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EX-31.1 - Patient Portal Technologies, Inc.patientportalexh311.txt
EX-32.1 - Patient Portal Technologies, Inc.patientportalexh321.txt
EX-31.2 - Patient Portal Technologies, Inc.patientportalexh312.txt
EX-32.2 - Patient Portal Technologies, Inc.patientportalexh322.txt

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                                 UNITED STATES
                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

                                   FORM 10-Q

(Mark One)

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

For the quarterly period ended September 30, 2009

or

|_|TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE
ACT OF 1934

For the transition period from              to

Commission File Number: 333-107824

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


              Delaware                                          02-0656132
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  (State or other jurisdiction of                            (I.R.S. Employer
  incorporation or organization)                            Identification No.)


                8276 Willett Parkway
                  Baldwinsville, NY                              13027
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      (Address of principal executive offices)                 (Zip Code)


                                 (315) 638-6708
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              (Registrant's telephone number, including area code)

                                      N/A
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              (Former name, former address and former fiscal year,
                         if changed since last report)


                                       i

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes |X| No |_| Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of "large accelerated filer," "accelerated filer" and "smaller reporting company" in Rule 12b-2 of the Exchange Act. (Check one): Large accelerated filer |_| Accelerated filer |_| Non-accelerated filer |_| Smaller reporting company |X| (Do not check if a smaller reporting company) Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes |_| No |X| Indicate the number of shares outstanding of each of the issuer's classes of common stock, as of the latest practicable date. As of March 31, 2009, there were 39,466,757 shares of common stock, $.001 par value per share, outstanding. ii
TABLE OF CONTENTS Page No. -------- PART I - Financial Information Item 1. Condensed Consolidated Financial Statements 1 Item 2. Management's Discussion and Analysis of Financial 10 Condition and Results of Operations Item 3. Quantitative and Qualitative Disclosures About Market Risk 20 Item 4. Controls and Procedures 20 PART II - Other Information Item 1. Legal Proceedings 21 Item 4. Submission of Matters to a Vote of Security Holders 21 Item 6. Exhibits 21 Signatures 21
Part I. Financial Information Item 1. Condensed Consolidated Financial Statements PATIENT PORTAL TECHNOLOGIES, INC. AND SUBSIDIARY CONSOLIDATED BALANCE SHEET (Unaudited) September 30, December 31, ASSETS 2009 2008 ------------- ------------- -------------- Cash $ 292,890 $ 411,229 Accounts Receivable, Net 2,156,547 2,046,836 Prepaids 152,346 54,919 Other 411,299 292,416 ------------- -------------- TOTAL CURRENT ASSETS $ 3,013,082 $ 2,805,400 ------------- -------------- Property, Plant & Equipment, Net 4,184,206 4,355,532 Investments 1,475,000 1,475,000 Hospital Contracts, Net 6,998,085 7,692,452 Debt Issuance Costs 307,100 696,280 ------------- -------------- TOTAL ASSETS $ 15,977,473 $ 17,024,664 ------------- -------------- LIABILITIES AND CAPITAL --------------------------- Accounts Payable $ 2,600,238 $ 3,320,317 Current Portion - LTD / Leases 229,598 1,537,178 Accrued Expenses 570,150 1,336,675 Notes Payable - Current 635,000 1,065,000 ------------- -------------- TOTAL CURRENT LIABILITIES $ 4,034,985 $ 7,259,170 ------------- -------------- Long Term Debt, net of discount 3,188,339 3,584,413 Long Term Leases 199,917 298,259 ------------- -------------- TOTAL LIABILITIES $ 7,423,241 $ 11,141,842 ------------- -------------- STOCKHOLDER'S EQUITY ------------------------ Redeemable Preferred Stock , $.01 par value authorized 1,000,000: 0 (September 30, 2009) and 88,333 (Dec 31, 2008) issued and outstanding - 883 Common Stock, $.001 par value, authorized 100,000,000: 45,005,757 (September 30, 2009) and 39,466,757 (Dec 31, 2008) issued and outstanding 45,005 39,467 Additional Paid in Capital 17,340,914 9,702,213 Additional Paid In Capital - Warrants - 913,043 Retained Deficit (8,831,688) (4,772,784) ------------- -------------- TOTAL STOCKHOLDER'S EQUITY $ 8,554,232 $ 5,882,822 ------------- -------------- TOTAL LIABILITIES AND STOCKHOLDER'S EQUITY $ 15,977,473 $ 17,024,664 ------------- -------------- See notes to the condensed consolidated financial statements 1
