance at December 31, 2000 20,000 $ 100 $ (989,080) $ (52,255) $ (1,041,235)
Change in stockholder receivable - - - (19,900) (19,900)
Net loss, as previously reported - - (3,842,969) - (3,842,969)
--------------------------------------------------------------------------------------------------------------------
Balance at December 31, 2001, as previously
reported 20,000 100 (4,832,049) (72,155) (4,904,104)
Prior period adjustment - income
recognition error in 2001 (Note 1) - - 640,889 - 640,889
--------------------------------------------------------------------------------------------------------------------
Balance at December 31, 2001, as restated 20,000 100 (4,191,160) (72,155) (4,263,215)
Change in stockholder receivable - - - 72,155 72,155
Net loss - - (4,520,110) - (4,520,110)
Stock issuance 8,500 4,500,000 - - 4,500,000
--------------------------------------------------------------------------------------------------------------------
Balance at December 31, 2002 28,500 $4,500,100 $ (8,711,270) $ - $ (4,211,170)
--------------------------------------------------------------------------------------------------------------------
See the accompanying summary of accounting
policies and notes to the financial
statements.
F-21
American CareSource Corporation
(formerly Health Data Solutions, Inc.)
Statements of Cash Flows
Increase (Decrease) in Cash
Years ended December 31, 2002 2001
--------------------------------------------------------------------------------------------------------------------
Restated
(Note 1)
Operating Activities:
Net loss $ (4,520,110 ) $ (3,202,080 )
Adjustments to reconcile net loss to net cash used in operating activities:
Loss on disposal of property and equipment - 16,926
Impairment of goodwill - 1,323,693
Depreciation and amortization 85,906 49,524
Forgiveness of stockholder receivable 72,155 -
Changes in operating assets and liabilities, net of Business
Acquisition:
Accounts receivable (639,294 ) 28,145
Prepaid and other current assets (1,775 ) (3,958 )
Due to service providers 1,147,568 147,397
Accounts payable and accrued liabilities 550,652 490,186
--------------------------------------------------------------------------------------------------------------------
Net cash used in operating activities (3,304,898 ) (1,150,167 )
--------------------------------------------------------------------------------------------------------------------
Cash Used in Investing Activities:
Proceeds from Business Acquisition (Note 1) - 17,969
Purchase of property and equipment (96,272 ) (44,571 )
--------------------------------------------------------------------------------------------------------------------
Net cash used in investing activities (96,272 ) (46,502 )
--------------------------------------------------------------------------------------------------------------------
Financing Activities:
Net proceeds from line of credit - 74,583
Proceeds from long-term debt 3,634,334 1,317,614
Principal payments on long term debt (4,592,023 ) (70,793 )
Stock issuance 4,500,000 -
--------------------------------------------------------------------------------------------------------------------
Net cash provided by financing activities 3,542,311 1,321,404
--------------------------------------------------------------------------------------------------------------------
Net increase in cash 141,141 124,735
Cash and cash equivalents (bank overdrafts), beginning of year 17,827 (106,908 )
--------------------------------------------------------------------------------------------------------------------
Cash and cash equivalents, end of year $ 158,968 $ 17,827
--------------------------------------------------------------------------------------------------------------------
Supplemental Cash Flow Information:
Cash paid for interest $ 349,153 $ 85,083
Supplemental Disclosure of Non-Cash Investing and Financing Activities:
Equipment purchased with long-term debt $ 96,101 $ -
--------------------------------------------------------------------------------------------------------------------
See the accompanying summary of accounting
policies and notes to the financial
statements.
F-22
American CareSource Corporation
(formerly Health Data Solutions, Inc.)
Notes to Financial Statements
1. Summary of Significant Accounting Policies
Description of business - American CareSource Corporation (formerly Health
Data Solutions, Inc.), an Indiana C Corporation, was formed in October
1997. It is in the business of providing national administration,
coordination and case management of ancillary healthcare services for
employment groups through separate contracts with a national network of
providers and it provides administration of patient claims for health care
organizations.
Effective July 31, 2001, the Health Data Solutions, Inc. (HDS) consummated
the Agreement for Purchase and Sale of Assets dated November 1, 2000
between itself and American CareSource Corporation, a related entity (but
not under common control). See Note 2 for additional information.
Effective July 31, 2001, HDS changed its name to American CareSource
Corporation (the Company or ACS).
Management plans - The Company incurred net losses of $4,520,110 and
$3,202,080 for the years ended December 31, 2002 and 2001, had negative
cash flows from operations of $3,304,898 and $1,150,167, had negative
working capital of $2,036,690 and $1,885,983 and had a net capital
deficiency of $4,211,170 and $4,263,215 at December 31, 2002 and 2001,
respectively. Further, management anticipates the Company will not generate
positive cash flows from operations until June 2004. These conditions raise
substantial doubt about the Company's ability to continue as a going
concern. The financial statements do not include any adjustments that might
result from the outcome of this uncertainty.
Under the sale of assets agreement with Patient Infosystems, Inc. ("PATI")
dated September 23, 2002 and amended April 10, 2003, PATI will invest not
less than $4,000,000 in the Company (see Note 10). Management believes such
funding will enable the Company to expand operations, increase revenues and
fund operations until June 2004.
F-23
Prior period adjustment - The accompanying financial statements for 2001
have been restated to correct an error in income recognition, which
occurred during 2001. The effects of the restatement include a reduction of
revenues and related accounts receivable in the amount of $1,091,000 and
related costs of revenues and due to providers in the amount of $606,889
and of bad debt expense and allowance for doubtful accounts in the amount
of $1,125,000. The net effect was a $640,889 decrease in net loss from
$3,842,969, as previously reported.
Revenue recognition - Ancillary health revenues are reported when services
by providers have been authorized and performed and collections from payors
are reasonably assured. Patient claims revenues are recognized by the
Company as the services are provided. Both ancillary health and patient
claims revenues are reported at gross amounts billed and collectible.
Costs of revenues - Costs of ancillary health revenues consist of expenses
due to providers for providing employee (patient) services and the related
direct labor and overhead of providing such services. The Company is not
liable for costs incurred by independent contract service providers until
payment is received by the Company from the payors. The Company recognizes
actual or estimated liabilities to independent contract service providers
as related revenues are recognized.
Costs of patient claims revenues consist of direct labor and overhead to
administer the patient claims.
Concentration of revenues - During the years ended 2002 and 2001, the
following customers generated revenues of 10 percent or more of total
revenues:
2002 2001
Customer Amount Percent Amount Percent
--------------- ----------- ------- ----------- -------
Pinnacol $2,786,000 29% $1,163,000 46%
Accountable
Health Plans of
America 1,797,000 19% - -
Med Control 1,499,000 16% - -
National Plan
Network/Plan
Vista 1,063,000 11% - -
Lutheran
Preferred - - 380,000 15%
APPO - - 290,000 11%
Kaiser - - 253,000 10%
--------------- ----------- ------- ----------- -------
Total $7,145,000 75% $2,086,000 82%
--------------- ----------- ------- ----------- -------
F-24
Cash and cash equivalents - For purposes of the statements of cash flows,
all highly liquid investments with original maturities of three months or
less are considered to be cash equivalents.
Fair value of financial instruments - The Company's financial instruments
include cash, accounts receivable and accounts payable that are carried at
cost, which approximates fair value. Due to the financial condition of the
Company and because loans payable are predominately with related parties,
information on the fair value of interest rates is not readily available.
Property and equipment - Property and equipment are stated at cost less
accumulated depreciation and amortization. Depreciation and amortization is
computed over the estimated useful lives of the assets using the
straight-line method for financial reporting purposes and on the
straight-line and accelerated methods for tax purposes. Leasehold
improvements are amortized using the straight-line method over their
estimated useful lives or the lease term, whichever is shorter. Ordinary
maintenance and repairs are charged to operations. Expenditures that extend
the physical or economic life of property and equipment are capitalized.
The estimated useful lives of property and equipment are as follows:
Leasehold Improvements 5 years
Computer Equipment 3-5 years
Furniture and Fixtures 7 years
Software 3-5 years
The Company periodically reviews the carrying value of its long-lived
assets for possible impairment. In management's opinion, there is no
impairment of such assets at December 31, 2002.
Stock splits - Effective July 31, 2001, the Company's outstanding shares of
common stock increased as a result of a 2:1 stock split. Effective April 8,
2002, the Company's outstanding shares of common stock increased as a
result of a 100:1 stock split. The effect of this increase has been
retroactively reflected throughout the accompanying financial statements.
F-25
Earnings Per Common Share - Basic earnings per share is computed based on
the weighted average number of shares outstanding during each of the
periods. Diluted earnings per share include the dilutive effect, if any, of
unexercised stock options and warrants. The calculations for the basis and
diluted loss per share were based upon loss attributable to common
stockholders of $4,520,110 and $3,202,080 and a weighted average number of
common shares outstanding of 21,304 and 20,000 for the years ended December
31, 2002 and 2001, respectively. No stock options or warrants were
outstanding for the years ended December 31, 2002 and 2001, respectively.
Income taxes - The Company originally elected to be taxed as an S
Corporation, whereby the Company's taxable income or loss is included in
the Federal tax return of its stockholder. Subsequent to the Business
Acquisition (see Note 2), the Company's election changed and for the
five-month period ended December 31, 2001 and year ended December 31, 2002,
the Company was taxed as a C Corporation.
Income taxes are provided for the tax effects of transactions reported in
the financial statements and consist of taxes currently due plus deferred
taxes related primarily to differences between the basis of assets and
liabilities for financial and income tax reporting. The net deferred tax
assets and liabilities represent the future tax return consequences of
those differences, which will either be taxable or deductible when the
assets or liabilities are recovered or settled.
Management's estimates and assumptions - The preparation of financial
statements in conformity with accounting principles generally accepted in
the United States of America requires management to make estimates and
assumptions that affect the reported amounts of assets and liabilities, the
disclosure of contingent assets and liabilities at the balance sheet dates
and the reported amounts of revenues and expenses during the period. Actual
results may differ from such estimates. The Company reviews all significant
estimates affecting the financial statements on a recurring basis and
records the effect of any necessary adjustments prior to their issuance.
F-26
New accounts pronouncements - In August 2001, the Financial Accounting
Standards Board issued Statement of Financial Accounting Standards No. 143,
Accounting for Asset Retirement Obligations (SFAS 143). This statement
requires that the fair value for an asset retirement obligation be
recognized in the period in which it is incurred, if a reasonable estimate
of fair value can be made, and that the carrying amount of the asset,
including capitalized asset retirement costs, be tested for impairment.
SFAS 143 is effective for fiscal years beginning after June 15, 2002.
Adoption of this standard will not have any immediate effect on the
financial statements.
In April 2002, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 145, Rescission of Statement of
Financial Accounting Standards No. 4, 44, and 64, Amendment of Statement of
Financial Accounting Standards No. 13, and Technical Corrections (SFAS
145). This statement eliminates the current requirement that gains and
losses on debt extinguishment must be classified as extraordinary items in
the income statement. Instead, such gains and losses will be classified as
extraordinary items only if they are deemed to be unusual and infrequent,
in accordance with the current GAAP criteria for extraordinary
classification. In addition, SFAS 145 eliminates an inconsistency in lease
accounting by requiring that modifications of capital leases that result in
reclassification as operating leases be accounted for consistent with
sale-leaseback accounting rules. The statement also contains other
nonsubstantive corrections to authoritative accounting literature. The
changes related to debt extinguishment are effective for fiscal years
beginning after May 15, 2002, and the changes related to lease accounting
are effective for transactions occurring after May 15, 2002. Adoption of
this standard will not have any immediate effect on the financial
statements.
In June 2002, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 146, Accounting for Costs Associated
with Exit or Disposal Activities (SFAS 146), which addresses accounting for
restructuring and similar costs. SFAS No. 146 supersedes previous
accounting guidance, principally Emerging Issues Task Force (EITF) Issue
No. 94-3. We will adopt the provisions of SFAS 146 for restructuring
activities initiated after December 31, 2002. SFAS 146 requires that the
liability for costs associated with an exit or disposal activity be
recognized when the liability is incurred. Under EITF No. 94-3, a liability
for an exit cost was recognized at the date of a company's commitment to an
exit plan. SFAS 146 also establishes that the liability should initially be
measured and recorded at fair value. Accordingly, SFAS 146 may affect the
timing of recognizing future restructuring costs as well as the amount
recognized. Adoption of this standard will not have any immediate effect on
the financial statements.
F-27
In November 2002, the Financial Accounting Standards Board issued
Interpretation No. 45, Guarantor's Accounting and Disclosure Requirements
for Guarantees, Including Indirect Guarantees of Indebtedness to Others.
Interpretation 45 requires disclosures in interim and annual financial
statements about obligations under certain guarantees issued by the
Company. Furthermore, it requires recognition at the beginning of a
guarantee of a liability for the fair value of the obligation undertaken in
issuing the guarantee, with limited exceptions including: 1) a parent's
guarantee of a subsidiary's debt to a third party, and 2) a subsidiary's
guarantee of the debt owed to a third party by either its parent or another
subsidiary of that parent. The initial recognition and initial measurement
provisions are only applicable on a prospective basis for guarantees issued
or modified after December 31, 2002. Adoption of this standard will not
have a material impact on the financial statements.
In December 2002, the Financial Accounting Standards Board issued Statement
of Financial Accounting Standards 148, Accounting for Stock-Based
Compensation - Transition and Disclosure (SFAS 148), which amended
Statement of Financial Accounting Standards 123, Accounting for Stock-Based
Compensation (SFAS 123). The new standard provides alternative methods of
transition for a voluntary change to the fair value based method of
accounting for stock-based employee compensation. Additionally, the
statement amends the disclosure requirements of SFAS 123 to require
prominent disclosures in the annual and interim financial statements about
the method of accounting for stock-based employee compensation and the
effect of the method used on reported results. The statement is effective
for financial statements with fiscal years ending after December 15, 2002.
If applicable, we will apply this guidance prospectively.
F-28
In January 2003, the Financial Accounting Standards Board issued FASB
Interpretation No. 46, Consolidation of Variable Interest Entities, an
interpretation of Accounting Research Bulletin No. 51, Consolidated
Financial Statements (FIN No. 46). FIN No. 46 explains how to identify
variable interest entities and how an enterprise assesses its interests in
a variable interest entity, to decide whether to consolidate that entity.
The Interpretation requires existing unconsolidated variable interest
entities to be consolidated by their primary beneficiaries if the entities
do not effectively disperse risks among parties involved. FIN No. 46 is
effective immediately for variable interest entities created after January
31, 2003, and to variable interest entities in which an enterprise obtains
an interest after that date. The Interpretation applies in the first fiscal
year or interim period beginning after June 15, 2003, to variable interest
entities in which an enterprise holds a variable interest that it acquired
before February 1, 2003. Adoption of this standard will not have any
immediate effect on the financial statements.
Reclassifications - Certain 2001 amounts have been reclassified to conform
to the 2002 presentation.
2. Agreement for Purchase and Sale of Assets
Effective July 31, 2001, HDS consummated the Agreement for Purchase and
Sale of Assets dated November 1, 2000 between itself and ACS, a related
entity (but not under common control), whereby HDS acquired substantially
all of the assets and assumed all outstanding liabilities of ACS in
exchange for six thousand six hundred (6,600) shares of common stock or a
thirty-three percent (33%) interest in the surviving company's
post-acquisition outstanding common stock (the Business Acquisition). Based
upon an independent appraisal, no value was assigned to the shares issued.
HDS completed the Business Acquisition in an effort to obtain a stronger
position in the market place.
The following unaudited pro forma information presents a summary of
operations as if the Business Acquisition was effective on January 1, 2001.
F-29
Year Ended December 31, 2001
---------------------------------------------------------------------------
(Unaudited )
Sales $ 3,963,526
Net loss (4,202,874 )
---------------------------------------------------------------------------
The pro forma results are not necessarily indicative of what would have
occurred if the Business Acquisition had been in effect for the entire 2001
calendar year.
The Business Acquisition has been accounted for in accordance with SFAS
141, "Business Combinations" (SFAS 141). SFAS 141 requires the use of the
purchase method of accounting, and accordingly, the purchase price has been
allocated to the assets acquired and the liabilities assumed based on
estimated fair values at the date of Business Acquisition. The fair values
of assets and liabilities acquired, based upon an independent appraisal,
which did not change recorded values, are summarized as follows:
At July 31, 2001
---------------------------------------------------------------------------
Cash $ 17,969
Accounts receivable, net 211,153
Other current assets 10,269
Property and equipment, net 94,510
Due from HDS 741,020
Due to service providers (224,792 )
Other current liabilities (575,774 )
Long-term debt (1,598,048 )
---------------------------------------------------------------------------
Net liabilities assumed over assets acquired $ (1,323,693 )
---------------------------------------------------------------------------
Goodwill recorded as a result of the Business Acquisition in the amount of
$1,323,693 was written off as impaired in compliance with SFAS 142,
"Goodwill and Other Intangible Assets". The impairment was a result of the
Company's inability to support the valuation of goodwill generated from the
Business Acquisition.
F-30
3. Property and Equipment
Property and equipment consist of the following:
December 31, 2002 2001
-------------------------------------------------------------------------
Computer equipment $ 213,330 $ 108,582
Software 18,326 19,085
Furniture and fixtures 120,693 41,488
Leasehold improvements 12,313 2,965
-------------------------------------------------------------------------
364,662 172,120
Less accumulated depreciation
and amortization (156,736 ) (70,661 )
-------------------------------------------------------------------------
$ 207,926 $ 101,459
-------------------------------------------------------------------------
Included in property and equipment are capitalized leases as follows:
December 31, 2002 2001
-------------------------------------------------------------------------
Computer equipment $ 14,184 $ -
Furniture and fixtures 105,741 23,824
-------------------------------------------------------------------------
119,925 23,824
Less accumulated amortization (35,813 ) (12,512 )
-------------------------------------------------------------------------
$ 84,112 $ 11,312
-------------------------------------------------------------------------
4. Letter of Credit
At December 31, 2002 and 2001, the Company had an outstanding irrevocable
standby letter of credit (LOC) of $500,000 and $1,000,000, respectively.
The letter of credit acts as a guarantee of payment to a certain third
party in accordance with specified terms and conditions. As of December 31,
2002, there have been no draws on this LOC. The LOC is unconditionally
guaranteed by a stockholder of the Company and expires in April 2003.
F-31
5. Line of Credit
On July 7, 2000, the Company entered into a revolving line of credit
agreement totaling $400,000 with a scheduled expiration date of August 31,
2005. The line of credit bore interest at the bank's index rate (4.75% at
December 31, 2001). At December 31, 2001, borrowings were $391,801 under
this agreement. This line of credit was unconditionally guaranteed by an
officer/stockholder of the Company.
On February 12, 2002, the Company was notified of a default and
acceleration of the drawn amount owed. Effective May 9, 2002, a stockholder
of the Company purchased the line of credit from the financial institution
for the outstanding amount owed by the Company in the principal of $383,913
plus accrued interest and late fees. As of December 31, 2002, this debt is
included in the balance of the 10% subordinated note payable to a
stockholder.
6. Long-Term Debt
Long-term debt consists of the following:
December 31, 2002 2001
-----------------------------------------------------------------------------------
Index rate plus 3.0% (7.25%) note payable
to acquiror (see Note 10), due on demand
and collateralized by all intangible and
tangible assets $ 200,000 $ -
10% subordinated note payable to a
stockholder, with principal and interest
due at maturity, maturing in March 2007 2,302,675 2,054,685
Unsecured non-interest bearing note to a
stockholder, payable in monthly
installments of $10,127, maturing in
December 2003 121,520 -
Unsecured non-interest bearing obligation
to a stockholder, payable in monthly
installments of $5,000, maturing in April
2004 75,732 135,731
Unsecured loan at index rate plus 2.5%
(7.25% and 7.25% at December 31, 2002 and
2001, respectively) to a stockholder, due
on demand 33,540 36,789
F-32
19% obligation assumed and due an individual in
connection with the purchase of certain assets,
payable in monthly installments of $2,000,
maturing December 2003 24,057 19,987
Note payable to a financial institution
at prime rate plus 4% (7.75% at
December 31, 2001), assumed by a
stockholder in May 2002 - 400,000
10% unsecured note payable to the
majority stockholder, with interest due
quarterly, maturing on October 10, 2002 - 325,000
10% unsecured note payable to a
stockholder, with interest due quarterly,
maturing on October 10, 2002 - 325,000
Other
- 4,512
Capital lease obligations (Note 8) 85,705 11,312
-----------------------------------------------------------------------------------
2,843,229 3,313,016
Less current maturities (460,823 ) (834,325 )
-----------------------------------------------------------------------------------
Long-term debt, less current maturities $ 2,382,406 $ 2,478,691
-----------------------------------------------------------------------------------
Scheduled principal payments in each of the next five years and thereafter
on long-term debt and capital lease obligations are as follows:
Related Unrelated
Party Party Total
Year ended December 31, Debt Debt Debt
------------------------------------------------------------------------------
2003 $ 381,520 $ 79,303 $ 460,823
2004 15,732 23,107 38,839
2005 - 21,360 21,360
2006 - 12,748 12,748
2007 2,302,675 6,784 2,309,459
------------------------------------------------------------------------------
$ 2,699,927 $ 143,302 $ 2,843,229
------------------------------------------------------------------------------
On February 12, 2002, the Company was notified of a default and
acceleration of debt owed. Effective May 9, 2002, a stockholder of the
Company purchased the note from the financial institution for the
outstanding amount owed by the Company in the principal of $400,000 plus
accrued interest. As of December 31, 2002, this debt is included in the
balance of the 10% subordinated note payable to a stockholder.
F-33
7. Income Taxes
Differences between financial accounting principles and tax laws cause
differences between the bases of certain assets and liabilities for
financial reporting purposes and tax purposes.
The tax effects of these differences, to the extent they are temporary, are
recorded as deferred tax assets and liabilities under SFAS 109 and
consisted of the following components:
December 31, 2002 2001
---------------------------------------------------------------------------
(Restated )
Deferred tax assets:
Operating loss carryforward $ 1,903,876 $ 366,515
Goodwill 407,551 437,554
Accrued vacation 26,850 17,340
Other 8,714 1,026
---------------------------------------------------------------------------
Valuation allowance (2,346,991 ) (822,435 )
---------------------------------------------------------------------------
$ - $ -
---------------------------------------------------------------------------
The Company recorded a $26,850 current deferred tax asset and a $2,320,141
long-term deferred tax asset in 2002 for which a valuation allowance was
provided based on uncertainties regarding realization of the related tax
benefits.
The Company has a net operating loss carryforward of approximately
$5,600,000, which begins to expire in 2021. Upon consummation of the
transaction referred to in Note 10, the future utilization of the net
operating loss carryforward may be limited.
F-34
8. Commitments and Contingencies
Operating leases
The Company leases office space from a related party under a non-cancelable
lease agreement that expires in April 2008. The Company leases an
automobile, certain equipment and other office space under non-cancelable
lease agreements, which expire at various dates through April 2008.
At December 31, 2002, minimum annual lease payments for operating and
capital leases are as follows:
Operating Leases
---------------------------------------
Capital Related Unrelated
Years Ending December 31, Leases Party Party Total
----------------------------------------------------------------------------------
2003 $ 29,286 $ 252,301 $ 69,392 $ 321,693
2004 28,467 252,301 61,450 313,751
2005 24,362 252,301 56,274 308,575
2006 14,036 252,301 45,922 298,223
2007 7,040 252,301 45,922 298,223
Thereafter - 84,100 26,788 110,888
----------------------------------------------------------------------------------
Total minimum lease payments
103,191 $ 1,345,605 $ 305,748 $ 1,651,353
------------------------------------------
Less- amount representing
interest (17,486)
----------------------------------------
Net present value of future
minimum lease payments $ 85,705
----------------------------------------
Rent expense related to operating leases was approximately $298,000 and
$137,000 for the years ended December 31, 2002 and 2001, respectively. The
Company incurred related party rent expense for its corporate offices
totaling approximately $235,000 and $80,000 for the years ended December
31, 2002 and 2001, respectively.
Employment Agreements
The Company has executed employment agreements with two officers, effective
through September 2005, providing for minimum annual salaries and
incentives.