PATIENT PORTAL TECHNOLOGIES, INC. AND SUBSIDIARY CONDENSED CONSOLIDATED STATEMENTS OF OPERATIONS (UNAUDITED) THREE MONTHS ENDED NINE MONTHS ENDED ----------------------------- ------------------------------ Restated Restated September 30, September 30, September 30, September 30, 2009 2008 2009 2008 ------------- ------------- ------------- -------------- TOTAL REVENUE 4,369,420 4,426,130 $ 12,387,697 $ 13,179,537 Cost of Revenue 2,754,095 2,763,537 7,507,004 8,360,720 ------------- ------------- ------------- -------------- Gross Profit $ 1,615,325 $ 1,662,593 $ 4,880,692 $ 4,818,816 Operating Expenses Selling, General & Administrative 1,214,678 1,209,293 4,036,202 3,955,081 Depreciation and Amortization 564,769 291,845 1,294,233 1,005,848 ------------- ------------- ------------- -------------- INCOME (LOSS) FROM CONTINUING OPERATIONS $ (164,122) $ 161,455 $ (449,743) $ (142,113) Interest Expense 96,374 468,777 971,728 1,369,466 ------------- ------------- ------------- -------------- Income (Loss) Before Taxes (260,496) (307,321) (1,421,471) (1,511,579) Income Tax Expense - - 14,391 - ------------- ------------- ------------- -------------- Net (Loss) from Continuing Operations $ (260,496) $ (307,321) $ (1,435,862) $ (1,511,579) DEBT DISTINGUISHMENT CHARGES - - 2,623,042 - ------------- ------------- ------------- -------------- NET LOSS $ (260,496) $ (307,321) $ (4,058,904) $ (1,511,579) ------------- ------------- ------------- -------------- Net (Loss) Per Share $ (0.01) $ (0.01) $ (0.09) $ (0.04) ------------- ------------- ------------- -------------- Weighted Average Shares Outstanding 45,005,075 37,162,257 43,072,676 36,777,632 See notes to the condensed consolidated financial statements 2
PATIENT PORTAL TECHNOLOGIES, INC. AND SUBSIDIARY CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED), NINE MONTHS ENDED Restated September 30, September 30, 2009 2008 ------------- -------------- CASH FLOWS FROM OPERATING ACTIVITIES: Net (Loss) $ (4,058,904) $ (1,511,579) ------------- -------------- Adjustments to reconcile net (loss) to net cash used in operations: Depreciation and amortization 1,294,233 1,005,848 Debt Discount and Loan Costs Amortization 2,808,779 674,040 (Increase) decrease in assets: Accounts receivable (109,711) (1,070,926) Other current assets (216,310) (36,149) Increase (decrease) in liabilities: Accounts payable (720,079) 744,119 Other current liabilities (527,556) (321,636) Short Term Notes payable (430,000) (262,701) ------------- -------------- Total adjustments 2,099,356 732,596 ------------- -------------- Net cash flows (used) in operating activities (1,959,548) (778,983) ------------- -------------- CASH FLOWS INVESTING ACTIVITIES: Purchase of property, plant and equipment (332,096) (598,308) ------------- -------------- Net cash (used) in investing activities (332,096) (598,308) ------------- -------------- CASH FLOWS FINANCING ACTIVITIES: Deferred Loan Issuance Costs (307,100) - Proceeds from stock issued 101,453 519,275 Proceeds from long-term debt and leases 2,500,000 1,204,875 Payments on long-term debt and leases (121,048) (581,416) ------------- -------------- Net cash flows provided by financing activities 2,173,305 1,142,734 ------------- -------------- NET (DECREASE) INCREASE IN CASH (118,339) (234,557) CASH AND CASH EQUIVALENTS, BEGINNING OF PERIOD 411,229 404,003 ------------- -------------- CASH AND CASH EQUIVALENTS, END OF PERIOD $ 292,890 $ 169,446 ------------- -------------- Supplemental disclosure of cash flow information: Cash paid during the period for: Interest, net $ 80,067 $ 695,426 ------------- -------------- See notes to the condensed consolidated financial statements 3
PATIENT PORTAL TECHNOLOGIES, INC., NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED) Note 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Operations and Basis of Presentation - Patient Portal Technologies, Inc. and its wholly owned subsidiaries (The "Company") are in two primary businesses. First, the sale of televisions and associated equipment to hospital facilities and second, providing non medical management and patient support services assisting hospitals to improve patient satisfaction and outcomes. The accompanying consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America. Consolidation- The accompanying consolidated financial statements include the accounts of Patient Portal Technologies, Inc. and its wholly owned subsidiaries. All intercompany transactions and balances have been eliminated in consolidation. Financial Statement Preparation - The preparation of the consolidated 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 and related disclosures. Actual results may differ from those estimates. Revenue Recognition - The Company recognizes revenue from the sales of televisions when the product is received by the customer. Revenue for its other management and patient centers services is recognized when the service is rendered. Revenue from hospitals for equipment sales or other services is recorded when the service is performed or the equipment sale is finalized Income Taxes - Income taxes are not provided for in these financial statements since the Company has a significant net operating loss carry-forward from previous years and incurred a loss for the period. Cash Equivalents - The Company considers all highly liquid debt instruments purchased with an original maturity of three months or less to be cash equivalents. 4