Contingencies
The Company is party to certain complaints arising from certain former
employees. Management believes that the ultimate resolution of these
complaints will not have a material adverse effect on the financial
condition, results of operations or liquidity of the Company.
F-35
9. Related Party Transactions
As described in Note 2, the Company acquired certain assets and assumed
certain liabilities of a related entity during July 2001.
For the seven month period ended July 31, 2001, the Company provided
services of approximately $129,000 to ACS for claims processing and charged
ACS approximately $181,000 for management and administrative services (Note
2).
See Notes 4, 5 and 6 for information regarding related party debt. See Note
8 for information regarding related party leases and commitments.
A stockholder was paid independent contractor fees in the amount of
$120,000, debt payments in the amount of $60,000 as well as other
out-of-pocket expenses for the year ended December 31, 2002.
The stockholder receivable in the amount of $72,155 at December 31, 2001
was written-off to salary expense during 2002.
10. Subsequent Events
On September 23, 2002 (amended April 10, 2003) the Company entered in to a
Sale of Assets agreement with Patient Infosystems, Inc. ("PATI") whereby
PATI will purchase all of the ACS assets in consideration and exchange for
PATI issuing 2,091,366 shares of common stock. PATI is a public company,
listed under the ticker symbol of PATI. PATI will complete a private
placement of securities effective with the closing of the asset purchase
agreement that will result in gross proceeds of not less than $4,000,000,
which shall include $2,250,000 in the form of debt issuing prior to the
Closing of the Sale of Assets agreement. As of May 2, 2003, the Company has
F-36
received $1,500,000 in bridge loans for working capital. In conjunction
with the agreement, PATI received warrants to purchase ACS common stock,
exercisable only if the Sale of Assets agreement with PATI is terminated.
As of May 2, 2003, PATI had received warrants to purchase 15,200 shares of
ACS common stock. Additional warrants to purchase ACS common stock may be
issued depending on the total amount of funds it borrows from PATI
F-37
PATIENT INFOSYSTEMS, INC.
CONSOLIDATED BALANCE SHEETS (UNAUDITED)
------------------------------------------------------------------------------------------------------------------------
ASSETS June 30, 2003 December 31, 2002
------------- -----------------
CURRENT ASSETS:
Cash and cash equivalents $ 225,059 $ 5,011
Accounts receivable 555,030 441,216
Notes receivable 2,250,000 200,000
Prepaid expenses and other current assets 121,907 105,827
---------------------------------------
Total current assets 3,151,996 752,054
Property and equipment, net 223,108 285,747
Intangible assets (net of accumulated amortization of $515,044 and $443,258) 107,679 179,465
Debt issuance costs (net of accumulated amortization of $1,664,275) 1,664,275 -
---------------------------------------
TOTAL ASSETS $ 5,147,058 $ 1,217,266
=======================================
LIABILITIES AND STOCKHOLDERS' DEFICIT
CURRENT LIABILITIES:
Accounts payable $ 570,093 $ 379,004
Accrued salaries and wages 225,921 208,752
Borrowings from directors 6,127,500 5,077,500
Borrowings from shareholders 1,600,000 -
Line of credit 3,000,000 -
Accrued expenses 383,351 351,621
Accrued interest 995,265 713,554
Deferred revenue 133,038 157,074
---------------------------------------
Total current liabilities 13,035,168 6,887,505
---------------------------------------
LINE OF CREDIT - 3,000,000
STOCKHOLDERS' DEFICIT:
Preferred stock - $.01 par value: shares authorized: 5,000,000
Series C, 9% cumulative, convertible, issued and outstanding - 100,000 1,000 1,000
Series D, 9% cumulative, convertible, issued and outstanding - 198,128
as of June 30, 2003 1,981 -
Common stock - $.01 par value: shares authorized: 20,000,000
issued and outstanding - 10,956,024 as of December 31, 2002,
10,956,454 as of June 30, 2003 109,564 109,560
Additional paid-in capital 27,374,128 24,132,153
Accumulated deficit (35,374,783) (32,912,952)
---------------------------------------
Total stockholders' deficit (7,888,110) (8,670,239)
---------------------------------------
TOTAL LIABILITIES AND STOCKHOLDERS' DEFICIT $ 5,147,058 $ 1,217,266
=======================================
See notes to unaudited consolidated financial statements.
F-38
PATIENT INFOSYSTEMS, INC.
CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED)
----------------------------------------------------------------------------------------------------------
Three Months Ended Six Months Ended
June 30, June 30,
2003 2002 2003 2002
---- ---- ---- ----
REVENUES
Operations Fees $ 650,303 $ 522,635 $ 1,226,106 $ 996,455
Consulting Fees 927,854 6,450 1,297,850 21,538
License Fees 1,880 13,630 3,760 24,050
------------------------------------------------------------
Total revenues 1,580,037 524,715 2,527,716 1,042,043
COSTS AND EXPENSES
Cost of sales 1,184,855 461,726 1,946,457 949,579
Sales and marketing 202,458 175,188 445,061 353,563
General and administrative 296,842 306,498 572,311 656,634
Research and development 33,470 23,786 65,228 47,636
------------------------------------------------------------
Total costs and expenses 1,717,625 967,198 3,029,057 2,007,412
------------------------------------------------------------
OPERATING LOSS (137,588) (424,483) (501,341) (965,369)
OTHER EXPENSE
Financing Costs (1,664,275) - (1,664,275) -
Interest expense, net (154,764) (132,036) (296,217) (252,671)
------------------------------------------------------------
NET LOSS (1,956,627) (556,519) (2,461,833) (1,218,040)
CONVERTIBLE PREFERRED STOCK DIVIDENDS (62,126) (22,500) (84,626) (45,000)
------------------------------------------------------------
NET LOSS ATTRIBUTABLE TO COMMON STOCKHOLDERS $(2,018,753) $ (579,019) $ (2,546,459) $(1,263,040)
============================================================
NET LOSS PER SHARE - BASIC AND DILUTED $ (0.18) $ (0.05) $ (0.23) $ (0.12)
============================================================
WEIGHTED AVERAGE COMMON SHARES 10,956,103 10,956,024 10,956,064 10,956,024
============================================================
See notes to unaudited consolidated financial statements.
F-39
PATIENT INFOSYSTEMS, INC.
CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)
----------------------------------------------------------------------------------------------------------
Six Months Six Months
Ended Ended
June 30, 2003 June 30, 2002
OPERATING ACTIVITIES:
Net loss $ (2,461,833) $ (1,218,040)
Adjustments to reconcile net loss to net cash used in
operating activities:
Depreciation and amortization 1,824,634 202,946
Gain on sale of property - (400)
Increase in accounts receivable, net (113,814) (49,292)
Increase in prepaid insurance, expenses and other current assets (16,080) (14,430)
Increase in accounts payable 191,089 1,941
Increase in accrued salaries and wages 17,169 18,004
Increase in accrued expenses 228,815 254,432
Decrease in deferred revenue (24,036) (16,495)
-----------------------------------
Net cash used in operating activities (354,056) (821,334)
-----------------------------------
INVESTING ACTIVITIES:
Notes receivable (2,050,000) -
Property and equipment additions (25,932) (6,412)
Proceeds form the sale of property - 400
-----------------------------------
Net cash used in investing activities (2,075,932) (6,012)
-----------------------------------
FINANCING ACTIVITIES:
Borrowing from directors 1,050,000 855,000
Borrowing from stockholders 1,600,000 -
Excersize of incentive stock options 36 -
-----------------------------------
Net cash provided by financing activities 2,650,036 855,000
-----------------------------------
NET INCREASE IN CASH AND CASH EQUIVALENTS 220,048 27,654
CASH AND CASH EQUIVALENTS AT BEGINNING OF PERIOD 5,011 29,449
-----------------------------------
CASH AND CASH EQUIVALENTS AT END OF PERIOD $ 225,059 $ 57,103
========== ========
Supplemental disclosures of non-cash information
Dividend declared on Class C Convertible Preferred Stock $ 84,626 $ 45,000
========= ========
See notes to unaudited consolidated financial statements.
F-40
PATIENT INFOSYSTEMS, INC.
Notes to Unaudited Consolidated Financial Statements for the period ended March
31, 2003
1. The accompanying consolidated financial statements for the three month
periods ended June 30, 2003 and June 30, 2002 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. These
unaudited consolidated financial statements should be read in conjunction
with the audited consolidated financial statements and notes thereto,
together with management's discussion and analysis of financial condition
and results of operations contained in the Company's Annual Report on Form
10-K for the year ended December 31, 2002. Certain 2002 amounts have been
reclassified to conform to 2003 presentations. The results of operations
for the six months ended June 30, 2003 are not necessarily indicative of
the results for the entire year ending December 31, 2003.
2. On March 28, 2003, the Company entered into an Amended and Restated Credit
Agreement with Wells Fargo Bank Iowa, N.A., which extended the term of the
$3,000,000 credit facility to January 2, 2004, under substantially the same
terms. Certain directors of the Company guaranteed this note.
3. The Company borrowed $1,050,000 for working capital from Mr. Pappajohn
during the six month period ended June 30, 2003. On April 10, 2003, the
Company replaced notes in the aggregate principal amount of $500,000 owed
to Mr. Pappajohn with a new note for the principal amount of $900,000,
representing the amount due under the original notes plus an additional
$400,000 borrowed from Mr. Pappajohn working capital. As of June 30, 2003
and August 15, 2003, a total of $6,127,500 has been borrowed from Mr.
Pappajohn and Dr. Schaffer (both of whom are members of the Company's Board
of Directors), all of which is secured by the assets of the Company.
On March 28, 2003, Mr. Pappajohn and Dr. Schaffer signed a letter to the
Company in which they made a commitment to obtain the operating funds that
the Company believes would be sufficient to fund its operations through
December 31, 2003. There can be no assurances given that Mr. Pappajohn or
Dr. Schaffer can raise either the required working capital through the sale
of the Company's securities or that the Company can borrow the additional
amounts needed.
4. On September 23, 2002, the Company signed an agreement to acquire
substantially all the assets of American Care Source (ACS), headquartered
in Dallas, Texas. This Asset Purchase Agreement was amended and restated on
April 10, 2003 and further amended on July 30, 2003 (hereinafter, the
amended and restated Asset Purchase Agreement, as amended, is referred to
as the "Asset Purchase Agreement"). ACS is an ancillary healthcare benefits
management company. It provides a bridge connecting healthcare payers and
the providers of ancillary healthcare services. Ancillary healthcare
services include a broad array of services that supplement or support the
care provided by hospitals and physicians, including the non-physician
services associated with outpatient surgery centers, free-standing
diagnostic imaging centers, home infusion, durable medical equipment,
orthotics and prosthetics, laboratory and many other services. These
ancillary services are provided to patients as benefits under group health
plans and workers' compensation plans. ACS manages the administration of
these ancillary healthcare benefits.
F-41
5. On April 10, 2003, the Company entered into a Note and Stock Purchase
Agreement, which the Company intends to amended (the "Note and Stock
Purchase Agreement") with certain investors (the "Investors"), including
Mr. Pappajohn, a member of the Board of Directors of the Company, pursuant
to which the Investors agreed to loan to the Company an aggregate of up to
$3.5 million, $500,000 of which replaces notes payable to Mr. Pappajohn,
which were outstanding at March 31, 2003. In consideration for the loans,
the Company signed a series of promissory notes and intends to issue a
total of 286,183 shares of Series D 9% Cumulative Preferred Stock ("Series
D Preferred Stock") to the Investors, 198,128 of such shares were issued
and outstanding at June 30, 2003. The notes bear interest at a rate equal
to the prime rate plus 3% per annum and mature on September 30, 2003. The
286,183 shares of Series D Preferred Stock are convertible into up to
34,341,960 shares of common stock of the Company, subject to the approval
by the stockholders of the Company of an amendment to the Certificate of
Incorporation, authorizing an increase in the number of outstanding shares
of common stock of the Company necessary to provide for the issuance of
common stock upon conversion of such shares. The 198,128 shares of Series D
Preferred Stock outstanding at June 30, 2003, which are convertible into
23,775,360 share of common stock, are valued at $3,328,550 using the
average trading price of $0.14 per share taken 2 days before and 1 day
after the measurement date of April 14, 2003 in accordance with EITF 99-12.
Because the term of the Note and Stock Purchase Agreement is approximately
six months ending September 30, 2003, 50% of the value of the 198,128
shares of Series D Preferred Stock, or $1,664,275, was an amortized expense
during the three month period ended June 30, 2003. The remaining $1,664,275
will be an amortization expense during the 3 month period ending September
30, 2003. Holders of the Series D Preferred Stock have the right to elect
two members of the Company's Board of Directors. Upon closing of a private
placement of a minimum of $4 million in value of additional shares of
Series D Preferred Stock and after the closing of the proposed acquisition
of ACS, as contemplated by the Asset Purchase Agreement, any notes issued
pursuant to the Note and Stock Purchase Agreement are convertible into
Series D Preferred Stock. The purpose of the loan from the Investors is to
provide funds to the Company for it to loan to ACS in order to provide
working capital for the operations of ACS.
Simultaneously with the closing of the Note and Stock Purchase Agreement,
the Company and ACS entered into a Credit Agreement subsequently amended on
July 30, 2003 (the "Credit Agreement") pursuant to which the Company agreed
to loan to ACS up to an aggregate of $3.4 million secured by all of the
assets of ACS. As of June 30, 2003, the Company had notes receivable of
$2.25 million from ACS. Patient Infosystems received a warrant to purchase
18,050 shares of common stock of ACS, exercisable only if the Asset
Purchase Agreement with ACS is terminated. Additional warrants to purchase
ACS common stock may be issued depending on the total amount of funds it
borrows from the Company under the Credit Agreement.
6. The calculations for the basic and diluted loss per share were based upon
loss attributable to common stockholders of $2,018,753 and $2,546,459 and a
weighted average number of common shares outstanding of 10,956,103 and
10,956,064 for the three and six month periods ended June 30, 2003
respectively. The calculations for the basic and diluted loss per share
were based upon loss attributable to common stockholders of $579,019 and
$1,263,040 and a weighted average number of common shares outstanding of
10,956,024 for both the three and six month periods ended June 30, 2002
respectively. Options 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, 2003 and 2002 because the effect would
have been antidilutive due to the net loss in those periods.
F-42
7. The accompanying unaudited 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 consolidated financial
statements, the Company incurred a net loss for the six month period ended
June 30, 2003 of $2,461,833 and had negative working capital of $9,883,172
and a stockholders' deficit of $7,888,110 at June 30, 2003. These factors,
among others, may indicate that the Company will be unable to continue as a
going concern.
The unaudited 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 ability to continue 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. Stock-Based Compensation - In 2002, the Company adopted Statement of
Financial Accounting Standards ("SFAS") No. 148, "Accounting for
Stock-Based Compensation - Transition and Disclosure." This standard
provides alternative methods of transition for voluntary change to the fair
value based method of accounting for stock-based employee compensation.
Additionally, the standard also requires prominent disclosures in the
Company's financial statements about the method of accounting used for
stock-based employee compensation, and the effect of the method used when
reporting financial statements.
The Company accounts for stock-based compensation in accordance with SFAS
No. 123, "Accounting for Stock-Based Compensation". As permitted by SFAS
No. 123, the Company continues to measure compensation for such plans using
the intrinsic value based method of accounting, prescribed by Accounting
Principles Board ("APB"), Opinion No. 25, "Accounting for Stock Issued to
Employees." Had compensation cost for the Company's stock-based
compensation plans been determined based on the fair value at the date of
grant for awards consistent with the provisions of SFAS No. 123, the
Company's net loss and net loss per share would have been increased to the
pro forma amounts indicated below:
Three Months Ended Six Months Ended
June 30, June 30,
2003 2002 2003 2002
Net loss attributable to common
shareholders - as reported ($2,018,753) ($579,019) ($2,546,459) ($1,263,040)
Net loss - pro forma ($2,049,581) ($612,584) ($2,603,621) ($1,330,842)
Net loss per share - basic
and diluted - as reported ($0.18) ($0.05) ($0.23) ($0.12)
Net loss per share - basic
and diluted - pro forma ($0.19) ($0.05) ($0.24) ($0.12)
The fair value of each option grant is estimated on the date of grant using
the Black-Scholes option-pricing model using an assumed risk-free interest
rates of 3.45% as of June 30, 2003 and an expected life of 7 years. The
assumed dividend yield was zero. The Company has used a volatility factor
of 1.75 for the year ended June 30, 2003. For purposes of pro forma
disclosure, the estimated fair value of each option is amortized to expense
over that option's vesting period and only the compensation expense related
to the three and six month periods ended June 30, 2002 and 2003 were used
to adjust the net loss on a pro forma basis.
9. Changes in additional paid in capital for the six month period ended June
30, 2003 were as follows:
Balance as of December 31, 2002 $ 24,132,153
Series C dividends (45,000)
Series D dividends (39,626)
Value of 198,128 shares of Series D issued 3,328,550
Par value of Series D shares, par $0.01 (1,981)
Value of 400 shares common stock issued 36
Par value of common issued, par $0.01 (4)
--------------------
$ 27,374,128
====================
F-43
American CareSource Corporation
Condensed Balance Sheets
June 30, December 31,
2003 2002
----------------------------------------------------------------------------
(Unaudited) (Audited)
Assets
Current assets
Cash and cash equivalents $ 42,463 $ 158,968
Accounts receivable 460,977 958,334
Prepaid and other 23,098 17,352
----------------------------------------------------------------------------
Total current assets 526,538 1,134,654
Property and equipment, net 193,311 207,926
----------------------------------------------------------------------------
Total assets $ 719,849 $ 1,342,580
----------------------------------------------------------------------------
F-44
American CareSource Corporation
Condensed Balance Sheets
June 30, December 31,
2003 2002
----------------------------------------------------------------------------------------------
(Unaudited) (Audited)
Liabilities and Stockholders' Deficit
Current liabilities
Bank overdrafts $ 14,311 $ -
Due to service providers 735,041 1,519,757
Accounts payable and accrued liabilities 1,180,425 1,190,764
Current maturities of long-term debt 2,666,105 460,823
----------------------------------------------------------------------------------------------
Total current liabilities 4,595,882 3,171,344
Long-term debt, substantially due to stockholders,
less current maturities 2,429,481 2,382,406
----------------------------------------------------------------------------------------------
Total liabilities 7,025,363 5,553,750
----------------------------------------------------------------------------------------------
Stockholders' Deficit
Common stock 4,500,100 4,500,100
Accumulated deficit (10,805,614 ) (8,711,270 )
----------------------------------------------------------------------------------------------
Total stockholders' deficit (6,305,514 ) (4,211,170 )
----------------------------------------------------------------------------------------------
Total liabilities and stockholders' deficit $ 719,849 $ 1,342,580
----------------------------------------------------------------------------------------------
See notes to condensed financial statements (unaudited)
F-45
American CareSource Corporation
Condensed Statements of Operations
Three Months Ended June 30, 2003 2002
---------------------------------------------------------------------------------------------
(Unaudited) (Unaudited)
Revenues
Ancillary health $ 2,100,625 $ 2,316,086
Patient claims 97,889 124,547
---------------------------------------------------------------------------------------------
2,198,514 2,440,633
Costs of revenues 2,555,861 2,801,778
---------------------------------------------------------------------------------------------
Contribution Deficit (357,347 ) (361,145)
---------------------------------------------------------------------------------------------
Operating Expenses:
Selling, general and administrative expenses 538,272 633,280
Depreciation and amortization 23,611 25,867
---------------------------------------------------------------------------------------------
Total Operating Expenses 561,883 659,147
---------------------------------------------------------------------------------------------
Operating Loss (919,230 ) (1,020,292 )
Interest expense 80,424 142,312
---------------------------------------------------------------------------------------------
Net Loss $ (999,654 ) $ (1,162,604 )
---------------------------------------------------------------------------------------------
Loss per Share - Basic and Diluted $ (35.08 ) $ (58.13 )
---------------------------------------------------------------------------------------------
Weighted Average Common Shares 28,500 20,000
---------------------------------------------------------------------------------------------
See notes to condensed financial statements (unaudited)
Six Months Ended June 30, 2003 2002
---------------------------------------------------------------------------------------------
(Unaudited) (Unaudited)
Revenues
Ancillary health $ 4,577,569 $ 3,765,490
Patient claims 202,562 263,704
---------------------------------------------------------------------------------------------
4,780,131 4,029,194
Costs of revenues 5,532,164 4,799,630
---------------------------------------------------------------------------------------------
Contribution Deficit (752,033 ) (770,436 )
---------------------------------------------------------------------------------------------
Operating Expenses:
Selling, general and administrative expenses 1,174,669 1,266,560
Depreciation and amortization 44,605 49,163
---------------------------------------------------------------------------------------------
Total Operating Expenses 1,219,274 1,315,723
---------------------------------------------------------------------------------------------
Operating Loss (1,971,307 ) (2,086,159 )
Interest expense 123,037 237,619
---------------------------------------------------------------------------------------------
Net Loss $ (2,094,344 ) $ (2,323,778 )
---------------------------------------------------------------------------------------------
Loss per Share - Basic and Diluted $ (73.49 ) $ (116.19 )
---------------------------------------------------------------------------------------------
Weighted Average Common Shares 28,500 20,000
---------------------------------------------------------------------------------------------
See notes to condensed financial statements (unaudited)
F-46
American CareSource Corporation
Condensed Statements of Cash Flows
Increase (Decrease) in cash and cash equivalents
Six Months Ended June 30, 2003 2002
-----------------------------------------------------------------------------------------------
(Unaudited)
(Unaudited)
Operating Activities:
Net loss $ (2,094,344 ) $ (2,323,778)
Adjustments to reconcile net loss to net cash used
in operating activities:
Depreciation and amortization 44,605 49,163
Changes in operating assets and liabilities
Accounts receivable 497,357 (593,407 )
Prepaid and other current assets (5,746 ) (13,176 )
Bank overdraft 14,311 539,054
Due to service providers (784,716 ) 625,592
Accounts payable and accrued liabilities (10,339 ) 418,838
-----------------------------------------------------------------------------------------------
Net cash used in operating activities (2,338,872 ) (1,297,714 )
-----------------------------------------------------------------------------------------------
Cash Used in Investing Activities
Purchase of property and equipment (29,990 ) (79,524 )
-----------------------------------------------------------------------------------------------
Financing Activities:
Proceeds from long-term debt 2,380,562 1,626,457
Principal payments on long term debt (128,205 ) (266,677 )
-----------------------------------------------------------------------------------------------
Net cash provided by financing activities 2,252,357 1,359,780
-----------------------------------------------------------------------------------------------
Net decrease in cash and cash equivalents (116,505 ) (17,458 )
Cash and cash equivalents, beginning of year 158,968 17,827
-----------------------------------------------------------------------------------------------
Cash and cash equivalents, end of period $ 42,463 $ 369
-----------------------------------------------------------------------------------------------
Supplemental Cash Flow Information:
Cash paid for interest $ 27,165 $ 68,648
-----------------------------------------------------------------------------------------------
See notes to condensed financial statements (unaudited)
F-47
American CareSource Corporation
Notes to Condensed Financial Statements
1. Organization
American CareSource Corporation (the "Company"), an Indiana C Corporation,
was formed in October 1997. It is in the business of providing national
administration, coordination and case management of ancillary healthcare
services for employment groups through separate contracts with a national
network of providers and it provides administration of patient claims for
health care organizations.
2. Basis of Presentation
The information as of June 30, 2003 and for the three months and six months
ended June 30, 2003 and June 30, 2002, is unaudited, but in the opinion of
management, reflects all adjustments, which are of a normal recurring
nature, necessary for a fair presentation of the financial position,
operating results and cash flows for the interim periods. These
accompanying condensed financial statements should be read in conjunction
with the audited financial statements and notes thereto for the year ended
December 31, 2002.
The results of operations for the three months and six months ended June
30, 2003 are not necessarily indicative of the results for the entire year
ending December 31, 2003.
3. Summary of Significant Accounting Policies
Going Concern - The accompanying unaudited condensed 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 financial statements, the
Company incurred a net loss for the six month period ended of $2,094,344
and had negative cash flows from operations of $2,338,872. At June 30,
2003, the Company had a negative working capital of $4,069,344 and a net
stockholders' deficit of $6,305,514. Management anticipates the Company
will not generate positive cash flows from operations until the fourth
quarter of 2004. These conditions, combined with those discussed in Note 1
of the December 31, 2002 audited financial statements, raise substantial
doubt about the Company's ability to continue as a going concern. The
financial statements do not include any adjustments that might result from
the outcome of this uncertainty.
Under the sale of assets agreement with Patient Infosystems, Inc. ("PATI")
dated September 23, 2002 and amended April 10, 2003, and further amended
July 30, 2003, PATI will invest not less than $4,000,000 in the Company
(see Note 4). Management believes such funding will enable the Company to
expand operations, increase revenues and fund operations until the end of
2003.
Earnings Per Common Share - Basic earnings per share is computed based on
the weighted average number of shares outstanding during each of the
periods. Warrants to purchase 18,050 and 0 shares of common stock were
outstanding for the three months and six months ended June 30, 2003 and
2002, respectively. The impact of these warrants is not included in diluted
earnings per share as the effect would be anti-dilutive. No stock options
were outstanding for the three months and six months ended June 30, 2003
and 2002, respectively.
New Accounting Policies - In June 2002, the Financial Accounting Standards
Board issued Statement of Financial Accounting Standards No. 146,
Accounting for Costs Associated with Exit or Disposal Activities (SFAS
146), which addresses accounting for restructuring and similar costs. SFAS
No. 146 supersedes previous accounting guidance, principally Emerging
Issues Task Force (EITF) Issue No. 94-3. SFAS 146 requires that the
liability for costs associated with an exit or disposal activity be
recognized when the liability is incurred. Under EITF No. 94-3, a liability
for an exit cost was recognized at the date of a company's commitment to an
exit plan. SFAS 146 also establishes that the liability should initially be
measured and recorded at fair value. Accordingly, SFAS 146 may affect the
timing of recognizing future restructuring costs as well as the amount
recognized. Adoption of this standard did not have any immediate effect on
the Company's financial statements.
F-48
In January 2003, the Financial Accounting Standards Board issued FASB
Interpretation No. 46, Consolidation of Variable Interest Entities, an
interpretation of Accounting Research Bulletin No. 51, Consolidated
Financial Statements (FIN No. 46). FIN No. 46 explains how to identify
variable interest entities and how an enterprise assesses its interests in
a variable interest entity, to decide whether to consolidate that entity.
The Interpretation requires existing unconsolidated variable interest
entities to be consolidated by their primary beneficiaries if the entities
do not effectively disperse risks among parties involved. FIN No. 46 is
effective immediately for variable interest entities created after January
31, 2003, and to variable interest entities in which an enterprise obtains
an interest after that date. The Interpretation applies in the first fiscal
year or interim period beginning after June 15, 2003, to variable interest
entities in which an enterprise holds a variable interest that it acquired
before February 1, 2003. Adoption of this standard did not have any
immediate effect on the Company's financial statements.
In December 2002, the Financial Accounting Standards Board issued Statement
of Financial Accounting Standards No. 148, Accounting for Stock-Based
Compensation - Transition and Disclosure (SFAS 148), which amends SFAS 123;
Accounting for Stock-Based Compensation, to provide alternative methods of
transition for a voluntary change to the fair value based method of
accounting for stock-based employee compensation. In addition, SFAS 148
amends the disclosure requirements of SFAS 123 to require prominent
disclosures in both annual and interim financial statements about the
method of accounting for stock-based employee compensation and the effect
of the method used in reported financial results. SFAS 148, paragraphs 2(a)
- 2(e), are effective for financial statements for fiscal years ending
after December 15, 2002. SFAS 148, paragraph 2(f), and the amendment to APB
Opinion No. 28, Interim Financial Reporting, shall be effective for
financial reports containing condensed financial statements for interim
periods beginning after December 15, 2002. Earlier adoption is permitted.
Adoption of this standard did not have any immediate effect on the
Company's financial statements.
In April 2003, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 149, Amendment of Statement 133 on
Derivative Instruments and Hedging Activities (SFAS 149), which amends SFAS
133, Accounting for Derivative Instruments and Hedging Activities, to amend
and clarify financial accounting and reporting for derivative instruments
embedded in other contracts (collectively referred to as derivatives) and
hedging activities. SFAS 149 is effective for contracts entered into or
modified after June 30, 2003. Adoption of this standard did not have any
immediate effect on the Company's financial statements.
In May 2003, the Financial Accounting Standards Board issued Statement of
Financial Accounting Standards No. 150, Accounting for Certain Financial
Instruments with Characteristics of Both Liabilities and Equity (SFAS 150),
which establishes standards for how an issuer classifies and measures
certain financial instruments with characteristics of both debt and equity.
It requires that an issuer classify a financial instrument that is within
its scope as a liability (or an asset in some circumstances) because that
financial instrument embodies an obligation to the issuer. Effective June
30, 2003, the Company adopted SFAS 150, which will not have any immediate
effect on the Company's financial statements. Adoption of this standard did
not have any immediate effect on the Company's financial statements.
4. Agreement for Purchase and Sale of Assets
On September 23, 2002 (amended April 10, 2003 and further amended on July
30, 2003), the Company entered into a Sale of Assets agreement with Patient
Infosystems, Inc. ("PATI"), whereby PATI will purchase all of the Company's
assets and assume substantially all of the Company's liabilities in
consideration and exchange for PATI issuing 2,091,366 shares of common
stock. PATI is a public company, listed under the ticker symbol of PATI.
PATI will complete a private placement of securities effective with the
closing of the asset purchase agreement that will result in gross proceeds
of not less than $4,000,000, which shall include $3,400,000 in the form of
debt issued prior to the closing of the Sale of Assets agreement.
As of August 29, 2003, the Company has received $2,850,000 from PATI in
bridge loans for working capital. In conjunction with the agreement, PATI
received warrants to purchase ACS common stock, exercisable only if the
Sale of Assets agreement with PATI is terminated.
Per the amended Credit Agreement, dated July 30, 2003, additional warrants
to purchase 11,220 shares of ACS common stock will be issued as
consideration for increasing the aggregate amount of the loans from
$2,250,000 to $3,400,000. As of August 29, 2003, PATI has received warrants
to purchase 23,905 shares of ACS common stock. No adjustments have been
made in the financial statements for the issuance of these warrants as
management considers their value to be deminimis.
F-49
APPENDIX A
CERTIFICATE OF AMENDMENT TO THE
CERTIFICATE OF INCORPORATION OF
PATIENT INFOSYSTEMS, INC.
It is hereby certified that:
1. The name of the corporation is Patient Infosystems, Inc. (the
"Corporation").
2. The Certificate of Incorporation of the Corporation is hereby amended by
striking out Article 1 in its entirety and by substituting in lieu thereof the
following:
1. The name of the Corporation is American CareSource Corporation.
3. The Certificate of Incorporation of the Corporation is hereby amended by
striking out the first sentence of Article 4(a) thereof and by substituting in
lieu of said sentence the following new sentence:
"The total number of shares which the Corporation shall have authority
to issue is 100,000,000 shares of capital stock, divided into 80,000,000
shares of Common Stock, par value $.01 per share, and 20,000,000 shares of
Preferred Stock, par value $.01 per share."
4. The Certificate of Incorporation of the Corporation is hereby amended by
adding the following Article 4(c):
Effective 12:01 am on __________, 2003 (the "Effective Time") each 1
share of Common Stock of the Corporation issued and outstanding immediately
prior to the Effective Time ("Old Common Stock") shall automatically be
combined, without any action on the part of the holder thereof, into 1/12
of 1 share of fully paid and nonassessable Common Stock of the Corporation
("New Common Stock"), subject to the treatment of fractional share
interests described below.
Following the Effective Time, each holder of Old Common Stock shall be
entitled to receive upon surrender of such holder's certificate(s) representing
Old Common Stock (whether one or more, "Old Certificates") for cancellation
pursuant to procedures adopted by the Corporation, a certificate(s) representing
the number of whole shares of New Common Stock (whether one or more, "New
Certificates") into which and for which the shares of Old Common Stock formerly
represented by such Old Certificates so surrendered are reclassified under the
terms hereof. From and after the Effective Time, Old Certificates shall
represent only the right to receive New Certificates and, where applicable, cash
in lieu of fractional shares, as provided below.
A-1
No fractional shares of Common Stock of the Corporation shall be issued. No
stockholder of the Corporation shall transfer any fractional shares of Common
Stock of the Corporation. The Corporation shall not recognize on its stock
record books any purported transfer of any fractional share of Common Stock of
the Corporation. A holder of Old Certificates at the Effective Time who would
otherwise be entitled to a fraction of a share of New Common Stock shall, in
lieu thereof, be entitled to receive a cash payment in an amount equal to the
fraction to which the stockholder would otherwise be entitled multiplied by the
per share closing bid price of the Common Stock on the day immediately prior to
the Effective Time, as reported the Over-the-Counter Bulletin Board.
5. The amendments of the Certificate of Incorporation herein certified have
been duly adopted in accordance with the provisions of Section 242 of the
General Corporation Law of the State of Delaware.
6. The effective time of the amendments herein certified shall be the date
of filing of this Certificate of Amendment.
IN WITNESS WHEREOF, the Corporation has caused this Certificate of
Amendment to be duly executed in its corporate name on this ___ day of
_________, 2003.
PATIENT INFOSYSTEMS, INC.
By: ________________________
Name:
Title:
A-2
APPENDIX B
PATIENT INFOSYSTEMS, INC.
SECOND AMENDED AND RESTATED STOCK OPTION PLAN
1. Purpose. The PATIENT INFOSYSTEMS, INC. AMENDED AND RESTATED STOCK OPTION
PLAN (hereinafter referred to as the "Plan") is designed to furnish additional
incentive to both key employees and Directors of Patient Infosystems, Inc., a
Delaware corporation (hereinafter referred to as the "Company"), and its parents
or subsidiaries, upon whose judgment, initiative and efforts the successful
conduct of the business of the Company largely depends, by encouraging such
persons to acquire a proprietary interest in the Company or to increase the
same, and to strengthen the ability of the Company to attract and retain in its
employ, or as a member of the Board of Directors, persons of training,
experience and ability. Such purpose will be effected through the granting of
"Incentive Stock Options" within the meaning of Section 422 of the Internal
Revenue Code of 1986, as amended (hereinafter the "Code") and options which do
not qualify as incentive stock options ("Non-Qualified Options").
2. Administration.
(a) The Plan shall be administered by a committee chosen by the Board of
Directors of the Company (the "Committee") and decisions of the Committee
concerning the interpretation and construction of any provisions of the Plan or
of any option granted pursuant to the Plan shall be final. In the absence of the
Committee, the Plan will be administered by the Board of Directors of the
Company. The Company shall effect the grant of options under the Plan in
accordance with the decisions of the Committee, which may, from time to time,
adopt rules and regulations for the carrying out of the Plan. For purposes of
the Plan, an option shall be deemed to be granted when a written Option Contract
is signed on behalf of the Company by a member of the Committee. Subject to the
express provisions of the Plan, the Committee shall have the authority, in its
discretion and without limitation: to determine the individuals to receive
options, the times when such individuals shall receive options, the number of
Shares to be subject to each option, the term of each option, the date(s) on
which each option shall become exercisable, whether an option is subject to
vesting pursuant to Section 5(c) hereof, whether an option shall be exercisable
in whole, in part, or in installments, the number of Shares to be subject to
each installment, the date each installment shall become exercisable, the term
of each installment, the option price of each option, and the terms of payment
for Shares purchased by the exercise of each option; to accelerate the date of
exercise of any installment; and to make all other determinations necessary or
advisable for administering the Plan.
(b) The Committee may grant Incentive Stock Options and Non-Qualified Stock
Options pursuant to a single option agreement so long as each option is clearly
identified as to its status. Notwithstanding anything else contained in the
Plan, if the Committee issues a single option agreement which contains both
Incentive Stock Options and Non-Qualified Stock Options, the exercise of one
cannot affect the exercise of the other.
B-1
3. Eligibility. The persons who shall be eligible to receive options under
the Plan shall be Directors and those employees of the Company, or of any of its
parents or subsidiaries within the meaning of Section 424(e) and (f) of the
Code, who are exempt from the overtime provisions of the Fair Labor Standards
Act of 1938, as amended, by reason of employment in an executive, administrative
or professional capacity under 29 U.S.C. ss. 213(a)(1); provided, however,
Directors, who are not employees of the Company or any of its parents or
subsidiaries, shall not be eligible to receive Incentive Stock Options.
Additionally, no Incentive Stock Option shall be granted to a person who would,
at the time of the grant of such option, own, or be deemed to own for purposes
of Section 422(b)(6) of the Code, more than 10% of the total combined voting
power of all classes of shares of stock of the Company or its parents or
subsidiaries unless at the time of the grant of the Incentive Stock Option both
of the following conditions are met:
(a) The option price is at least 110% of the fair market value of the
shares of stock subject to the Incentive Stock Option, as defined in Section
4(a) hereof, and
(b) the option is, by its terms, not exercisable after the expiration of
five years from the date the Incentive Stock Option is granted.
4. Shares Subject to Options.
(a) Subject to the provisions of Section 5(g) hereof, options may be
granted under the Plan to purchase in the aggregate not more than 3,500,000
shares of the $.01 par value Common Stock of the Company (hereinafter referred
to as "Shares"), which Shares may, in the discretion of the Committee, consist
either in whole or in part of authorized but unissued Shares or Shares held in
the treasury of the Company. Any Shares subject to an option which for any
reason expires or is terminated unexercised as to such Shares shall continue to
be available for options under the Plan.
(b) To the extent the aggregate fair market value, determined as of the
time the option is granted, of Shares for which stock options are exercisable
for the first time by such individual in any calendar year, under all incentive
stock option plans of the Company or in any corporation which is a parent or
subsidiary of the Company, exceeds $100,000, such options shall be treated as
Non-Qualified Options. However, the value of the Shares for which Incentive
Stock Options may be granted to such individual from the Company in a given year
may exceed $100,000.
B-2
5. Terms and Conditions of Options. Options shall be granted by the
Committee pursuant to the Plan and shall be subject to the following terms and
conditions:
(a) Price. Each option shall state the number of Shares subject to the
option and the option price, which, in the case of an Incentive Stock Option,
shall be not less than the fair market value of the Shares with respect to which
the option is granted at the time of the granting of the option. In addition,
the option price shall be at least 110% of fair market value in the case of a
grant of an Incentive Stock Option to a person who would at the time of the
grant, own, or be deemed to own for purposes of Section 422(b)(6) of the Code,
more than 10% of the total combined voting power of all classes of Shares of the
Company or its parents or subsidiaries. For purposes of this subsection, "fair
market value" shall mean:
(i) the mean between the bid and asked price for the Shares on the
business day immediately preceding the date of the grant of the option;
(ii) the most recent sale price for the Shares as of the date of the
grant of the option; or
(iii) such price as shall be determined by the Board of Directors of
the Company in an attempt made in good faith to meet the requirements of
Section 422(b)(4) of the Code.
(b) Term. The term of each option shall be determined by the Committee, but
in no event shall an option be exercisable either in whole or in part after the
expiration of ten years from the date on which it is granted. Notwithstanding
the foregoing, the Committee and an optionee may, by mutual agreement, terminate
any option granted to such optionee under the Plan. In the event of merger,
consolidation, dissolution or liquidation which results in a change of control
as defined in Section 368(c) of the Code (using the attribution rules of Section
318), all unexercised options will become immediately exercisable for a period
of one year, the effectiveness of such expiration shall be conditioned upon the
consummation of any such transaction.
(c) Vesting. The Committee shall determine the vesting schedule, if any,
for each issuance of options hereunder on a case-by-case basis, in its sole
discretion.
(d) Non-Assignment During Life. During the lifetime of the optionee, the
option shall be exercisable only by him and shall not be assignable or
transferable by him, whether voluntarily or by operation of law or otherwise,
and no other person shall acquire any rights therein.
(e) Death of Optionee. In the event that an optionee shall die prior to the
complete exercise of options granted to him under the Plan, such remaining
options may be exercised in whole or in part after the date of the optionee's
death only: (i) by the optionee's estate or by or on behalf of such person or
persons to whom the optionee's rights under the option pass under the optionee's
Will or the laws of descent and distribution; (ii) to the extent that the
optionee was entitled to exercise the option at the date of his death; and (iii)
prior to the expiration of the term of the option.
B-3
(f) Termination of Employment. An Incentive Stock Option shall be
exercisable during the lifetime of the optionee to whom it is granted only if,
at all times during the period beginning on the date of the granting of the
option and ending on the day three months before the date of such exercise, he
is an employee of the Company or any of its parents or subsidiaries, or an
employee of a corporation or a parent or subsidiary of such corporation issuing
or assuming an option granted hereunder in a transaction to which Section 424(a)
of the Code applies; provided, however, that in the case of an optionee who is
disabled within the meaning of Section 22(e)(3) of the Code, the three month
period after cessation of employment during which an Incentive Stock Option
shall be exercisable shall be one year. Notwithstanding the foregoing, no option
shall be exercisable after the expiration of its term thereof. For purposes of
this subsection, an employment relationship will be treated as continuing intact
while the optionee is on military duty, sick leave or other bona fide leave of
absence, such as temporary employment by the Government, if the period of such
leave does not exceed 90 days, or, if longer, so long as a statute or contract
guarantees the optionee's right to re-employment with the Company, or any of its
parents or subsidiaries, or another corporation issuing or assuming an option
granted hereunder in a transaction to which Section 424(a) of the Code applies.
When the period of leave exceeds 90 days and the individual's right to
re-employment is not guaranteed either by statute or by contract, the employment
relationship will be deemed to have terminated on the 91st day of such leave.
(g) Anti-Dilution Provisions. Subject to the provisions of Section 422 of
the Code and the regulations promulgated thereunder, the aggregate number and
kind of Shares available for options under the Plan, and the number and kind of
Shares subject to, and the option price of, each outstanding option shall be
proportionately adjusted by the Committee for any increase, decrease or change
in the total outstanding Shares of the Company resulting from a stock dividend,
recapitalization, merger, consolidation, combination, exchange of Shares or
similar transaction (but not by reason of the issuance or purchase of Shares by
the Company in consideration for money, services or property).
(h) Power to Establish Other Provisions. Subject to the provisions of
Section 422 of the Code and the regulations promulgated thereunder, options
granted under the Plan shall contain such other terms and conditions as the
Committee shall deem advisable.
6. Exercise of Option. Options shall be exercised as follows:
(a) Notice and Payment. Each option, or any installment thereof, shall be
exercised, whether in whole or in part, by giving written notice to the Company
at its principal office, specifying the number of Shares purchased and the
purchase price being paid, and accompanied by the payment of all or such part of
the purchase price as shall be specified in the option, by cash or by certified
or bank check payable to the order of the Company. If a registration statement
covering the issuance of the Shares has not been filed under the Securities Act
of 1933, as amended (hereinafter referred to as the "Act"), and at the time of
exercise is not effective and current in accordance with the requirements of the
Act, then each such notice shall also contain appropriate representations on
behalf of the optionee regarding, among other things, compliance with the Act,
available exemptions from registration, investment intent and restrictions upon
resale of the Shares, as are deemed appropriate by the Company.
Appropriate legends may be placed on any certificate for Shares received by
an optionee pursuant to the exercise of an option in order to give notice of the
transfer restrictions set forth herein, and the Company may cause stop transfer
orders to be placed against such certificates. It shall be a further condition
to any exercise of the option and the purchase of Shares pursuant thereto that
the Company counsel be satisfied that the issuance of such shares will be in
compliance with the Act and any other laws applicable thereto, and the Company
shall be entitled to receive such other information, assurances, documents,
representations or warranties as it or its counsel may reasonably require with
respect to such compliance.
B-4
(b) Issuance of Certificates. Certificates representing the Shares
purchased by the optionee shall be issued as soon as practicable after the
optionee has complied with the provisions of Section 6(a) hereof.
(c) Rights as a Shareholder. The optionee shall have no rights as a
Shareholder with respect to the Shares purchased until the date of the issuance
to him of a Certificate representing such Shares.
(d) Disposition of Shares. Subject to the provisions of Section 6(a)
hereof, any disposition, within the meaning of Section 424(c) of the Code, of
Shares acquired by the exercise of an Incentive Stock Option within two years
from the date of grant of the option or within one year after the transfer of
the Shares to the optionee shall be a disqualifying disposition as defined in
Section 421(b) of the Code; provided, however, that the foregoing holding
periods shall not apply to the disposition of Shares after the death of the
optionee by the estate of the optionee, or by a person who acquired the Shares
by bequest or inheritance or by reason of the death of the optionee. For
purposes of the preceding sentence, in the case of a transfer of Shares by an
insolvent optionee to a trustee, receiver or similar fiduciary in any proceeding
under Title 11 of the United States Code or any similar insolvency proceeding,
neither the transfer, nor any other transfer of such Shares for the benefit of
his creditors in such proceeding, shall constitute a disposition.
(e) Order of Option Exercise. An optionee may exercise the options granted
by the Company under the Plan in any order the optionee chooses regardless of
the chronological order in which the options were granted by the Company.
7. Special Provisions Regarding Option Grants to Non-Employee Directors.
Pursuant to the terms of this Plan, each non-employee Director of this
Corporation shall be entitled to receive a one-time grant of a Non-Qualified
Option, effective upon the date of his/her initial election to the Board of
Directors of the Corporation, to purchase 36,000 Shares. The exercise price for
such option shall equal the fair market value of the Corporation's Common Stock
on the grant date. Each such option shall vest as to exercisability with respect
to the first 20% of the shares subject thereto on the first anniversary date of
the grant date of such option, and as to an additional 20% of the shares subject
thereto on each of the second, third, fourth and fifth anniversary dates of the
grant date. Any such options granted to non-employee Directors of the
Corporation shall be exercisable only during the holder's term as a Director of
the Corporation, and shall automatically expire upon the date that a Director is
no longer serving as a Director, except that an option may be exercisable after
the death, disability, as defined in Section 22(e)(3) of the Code
("Disability"), or retirement from the Board at the age of 65 or thereafter
("Retirement"), of a holder while a Director of the Company at any time until
the earlier to occur of (i) the one year anniversary of the date of death,
Disability, or Retirement and (ii) the expiration of the term of such option. No
shares of Common Stock issuable upon the exercise of an option may be sold,
assigned, pledged or otherwise transferred for a period of six months after the
later to occur of (x) the adoption of the Plan by the Company's shareholders and
(y) the grant of the option, as is specified in Rule 16b-3 (or other period of
time specified in such rule as such rule may be amended from time to time) of
the Securities Exchange Act of 1934, as amended (the "Exchange Act"). It is
intended that this part of the Plan as it applies to option grants to
non-employee Directors will constitute a "formula plan" within the meaning of
Rule 16b-3 under the Exchange Act, and the provisions of the Plan and of any
option agreement made pursuant to the Plan will be interpreted and applied
accordingly. At any time the Committee may suspend or terminate this part of the
Plan and make such additions or amendments thereto as it deems advisable;
provided, that such additions or amendments are made in compliance with Rule
16b-3 of the Exchange Act (as such rule may be amended from time to time); and
provided, further, that the terms of this paragraph shall not be amended more
than once every six months (other than to comply with the federal securities
laws, the Code, or ERISA).
B-5
8. Term of Plan. Options may be granted pursuant to the Plan from time to
time within a period of ten years after the date the Plan is adopted by the
Board of Directors of the Company or the date the Plan is approved by the
holders of a majority of the outstanding Shares of the Company, whichever date
is earlier. However, the Plan shall not take effect until approved by the
holders of a majority of the outstanding Shares of the Company, at a duly
constituted meeting thereof, held within 12 months before or after the date the
Plan is adopted by the Board of Directors.
9. Amendment and Termination of Plan. The Committee, without further
approval of the Shareholders of the Company, may at any time suspend or
terminate the Plan, or may amend it from time to time in any manner; provided,
however, that no amendment shall be effective without prior approval of the
Shareholders of the Company which would: (i) except as provided in Section 5(g)
hereof, increase the maximum number of Shares for which options may be granted
under the Plan; (ii) change the eligibility requirements for individuals
entitled to receive options under the Plan; or (iii) cause Incentive Stock
Options granted or to be granted under the Plan to fail to qualify as Incentive
Stock Options under Section 422 of the Code and the regulations promulgated
thereunder.