Cash Receivable - The Company performs ongoing credit evaluations of its customers and adjusts credit limits based upon payment history and the customer's current creditworthiness, as determined by review of their credit information. The Company continuously monitors collections and payments from its customers and maintains a provision for estimated credit losses based upon historical experience and any specific customer collection issues that have been identified. Credit losses have historically been within management's expectations and the provisions established. The allowance for bad debts was approximately $328,000 as of September 30, 2009. Debt Issuance Costs - Cost incurred to issue debt are deferred and amortized as interest expense over the term of the related debt. Recent Accounting Pronouncements - In September 2006, the FASB issued SFAS NO 157 "Fair Value Measurements" (SFAS 157) which provides guidance for measuring assets and liabilities at fair value. SFAS 157 is effective for financial statements issued for fiscal years beginning after November 15, 2007. The adoption of SFAS 157 is not expected to have a material impact on the Company's consolidated financial statements. In December 2007, the FASB issued Statements of Financial Accounting Standards NO. 141 (revised 2007), "Business Combinations" (FAS 141(R)) and No. 160, "Non-controlling Interests in Consolidated Financial Statements, an amendment for ARB No. 41 (FAS 160)". FAS 141(R) will change how business acquisitions are accounted for and FAS 160 will change the accounting and reporting for minority interests, which will be characterized as non-controlling interests and classified as a component of equity. FAS 141(R) and FAS 160 are effective for fiscal years beginning on or after December 15, 2008 (January 1, 2009 for the Company). The adoption of FAS 141(R) and FAS 160 will not have a material impact on the Company's consolidated financial statements. Effective January 1, 2008, the Company adopted Statement of Financial Accounting Standards No. 157, "Fair Value Measurements" (SFAS 157). SFAS 157 defines fair value, establishes a framework for measuring fair value in accordance with generally accepted accounting principles and expands disclosures about the fair value measurements. The adoption of SFAS 157 did not have a material impact on the Company's financial condition and results of operations. For additional information on the fair value of certain financial assets and liabilities, see Note 8, "Fair Value Measurements". Fair Value Option: In February 2007, the FASB issues SFAS No. 159, "The Fair Value Option for Financial Assets and Financial Liabilities - including an amendment of FASB Statement No. 115," which permits an entity to measure certain financial assets and financial liabilities at fair value, with unrealized gains and losses reported in earnings at each subsequent measurement date. The fair value option may be elected on an instrument-by-instrument basis, as long as it is applied to the instrument in its entirety. The fair value option election is irrevocable, unless an event specifies in SFAS No. 159 occurs that results in a new election date. This statement is effective for fiscal years beginning after November 15, 2007. The Company adopted SFAS No. 159 as of January 1, 2008 and has elected not to measure any additional financial instruments and other items at fair value. 5
Note 2 - BUSINESS COMBINATIONS AND ACQUISITIONS During November 2008 the Company acquired certain assets and assumed certain liabilities in a transaction with Worldnet Communications, Inc. The Company purchased six hospital contracts and certain fixed assets in a transaction valued at approximately $2.2 million of which approximately $2.0 million included the assumption of certain liabilities associated with the assets purchased. Note 3 - NON CASH TRANSACTIONS During 2008 the Company had two significant non cash transactions. A summary of each follows: Worldnet Communications The Company purchased 6 hospital contracts and certain fixed assets for a combination of cash equivalents and assumption of liabilities. The non cash portion of the transaction was approximately $1,957,000 and represented the purchase of hospital contracts for $1.9 million and certain fixed assets for approximately $57,000. Capitalized Leases During 2008 the Company entered into a series of capitalized leases for equipment used in the business. The total of these leases was approximately $285,000. The offsetting entry was recorded in fixed assets based upon the terms of these leases. During 2009 there was one significant non cash transaction that impacted the Company's financial statement. A summary follows: Dutchess Restructuring During the second quarter the Company closed on a debt restructuring transaction with Dutchess. This resulted in the conversion of Dutchess debt into equity (preferred stock), approximately $7.9 million dollars, the elimination of warrants, approximately $1.3 million, the write-off of debt discount and debt issuance expenses, approximately $2.5 million, as well as accrued interest and long term debt of approximately $6.6 million. All of these transactions were non cash in nature and treated as such in the financial statements. Note 4 - PROPERTY, PLANT & EQUIPMENT Property and equipment are stated at cost and depreciated and amortized generally on the straight-line method over their estimated useful lives of three to fifteen years. Property and equipment consist of the following at March 31, 2009 and December 31, 2008. 6