10. Shares Reserved. The Board of Directors of the Company shall at all
times during the term of this Plan reserve and keep available such number of
Shares as will be sufficient to satisfy the requirements of this Plan, and shall
pay all original issue taxes on the exercise of options, and all other fees and
expenses necessarily incurred by the Company in connection therewith.
11. Application of Proceeds. The proceeds of the sale of Shares by the
Company under the Plan will constitute general funds of the Company and may be
used by the Company for any purpose.
Date approved by
Board of Directors -
---------------
Shareholders -
--------------------
B-6
Appendix C
AMENDED AND RESTATED AGREEMENT
for
PURCHASE AND SALE OF ASSETS
among
PATIENT INFOSYSTEMS, INC. (PATI)
and
AMERICAN CARESOURCE CORPORATION formerly known as
HEALTH DATA SOLUTIONS, INC.
and
THE STOCKHOLDERS SIGNATORY HERETO
Dated
April 10, 2003
-i-
TABLE OF CONTENTS
Page
ARTICLE 1 PURCHASE AND SALE OF ASSETS........................................2
1.1 Transfer of Assets...............................................2
1.1.1 Tangible Personal Property.......................................2
1.1.2 Contracts and Related Rights.....................................2
1.1.3 Warranties.......................................................2
1.1.4 Advances.........................................................3
1.1.5 Prepaid Items....................................................3
1.1.6 Receivables......................................................3
1.1.7 Governmental Authorizations......................................3
1.1.8 Trade Names......................................................3
1.1.9 Intellectual Property............................................3
1.1.10 Records..........................................................3
1.1.11 Office Leases....................................................3
1.1.12 Tax Refunds......................................................3
1.1.13 Other Assets.....................................................4
1.2 Excluded Assets..................................................4
1.2.1 Corporate Matters................................................4
1.2.2 Transaction Documents............................................4
1.2.3 Funded Plans.....................................................4
1.2.4 Other Excluded Assets............................................4
ARTICLE 2 PAYMENT FOR THE ASSETS.............................................4
2.1 Delivery of the Purchase Consideration...........................4
2.2 Assumption of Liabilities........................................5
2.3 Retained Liabilities.............................................5
2.4 Allocation of Purchase Consideration.............................5
ARTICLE 3 CLOSING 5
3.1 Closing Date.....................................................5
3.2 Conditions to PATI's Obligation to Consummate the Closing........6
3.2.1 Representations and Warranties...................................6
3.2.2 Covenants........................................................6
3.2.3 Deliveries by ACS................................................6
3.2.3.1 Closing Certificate.....................................6
3.2.3.2 Assignment of Contracts.................................6
3.2.3.3 Opinion of ACS Counsel..................................6
3.2.3.4 Shareholder Representation Letter.......................6
3.2.3.5 Conveyance Instruments..................................6
3.2.3.6 Customer Contracts......................................7
3.2.3.7 Vendor/supplier contracts...............................7
3.2.3.8 Contracts...............................................7
3.2.3.9 Consents................................................7
3.2.3.10 Authorizations..........................................7
3.2.4 Possession by PATI...............................................8
3.2.5 Failure to Obtain Third Party Consents...........................8
3.2.6 Voting Agreement.................................................8
3.2.7 Further Assurances by ACS........................................8
3.3 Conditions to ACS's Obligation to Consummate the Agreement.......8
3.3.1 Representations and Warranties...................................8
3.3.2 Covenants........................................................9
3.3.3 Deliveries by PATI...............................................9
3.3.3.1 Closing Certificate.....................................9
3.3.3.2 Assignment of Contracts.................................9
3.3.3.3 Vendor/supplier contracts...............................9
3.3.3.4 Customer Agreements.....................................9
3.3.3.5 Opinion of PATI's Counsel...............................9
3.3.3.6 Authorizations..........................................9
3.3.3.7 Other Agreements and Documents Required for Closing.....9
3.3.4 Private Placement................................................10
3.3.5 Voting Agreement.................................................10
3.3.6 Further Assurances of PATI.......................................10
ARTICLE 4 REPRESENTATIONS AND WARRANTIES.....................................10
4.1 Representations and Warranties of PATI and PATI Stockholders.....10
4.1.1 Organization of PATI.............................................11
4.1.2 Power and Authority..............................................11
4.1.3 Execution, Delivery and Enforceability...........................11
4.1.4 Conflicts........................................................11
4.1.5 Litigation.......................................................11
4.1.6 No Broker........................................................12
4.1.7 Capitalization...................................................12
4.1.8 Filings with the SEC.............................................12
4.1.9 Financial Statements.............................................12
4.1.10 Undisclosed Liabilities..........................................13
4.1.11 Litigation.......................................................13
4.1.12 Legal Compliance.................................................13
4.1.13 Taxes............................................................13
4.1.14 Restrictions.....................................................14
4.1.15 Disclosure.......................................................14
4.2 Representations and Warranties of ACS and ACS Stockholders.......14
4.2.1 Organization of ACS..............................................14
4.2.2 Power and Authority..............................................14
4.2.3 Execution, Delivery and Enforceability...........................15
4.2.4 Conflicts........................................................15
4.2.5 Litigation.......................................................15
4.2.6 ACS Capitalization...............................................15
4.2.7 Subsidiaries.....................................................16
4.2.8 Financial Statements.............................................16
4.2.9 No Undisclosed Liabilities.......................................16
4.2.10 Premises.........................................................17
4.2.11 Title to and Character of Assets.................................17
4.2.12 Contracts........................................................17
4.2.13 Accounts Receivable..............................................18
4.2.14 Employee Matters; Employee Benefit Plans.........................18
4.2.15 Governmental Authorizations......................................19
4.2.16 Consents.........................................................19
4.2.17 Insurance........................................................19
4.2.18 Intellectual Property............................................19
4.2.19 Litigation.......................................................20
4.2.20 Legal Compliance.................................................20
4.2.21 Taxes............................................................20
4.2.22 ACS Restrictions.................................................21
4.2.23 No HSR Filing Required...........................................21
4.2.24 No Broker........................................................21
4.2.25 Solvency.........................................................21
4.2.26 Disclosure.......................................................21
4.2.27 Conditions Affecting Business....................................21
4.2.28 Sufficiency of Assets............................................22
4.2.29 No Corporate Practice............................................22
4.3 Representations and Warranties of Each Signing Stockholder.......22
4.3.1 Legal Capacity...................................................22
4.3.2 Execution, Delivery, and Enforceability..........................22
4.3.3 Conflicts........................................................22
4.3.4 Compliance With Applicable Laws..................................23
ARTICLE 5 COVENANTS..........................................................23
5.1 Best Efforts to Consummate the Sale..............................23
5.2 Access to ACS and PATI...........................................23
5.3 Operation of ACS and PATI Pending the Sale.......................23
5.3.1 Representations and Warranties...................................23
5.3.2 Operate the Business in the Ordinary Course......................24
5.3.3 Maintain Goodwill................................................24
5.3.4 No Material Adverse Change.......................................24
5.3.5 No Dividends.....................................................24
5.3.6 Maintain Assets..................................................24
5.3.7 Disposition of Assets............................................24
5.3.8 Acquisition of Assets............................................24
5.3.9 Borrow Money.....................................................24
5.3.10 Make Payments....................................................25
5.3.11 Pay Taxes........................................................25
5.3.12 No Liens.........................................................25
5.3.13 No Changes to Contracts..........................................25
5.3.14 Perform Obligations..............................................25
5.3.15 Insurance Coverage...............................................25
5.3.16 No Changes in Accounting Principles..............................25
5.3.17 Benefit Plans....................................................25
5.3.18 Loans to Affiliates..............................................26
5.3.19 Payments to Affiliates...........................................26
5.3.20 No Agreements Concerning the Foregoing...........................26
5.4 Changes to the Information Disclosed on the Schedules............26
5.5 Representations, Warranties, and Covenants.......................26
5.6 Satisfaction of the Closing Conditions...........................26
5.7 No Shopping......................................................27
5.8 Funding of Operations............................................27
5.9 Transferability of PATI Common Stock.............................27
ARTICLE 6 INDEMNIFICATION....................................................28
6.1 Survival; Indemnification Obligation.............................28
6.1.1 Survival.........................................................28
6.1.2 Indemnification by ACS and Sellers...............................28
6.1.3 Indemnification by PATI..........................................28
6.2 Indemnification Procedure........................................29
6.2.1 Defense of a Claim...............................................29
6.2.2 Participation of the Indemnitee..................................29
6.2.3 Settlement of Claims.............................................29
6.2.4 Cooperation......................................................29
ARTICLE 7 POST-CLOSING COVENANTS.............................................30
7.1 Tax Liabilities..................................................30
7.2 Assumed Liabilities..............................................30
7.3 Payments Received................................................30
7.4 Access to Records................................................30
7.5 Employees........................................................30
7.6 Use of Name......................................................31
7.7 Non-Competition..................................................32
7.8 No Disclosure of Confidential Information........................32
7.8.1 Non-Disclosure Obligation of Sellers.............................32
7.8.2 Non-Disclosure Obligation of PATI................................32
7.8.3 Judicial Enforcement.............................................32
7.9 Reasonableness...................................................33
7.10 Private Placement................................................33
7.11 Cooperation......................................................33
ARTICLE 8 TERMINATION........................................................34
8.1 Termination of this Agreement....................................34
8.1.1 Consent..........................................................34
8.1.2 Breach by the ACS................................................34
8.1.3 Breach by PATI...................................................34
8.1.4 Outside Date.....................................................34
8.2 Effect of Termination............................................34
8.3 Disclosure of this Agreement.....................................35
ARTICLE 9 MISCELLANEOUS......................................................35
9.1 Publicity........................................................35
9.2 Transaction Costs................................................35
9.3 Definitions......................................................35
9.3.1 Affiliate........................................................35
9.3.2 Applicable Law...................................................35
9.3.3 Assets...........................................................36
9.3.4 Assignment of Contracts..........................................36
9.3.5 Assumed Liabilities..............................................36
9.3.6 Audited Financial Statements.....................................36
9.3.7 Beneficial Stockholder...........................................36
9.3.8 Benefit Plans....................................................36
9.3.9 Business.........................................................36
9.3.10 Claims...........................................................36
9.3.11 Closing..........................................................37
9.3.12 Closing Date.....................................................37
9.3.13 COBRA............................................................37
9.3.14 Code.............................................................37
9.3.15 Confidential Information.........................................37
9.3.16 Consent..........................................................37
9.3.17 Contracts........................................................37
9.3.18 Covenant Not to Compete..........................................37
9.3.19 Customer Contracts...............................................37
9.3.20 Customer Services................................................38
9.3.21 Document.........................................................38
9.3.22 ERISA............................................................38
9.3.23 Excluded Assets..................................................38
9.3.24 Financial Statements.............................................38
9.3.25 GAAP.............................................................38
9.3.26 Governmental Authorizations......................................38
9.3.27 Governmental Authority...........................................39
9.3.28 Indemnitee.......................................................39
9.3.29 Indemnitor.......................................................39
9.3.30 Insurance Policy.................................................39
9.3.31 Intellectual Property............................................39
9.3.32 Lawsuit..........................................................39
9.3.33 Lien.............................................................39
9.3.34 Material Adverse Change..........................................40
9.3.35 Most Recent Balance Sheet........................................40
9.3.36 Non-Compete Period...............................................40
9.3.37 Non-Disclosure Obligation........................................40
9.3.38 Office Lease.....................................................40
9.3.39 PATI Indemnitees.................................................40
9.3.40 Person...........................................................40
9.3.41 Permitted Liens..................................................40
9.3.42 Premises.........................................................40
9.3.43 Purchase Consideration...........................................41
9.3.44 Retained Liabilities.............................................41
9.3.45 SEC..............................................................41
9.3.46 Seller Indemnitees...............................................41
9.3.47 Tangible Personal Property.......................................41
9.3.48 Tax..............................................................41
9.3.49 Tax Return.......................................................41
9.3.50 Transaction Documents............................................41
9.3.51 Vendor/supplier contracts........................................42
9.4 Property Taxes...................................................42
9.5 Entire Agreement.................................................42
9.6 Amendments.......................................................42
9.7 Assignments......................................................42
9.8 Further Assurances...............................................42
9.9 Binding Effect...................................................42
9.10 Headings.........................................................43
9.11 Notices..........................................................43
9.12 Severability.....................................................44
9.13 Waivers..........................................................44
9.14 Pronouns.........................................................44
9.15 Third Parties....................................................44
9.16 Enforcement Costs................................................44
9.17 Remedies Cumulative..............................................45
9.18 Counterparts.....................................................45
9.19 Governing Law....................................................45
9.20 Preparation of Agreement.........................................45
9.21 Survival.........................................................45
9.22 Inducement to Transaction........................................46
9.23 Arbitration......................................................46
a. Arbitrators...........................................................46
b. Applicable Rules......................................................46
9.24 Schedules........................................................47
AMENDED AND RESTATED AGREEMENT
FOR PURCHASE AND SALE OF ASSETS
THIS AMENDED AND RESTATED AGREEMENT FOR THE PURCHASE AND SALE OF ASSETS
(this "Agreement") dated as of April 10, 2003, (the "Effective Date") is entered
into by and among Patient Infosystems, Inc., a Delaware corporation ("PATI"),
and each signatory stockholder of PATI executing this Agreement (each
individually and collectively, whether one (1) or more, the "PATI
Stockholders"), on the one hand, and American CareSource Corporation, an Indiana
corporation ("ACS"), and each signatory beneficial stockholder of ACS executing
this Agreement (each individually and collectively, whether one (1) or more, the
"ACS Stockholders"), on the other hand. ACS and the ACS Stockholders are
collectively referred to herein as the "Sellers." For purposes of this
Agreement, schedules attached hereto, as indicated, amend and/or restate the
schedules originally provided in the original Agreement for Purchase and Sale of
Assets dated as of September 23, 2002. If no change is indicated, the schedules
as initially attached to the original Agreement for Purchase and Sale of Assets
dated as of September 23, 2002 shall remain as the schedules for this Agreement.
RECITALS
A. Whereas, ACS is in the business (the "Business") of providing and servicing
modular software packages that fully automate claims processing for third
party payers and managed care organizations as well as managing a national
network of ancillary service providers including case management and a call
center.
B. Whereas, ACS has acquired by purchase all of the assets and assumed the
operating liabilities of the business of ACSC, Inc. formerly known as
American CareSource Corporation, a Delaware corporation ("ACSC, Inc.")
pursuant to an Agreement for the Purchase and Sale of the Assets of ACSC,
Inc. dated November 1, 2000, and closed as of July 31, 2001, pursuant to
which the business of ACS includes the operations, assets, and liabilities
of ACSC, Inc.; and
C. Whereas, PATI desires to purchase from ACS, and ACS desires to sell to
PATI, all of the Assets used by ACS in its Business and PATI desires to
assume all of the operating liabilities and other business related
liabilities of ACS as set forth in the Most Recent Balance Sheet at Closing
and as otherwise set forth herein, all in consideration and exchange for
PATI issuing to ACS 2,091,366 shares of common stock of PATI which amount
gives effect to and is to be issued after the completion of a 1 for 12
reverse stock split and as described more specifically in Schedule (i)
hereto); and
D. Whereas, as a material inducement to PATI to purchase the Assets and assume
the Liabilities, and to Sellers to sell the Assets, PATI and Sellers desire
to make certain representations and warranties to the other and agree to be
bound by certain covenants and obligations as hereinafter provided; and
E. Whereas, the parties to this Agreement acknowledge that it is their
intention that the entire business operation and all tangible and
intangible assets and liabilities together with all obligations to
employees of ACS are intended to be transferred and conveyed to PATI and
that ACS will have no remaining material business operations subsequent to
the Closing; and
F. Whereas, PATI has entered into a Credit Agreement dated of even date
herewith with ACS (the "Credit Agreement") pursuant to which PATI has
agreed to loan to ACS up to $2,500,000, for which it has received a warrant
to purchase common stock of ACS; and
G. Whereas, the parties have entered into an Agreement for Purchase and Sale
of Assets dated as of September 23, 2002 (the "Original Agreement")
providing for the purchase and sale of the assets in accordance therewith;
and
H. Whereas, the parties have determined to make amendments to the Original
Agreement as set forth herein, and to amend and restate the Original
Agreement such that the Original Agreement shall be replaced in its
entirety by this Agreement as follows.
NOW, THEREFORE, in consideration of the recitals, mutual covenants,
representations, warranties and agreements hereinafter set forth, the parties
hereby agree as follows: ARTICLE 1 PURCHASE AND SALE OF ASSETS 1.1 Transfer of
Assets
Subject to the terms and conditions set forth in this Agreement, and in
consideration for the issuance to ACS of 2,091,366 shares of common stock of
PATI which amount gives effect to and is to be issued after the completion of a
1 for 12 reverse stock split and as described more specifically in Schedule (i)
hereto (the "Initial Consideration"), ACS agrees to sell, convey, transfer,
assign and deliver to PATI, and PATI agrees to purchase from ACS as of the
Effective Date all of the Assets, including, without limitation, the following
(except to the extent any of the following are specifically enumerated as
Excluded Assets pursuant to Section 1.2.). 1.1.1 Tangible Personal Property.
All rights, title and interest in and to all Tangible Personal Property,
including, without limitation, all items listed on Schedule 1.1.1.
1.1.2 Contracts and Related Rights.
All rights, title and interest in and to each contract, agreement,
arrangement, lease, understanding or commitment, written or oral, set forth on
Schedule 1.1.2, including, without limitation, all Contracts;
1.1.3 Warranties.
All express or implied warranties received from vendors, manufacturers or
suppliers or other third parties with respect to any Asset; 1.1.4 Advances.
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All utility and other deposits and advances made by ACS to any Person;
1.1.5 Prepaid Items.
All prepaid items including, without limitation, insurance, advertising and
business licenses;
1.1.6 Receivables.
All notes receivable and accounts receivable payable to ACS and all work in
progress;
1.1.7 Governmental Authorizations.
All Governmental Authorizations that relate to a Seller, the Business or
the Assets;
1.1.8 Trade Names.
All rights to trade names (including the name "American CareSource")
trademarks (or application therefor), logos, proprietary designs and service
marks (or application therefor), in each case together with all registrations
thereof, all common and civil law rights thereto, all rights to royalties or
fees paid by others in respect thereof, and all claims or causes of action for
infringement thereof;
1.1.9 Intellectual Property.
All rights, title and interest in and to all Intellectual Property,
including all software, computer programs, codes and the like;
1.1.10 Records.
All existing customer, supplier, manufacturer, provider and vendor lists,
files, payment invoices and billing records, all financial records, documents or
data of ACS and all other existing marketing information and accounting and
financial information;
1.1.11 Office Leases.
All rights, title and interest of ACS as tenant under or in connection with
the Leases described on Schedule 1.1.11 (the "Office Leases and Premises")
relating to the premises, also as described on Schedule 1.1.11; and
1.1.12 Tax Refunds.
The rights to any of ACS's claims for any federal, state, local, or foreign
Tax refunds;
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1.1.13 Other Assets.
All rights, title and interest in and to all other tangible and intangible
assets of ACS used in or related to the Business.
At Closing, the Assets shall be conveyed to PATI free and clear of all
Liens other than Permitted Liens.
1.2 Excluded Assets.
Notwithstanding the foregoing, the Assets shall not include any of the
following Excluded Assets:
1.2.1 Corporate Matters.
The corporate seals, certificates of incorporation, minute books, stock
books, tax returns, or other records having to do with the corporate
organization of ACS or any ACS Stockholder;
1.2.2 Transaction Documents.
The rights that accrue or will accrue to ACS under this Agreement or the
other Transaction Documents;
1.2.3 Funded Plans.
The funded portion, if any, of any pension or profit-sharing plan of ACS;
1.2.4 Other Excluded Assets.
The excluded assets described on Schedule 1.2.4.
ARTICLE 2
PAYMENT FOR THE ASSETS
2.1 Delivery of the Purchase Consideration.
In addition to, and without limiting any other provisions of this
Agreement, in consideration of the sale of the Assets to PATI by ACS, PATI
agrees to deliver to ACS or cause to be delivered to ACS at or prior to the
Closing, the common stock of PATI and a written assumption by PATI of the
Assumed Liabilities, as hereinafter defined, against delivery of the Assets, and
PATI agrees to issue to ACS 2,091,366 shares of common stock of PATI which
amount gives effect to and is to be issued after the completion of a 1 for 12
reverse stock split and as described more specifically in Schedule (i) hereto)
on the date of the Closing of the transaction as contemplated herein.
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2.2 Assumption of Liabilities.
At the Closing, as part of the consideration for this transaction, ACS
shall assign to PATI all of its rights, title, interest and obligations in and
to, and PATI shall specifically assume for all purposes as of the Closing Date
and agree to pay when due and otherwise discharge and perform thereunder, or, at
PATI's option, satisfy as of the Closing Date, only the obligations and
liabilities set forth on Schedule 2.2 (the "Assumed Liabilities"). PATI agrees
to indemnify and hold Sellers harmless from any and all claims and liabilities
specifically assumed by PATI as set forth herein.
2.3 Retained Liabilities.
Except as specifically set forth in Schedule 2.3 "Retained Liabilities",
PATI shall assume, pay and discharge all liabilities of the Sellers as set forth
in Schedule 2.2 the "Assumed Liabilities". All liabilities, obligations,
commitments, debts or other amounts payable by Sellers not included in the
Assumed Liabilities shall not be transferred to PATI hereby. ACS shall retain
and discharge all Retained Liabilities, including but not limited to those
certain specified Retained Liabilities set forth on Schedule 2.3.
2.4 Allocation of Purchase Consideration.
The Purchase Consideration and the liabilities assumed by PATI pursuant to
Section 2.1 and Section 2.2 shall be allocated for Tax reporting purposes in the
manner set forth on Schedule 2.4 for all purposes, including the filing of any
Tax Returns.
ARTICLE 3
CLOSING
3.1 Closing Date.
Subject to the provisions of this Agreement, and subject to the approval by
the stockholders of PATI of all matters necessary for PATI to complete the
Closing, and the satisfaction by PATI of all requirements of the Securities and
Exchange Commission (the "SEC") in connection therewith, the Closing shall be
held as soon as practicable at the offices of American CareSource Corporation,
8080 Tristar Drive, Suite 100, Irving, Texas 75063, at 2:00 P.M., local time.
Notwithstanding anything herein to the contrary, if the Closing has not occurred
by August 31, 2003 for any reason other than the determination of the Securities
and Exchange Commission to review the proxy statement filed by PATI in
connection with soliciting approval from its stockholders for the transaction,
either ACS or PATI may terminate this Agreement by serving the other party with
written notice of such termination. In the event the Securities and Exchange
Commission has determined to review the proxy statement filed by PATI in
connection with soliciting approval from its stockholders for the transaction,
the Closing may occur at any time prior to November 30, 2003 and either ACS or
PATI may terminate this Agreement by serving the other party with written notice
of such termination after such date. PATI shall provide ACS with copies of any
proxy statement filed or to be filed with the SEC relating to this transaction,
all exhibits, amendments thereto and any and all correspondence between PATI and
the SEC relating thereto, as soon as reasonably possible.
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3.2 Conditions to PATI's Obligation to Consummate the Closing.
PATI's obligation to consummate the Closing shall be subject to the
satisfaction on or prior to the Closing Date of the following conditions, which
PATI may only waive in writing:
3.2.1 Representations and Warranties.
The representations and warranties of ACS set forth in this Agreement
shall have been correct and complete in all material respects as of the
date of this Agreement and shall be correct and complete in all material
respects as of the Closing Date as though made as of such time.
3.2.2 Covenants.
ACS shall have performed all agreements, covenants, and obligations
that it is required to perform under this Agreement prior to the Closing
Date.
3.2.3 Deliveries by ACS.
At or prior to the Closing Date, in consideration of the payment of
the Purchase Consideration and the execution and delivery by PATI of all
Transaction Documents to which PATI is a party, ACS shall execute and
deliver to PATI:
3.2.3.1 Closing Certificate.
A certificate, signed by an officer of ACS acceptable to PATI,
confirming the satisfaction of the conditions set forth in Sections
3.2.1 and 3.2.2.
3.2.3.2 Assignment of Contracts.
The Assignment of Contracts duly executed by ACS, pursuant to
which ACS shall assign to PATI or its designee all of ACS's rights,
title and interest in, to, and under the Contracts, free and clear of
all Liens.
3.2.3.3 Opinion of ACS Counsel.
An opinion of legal counsel acceptable to PATI, dated the Closing
Date, in the form attached hereto as Exhibit A.
3.2.3.4 Shareholder Representation Letter.
A representation letter in the form attached hereto as Exhibit B
executed by each ACS Stockholder.
3.2.3.5 Conveyance Instruments.
A bill of sale and such other deeds, certificates of title,
assignments, assurances and other instruments and documents as PATI
may reasonably request in order to effect the sale, conveyance,
transfer and assignment of the Assets to PATI, against delivery of the
Purchase Consideration therefor, and such other documents, instruments
or certificates as shall be reasonably requested by PATI or its
counsel.
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3.2.3.6 Customer Contracts.
All customer contracts duly executed.
3.2.3.7 Vendor/supplier contracts.
The Vendor/supplier contracts, duly executed.
3.2.3.8 Contracts.
All of the Contracts and copies of all Documents relating to the
Assets.
3.2.3.9 Consents.
All Consents required to be obtained or given on behalf of ACS in
order to consummate the transactions contemplated by this Agreement
and the other Transaction Documents.
3.2.3.10 Shareholders Agreement.
Each of the PATI Shareholders and the ACS Stockholders shall have
executed the Shareholders Agreement, in the form attached as Exhibit I
hereto.
3.2.3.11 Letter of Credit.
ACS and Eric Brauss will cause to be extended through a date no
earlier than March 31, 2004 the Letter of Credit issued by Bank of
America for the benefit of ACS to Pinnacol Assurance of the State of
Colorado. PATI shall agree to replace this Letter of Credit in the
event PATI completes a public or private offering the gross proceeds
of which exceed $15 million to PATI.
3.2.3.12 Today Financial Corporation.
Each of Eric Brauss, Today Financial Corporation and each related
entity and Affiliate thereof, shall agree to hold all indebtedness
from ACS in abeyance until March 31, 2007, and to not demand repayment
of principal or accrued interest unless required in accordance with
the terms of the promissory note relating thereto. Any prepayments
made by PATI of the above debt shall be made pari passu among all of
the outstanding indebtedness to John Pappajohn, Derace Schaffer and
Today Financial Corporation and related entitled and affiliates owned
or controlled by Eric Brauss.
3.2.3.12 Authorizations.
A certified resolution of the Board of Directors and stockholders
of ACS executed prior to the date of this Agreement (which consent of
stockholders shall be irrevocable) authorizing the execution, delivery
and performance of this Agreement and each other document, agreement,
instrument or certificate to which such person is a party and the
transactions contemplated herein and therein.
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3.2.4 Possession by PATI.
Simultaneously with the consummation of the transfer of the Assets and
the assumption of the Assumed Liabilities, as well as the issuance of the
common stock of PATI to the Sellers, ACS and its respective officers,
partners, agents and employees, as appropriate, will put PATI into full
possession and enjoyment of all Assets to be conveyed and transferred by
this Agreement.
3.2.5 Failure to Obtain Third Party Consents.
To the extent that ACS's rights under any Contract, Governmental
Authorization or other Asset to be assigned to PATI hereunder may not be
assigned without the Consent of another person which has not been obtained
at Closing, this Agreement shall not constitute an agreement to assign the
same if an attempted assignment would constitute a breach thereof or be
unlawful, and ACS, at its expense, shall use its best efforts to obtain any
such required consent(s) as promptly as possible.
3.2.6 Voting Agreement.
The Voting Agreement in the form attached hereto as Exhibit D shall
have been executed by each of the ACS Stockholders on and as of the date of
this Agreement and shall remain in full force and effect on the date of the
Closing.
3.2.7 Further Assurances by ACS.
ACS at any time before or after the Closing Date will execute,
acknowledge and deliver any further assignments, conveyances and other
assurances, documents and instruments of transfer reasonably requested by
PATI, and will take any other action consistent with the terms of this
Agreement that may reasonably be requested by PATI for the purpose of
assigning, transferring, granting, conveying and confirming to PATI, or
reducing to possession, any or all of the Business and Assets, including
contacting vendors/suppliers, customers and suppliers.
3.3 Conditions to ACS's Obligation to Consummate this Agreement.
ACS's obligation to consummate this Agreement shall be subject to and
conditioned upon the satisfaction, on or prior to the Closing Date of the
following conditions, which ACS may only waive in writing:
3.3.1 Representations and Warranties.
The representations and warranties of PATI set forth in this Agreement
shall have been correct and complete in all material respects as of the
date of this Agreement and shall be correct and complete in all material
respects as of the Closing Date as though made as of such time.
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3.3.2 Covenants.
PATI shall have performed all agreements, covenants, and obligations
that it is required to perform under this Agreement prior to the Closing
Date, including but not limited to the covenant referenced in Section 7.10
hereof.
3.3.3 Deliveries by PATI.
In addition to, and without limiting any other provisions of this
Agreement, in consideration of the sale of the Assets to PATI by ACS, PATI
agrees to deliver or cause to be delivered at or prior to the Closing the
following:
3.3.3.1 Closing Certificate.
A certificate, signed by an officer of PATI, confirming the
satisfaction of the conditions set forth in Sections 3.3.1 and 3.3.2.
3.3.3.2 Assignment of Contracts
The Assignment of Contracts, duly accepted by PATI;
3.3.3.3 Vendor/supplier contracts.
The Vendor/supplier contracts, duly accepted by PATI.
3.3.3.4 Customer Agreements.
The Customer Agreements duly accepted by PATI.
3.3.3.5 Opinion of PATI's Counsel.
An opinion of legal counsel, acceptable to ACS, dated the Closing
Date, in the form attached hereto as Exhibit C.
3.3.3.6 Authorizations.
A certified copy of resolutions adopted by the Board of Directors
and PATI Stockholders authorizing the execution and delivery of this
Agreement and the transactions contemplated herein; and
3.3.3.7 Shareholders Agreement.
A Shareholders Agreement, in the form attached as Exhibit I
hereto, shall be executed as of the date of Closing, by and among
certain shareholders, including John Pappajohn and Derace Schaffer, of
PATI together with Mark Bodnar and the ACS Stockholders.
3.3.3.8 Amendment to By-Laws.
An executed corporate document and appropriate effectuated
changes to the corporate by-laws of PATI in the form attached hereto
as Exhibit E.
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3.3.3.9 Indebtedness.
Each of John Pappajohn and Derace Schaffer, shall have agreed to
hold all indebtedness outstanding as of the date of this Agreement
from PATI to them in abeyance until September 30, 2004 (exclusive of
any indebtedness referred to in Section 5.3.9 hereto), and to not
demand repayment of principal or accrued interest unless required by
the terms of the promissory notes relating thereto. Any prepayments
made by PATI of the above debt shall be made pari passu among all of
the outstanding indebtedness to John Pappajohn, Derace Schaffer and
Today Financial Corporation and related entitled and affiliates owned
or controlled by Eric Brauss.
3.3.3.10 Wells Fargo Bank.
Written documentation shall have been provided that the bank debt
of PATI to Wells Fargo Bank has been renegotiated so as to provide a
grace and forbearance period until December 31, 2003, before any
principal payments are required and that John Pappajohn and Derace
Schaffer will remain guarantors of such bank debt if required by Wells
Fargo Bank.
3.3.4 Private Placement
The private placement of securities referred to in Section 7.10 of
this Agreement shall be funded to the full extent of the Minimum Amount
described therein into an escrow account to be released immediately
following the Closing.
3.3.5 Voting Agreement.
The Voting Agreement in the form attached hereto as Exhibit D shall
have been executed by each stockholder of PATI owning more than 10% of the
outstanding shares of the common stock of PATI on and as of the date of
this Agreement and shall remain in full force and effect on the date of the
Closing.
3.3.6 Further Assurances of PATI.
PATI shall at any time before or after the Closing Date cooperate with
ACS by furnishing any additional information, executing and delivering any
additional documents and instruments and doing any and all such other
things as may be reasonably required by ACS or its counsel to consummate or
otherwise implement the transactions contemplated by this Agreement.
ARTICLE 4
REPRESENTATIONS AND WARRANTIES
4.1 Representations and Warranties of PATI and PATI Stockholders.
All representations and warranties of PATI and the PATI Stockholders made
herein shall survive for twelve (12) months after Closing shall be made as of
the date of this Agreement, subject generally to the exceptions provided for in
the Schedules hereto. Subject to the limitation of the preceding sentence, PATI
and the PATI Stockholders represent and warrant to ACS and the ACS Stockholders
as follows (it being agreed that all representations and warranties contained in
this Section 4.1 shall be made, with respect to the PATI Stockholders, to the
best knowledge of the PATI Stockholders):
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4.1.1 Organization of PATI.
PATI is a corporation duly organized, validly existing and in good
standing under the laws of the State of Delaware.
4.1.2 Power and Authority.
PATI possesses the requisite power and authority to execute, deliver
and perform this Agreement and each other Transaction Document to which it
is a party without obtaining any approval, authorization, consent or waiver
or giving any notice, other than approvals which it has properly obtained
other than approvals of its Stockholders contemplated in Section 3.1
hereof. PATI possesses the requisite power and authority to own its
respective properties and carry on its respective business as presently
conducted.
4.1.3 Execution, Delivery and Enforceability.
PATI and the PATI Stockholders have duly authorized, executed and
delivered this Agreement and each other Transaction Document to which they
are a party and this Agreement and each other such Transaction Document
constitutes a valid, legal and binding obligation of PATI and the PATI
Stockholders enforceable against PATI and the PATI Stockholders in
accordance with its terms.
4.1.4 Conflicts.
PATI's execution, delivery or performance of this Agreement and the
other Transaction Documents to which it is a party will not conflict with
or constitute a breach or violation of, or result in a Lien against or give
rise to any default or right of acceleration, cancellation or termination
with respect to, any Document to which PATI is a party or by which PATI's
assets are bound (or give rise to an event that with notice, lapse of time
or both would result in such a conflict, breach, violation, Lien, default
or right) including the certificate of incorporation and the by-laws of
PATI.
4.1.5 Litigation.
No Lawsuit by or before any court or other Governmental Authority
exists or is pending or threatened that would prohibit PATI from
consummating the transactions contemplated by this Agreement and any other
Transaction Document to which PATI is a party or seeks damages with respect
to the transactions contemplated hereby and thereby. No lawsuit by or
before any court or other governmental authority exists or is pending or
threatened to which PATI is or may become a party.
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4.1.6 No Broker.
Other than as set forth on Schedule 4.1.6, PATI and PATI Stockholders
have no obligation or liability to any broker, finder or other person for
any broker or similar services with respect to the transactions
contemplated by this Agreement and the other Transaction Documents.
4.1.7 Capitalization.
(a) Schedule 4.1.7 (a) sets forth the authorized capital stock of PATI and
the number of outstanding shares of capital stock of PATI as of the
Closing Date. All of the issued and outstanding shares of capital
stock of PATI have been duly authorized, validly issued and are fully
paid, non-assessable and free of preemptive rights with no personal
liability attaching to the ownership thereof. Except as set forth on
Schedule 4.1.7(a) PATI does not have and is not bound by any
outstanding subscriptions, options, warrants, calls, commitments or
agreements of any character calling for the purchase or issuance of
any shares of common stock of PATI or any other equity security of
PATI or any securities representing the right to purchase or otherwise
receive any shares of common stock of PATI or any other equity
security of PATI other than as provided for in this Agreement. Except
as set forth on Schedule 4.1.7(a), there are no bonds, debentures,
notes, shares of preferred stock or other indebtedness of PATI having
the right to vote (or convertible into, or exchangeable for securities
having the right to vote) on any matters on which the stockholders of
PATI may vote.
(b) Except as disclosed on Schedule 4.1.7(b), there are no agreements or
understandings, with respect to the voting of any shares of common
stock of PATI or which restrict the transfer of such shares, to which
PATI is a party and there are no such agreements or understandings to
which PATI is a party with respect to the voting of any such shares or
which restrict the transfer or such shares, other than applicable
federal and state securities laws.
4.1.8 Filings with the SEC.
PATI has made all filings with the SEC (the "Public Reports") that it
has been required to make under the Securities Act of 1933, as amended (the
"Securities Act") and the Securities Exchange Act of 1934, as amended (the
"Exchange Act"). Each of the Public Reports has complied with the
Securities Act and Exchange Act in all material respects.
4.1.9 Financial Statements.
PATI has filed an annual report on Form 10-K for the fiscal year ended
December 31, 2002. The financial statements included in or incorporated by
reference into this annual report (including related notes and schedules)
have been prepared in accordance with GAAP applied on a consistent basis
throughout the periods covered thereby, present fairly the financial
condition of PATI as of the indicated dates and the results of operations
of PATI for the indicated periods, are correct and complete in all material
respects, and are consistent with the books and records of PATI.
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4.1.10 Undisclosed Liabilities.
Except for (i) for liabilities incurred since the fiscal year ended
December 31, 2002 in the ordinary course of business consistent with past
practice, (ii) liabilities contemplated herein, (iii) liabilities that
would not have a material adverse effect on the business or financial
condition of PATI, or (iv) liabilities as disclosed on Schedule 4.1.10,
PATI does not have any liabilities or obligations, contingent or otherwise,
that would be required to be disclosed, reflected or reserved against in a
consolidated balance sheet of PATI (including the related notes thereto,
where appropriate) prepared in accordance with GAAP which are not
adequately reserved or reflected on the balance sheet of PATI for the
fiscal year ended December 31, 2002.
4.1.11 Litigation.
Schedule 4.1.11 attached hereto is a true and complete list of all
Lawsuits brought in the two years preceding the date of this Agreement,
currently pending or, to the knowledge of PATI or the PATI Stockholders,
threatened against or affecting PATI or any of its property or business, at
law or in equity, or before or by and federal, state, municipal or other
governmental department, commission, board, bureau, agency or
instrumentality, domestic or foreign. PATI has no knowledge of any state of
facts or contemplated event that may reasonably be expected to give rise to
any such claim, action, review, suit, proceeding or investigation. PATI is
not operating under, or subject to, or in default with respect to, any
order, writ, injunction or decree of any court or governmental agency or
body, domestic or foreign.
4.1.12 Legal Compliance.
(a) Except as set forth on Schedule 4.1.12, PATI is not now conducting or
carrying on its business or affairs, and has not at any prior time
conducted or carried on its business or affairs, in violation of any
Applicable Law, which violation could have a material adverse effect
on the financial condition, business, operations or prospects of PATI,
its assets or its business taken as a whole.
(b) Except as set forth on Schedule 4.1.12, neither PATI nor its
stockholders, directors, employees or agents, directly or indirectly,
have given any gift or similar benefit to any third party payer,
government representative, government employee or other person or
entity which might subject any person or entity to damages or
penalties in a civil or criminal proceeding or might have had a
material adverse effect on its business if not given or might have a
material adverse effect on the business if not continued.
4.1.13 Taxes.
PATI has filed federal, state, local or foreign Tax Returns that it
was required to file. All such Tax Returns were correct and complete in all
material respects. All Taxes (whether or not shown on any Tax Return) have
been paid. There are no Liens on any of the Assets that arose in connection
with any failure (or alleged failure) of PATI to pay any Tax.
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4.1.14 Restrictions.
Except as disclosed on Schedule 4.1.14 attached hereto, PATI is not
party to any arrangement or Document, oral or written, or subject to any
charter or other corporate restriction or any judgment, order, writ,
injunction, or decree which materially affects or restricts or may in the
future materially affect or restrict, the business, operations, assets,
properties, prospects or condition (financial or otherwise) of PATI's
business or assets after consummation of the transactions contemplated
hereby.
4.1.15 Disclosure.
Except as set forth in Schedule 4.1.15 PATI is not aware of any
material facts concerning PATI that it has not disclosed to ACS in this
Agreement. PATI has fully, accurately and completely provided ACS with all
information that ACS requested when deciding whether to enter into this
Agreement. No representation, warranty or statement of PATI contained in
this Agreement or the other Transaction Documents contains any untrue
statement or omits to state a fact necessary to make such representation,
warranty or statement not misleading in any material respect.
4.2 Representations and Warranties of ACS and ACS Stockholders.
All representations and warranties of ACS and ACS Stockholders made herein
shall survive for twelve (12) months after Closing and shall give effect to the
combination and consolidation of ACS with ACSC, Inc. and shall be made as of the
date of this Agreement, subject generally to the exceptions provided for in the
Schedules hereto. Subject to the limitations of the preceding sentence, each of
the Sellers represents and warrants to PATI and PATI Stockholders as follows (it
being agreed that all representations and warranties contained in this Section
4.2 shall be made, with respect to the ACS Stockholders, to the best knowledge
of the ACS Stockholders):
4.2.1 Organization of ACS.
ACS is a corporation duly organized, validly existing and in good
standing under the laws of the State of Indiana. ACS is not required to
qualify to transact business as a foreign corporation in any jurisdiction
other than where it is currently qualified.
4.2.2 Power and Authority.
ACS possesses the requisite power and authority to execute, deliver
and perform this Agreement and each other Transaction Document to which it
is a party without obtaining any approval, authorization, consent or
waiver, or giving any notice, other than the approval of the Board of
Directors and the ACS Stockholders, which approval has been properly
obtained. ACS possesses the requisite power and authority to own its
properties and carry on its business as presently conducted.
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4.2.3 Execution, Delivery and Enforceability.
Each Seller has duly authorized, executed and delivered this Agreement
and the other Transaction Documents to which it is a party and this
Agreement and each such other Transaction Document constitutes a valid,
legal and binding obligation of Sellers enforceable against Sellers in
accordance with its terms.
4.2.4 Conflicts.
Neither the execution, delivery or performance by Sellers of this
Agreement nor any other Transaction Document to which any Seller is a party
will (i) conflict with, constitute a breach or violation of, or give rise
to any default or right of acceleration, cancellation or termination with
respect to, any arrangement or Document to which any Seller is a party or
by which the Business or any of the Assets are bound or affected (or give
rise to an event that with notice, lapse of time or both would result in
such a conflict, breach or violation, default or right), including the
articles of incorporation and the by-laws of ACS; (ii) result in the
creation of a Lien upon any of the assets or properties of any Seller, or
(iii) violate any order, judgment, writ, injunction, decree, or any law,
statute, rule, ordinance or regulation applicable to any Seller.
4.2.5 Litigation.
No Lawsuit by or before any court or other Governmental Authority
exists or is pending or threatened that would prohibit ACS from
consummating the transactions contemplated by this Agreement and any other
Transaction Document to which ACS is a party or seeks damages with respect
to the transactions contemplated hereby or thereby. No lawsuit by or before
any court or other governmental authority exists or is pending or
threatened to which ACS is or may become a party.
4.2.6 ACS Capitalization.
(a) ACS Stockholders are the owners, beneficially and of record, of no
less than two-thirds of the issued and outstanding capital stock of
ACS as set forth on Schedule 4.2.6(a).
(b) Schedule 4.2.6(a) sets forth the authorized capital stock of ACS and
the number of outstanding shares of capital stock of ACS as of the
Closing Date and the stockholders thereof. All of the issued and
outstanding shares of capital stock of ACS have been duly authorized,
validly issued and are fully paid, non-assessable and free of
preemptive rights with no personal liability attaching to the
ownership thereof. Except as set forth on Schedule 4.2.6(a) ACS does
not have and is not bound by any outstanding subscriptions, options,
warrants, calls, commitments or agreements of any character calling
for the purchase or issuance of any shares of common stock of ACS or
any other equity security of ACS or any securities representing the
right to purchase or otherwise receive any shares of common stock of
ACS or any other equity security of ACS other than as provided for in
this Agreement. Except as set forth on Schedule 4.2.6(a), there are no
bonds, debentures, notes, shares of preferred stock or other
indebtedness of ACS having the right to vote (or convertible into, or
exchangeable for securities having the right to vote) on any matters
on which the stockholders of ACS may vote.
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(c) Except as disclosed on Schedule 4.2.6(b), there are no agreements or
understandings, with respect to the voting of any shares of common
stock of ACS or which restrict the transfer of such shares, to which
ACS is a party and there are no such agreements or understandings to
which ACS is a party with respect to the voting of any such shares or
which restrict the transfer or such shares, other than applicable
federal and state securities laws.
4.2.7 Subsidiaries.
ACS does not own, and did not own at any time covered by the Financial
Statements, directly or indirectly, either of record or beneficially, any
interest (including, but not limited to, capital stock, partnership
interests or other securities) in any association, business trust,
corporation, general partnership, joint stock company, joint venture,
limited liability company, limited partnership, professional association,
professional corporation or any other organization or entity.
4.2.8 Financial Statements.
(a) ACS has prepared the financial statements described on Schedule 4.2.8
(the "Financial Statements") from its books and records which
accurately and fairly reflect the transactions and dispositions of the
assets of ACS using sound accounting principles, applied on a
consistent basis for the periods presented and consistent with ACS's
past practices. The Financial Statements present fairly the financial
position, results of operations and cash flows of ACS as of the dates
and for the periods covered by such Financial Statements. ACS owns all
of the assets described in the Most Recent Balance Sheet. ACS does not
have any liabilities or obligations, absolute or contingent, other
than the liabilities and obligations described in such Financial
Statements. The Financial Statements of ACS and the financial records
of ACS are in the form and quality such that they may be audited in
accordance with the standards and requirements of GAAP as required by
the SEC or such an audit may be completed without any qualifications,
prior to the date of Closing.
(b) Included in Schedule 4.2.8 is the Balance Sheet dated December 31,
2001 and Statement of Operations, Stockholders' Equity and Cash Flows
for the year then ended (collectively, the "Audited Financial
Statements"), audited by BDO Seidman, L.P., independent certified
public accountants of ACS, each of which Audited Financial Statements
have been prepared in accordance with GAAP consistently applied and
fairly present the financial position of ACS as of the date of such
Audited Financial Statements and the results of operations for the
period covered thereby, subject only to the matters described in the
accountants' report attached thereto.
4.2.9 No Undisclosed Liabilities.
Except as disclosed in the Financial Statements and the Schedules
referred to herein, the Assets and Business are not subject to any
liabilities, obligations, assessments, charges or expenses of any kind or
nature whatsoever, absolute or contingent, or any facts that could give
rise to any liabilities, obligations, assessments, charges or expenses,
that could materially and adversely affect the Assets, the Business, or
cash flows, financial condition, prospects or operations of ACS.
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4.2.10 Premises.
ACS does not own any real property. True and correct copies of all
arrangements and Documents relating to the Premises, including the Office
Leases, has been delivered to PATI. ACS has a good and marketable leasehold
interest in the Premises under and pursuant to the Office Leases. ACS has
performed all obligations required to be performed by it relating to the
Premises under and pursuant to the Office Leases, is not in breach of, or
default under, the Office Leases in any respect, and no event or action has
occurred, is pending, or is threatened, which after notice, or the lapse of
time would constitute or result in a breach or default by ACS under the
Office Leases. ACS has not received notice that any landlord of the
Premises intends to cancel, suspend or terminate any Office Lease. All
improvements to the leasehold created by the Office Leases are in good
operating condition and in a state of good repair, and are adequate and
suitable for the purposes for which they are being used. None of such
improvements (or any equipment therein), nor the operation or maintenance
thereof, nor the operation of the Business therein, violates any Documents
or restrictive covenants or any Applicable Law. No condemnation proceeding
is pending or, to the knowledge of any Seller, threatened which would
preclude or impair the use of any of the Premises for the Business as
presently conducted.
4.2.11 Title to and Character of Assets.
Schedule 1.1.1 is a true and complete list of all Tangible Personal
Property owned or leased by ACS which is related to or used in the Business
and specifies such items as are owned and such as are leased, the owner or
lessee thereof and, with respect to owned property, specifies its aggregate
cost or original value and the net book value, and, with respect to leased
property, specifies the identity of the lessor, the rental rate and the
unexpired term of the lease. Such Assets constitute all tangible personal
property necessary for the conduct of the Business by PATI. ACS owns and
has good and marketable title to all Assets purported to be conveyed by
them free and clear of all Liens except for Permitted Liens set forth on
Schedule 4.2.11. All Tangible Personal Property owned or leased by ACS is
in good operating condition and repair, subject to normal wear and tear.
There are no outstanding agreements, options or commitments of any nature
obligating ACS to transfer any of the Assets or rights or interests therein
to any other party. Other than the assets included in the schedules hereto,
ACS does not own any other assets or property of any kind.
4.2.12 Contracts.
All Contracts are listed and briefly described on Schedule 1.1.2. True
and complete copies of each Contract (including accurate descriptions of
oral Contracts) have been provided to PATI. Each Contract is valid, binding
and in full force and effect. No party to any such Contract has assigned
any of its rights or delegated any of its duties under such Contract. No
breach or default exists under any such Contract and no event has occurred
that with the lapse of time or action or notice would result in a breach or
a default under such Contract. Following the consummation of the
transaction contemplated hereby, all rights of ACS under each such Contract
shall inure to PATI free and clear of any Liens except for any Permitted
Liens and such Contract will be enforceable by PATI in accordance with such
Contract's terms.
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4.2.13 Accounts Receivable.
To the best knowledge of ACS, and except to the extent disclosed in
Schedule 2.2, the accounts and notes receivable material to the Business
that are reflected on the Most Recent Balance Sheet or on the books and
records of ACS as of the date of the Most Recent Balance Sheet and all
accounts and notes receivable of ACS material to the Business arising after
the date of the Most Recent Balance Sheet, other than accounts and notes
receivable collected since then in the ordinary course of ACS's business
consistent with its past practices: (i) arose from bona fide transactions
by ACS in the ordinary course of its business consistent with its past
practices, (ii) represent bona fide indebtedness of the respective debtors,
(iii) are collectible in full net of the respective reserves shown on the
Most Recent Balance Sheet or on the books and records of ACS as of the
Closing Date (which reserves are adequate and calculated consistent with
past practice and, in the case of the reserve as of the Closing Date, will
not represent a materially greater percentage of the accounts and notes
receivable as of the Closing Date than the reserve reflected in the Most
Recent Balance Sheet or the books and records of ACS as of the date of the
Most Recent Balance Sheet and will not represent a material adverse change
in the composition of such accounts and notes receivable in terms of
aging), and (iv) are not subject to any defense or offset.
4.2.14 Employee Matters; Employee Benefit Plans.
(a) Schedule 4.2.14 is a true and complete list of (i) the names and
addresses of all officers, directors, independent contractors,
employees and agents of ACS, stating the positions, rates of
compensation, accrued vacation and bonuses payable by ACS to or with
respect to each and (ii) all Benefit Plans.
(b) ACS has fully performed all of its obligations under all such Benefit
Plans, all of which are in full force and effect.
(c) All group health plans have been operated in compliance with either
COBRA or state law regulations, as applicable, in all respects to the
extent such requirements are applicable. No group health plan provides
for past termination coverage except as required by COBRA.
(d) There has been no act or omission by ACS, any ERISA affiliate or any
Benefit Plan fiduciary that has given rise to or may give rise to
fines, penalties, taxes, or related charges.
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(e) ACS is not now, and has not been, a party to any collective bargaining
agreement, and no such agreement determines the terms and conditions
of employment of any employee of ACS. There are no labor controversies
pending or, to the knowledge of ACS and the ACS Stockholders,
threatened against ACS.
(f) No Benefit Plan provides for any severance pay, accelerated payments,
deemed satisfaction of goals or conditions, new or increased benefits,
or vesting conditioned, in whole or in part, upon a change in control
of the Business.
(g) No agreement, commitment, or obligation exists to increase any
benefits under any Benefit Plan or to adopt any new Benefit Plan.
4.2.15 Governmental Authorizations.
Schedule 4.2.15 is a true and complete list of all Governmental
Authorizations issued to ACS. Such Governmental Authorizations comprise all
Governmental Authorizations to be used or necessary in connection with the
Assets or the lawful operation of the Business by PATI. All such
Governmental Authorizations, if any, have been duly and validly issued, are
in full force and effect and are assignable to PATI. All such Governmental
Authorizations are renewable by their terms or in the ordinary course of
business without the need to comply with any special qualification
procedures or to pay any amounts other than routine filing fees.
4.2.16 Consents.
All Consents and notices required to be obtained or given by or on
behalf of ACS before consummation of the transactions contemplated by this
Agreement in compliance with all applicable laws, rules, regulations,
orders or governmental or other agency directives, or the provisions of any
Document binding upon ACS are described on Schedule 4.2.16 and all such
Consents have been duly obtained and are in full force and effect except as
set forth on Schedule 4.2.16.
4.2.17 Insurance.
Schedule 4.2.17 is a true and complete list and summary of all
Insurance Policies of ACS, other than those, which relate solely to the
Excluded Assets, true and correct copies of which have been provided to
PATI. All Insurance Policies are in full force and effect in accordance
with their terms, no notice of cancellation has been received, and there is
no existing default or event which, with the giving of notice or lapse of
time or both, would constitute a default thereunder. No Seller has been
refused any insurance, nor has its coverage been limited, by any insurance
carrier to which it has applied for insurance or with which it has carried
insurance.
4.2.18 Intellectual Property.
All of ACS's interest in Intellectual Property which is used in or
related to the Business is listed and described on Schedule 4.2.18. Such
Intellectual Property constitutes all the Intellectual Property necessary
for the conduct of the Business. Neither ACS's use of the Intellectual
Property nor PATI's use of the Intellectual Property in the same manner
infringes on the rights of any person or entity. The Intellectual Property
is valid and in full force and effect and is not subject to any Taxes,
maintenance fees or other actions. All Intellectual Property set forth on
Schedule 4.2.18 as being proprietary in nature is proprietary in nature,
adequate steps have been taken to ensure its continued proprietary nature
and nothing has transpired that would compromise or call into question its
proprietary nature. Schedule 4.2.18 also sets forth a true and complete
list of all names under which ACS has conducted any business or which it
has otherwise used.
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4.2.19 Litigation.
Schedule 4.2.19 attached hereto is a true and complete list of all
Lawsuits brought in the two years preceding the date of this Agreement,
currently pending or, to the knowledge of ACS or the ACS Stockholders,
threatened, against or affecting ACS or any of its property or business, at
law or in equity, or before or by any federal, state, municipal or other
governmental department, commission, board, bureau, agency or
instrumentality, domestic or foreign. ACS has no knowledge of any state of
facts or contemplated event that may reasonably be expected to give rise to
any such claim, action, review, suit, proceeding or investigation. ACS is
not operating under, or subject to, or in default with respect to, any
order, writ, injunction or decree of any court or governmental agency or
body, domestic or foreign.
4.2.20 Legal Compliance.
(a) Except as set forth in Schedule 4.2.20, ACS is not now conducting or
carrying on its business or affairs, and has not at any prior time
conducted or carried on its business or affairs, in violation of any
Applicable Law, which violation could have a material adverse effect
on the financial condition, business, operations or prospects of ACS,
the Assets or the Business taken as a whole.
(b) Except as set forth in Schedule 4.2.20, neither ACS nor its
stockholders, directors, employees or agents, directly or indirectly,
have given any gift or similar benefit to any third party payer,
government representative, government employee or other person or
entity which might subject any person or entity to damages or
penalties in a civil or criminal proceeding or might have had a
material adverse effect on the Business if not given or might have a
material adverse effect on the Business if not continued.
4.2.21 Taxes.
ACS has filed federal, state, local or foreign Tax Returns that it was
required to file. All such Tax Returns were correct and complete in all
material respects. All Taxes (whether or not shown on any Tax Return) have
been paid. There are no Liens on any of the Assets that arose in connection
with any failure (or alleged failure) of ACS to pay any Tax. The
consummation of the transactions contemplated by this Agreement and the
other Transaction Documents will not impose or create any Tax obligations
including withholding Tax obligations on behalf of PATI except for Tax
obligations that are Retained Liabilities.
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4.2.22 ACS Restrictions.
Except as disclosed on Schedule 4.2.22 attached hereto, ACS is not
party to any arrangement or Document, oral or written, or subject to any
charter or other corporate restriction or any judgment, order, writ,
injunction, or decree which materially affects or restricts or may in the
future materially affect or restrict, the business, operations, assets,
properties, prospects or condition (financial or otherwise) of the Business
or the Assets after consummation of the transactions contemplated hereby.
4.2.23 No HSR Filing Required.
The transactions contemplated by this Agreement are exempt from the
notification and waiting requirements under the Hart-Scott-Rodino Antitrust
Improvements Act of 1976, as amended, because the Sellers expect that the
aggregate consideration for the Assets pursuant to this Agreement will be
less than $50,000,000, ACS had total assets as of December 31, 2001, of
less than $25,000,000, and ACS had net sales during the year ended December
31, 2001, of less than $25,000,000, as required under 16 C.F.R. SS
802.20(b). Moreover, the execution and delivery of this Agreement and the
consummation of the transactions contemplated by this Agreement do not
require any approval, consent, filing, registration, or other action by any
governmental entity.
4.2.24 No Broker.
ACS has no obligation or liability to any broker, finder or other
person or entity for any broker or similar services with respect to the
transactions contemplated by this Agreement and the other Transaction
Documents.
4.2.25 Solvency.
The consummation by ACS of the transactions contemplated by this
Agreement and the other Transaction Documents will not constitute a
fraudulent transfer or conveyance with respect to ACS.
4.2.26 Disclosure.
ACS is not aware of any material facts concerning ACS or the Business
that it has not disclosed to PATI in this Agreement. ACS has fully,
accurately and completely provided PATI with all information that PATI
requested when deciding whether to enter into this Agreement. No
representation, warranty or statement of ACS contained in this Agreement or
the other Transaction Documents contains any untrue statement or omits to
state a fact necessary to make such representation, warranty or statement
not misleading in any material respect.
4.2.27 Conditions Affecting Business.
There is no fact, development or threatened development with respect
to the markets, products, services, patients, clients, customers,
facilities, computer software, data bases, personnel, vendors, suppliers,
payers, vendors/suppliers, operations, assets or prospects of the Business
which are known to Sellers which would affect the business, operations or
prospects of the Business or the Assets in any material respect when
considered as a whole, other than such conditions as may affect the economy
generally. Sellers have no reason to believe that any loss of any employee,
agent, customer, supplier, payer or other advantageous arrangement will
result because of the consummation of the transactions contemplated hereby.
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4.2.28 Sufficiency of Assets.
The Assets constitute all of the assets necessary for PATI to conduct
the Business after the Closing.
4.2.29 No Corporate Practice.
ACS has not received notice from any Governmental Authority, from its
counsel or from any other of its advisors that any party to this Agreement
could be precluded from receiving the benefits of this Agreement or the
other Transaction Documents as a result of the structure of the transaction
contemplated by this Agreement or the other Transaction Documents. ACS
agrees that it will not, in an attempt to void or nullify this Agreement or
the other Transaction Documents or any relationship involving PATI or any
of its Affiliates, sue, claim, aver, allege or assert that this Agreement,
any other Transaction Document or any such relationship violates any
Applicable Law.
4.3 Representations and Warranties of Each Signing Stockholder.
Each signing ACS Stockholder and PATI Stockholder represents and warrants
to their actual knowledge, as of the Closing Date and as of the date of
execution hereof, to all signatories to this Agreement as follows:
4.3.1 Legal Capacity.
Such Stockholder possesses the legal capacity to execute, deliver and
perform this Agreement and each Transaction Document to which he/she/it is
a party, without obtaining any approval, authorization, consent, or waiver
or giving any notice.
4.3.2 Execution, Delivery, and Enforceability.
Such Stockholder has duly executed and delivered this Agreement and
each Transaction Document to which he/she/it is a party, and this Agreement
and each Transaction Document to which he/she/it is a party constitutes a
valid, legal and binding obligation of such Stockholder, enforceable
against such Stockholder in accordance with their respective terms.
4.3.3 Conflicts.
Such Stockholder's execution, delivery and performance of this
Agreement and each Transaction Document to which he/she/it is a party will
not conflict with, constitute a breach or violation of, result in a Lien
against, or give rise to any default or right of acceleration,
cancellation, or termination with respect to any Document to which such
Stockholder is a party.
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4.3.4 Compliance With Applicable Laws.
Such Stockholder has complied, to the best of his/her/its knowledge,
with all Applicable Laws material to this Agreement and such Stockholder's
execution, delivery, and performance of this Agreement will not violate any
Applicable Laws.
ARTICLE 5
COVENANTS
5.1 Best Efforts to Consummate the Sale.
Each of the parties to this Agreement shall use its best efforts to take,
or cause to be taken, all actions necessary, proper or advisable to consummate
the transactions contemplated by this Agreement. The Sellers agree to cooperate
fully and completely with PATI in preparing a proxy statement for filing with
the SEC in order to solicit approval of the PATI stockholders for the matters
necessary to proceed with the Closing. To such end, the Sellers will exert their
best efforts in good faith to provide PATI on a timely basis all information
with respect to ACS as is required by the rules of the SEC to be presented
therein, including all financial statements so required. The Sellers agree and
covenant hereby that all information provided by the Sellers to PATI to be
included in the proxy statement and other filings to be made with the SEC, will
be true and correct in all material respects and will not omit any material fact
necessary to make the statements made, in the light of the circumstances under
which they are made, not misleading.
5.2 Access to ACS and PATI.
From the date of this Agreement through the Closing Date, ACS and PATI
shall permit the other party and its advisors and representatives access to the
Assets and Business, including ACS's and PATI's books and records. Moreover,
during this period, officers, employees, advisors and representatives of ACS and
PATI shall furnish promptly to the other party and its advisors and
representatives, at the sole cost and expense of the requesting party, such
financial and operating information as such Persons may reasonably request,
including copies of any requested Documents.
5.3 Operation of ACS and PATI Pending the Sale.
For the purposes of this section of this Agreement, the term "Business" and
the term "Assets" when used in this section shall refer to the assets and
business operations of both ACS and PATI. From the date of this Agreement
through the Closing Date, ACS and PATI shall:
5.3.1 Representations and Warranties.
Use reasonable efforts to operate and maintain the Assets and Business
of their respective companies in such a manner so that the representations
and warranties of ACS and PATI set forth in this Agreement shall continue
to be correct and complete in all material respects at all times prior to
the Closing Date as if made on and as of such times;
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5.3.2 Operate the Business in the Ordinary Course.
Except as is otherwise provided for in this Agreement, operate the
Business of ACS and PATI in the ordinary course consistent with past
practices and this Agreement and in compliance with all Applicable Laws
material to the Business and Assets;
5.3.3 Maintain Goodwill.
Use reasonable efforts to preserve intact the Business and the
goodwill of the customers of the Business, the Vendors/suppliers, the
employees, and any other Person having business relations with ACS and
PATI;
5.3.4 No Material Adverse Change.
Use reasonable efforts to not cause or suffer to exist any Material
Adverse Change to the Business;
5.3.5 No Dividends.
Cause ACS or PATI to refrain from declaring or paying any dividends or
otherwise making any distributions or transfers of any amount including
cash to any employees, officers, directors or stockholders, except in the
ordinary course of business or as otherwise agreed to prior to the full
execution of this Agreement;
5.3.6 Maintain Assets.
Maintain the Assets in good order and repair in all material respects;
5.3.7 Disposition of Assets.
Refrain from disposing of, or committing to dispose of any Assets in
excess of $5,000 of fair market value at the time of disposition;
5.3.8 Acquisition of Assets.
Refrain from acquiring, or committing to acquire, any Assets, other
than Assets involving $25,000 or less in any one transaction or series of
related transactions;
5.3.9 Borrow Money.
Refrain from assuming, creating, guaranteeing, or incurring any
indebtedness, whether absolute or contingent, other than indebtedness
incurred in the ordinary course of the Business consistent with past
practices, except for, in the case of ACS, (i) a letter of credit to
Pinnacol Assurance from Bank of America for $500,000 for the benefit of ACS
and (ii) the loan from PATI to ACS under the Credit Agreement dated April
10, 2003 and related documents and, in the case of PATI, (i) the loan from
certain investors to PATI under the Note and Stock Purchase Agreement dated
April 10, 2003 and related documents, and (ii) the loan from John Pappajohn
or his Affiliates in the case of PATI, prior to the Closing Date of this
transaction unless otherwise provided for herein, which shall be provided
with notice to the other party (which notice may be provided at any time
prior to the Closing);
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5.3.10 Make Payments.
Promptly pay when due all liabilities and obligations of every kind
and nature incurred by ACS and PATI in the ordinary course consistent with
past business practices;
5.3.11 Pay Taxes.
Timely and accurately file all required Tax Returns and timely pay all
Taxes owed with respect to such Tax Returns;
5.3.12 No Liens.
Refrain from granting any Liens except in the ordinary course of
business consistent with past practices;
5.3.13 No Changes to Contracts.
Refrain from amending, modifying, or terminating any of the Contracts
or other Documents outside the ordinary course of business consistent with
past business practices except as contemplated by this Agreement, including
articles of incorporation and by-laws, or entering into any new Document
that is material;
5.3.14 Perform Obligations.
Punctually perform all obligations under each Contract and each of the
other Documents, and keep each of them in full force and effect, free from
any right of cancellation, forfeiture or termination;
5.3.15 Insurance Coverage.
Continue in effect all Insurance Policies unless such insurance
coverage is replaced by a new or different policy of similar nature and
coverage;
5.3.16 No Changes in Accounting Principles.
Refrain from changing the accounting principles used when maintaining
accounting records or presenting its financial statements, or otherwise
altering the manner of keeping accounts, books, or records, except for
converting its accounting basis to the accrual method;
5.3.17 Benefit Plans.
Make full and timely payment of all amounts required under any Benefit
Plan;
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5.3.18 Loans to Affiliates.
Refrain from making, changing, or forgiving any loan in excess of
$5,000 between ACS or PATI and any of their Affiliates, directors,
employees, officers, related parties, or stockholders.
5.3.19 Payments to Affiliates.
Refrain from making any payments in excess of $5,000 in any case or
$25,000 in the aggregate of any kind, including dividends, distributions,
bonuses, repayment of indebtedness to any Affiliates, directors, employees,
officers, related parties or stockholders, other than normal, recurring
payments of salary, commissions, bonuses, retainers, reimbursements,
repayment of indebtedness, and the like, in accordance with existing
contractual obligations or in the ordinary course of business consistent
with past practices.
5.3.20 No Agreements Concerning the Foregoing.
Refrain from entering into any agreement to take any of the actions
described in the foregoing Sections 5.3.1 through 5.3.20 of this Section
5.3.
5.4 Changes to the Information Disclosed on the Schedules.
From the Effective Date of this Agreement through the Closing Date: ACS and
PATI shall promptly notify the other party of any material changes to the
information disclosed to the other party during the due diligence process
relating to this Agreement, and on any schedule to this Agreement, including
changes occurring after the date of this Agreement (although such disclosure
shall not in any way amend or supplement any schedule).
5.5 Representations, Warranties, and Covenants.
Each party to this Agreement shall notify in writing each other Party to
this Agreement of any condition, circumstance, fact, or other information of
which such party has become aware that may cause the representations and
warranties of such Party contained in this Agreement to be incorrect or
incomplete in any material respect at any time prior to the Closing Date as if
made on and as of any such time or cause such Party to be unable to perform its
covenants contained in this Agreement that it is required to perform on or
before the Closing Date. Such Party shall then use reasonable efforts in good
faith to prevent or promptly cure any such breach.
5.6 Satisfaction of the Closing Conditions.
ACS shall use its best efforts in good faith to cause the conditions set
forth in Section 3.2 and Section 4.2 to be satisfied, including the delivery to
PATI of all of the Consents. PATI shall use its best efforts in good faith to
cause the conditions set forth in Section 4.1 to be satisfied as promptly as
possible.
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5.7 No Shopping.
Unless and until this Agreement is terminated pursuant to ARTICLE 8, ACS
shall not, and no ACS Stockholder or any Affiliate thereof shall cause ACS to,
nor shall any ACS Stockholder, directly or indirectly encourage, solicit,
initiate, or participate in any discussions or negotiations with any Person
other than PATI concerning any merger, sale of substantially all assets,
business combination, sale of shares of capital stock, or similar transaction
involving ACS, or directly or indirectly disclose any Confidential Information
to any Person other than PATI and its advisors and representatives. If ACS or
any ACS Stockholder receives an offer or inquiry with respect to any of the
foregoing types of transactions, such Person shall promptly inform PATI of such
offer or inquiry.
5.8 Intentionally Omitted.
5.9 Transferability of PATI Common Stock.
ACS hereby agrees that, after the Closing as contemplated herein, ACS may
distribute shares of PATI common stock only to the ACS Stockholders that are
signatories to this Agreement and to any new shareholders of ACS who become
record and beneficial owners of common stock of ACS prior to the Closing. The
ACS Stockholders hereby agree that they, and any new shareholders of ACS who
become record and beneficial owners of common stock of ACS prior to the Closing,
may not distribute any shares of PATI common stock for a period of twelve (12)
months from the Closing Date. Notwithstanding anything contained to the contrary
herein, PATI and ACS agree that, in the event that any ACS Stockholder that is a
signatory to this Agreement elects to dissolve or liquidate itself as a
corporation after the Closing, then the respective shareholders of such
corporation shall be entitled to receive their respective and proper shares of
PATI represented by new stock certificates in their respective names with the
understanding that such shares and certificates will be subject to a twelve
month holding period as are the other previously mentioned ACS Stockholders and
will be subject to the Indemnification obligations of the ACS Stockholders that
are signatories hereto.
5.10 Raising of Additional Funds
TFC, and Eric Brauss personally, hereby agree to raise from investors (or
invest personally) an aggregate of $1,500,000 (excluding debt conversion) for
investment in Series D Preferred Stock in accordance with Section 7.10 hereof
within the period of time that is the earlier of (i) 90 days from the
preparation and delivery to TFC and Mr. Brauss by PATI of an offering memorandum
or (ii) 120 days from the closing of the loan contemplated by the Credit
Agreement, provided that an offering memorandum is delivered by PATI within 30
days of the date of the first closing transaction contemplated by the Credit
Agreement (although this obligation shall not be affected to the extent that an
offering memorandum is not delivered within such period, rather, such period
shall increase on a day-for-day basis for each day that the offering memorandum
is delivered after such 30-day period). In addition, each of TFC and Eric
Brauss, personally and John Pappajohn, personally, agrees to use their
reasonable best efforts to raise additional new capital of an aggregate of up to
$1,500,000 (in addition to the amounts set forth herein) for investment in
Series D Preferred Stock in accordance with Section 7.10 hereof.
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5.11 Credit Enhancement
John Pappajohn, personally, hereby agrees by April 30, 2003 to provide for
credit enhancement as may be necessary to secure a $500,000 letter of credit for
the benefit of ACS to Pinnacol Assurance of the State of Colorado.
ARTICLE 6
INDEMNIFICATION
6.1 Survival; Indemnification Obligation.
6.1.1 Survival
The representations and warranties contained in this Agreement shall
survive for a period of 12 months from the date of this Agreement.
6.1.2 Indemnification by ACS and Sellers.
ACS and, with respect to each matter enumerated below, each ACS
Stockholder, severally, but not jointly as to themselves, and only to the
extent of their respective ownership in PATI common stock, shall indemnify
and hold harmless PATI Indemnitees against and in respect of any and all
material Claims suffered, which may arise out of or be in respect of (i)
any material falsity, inaccuracy or misrepresentation in or breach of any
of the representations, warranties or covenants made in this Agreement or
any other Transaction Document or in any financial statements, certificate,
document or instrument delivered at or prior to the Closing by or on behalf
of ACS, or each ACS Stockholder, respectively, (ii) any action, event,
condition, omission or failure to act of or by Sellers, their officers,
directors, employees or agents prior to the Closing Date, (iii) any Tax
obligations imposed on a PATI Indemnitee attributable to ACS, or (iv) any
of the Retained Liabilities of or attributable or traceable to ACS. The
indemnification obligation of each ACS Stockholder shall not include any
personal liability but shall be limited only to (i) any matter enumerated
above with respect to which such ACS Stockholder had actual knowledge at or
prior to the time of the Closing (ii) and such liability shall be limited
to the total number of shares of PATI common stock received by such ACS
Stockholder in connection with the transactions contemplated hereby.
Notwithstanding the foregoing, ACS and each ACS stockholder shall have no
liability under this Section 6.1.2 unless and until the aggregate amount of
all Claims arising under the matters enumerated above exceeds $100,000.
6.1.3 Indemnification by PATI.
PATI and, with respect to each matter enumerated below, each PATI
Stockholder, severally, but not jointly as to themselves, and only to the
extent of their respective ownership in PATI common stock, shall indemnify
and hold harmless ACS Indemnitees against and in respect of any and all
material Claims suffered, which may arise out of or be in respect of (i)
any material falsity, inaccuracy or misrepresentation in or breach of any
of the representations, warranties or covenants made in this Agreement or
any other Transaction Document or in any financial statements, certificate,
document or instrument delivered at or prior to the Closing by or on behalf
of PATI, or each PATI Stockholder, respectively, (ii) any action, event,
condition, omission or failure to act of or by PATI, its officers,
directors, employees or agents prior to the Closing Date, (iii) any Tax
obligations imposed on an ACS Indemnitee attributable to PATI (specifically
not intended to include any tax payable by any ACS Stockholder as a result
of this transaction or any distributions by ACS following the Closing), or
(iv) the Assumed Liabilities. The indemnification obligation of each PATI
Stockholder shall not include any personal liability but shall be limited
only to (i) any matter enumerated above with respect to which such PATI
Stockholder had actual knowledge at or prior to the time of the Closing and
(ii) such liability shall be limited to the total number of shares of PATI
common stock owned by such PATI Stockholder in connection with the
transactions contemplated hereby. Notwithstanding the foregoing, PATI shall
have no liability under this Section 6.1.3 unless and until the aggregate
amount of all Claims arising under the matters enumerated above exceeds
$100,000.
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6.2 Indemnification Procedure.
6.2.1 Defense of a Claim.
Within five (5) days after receiving notice of any Claim that may give
rise to an indemnification obligation under this Agreement the party in
receipt of such notice shall give each other party to this Agreement
written notice of such Claim together with a copy of all documents relating
to such Claim, and the Indemnitor shall immediately undertake the defense
of such Claim by representatives of its own choosing.
6.2.2 Participation of the Indemnitee.
If ten (10) days after delivering written notice of a Claim to the
Indemnitor (or if earlier five (5) days before an answer or other pleading
must be served to prevent judgment by default in favor of the Person
asserting the Claim) the Indemnitor has not begun to defend against such
Claim, the Indemnitee shall have the right to defend compromise or settle
such Claim on behalf of and for the account and risk of the Indemnitor.
Notwithstanding whether the Indemnitor commences at any time to defend
against a Claim the Indemnitee shall have the right to participate in such
defense by representatives of its own choosing.
6.2.3 Settlement of Claims.
An Indemnitor shall have the right at its own cost and expense to
compromise or settle any Claim provided that an Indemnitor shall not
compromise or settle any Claim or consent to the entry of any judgment if
such compromise, settlement or judgment does not include an unconditional
release by the person or entity asserting the Claim of each Indemnitee from
all liability with respect to such Claim.
6.2.4 Cooperation.
In connection with any indemnity obligation, each Indemnitee shall
cooperate with all reasonable requests of the Indemnitor.
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ARTICLE 7
POST-CLOSING COVENANTS
7.1 Tax Liabilities.
Subsequent to Closing, ACS shall accurately prepare and file in the time
periods prescribed therefor all Tax Returns attributable to its business and
operations for all periods prior to the Closing Date, and pay when due all Taxes
due and owing with respect thereto.
7.2 Assumed Liabilities.
From and after the Closing Date, PATI shall have complete control over the
payment, settlement or other disposition of, or any dispute involving, any of
the Assumed Liabilities and PATI shall have the right to conduct and control all
negotiations and proceedings with respect thereto. Upon receipt of notice
thereof, ACS agrees to notify PATI immediately of any claim made with respect to
any such Assumed Liability and shall not, except with the prior written consent
of PATI, make any payment of, or settle or offer to settle, or consent to any
compromise with respect to, any such Assumed Liability. ACS agrees to cooperate
with PATI in any reasonable manner requested by PATI in connection with any
negotiations or proceedings involving any such Assumed Liability.
7.3 Payments Received.
From and after the Closing, PATI shall have the right and authority to
endorse without recourse the name of ACS on any check or any other evidences of
indebtedness received by PATI on account of the Business and the Assets
transferred to PATI hereunder. ACS agrees that it will hold and promptly
transfer and deliver to PATI, from time to time as and when received, any cash,
checks with appropriate endorsements (using its best efforts not to convert such
checks into cash), or other property that it may receive on or after the Closing
which properly belongs to PATI and will account to PATI for all such receipts.
7.4 Access to Records.
At all times after the date of Agreement, upon the request of PATI, and to
the extent that all ACS business records, documents and data have not been
transferred and conveyed to PATI pursuant to this Agreement, ACS shall make
available to PATI any remaining records, documents and data with respect to the
Business, Assets and Assumed Liabilities not otherwise transferred to PATI
hereunder. ACS shall preserve for three (3) years all records possessed or to be
possessed by ACS relating to any of the Business, Assets, Assumed Liabilities or
the Business prior to the Closing Date.
7.5 Employees.
7.5.1 Employment.
Schedule 7.5 sets forth a list of each employee of ACS, together with
salary, accrued benefits and vacation time for each such employee, that
PATI agrees to employ after the Closing for a period of at least 30 days at
the same compensation level together with the same or similar benefits as
each employee received from ACS immediately prior to Closing as set forth
on Schedule 7.5. As of the Closing Date, PATI shall enter into an
employment agreement with Mark Bodner on the terms and conditions as set
forth in the form attached hereto as Exhibit F. ACS will terminate the
employment of each of its employees that will be employed by PATI,
effective at 12:01 a.m. on the day following the Closing Date and will pay
all liabilities relating to the employment of, and termination of, such
employees up to the Closing, with the understanding that PATI shall assume
the obligations of any salary continuation, severance pay, accrued vacation
time or other value or benefits as set forth on Schedule 7.5 that might
otherwise be due to any employee formerly employed by ACS in the event that
such employee is terminated by PATI subsequent to Closing. PATI shall
assume and be responsible for any and all written employment agreements in
force at Closing with management employees or executive employees, provided
such employment agreements are disclosed in detail and set forth in
Schedule 7.5 herein prior to the execution of this Agreement.
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7.5.2. Benefit Plans.
Except as otherwise contemplated by Section 2.4, ACS shall pay
directly to each of such employees that portion of all benefits (including
the Benefit Plans) which has been accrued on behalf of that employee (or is
attributable to expenses properly incurred by that employee) as of the
Closing Date, and PATI shall assume no liability therefor. No portion of
the assets of any Benefit Plan, fund, program or arrangement, written or
unwritten, heretofore sponsored or maintained by ACS (and no amount
attributable to any such Benefit Plan, fund, program or arrangement) shall
be transferred to PATI, and PATI shall not be required to continue any such
Benefit Plan, fund, program or arrangement after the Closing Date. All such
employees of ACS who are re-employed by PATI on or after the Closing Date
shall be new employees of PATI and any prior employment by ACS of such
employees shall not affect entitlement to, or the amount of, salary or
other cash compensation, current or deferred, which PATI may make available
to its employees.
7.5.3 Stock Options.
PATI shall make eligible all ACS employees listed on Schedule 7.5.3 to
participate in the PATI employee stock option plan and shall grant on the
Closing Date, options to purchase the number of shares of PATI stock
indicated on Schedule 7.5.3 to each of the employees listed thereon.
7.6 Use of Name.
From and after the Closing, no Seller shall use the name "American
CareSource" for any business or professional reason whatsoever. ACS will not
grant to any other person or entity the right to use such name as part of the
name of any other business or entity or as part of any trade name or trademark
not belonging to PATI.
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7.7 Non-Competition.
Each of the Sellers recognizes that the covenants of the Sellers contained
in the Non-Compete Agreement attached as Exhibit 7.7 (the "Covenant Not to
Compete") are an essential part of this Agreement and the other Transaction
Documents and that but for the agreement of the Sellers to comply with such
covenants, PATI would not have entered into this Agreement or the other
Transaction Documents. Each of the Sellers acknowledge and agree that its
Covenant Not to Compete is necessary to ensure the continuation of the Business
and the reputation of PATI and that irrevocable harm and damage will be done to
PATI if any Seller competes with PATI. Each of the ACS Stockholders (other than
any ACS Stockholder who has executed an Employment Agreement with ACS) hereby
agrees to enter into the Covenant Not to Compete substantially in the form
attached as Exhibit 7.7 on the Closing Date.
7.8 No Disclosure of Confidential Information.
7.8.1 Non-Disclosure Obligation of Sellers.
Each of the Sellers covenants not to disclose any Confidential
Information at any time to any Person other than PATI and its respective
advisors and representatives (the "Non-Disclosure Obligation"). This
Section 7.8 shall not preclude ACS from:
(a) Disclosing information to its accountants, lawyers and other
professional advisors;
(b) Disclosing information generally available to the public other than by
breach of this Section 7.8; or
(c) Disclosing information required by law or court order after promptly
notifying PATI of the requirement to disclose such information.
7.8.2 Non-Disclosure Obligation of PATI.
PATI and each PATI Stockholder covenants not to disclose any
Confidential Information at any time to any Person other than ACS and its
respective advisors and representatives (the "Non-Disclosure Obligation").
This Section 7.8 shall not preclude PATI from:
(a) Disclosing information to its accountants, lawyers and other
professional advisors;
(b) Disclosing information generally available to the public other than by
breach of this Section 7.8; or
(c) Disclosing information required by law or court order after promptly
notifying ACS of the requirement to disclose such information.
7.8.3 Judicial Enforcement.
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Any breach or violation of the Non-Disclosure Obligation shall entitle
the non-breaching party to an injunction restraining any further or
continued breach or violation. Such right to an injunction shall be in
addition to and cumulative of (and not in lieu of) any other remedies to
which the non-breaching party is entitled because of such breach or
violation. If a court of competent jurisdiction determines that the
Non-Disclosure Obligation is partially or wholly inoperative, invalid or
unenforceable in a particular case because of its duration, geographical
scope, restricted activity or any other parameter such court may reform
such duration, geographical scope, restricted activity or other parameter
with respect to such case to permit enforcement of such reformed
Non-Disclosure Obligation to the greatest extent allowable.
7.9 Reasonableness.
Each seller acknowledges that the terms of the Covenant Not to Compete
and the Non-Disclosure Obligation are reasonable in all respects and
necessary to permit PATI to realize the benefits of the transactions
contemplated by this Agreement.
7.10 Private Placement.
PATI will complete a private placement of securities (the proceeds of which
shall have been deposited in escrow prior to the Closing) immediately following
the Closing that will result in gross proceeds of not less than four million
dollars ($4,000,000) (the "Minimum Amount") which shall include (i) two million
five hundred thousand dollars ($2,500,000) in the form of debt issued prior to
the Closing and (ii) $1,500,000 described below. The cash proceeds from the
aforementioned private placement will be used for the working capital of PATI
following the Closing. TFC, and Eric Brauss personally, hereby agree to raise
from investors (or invest personally) an aggregate of $1,500,000 (excluding debt
conversion) for investment in Series D Preferred Stock in accordance herewith
within the period of time that is the earlier of (i) 90 days from the
preparation and delivery to TFC and Mr. Brauss by PATI of an offering memorandum
or (ii) 120 days from the closing of the loan contemplated by the Credit
Agreement, provided that an offering memorandum is delivered by PATI within 30
days of the date of the first closing transaction contemplated by the Credit
Agreement (although this obligation shall not be affected to the extent that an
offering memorandum is not delivered within such period, rather, such period
shall increase on a day-for-day basis for each day that the offering memorandum
is delivered after such 30-day period). In addition, each of TFC and Eric
Brauss, personally and John Pappajohn, personally, agrees to use their
reasonable best efforts to raise additional new capital of an aggregate of up to
$1,500,000 (in addition to the amounts set forth herein) for investment in
Series D Preferred Stock in accordance hereof. The issuance of the Series D
Preferred Stock in the private placement will occur following the Closing and
the ownership percentages of each of the PATI Stockholders and ACS Stockholders
will be reduced accordingly (inclusive of any anti-dilution adjustments). The
proposed form of Certificate of Designation for the Series D Preferred Stock
shall be in the form attached hereto as Exhibit 7.10. The form of Certificate of
Designation may be subject to revision at the discretion of PATI.
7.11 Cooperation.
ACS acknowledges that PATI, at its option, will be required to prepare
financial statements relating to the Business for periods prior to the Closing.
ACS agrees that PATI and its representatives and accountants shall have full
access to the books, records, properties and personnel of ACS to the extent
necessary for preparing financial statements. ACS agrees to cooperate with PATI,
its accountants and representatives in preparing such financial statements.
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ARTICLE 8
TERMINATION
8.1 Termination of this Agreement.
ACS and PATI may not terminate this Agreement except under the specific
circumstances set forth below at any time prior to the Closing Date.
8.1.1 Consent.
ACS and PATI may mutually agree in writing to terminate this Agreement.
8.1.2 Breach by the ACS.
PATI may abandon or terminate this Agreement by written notice to ACS
if: (i) the representations and warranties set forth in this Agreement were
incorrect or incomplete, in any material respect, as of the execution date
of this Agreement or will be incorrect or incomplete, in any material
respect, on the Closing Date as though made as of such dates, or (ii) ACS
fails to perform timely, in all material respects, the covenants and
obligations that it is required to perform under this Agreement and that
are not waived by PATI in writing.
8.1.3 Breach by PATI.
ACS may abandon or terminate this Agreement by written notice to PATI
if: (i) the representations and warranties of PATI set forth in this
Agreement were incorrect or incomplete in any material respect as of the
execution date of this Agreement or will be incorrect or incomplete, in any
material respect, on the Closing Date as though made as of such dates, or
(ii) PATI fails to perform timely, in all material respects, the covenants
and obligations that it is required to perform under this Agreement that
are not waived by ACS in writing.
8.1.4 Outside Date.
ACS or PATI may abandon or terminate this Agreement by written notice
to the other parties to this Agreement if the Closing Date has not occurred
on or before August 31, 2003, unless however, the Closing does not occur
prior to such date because the SEC has determined to review the proxy
statement filed by PATI in connection with soliciting approval of the
transaction by PATI stockholders, then the Closing may occur any time prior
to November 30, 2003.
8.2 Effect of Termination.
If this Agreement is abandoned or terminated pursuant to Sections 8.1.1 or
8.1.4, no party to this Agreement shall possess any right against any other
party to this Agreement because of such termination. If any of the parties to
this Agreement abandon or terminate this Agreement other than pursuant to
Sections 8.1.1 or 8.1.4, however, then each party to this Agreement may pursue
any and all remedies that such party may have under this Agreement or at law or
in equity with respect to this Agreement and such abandonment or termination.
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8.3 Disclosure of this Agreement.
If this Agreement is abandoned or terminated for any reason, the Sellers
shall not disclose to any Person (a) the contents of the negotiations among the
Sellers and PATI concerning this Agreement, or (b) the terms of this Agreement.
ARTICLE 9
MISCELLANEOUS
9.1 Publicity.
ACS and PATI shall not issue any press release or make any public statement
concerning this Agreement without obtaining the prior consent of the other party
unless such is compelled by the securities laws of the United States or the
securities law of any state.
9.2 Transaction Costs.
Except as otherwise provided herein, each Seller shall pay all of their
costs and expenses (including attorneys' fees and other legal costs and expenses
and accountants' fees and other accounting costs and expenses) incurred in
connection with this Agreement, the other Transaction Documents and the
transactions contemplated hereby and thereby, other than as specifically set
forth therein. Except as otherwise provided herein, PATI shall pay all of its
costs and expenses (including attorneys' fees and other legal costs and expenses
and accountants' fees and other accounting costs and expenses) incurred in
connection with this Agreement, the other Transaction Documents and the
transactions contemplated hereby and thereby, than as specifically set forth
therein.
9.3 Definitions.
Capitalized terms not otherwise defined in this Agreement shall have the
meanings set forth below
9.3.1 Affiliate.
The term "Affiliate" with respect to a Person, shall mean other Person
that directly or indirectly controls, is controlled by, or is under control
with such Person. The term "control" shall mean the possession, directly or
indirectly, of the power to direct or cause the direction of management and
policies of such person or entity, whether through the ownership of voting
securities, by contract or otherwise.
9.3.2 Applicable Law.
The term "Applicable Law" shall mean any applicable decree,
injunction, judgment, law, order, ordinance, regulation, rule, statute, or
writ of any federal, state, local, or foreign governmental entity (or any
agency, department, or political subdivision of any governmental entity),
including any such law relating to the Business.
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9.3.3 Assets.
The term "Assets" shall mean collectively all of the assets owned or
used by ACS in connection with the ownership and operation of the Business,
including without limitation, all of the assets referred to in Section 1.1
of this Agreement.
9.3.4 Assignment of Contracts.
The term "Assignment of Contracts" shall mean an assignment of
contract substantially in the form attached hereto as Exhibit H.
9.3.5 Assumed Liabilities.
The term "Assumed Liabilities" shall mean all obligations and
liabilities set forth on Schedule 2.4.
9.3.6 Audited Financial Statements.
The term "Audited Financial Statements" shall mean the financial
statements set forth in Section 4.2.8(b).
9.3.7 Beneficial Stockholder.
The term "Beneficial Stockholder" shall mean a holder of stock, a
holder of any right to acquire stock or a holder of the right, directly or
indirectly, to vote or dispose of any of the stock.
9.3.8 Benefit Plans.
The term "Benefit Plans" shall mean all employee benefit plans and
employment agreements, if any, to which ACS is party or by which it is
bound.
9.3.9 Business.
The term "Business" shall have the meaning ascribed to it in the
recitals to this Agreement, except as otherwise specifically set forth
herein.
9.3.10 Claims.
The term "Claims" shall mean any and all direct or indirect damages,
claims, losses, liabilities and expenses, including, without limitation,
legal fees and disbursements, accounting fees and disbursements, expenses
of investigation, and other expenses.
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9.3.11 Closing.
The term "Closing" shall mean the closing of the transactions
contemplated by this Agreement.
9.3.12 Closing Date.
The term "Closing Date" shall mean the date of the Closing of this
Agreement as set forth in Section 3.1.
9.3.13 COBRA.
The term "COBRA" shall mean the group health plan continuation
coverage requirements of Sections 601-609 and 4980B of the Code.
9.3.14 Code.
The term "Code" shall mean the Internal Revenue Code of 1986, as
amended.
9.3.15 Confidential Information.
The term "Confidential Information" shall mean any information
concerning ACS or PATI assets, cash flows, business, financial condition,
operations or prospects or the Business or the Assets, the contents of the
negotiations among PATI and ACS concerning this Agreement or any other
Transaction Documents and the transactions contemplated hereby, or the
terms of this Agreement and the other Transaction Documents.
9.3.16 Consent.
The term "Consent" shall mean any approval, consent, ratification,
waiver or other authorization including, but not limited to, any
Governmental Authorization.
9.3.17 Contracts.
The term "Contracts" shall mean customer contracts, vendor/supplier
contracts, security deposits, leases of real property or Tangible Personal
Property, management and executive employment agreements, and contracts and
agreements for services.
9.3.18 Covenant Not to Compete.
The term "Covenant Not to Compete" shall mean for ACS, the covenants
provided in Section 7.7 of this Agreement.
9.3.19 Customer Contracts.
The term "Contracts" shall mean all Documents to which ACS is a party
(or entered into on behalf of ACS) pursuant to which ACS provides services
to its customers.
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9.3.20 Customer Services.
The term "Customer Services" shall mean all services offered by ACS in
connection with services provided through the customer contracts of ACS.
9.3.21 Document.
The term "Document" with respect to any Person, shall mean any
agreement, authorization, commitment, contract, decree, deed of trust,
franchise, instrument, judgment, lease, license, mortgage, order,
Governmental Authorization or other document or obligation of which such
Person is a party or by which such Person's assets are bound.
9.3.22 ERISA.
The term "ERISA" shall mean the Employee Retirement Income Security
Act of 1974, as amended.
9.3.23 Excluded Assets.
The term Excluded Assets" shall mean all Assets listed in Section 1.2
of this Agreement.
9.3.24 Financial Statements.
The term "Financial Statements" shall mean the financial statements
and related notes and schedules described in Schedule 4.2.8.
9.3.25 GAAP.
The term "GAAP" shall mean generally accepted accounting principles
set forth in the opinions of the Accounting Principles Board of the
American Institute of Certified Public Accountants and statements and
pronouncements of the Financial Accounting Standards Board or in such other
statements by such other entity or other practices and procedures as may be
approved by a significant segment of the accounting profession, which are
applicable to the circumstances as of the date of the determination. For
purposes of this Agreement, GAAP shall be applied on an accrual basis in a
manner consistent with historic practices of the person to which the term
applies.
9.3.26 Governmental Authorizations.
The term "Governmental Authorizations" shall mean any approval,
consent, license, permit, waiver or other authorization issued, granted, or
given or otherwise made available by or under the authority of any
Governmental Authority pursuant to Applicable Law.
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9.3.27 Governmental Authority.
The term "Governmental Authority" shall mean any: (a) nation, state,
county, city, town, village, district or other jurisdiction of any nature;
(b) federal, state, local, municipal, foreign, or other government; (c)
governmental or quasi-governmental authority of any nature (including any
governmental agency, branch, department, official, or entity or any court
or other tribunal); (d) multi-national organization or body; (e) body
exercising, or entitled to exercise, any administrative, executive,
judicial, legislative, police, regulatory, or Taxing authority or power of
any nature.
9.3.28 Indemnitee.
The term "Indemnitee" shall mean the party or parties entitled to
indemnification pursuant to ARTICLE 6 of this Agreement.
9.3.29 Indemnitor.
The term "Indemnitor" shall mean the party or parties responsible for
providing indemnification pursuant to ARTICLE 6 of this Agreement.
9.3.30 Insurance Policy.
The term "Insurance Policy" shall mean all insurance policies in
effect, which provide any type of insurance coverage for ACS with respect
to business casualties, errors and omissions, general business liabilities
or medical malpractice.
9.3.31 Intellectual Property.
The term "Intellectual Property" shall mean any patents, trademarks,
service marks or logos, trade names, software, computer software (including
documentation and related object and source codes), proprietary designs,
assumed names, copyrights, know-how, processes, inventions, or similar
intellectual property, and applications, registrations or licenses for any
of the foregoing.
9.3.32 Lawsuit.
The term "Lawsuit" shall mean any action, charge, claim, counterclaim,
decree, injunction, inquiry, investigation, legal action, litigation,
order, proceeding, suit or writ.
9.3.33 Lien.
The term "Lien" shall mean any charge, claim, equity, judgment, lease,
liability, license, lien, mortgage, pledge, restriction, security interest,
Tax lien, option, right of first refusal, right to acquire, restrictions
(whether on issuance, voting, sale, transfer, disposition or otherwise) or
encumbrance of any kind.
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9.3.34 Material Adverse Change.
The term "Material Adverse Change" shall mean any event, occurrence,
fact, condition, change or effect that is materially adverse to business,
operations, prospects, results of operations, properties or assets taken as
a whole.
9.3.35 Most Recent Balance Sheet.
The term "Most Recent Balance Sheet" shall mean the most recent
balance sheet that is a part of the Financial Statements.
9.3.36 Non-Compete Period.
The term "Non-Compete Period" with respect to any Seller shall mean
the period beginning on the Closing Date and ending on the second
anniversary of the Closing Date.
9.3.37 Non-Disclosure Obligation.
The term "Non-Disclosure Obligation" shall mean, with respect to each
Seller, the covenants provided in Section 7.8 of this Agreement.
9.3.38 Office Lease.
The term "Office Lease" shall mean the certain leases described on
Schedule 1.1.11 of this Agreement.
9.3.39 PATI Indemnitees.
The term "PATI Indemnitees" shall mean PATI, its stockholders,
affiliates, officers, directors, employees and agents, and their respective
successors and assigns.
9.3.40 Person.
The term "Person" shall mean an association, business trust,
corporation, estate, general partnership, Governmental Authority (or any
agency, department or political subdivision of a Governmental Authority),
individual, joint stock company, joint venture, limited liability company,
limited partnership company, professional association, professional
corporation, trust or other organizational entity.
9.3.41 Permitted Liens.
The term "Permitted Liens" shall mean the assumed debt and security
interests as disclosed on Schedule 4.2.12.
9.3.42 Premises.
The term "Premises" shall mean the lease of the premises described on
Schedule 1.1.11.
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9.3.43 Purchase Consideration.
The term "Purchase Consideration" shall mean the aggregate of any
common stock issued, cash paid, liabilities assumed, and guarantees issued
at Closing.
9.3.44 Retained Liabilities.
The term "Retained Liabilities" shall mean any debts, obligations,
contracts, loans, commitments, undertakings or liabilities of ACS, whether
fixed, unliquidated, contingent or otherwise, of any nature whatsoever
arising before or after the Closing or in connection with any of the Assets
or Business that are not Assumed Liabilities.
9.3.45 SEC.
The term "SEC" shall mean the Securities and Exchange Commission.
9.3.46 Seller Indemnitees.
The term "Seller Indemnitees" shall mean the Sellers and their
successors and assigns.
9.3.47 Tangible Personal Property.
The term "Tangible Personal Property " shall mean all furniture,
furnishings, computer hardware and software, supplies, equipment, fixtures,
inventory and other tangible personal property owned or leased by ACS.
9.3.48 Tax.
The term "Tax" shall mean any federal, state, local, foreign, or other
ad valorem, customs, documentary, duty, employment, excise, franchise,
gross income, gross receipts, lease, license, net income, payroll, premium,
profits, property, occupation, sales, service, service use, stamp,
severance, transaction privilege, transfer, use, or withholding Tax or
other assessment, charge, fee, impost, levy, or Tax of any kind whatsoever,
together with any related interest and penalties.
9.3.49 Tax Return.
The term "Tax Return" shall mean any return, declaration, report,
claim for refund, or information return or statement relating to Taxes,
including any schedule or attachment thereto, and including any amendment
thereof.
9.3.50 Transaction Documents.
The term "Transaction Documents" shall mean each of this Agreement and
other documents delivered by ACS pursuant to Section 3.2.3 of this
Agreement, and any documents delivered by PATI pursuant to Section 3.3.3 of
this Agreement.
C-41
9.3.51 Vendor/supplier contracts.
The term "Vendor/supplier contracts" shall mean all Documents to which
ACS is a party pursuant to which the Vendors/suppliers are engaged to
provide services with respect to the Business.
9.4 Property Taxes.
At the Closing, all personal property Taxes on any Asset being conveyed
pursuant to this Agreement which is assessed as personal property shall be
prorated as of the Closing Date.
9.5 Entire Agreement.
This Agreement (including the exhibits hereto) and the other Transaction
Documents (and the exhibits thereto) represent the entire understanding and
agreement among the parties with respect to the subject matter hereof, and
supersedes all other negotiations, understandings and representations (if any)
made by and among such parties.
9.6 Amendments.
The provisions of this Agreement may not be amended, supplemented, waived
or changed orally, but only by a writing signed by the party as to whom
enforcement of any such amendment, supplement, waiver or modification is sought
and making specific reference to this Agreement.
9.7 Assignments.
No party shall assign his or its rights and/or obligations hereunder
without consent of each other party to this Agreement, except that PATI may
assign its rights hereunder to any Affiliate of PATI, or any corporation
resulting from the merger or consolidation of PATI with any entity that acquires
all of PATI's assets.
9.8 Further Assurances.
The parties hereby agree from time to time to execute and deliver such
further and other transfers, assignments and documents and do all matters and
things which may be convenient or necessary to more effectively and completely
carry out the intentions of this Agreement.
9.9 Binding Effect.
All of the terms and provisions of this Agreement, whether so expressed or
not, shall be binding upon, inure to the benefit of, and be enforceable by the
parties and their respective administrators, executors, legal representatives,
heirs, successors and permitted assigns.
C-42
9.10 Headings.
The headings contained in this Agreement are for convenience of reference
only, are not to be considered a part hereof and shall not limit or otherwise
affect in any way the meaning or interpretation of this Agreement.
9.11 Notices.
All notices, requests, consents and other communications required or
permitted under this Agreement shall be in writing (including telex and
telegraphic communication) and shall be (as elected by the person giving such
notice) hand delivered by messenger or courier service, telecommunicated, or
mailed (airmail if international) by registered or certified mail (postage
prepaid), return receipt requested, addressed to:
PATI and PATI Stockholders Roger L. Chaufournier
_________ ................46 Prince Street
Rochester, NY 14607
Telephone No. 716/242-7200
Facsimile No. 716/244-1367
PATI Counsel: ................Jeffery A. Baumel
_________ ................McCarter & English, LLP
_________ ................Four Gateway Center
_________ ................100 Mulberry Street
_________ ................Newark, NJ 07102
_________ ................Telephone No. 973/622-4444
_________ ................Facsimile No. 973/622-7070
ACS and ACS Stockholders: Robert Prosek
8080 Tristar Drive, Suite 100
Irving, TX 75063
Telephone No. 972/871-7912
Facsimile No. 972/871-8632
ACS Counsel: Michael Caolo, Jr.
_________ ................8080 Tristar Drive, Suite100
_________ ................Irving, TX 75063
_________ ................Telephone No. 972/871-7912, Ext. 226
_________ ................Facsimile No. 972/871-8632
or to such other address as any party may designate by notice complying with the
terms of this Section. Each such notice shall be deemed delivered (a) on the
date delivered if by personal delivery; (b) on the date telecommunicated if by
electronic mail; (c) on the date of transmission with confirmed answer back if
by telex, telefax or other telegraphic method; and (d) on the date upon which
the return receipt is signed or delivery is refused or the notice is designated
by the postal authorities as not deliverable, as the case may be, if mailed.
C-43
9.12 Severability.
If any provision of this Agreement or any other agreement entered into
pursuant hereto is contrary to, prohibited by or deemed invalid under applicable
law or regulation, such provision shall be inapplicable and deemed omitted to
the extent so contrary, prohibited or invalid, but the remainder hereof shall
not be invalidated thereby and shall be given full force and effect so far as
possible. If any provision of this Agreement may be construed in two or more
ways, one of which would render the provision invalid or otherwise voidable or
unenforceable and another of which would render the provision valid and
enforceable, such provision shall have the meaning which renders it valid and
enforceable.
9.13 Waivers.
The failure or delay of any party at any time to require performance by
another party of any provision of this Agreement, even if known, shall not
affect the right of such party to require performance of that provision or to
exercise any right, power or remedy hereunder. Any waiver by any party of any
breach of any provision of this Agreement should not be construed as a waiver of
any continuing or succeeding breach of such provision, a waiver of the provision
itself, or a waiver of any right, power or remedy under this Agreement. No
notice to or demand on any party in any case shall, of itself, entitle such
party to any other or further notice or demand in similar or other
circumstances.
9.14 Pronouns.
In this Agreement, the use of any gender shall be deemed to include all
genders, and the use of the singular shall include the plural and vice versa,
wherever it appears appropriate from the content.
9.15 Third Parties.
Unless expressly stated herein to the contrary, nothing in this Agreement,
whether express or implied, is intended to confer any rights or remedies under
or by reason of this Agreement on any persons other than the parties hereto and
their respective administrators, executors, other legal representatives, heirs,
successors and permitted assigns. Nothing to this Agreement is intended to
relieve or discharge the obligation or liability of any third persons to any
party to this Agreement, nor shall any provision give any third persons any
right of subrogation or action over or against any party to this Agreement.
9.16 Enforcement Costs.
If any legal action or other proceeding is brought for the enforcement of
this Agreement, or because of an alleged dispute, breach, default or
misrepresentation in connection with any provision of this Agreement, the
successful or prevailing party or parties shall be entitled to recover
reasonable attorneys' fees, sales and use Taxes, court costs and all expenses
even if not taxable as court costs (including, without limitation, all such
fees, Taxes, costs and expenses incident to arbitration, appellate, bankruptcy
and post-judgment proceedings), incurred in that action or proceeding, in
addition to any other relief to which such party or parties may be entitled.
Attorneys' fees shall include, without limitation, paralegal fees, investigative
fees, administrative costs, sales and use Taxes and all other charges billed by
the attorney to the prevailing party.
C-44
9.17 Remedies Cumulative.
Except as otherwise expressly provided herein, no remedy herein conferred
upon any party is intended to be exclusive of any other remedy, and each and
every such remedy shall be cumulative and shall be in addition to every other
remedy given hereunder or now or hereafter existing at law or in equity or by
statute or otherwise. No single or partial exercise by any party of any right,
power or remedy hereunder shall preclude any other or further exercise thereof.
9.18 Counterparts.
This Agreement may be executed in one or more counterparts, each of which
shall be deemed an original, but all of which together shall constitute one and
the same instrument. Confirmation of execution by telex or by telecopy or
telefax of a facsimile signature page shall be binding upon any party so
confirming.
9.19 Governing Law.
THIS AGREEMENT AND ALL TRANSACTIONS CONTEMPLATED BY THIS AGREEMENT SHALL BE
GOVERNED BY, AND CONSTRUED AND ENFORCED IN ACCORDANCE WITH, THE INTERNAL LAWS OF
THE STATE OF TEXAS WITHOUT REGARD TO PRINCIPLES OF CONFLICTS OF LAWS AND VENUE
AND JURISDICTION FOR ANY AND ALL LITIGATION BASED UPON OR ARISING OUT OF THIS
AGREEMENT SHALL BE IN DALLAS COUNTY, TEXAS.
9.20 Preparation of Agreement.
This Agreement shall not be construed more strongly against any party
regardless of who is responsible for its preparation. The parties acknowledge
each contributed and is equally responsible for its preparation.
9.21 Survival.
All representations, warranties, covenants and agreements made herein or
otherwise made in writing by any party pursuant hereto shall survive the
execution and delivery of this Agreement and the consummation of the
transactions contemplated hereby for a period of 12 months from the Closing.
C-45
9.22 Inducement to Transaction.
All representations and warranties made by any party in this Agreement
shall be deemed made for the purpose of inducing the other party to enter into
this Agreement.
9.23 Arbitration.
The parties shall use good faith negotiation to resolve any controversy,
dispute or disagreement arising out of or relating to this Agreement or the
other Transaction Documents or the breach of this Agreement or the other
Transaction Documents. Any matter not resolved by negotiation shall be submitted
to binding arbitration pursuant to this Section 9.23; provided however, that the
terms and provisions of this Section 9.23 shall not preclude any party hereto
from seeking, or a court of competent jurisdiction from granting, a temporary
restraining order, temporary injunction or other equitable relief for any breach
of (i) any non-competition or confidentiality covenant in this Agreement or any
other Transaction Documents or (ii) any duty, obligation, covenant,
representation or warranty set forth in this Agreement or any other Transaction
Document, the breach of which may cause irreparable harm or damage.
a. Arbitrators.
In the event any claim or claims is brought by any of the parties
hereto, or there is any other claim, controversy, dispute or disagreement
arising out of or relating to this Agreement, and the parties are unable to
resolve such claim, controversy, dispute or disagreement within thirty (30)
days after notice is first delivered pursuant to the other party, the
parties agree to each select one arbitrator in Dallas County, Texas, to
hear and decide all such claims under this Section 9.23. The two (2)
arbitrators so chosen shall then select a third arbitrator who is
experienced in the matter or action that is subject to such arbitration.
Each of the arbitrators chosen shall be impartial and independent of all
parties to this Agreement. If either of the parties fails to select an
arbitrator within twenty (20) days after the end of such thirty-day period,
or if the arbitrators chosen fail to select a third arbitrator within
twenty days, then any party may in writing request the judge of the United
States District Court for the Northern District of Texas senior in term of
service to appoint the arbitrator or arbitrators and, subject to this
Section 9.23, such arbitrators shall hear all arbitration matters arising
under this Section 9.23.
b. Applicable Rules.
Each arbitration hearing shall be held at a place acceptable to a
majority of the arbitrators and the subject parties. The arbitration shall
be conducted in accordance with the Commercial Arbitration Rules of the
American Arbitration Association to the extent such rules do not conflict
with the terms of this Section 9.23. The decision of a majority of the
arbitrators shall be reduced to writing and shall be binding on the
parties. All privileges under Texas and federal law, including
attorney-client and work-product privileges, shall be preserved and
protected to the same extent that such privileges would be protected in a
federal court proceeding applying Texas law.
C-46
9.24 Schedules.
All references in this Agreement to Sections, Exhibits or Schedules
shall mean the sections, exhibits or schedules of this Agreement unless
otherwise expressly set forth. The Exhibits and Schedules to this Agreement
shall be deemed a part of this Agreement for all purposes. A disclosure of
an item in a Schedule or under a heading in a Schedule corresponding to a
particular Section or Subsection of this Agreement or a separate disclosure
item within such a Section or Subsection shall not be a disclosure under
any other Schedule, any other Section or Subsection of this Agreement or
separate disclosure item within such a Section or Subsection or any other
disclosure item of such Schedule. ACS has delivered to PATI a true and
complete copy of each arrangement, Document or other item described on each
Schedule to this Agreement.
[SIGNATURES INTENTIONALLY APPEAR ON FOLLOWING PAGE]
C-47
IN WITNESS WHEREOF, the parties hereto have executed this Agreement as of
the day and year first above written.
PATI
By:/s/Roger L. Chaufournier
------------------------
Name: Roger L. Chaufournier
Title:President
ACS
By:/s/Robert A. Prosek
------------------------
Name: Robert A. Prosek
Title: President
ACS STOCKHOLDERS
ACSC, Inc.
By:/s/Sue Shelton
------------------------------
Sue Shelton, President
/s/Mark Bodnar
---------------------------------
Mark Bodnar, individually
/s/Eric Brauss
---------------------------------
Eric Brauss, individually and as the
ultimate beneficial and majority owner and affiliate of ACSC, Inc.
PATI STOCKHOLDERS:
/s/John Pappajohn
---------------------------------
John Pappajohn, individually
/s/Derace Schaffer
---------------------------------
Derace Schaffer, individually
C-48
APPENDIX D
AMENDMENT NO. 1 TO AMENDED AND RESTATED AGREEMENT
FOR PURCHASE AND SALE OF ASSETS
This is an amendment (this "Amendment") dated July 30, 2003 to the Amended
and Restated Agreement for Purchase and Sale of Assets dated as of April 10,
2003 (the "Purchase Agreement") by and among American CareSource Corporation, an
Indiana corporation ("ACS"), Patient Infosystems, Inc., a Delaware corporation
("PATI") and the stockholders signatory thereto.
RECITALS
A. ACS, PATI and others are parties to the Purchase Agreement.
B. ACS and PATI have agreed to amend the Credit Agreement to increase the
maximum loan amount thereunder to an aggregate of $3.4 million pursuant to
a series of promissory notes (the "Notes").
C. The parties wish to amend the Purchase Agreement on the terms and
conditions set forth herein to reflect changes in the terms of the
transaction resulting from the additional loans by PATI to ACS made in
accordance with the Credit Agreement, as amended.
NOW, THEREFORE, in consideration of the agreement of the parties contained
herein, and intending to be legally bound, the parties hereto agree as follows:
1. Recitals and Definitions.
ACS and PATI acknowledge and agree that the foregoing recitals are true and
correct as of the date of this Amendment. Capitalized terms used herein and not
defined shall have the meanings assigned to them in the Purchase Agreement as
amended by any prior amendments.
2. Total Consideration to be Issued to ACS.
The following sections of the Purchase Agreement hereby are amended to
reflect a reduction in the number of shares of Common Stock of PATI to be issued
to ACS, referred to in the Purchase Agreement as the Initial Consideration from
2,971,915 to 2,091,366.
a. Recitals "C."
b. Section 1.1.
c. Section 2.1.
3. Amendments to Credit Agreement.
The aggregate amount of the loans from PATI to ACS that may be made in
accordance with the Credit Agreement has been increased from $2.25 million to
$3.4 million. Accordingly, the following section of the Purchase Agreement is
amended to reflect the increase in the loans from $2,250,000 to $3,400,000:
1. Recitals "F."
D-1
4. Raising of Additional Funds.
Section 5.10 of the Purchase Agreement is hereby replaced in its entirety
and amended to read as follows:
"5.10 Raising of Additional Funds
TFC and Mr. Brauss, personally, agree to raise from investors (or invest
personally) an aggregate of $1,500,000 (excluding debt conversion) for
investment in Series D Preferred Stock in accordance with Section 7.10 by a date
that is no later than October 1, 2003. In addition, each of TFC and Eric Brauss,
personally and John Pappajohn, personally, agrees to use their reasonable best
efforts to raise additional new capital of an aggregate of up to $1,000,000 (in
addition to the amounts set forth herein) for investment in Series D Preferred
Stock in accordance with Section 7.10 hereof."
5. Private Placement.
(a) Section 7.10 of the Purchase Agreement is hereby replaced in its
entirety and amended to read as follows:
"7.10 Private Placement.
TFC and Mr. Brauss, personally, agree to raise from investors (or
invest personally) an aggregate of $1,500,000 (excluding debt conversion)
for investment in Series D Preferred Stock in accordance herewith by a date
that is no later than October 1, 2003. In addition, each of TFC and Eric
Brauss, personally and John Pappajohn, personally, agrees to use their
reasonable best efforts to raise additional new capital of an aggregate of
up to $1,000,000 (in addition to the amounts set forth herein) for
investment in Series D Preferred Stock in accordance hereof. The issuance
of the Series D Preferred Stock in the private placement will occur
following the Closing and the ownership percentages of each of the PATI
Stockholders and ACS Stockholders will be reduced accordingly (inclusive of
any anti-dilution adjustments). The proposed form of Certificate of
Designation for the Series D Preferred Stock shall be in the form attached
hereto as Exhibit 7.10. The form of Certificate of Designation may be
subject to revision at the discretion of PATI."
(b) A new Section 3.2.8 shall be added to the Purchase Agreement that
shall provide that the satisfaction of the obligations of TFC and Eric
Brauss under Section 5.10 of the Purchase Agreement shall be
additional conditions precedent of the obligations of PATI to
consummate the Closing, which shall be as follows:
"3.2.8 Private Placement.
All amounts to be raised by TFC and Eric Brauss as referred to in
Section 5.10 of this Agreement shall be deposited into an escrow account to
be released to PATI upon the aggregate amount of $1,500,000 being raised by
TFC, Mr. Brauss and/or other ACS investors immediately following the
Closing."
D-2
6. General.
The parties hereto acknowledge that all provisions of the Purchase
Agreement, except as amended hereby, shall remain in full force and effect.
7. Definitions.
Whenever appearing in the Purchase Agreement or any other agreement, the
term "Purchase Agreement" shall be deemed to mean the Purchase Agreement as
amended.
8. Representations and Warranties.
ACS represents and warrants to PATI that: (i) it has the power, and has
taken all necessary action to authorize, execute and deliver this Amendment and
perform its obligations in accordance with the terms hereunder, (ii) this
Amendment and the Purchase Agreement as amended by the Amendment is the legal,
valid and binding obligation of ACS enforceable against ACS, (iii) the
execution, delivery and performance of this Amendment by ACS will not (a)
require any governmental approval or any other consent or approval; or (b)
violate or conflict with any agreement to which it is a party, or result in or
require the creation of any lien upon any of the assets of ACS, and (iv) the
financial information provided by ACS to PATI in connection with the request of
ACS that PATI enter into this Amendment is true and correct in all material
respects.
9. Fees of PATI's Counsel.
ACS shall pay the fees and expenses of McCarter & English in connection
with the preparation and negotiation of this Amendment and all related documents
at the closing.
10. Intergration.
This Amendment together with the Purchase Agreement constitute the entire
agreement and understanding among the parties relating to the subject matter
hereof and thereof and supersedes all prior proposals, negotiations, agreements
and understandings relating to such subject matter.
11. Severability.
If any provision of this Amendment shall be held invalid or unenforceable
in whole or in part in any jurisdiction, such provision shall, as to such
jurisdiction, be ineffective to the extent of such invalidity or enforceability
without in any manner affecting the validity or enforceability of such provision
in any other jurisdiction or the remaining provisions of this Amendment in any
other jurisdiction.
D-3
12. No Forfeiture of Rights.
The parties hereto acknowledge that by agreeing to this Amendment, they are
not waiving any rights or remedies they may have under this agreement or any
prior agreement by or among the parties.
13. Incorporation by Reference.
This Amendment is incorporated by reference into the Purchase Agreement.
Except as otherwise provided herein, all of the other provisions of the Purchase
Agreement shall remain in full force and effect as of the date of this
Amendment.
14. Governing Law; Successors and Assigns.
This Amendment is governed by the laws of the State of Texas and is binding
upon ACS, PATI and the signatories to the Purchase Agreement and this Agreement.
15. Counterparts.
This Amendment may be executed by one or more of the parties on any number
of separate counterparts, and all of said counterparts taken together shall be
deemed to constitute one and the same instrument.
IN WITNESS WHEREOF, the parties hereto have caused this Amendment to be
executed by their respective officers thereunto duly authorized, on the date
first above written.
PATI
By:/s/Roger L. Chaufournier
------------------------
Name: Roger L. Chaufournier
Title:President
ACS
By:/s/Robert A. Prosek
------------------------
Name: Robert A. Prosek
Title: President
D-4
ACS STOCKHOLDERS
ACSC, Inc.
By:/s/Sue Shelton
------------------------------
Sue Shelton, President
/s/Mark Bodnar
---------------------------------
Mark Bodnar, individually
/s/Eric Brauss
---------------------------------
Eric Brauss, individually and as the
ultimate beneficial and majority owner and affiliate of ACSC, Inc.
PATI STOCKHOLDERS:
/s/John Pappajohn
---------------------------------
John Pappajohn, individually
/s/Derace Schaffer
---------------------------------
Derace Schaffer, individually
D-5
PATIENT INFOSYSTEMS, INC.
THIS PROXY IS SOLICITED BY THE BOARD OF DIRECTORS FOR
THE SPECIAL MEETING OF STOCKHOLDERS
TO BE HELD ON OCTOBER 15, 2003
The undersigned hereby appoints Kent Tapper and/or Roger Chaufournier, each
with full power of substitution, as proxies for the undersigned to attend the
Special Meeting of Stockholders of Patient Infosystems, Inc. (the "Company"), to
be held at the Company's offices at 46 Prince Street, Rochester, New York on
October 15, 2003 at 10 a.m., Eastern Time, or any adjournment thereof, and to
vote the number of shares of capital stock of the Company that the undersigned
would be entitled to vote, and with all the power the undersigned would possess,
if personally present, as follows:
1. Approval of an amendment to the Company's Certificate of Incorporation to
increase the number of authorized shares of capital stock to 100,000,000 divided
into 80,000,000 shares of common stock, par value $0.01 per share and 20,000,000
shares of preferred stock, par value $0.01 per share.
[ ] FOR [ ] AGAINST [ ] ABSTAIN
2. Approval of an amendment to the Company's Certificate of Incorporation to
change the Company's name to American CareSource Corporation.
[ ] FOR [ ] AGAINST [ ] ABSTAIN
3. Approval of an amendment to the Company's Certificate of Incorporation to
provide for a 1 for 12 reverse stock split.
[ ] FOR [ ] AGAINST [ ] ABSTAIN
4. Approval of an amendment to the Company's Amended and Restated Stock Option
Plan to increase the number of authorized shares reserved for issuance under the
plan from 1,680,000 to 3,500,000 shares.
[ ] FOR [ ] AGAINST [ ] ABSTAIN
The Proxies will vote as specified herein or, if a choice is not specified,
they will vote "FOR" the proposals set forth above. In their discretion, the
Proxies are authorized to vote upon such other business as may properly come
before the meeting or any adjournment thereof.
When shares are held by two or more persons as joint tenants, both or all
should sign. When signing as attorney, executor, administrator, trustee or
guardian, please give full title as such. If a corporation, please sign in full
corporate name by president or other authorized officer. If a partnership,
please sign in partnership name by authorized person.
DATED:
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Signature