September 30, December 31, 2009 2008 ------------- -------------- Television sets/system installations, equipment $ 3,606,703 $ 3,289,521 Computer equipment and Software 1,404,244 1,389,330 Office equipment 339,491 339,492 ------------- -------------- 5,350,438 5,018,343 Accumulated depreciation 1,166,232 662,811 ------------- -------------- Total $ 4,219,711 $ 4,355,532 ============= ============== Note 5 - INTANGIBLE ASSETS In accordance with SFAS No. 142 the Company's intangible assets are being amortized over the anticipated useful life of the assets. At the end of September 30, 2009 there was a balance of $6,998,085 in intangible assets which reflected the unamortized portion of multiyear hospital contracts purchased during 2007 and 2008. The contracts are being amortized over a 120 month period using the straight line method. See note 4. A summary of the balances follows: September 30, December 31, 2009 2008 ------------- -------------- Hospital Contracts $ 8,795,156 $ 8,795,156 Accumulated Amortization 1,797,071 1,102,704 ------------- -------------- Total $ 6,998,085 $ 7,692,452 ============= ============== The amortization expense for the three month period ended September 30, 2009 was approximately $231,000 and for fiscal 2008 was approximately $859,000. The estimated annual amortization for the next five years will be $890,000. Note 6 - LONG TERM DEBT Long-term debt consists of the following: September 30, December 31, 2009 2008 ------------- -------------- Bank Term Loan $ 2,500,000 $ 6,343,610 Other Long-term Debt 790,355 813,061 ------------- -------------- 3,290,355 7,156,671 Less: Current portion of long-term debt 102,016 1,409,597 Debt Discount 2,162,661 ------------- -------------- $ 3,188,339 $ 3,584,413 ============= ============== On May 19, 2009 the Company closed on a debt restructuring transaction with Dutchess Private Equities Fund, LTD (Dutchess) which resulted in converting all of the outstanding debt and accrued interest into Preferred Stock. See Note 8. On June 19, 2009 the Company closed on a new credit facility with a commercial bank. The facility included a $2.5 million term loan and a $500,000 equipment facility. The term loan is repayable over 42 months with interest only payments for the first six months. Interest is payable at prime plus 2% with a floor of 5.25%. Other Long term Debt - Debt is payable in monthly installments of $833 to $4804 including interest at 12 % expiring at various dates through January 2012. These notes are secured by television equipment. 7
Note 7 - COMMITMENTS AND CONTINGENCIES Lease Commitments - The Company finances its use of certain facilities and equipment under committed lease arrangements provided by various institutions. At March 31, 2009 future lease payments, under the long-term real estate leases, totaled approximately $1.6 Million. Employment Agreements - As of September 30, 2009, the Company has four employment agreements in effect for senior executives. Litigation - From time to time the Company may be involved in various legal proceedings and other matters, including nominal disputes with creditors relating to the dollar amount of outstanding obligations of the Company, arising in the normal course of business. The Company believes no such actions would result in liabilities in excess of amounts accrued in the financial statements. Warrants and Options - As of September 30 , 2009, in addition to the Company's aforesaid outstanding Common Stock, there are issued and outstanding Common Stock Purchase Warrants which are exercisable at the price-per-share indicated, and which expire on the date indicated, as follows: Exercise Description Number Price Expiration ------------------------------------------ Class "A" Warrants 365,000 $ 2.00 12/31/11 Class "B" Warrants 365,000 $ 3.00 12/31/11 Class "C" Warrants 365,000 $ 4.00 12/31/11 Class "D" Warrants 9,480,050 $ .50 12/31/11 On September 30, 2009 the Shareholders of the Company ratified the Company's "2009 Incentive Stock Option Plan" and reserved 10,000,000 shares for issuance pursuant to said Plan. As of September 30, 2009, 8,000,000 shares under this plan have been issued to officers of the company under this Plan and in accordance to their employment agreements. Note 8 - DUTCHESS DEBT RESTRUCTURING On May 18, 2009 the Company closed on a transaction with Dutchess Private Equities Fund, Ltd. to restructure all of its outstanding debt with the Company. This transaction will have a material positive impact on both the Company's balance sheet as well as statement of operations on a going forward basis. The key aspects of the transaction are as follows: Dutchess converted all of their outstanding debt and accrued interest, which was approximately $6.6 million as of the closing date, retired all of their outstanding warrants (22,826,022),and terminated their security interest in the Company's assets; in return for $7.9 million in preferred convertible stock, a cash payment of $100,000 and 4% of the then outstanding common stock of the Company, approximately 1,718,000 shares. The preferred stock will have an 8% cumulative dividend payable in cash or additional preferred stock at the Company's option, and be convertible into 36.8% of the Company's common stock at the option of the holder. The Company also has the right to call up to $1 million of the preferred stock at the time of a capital raising event. The issuance of the Preferred Stock is pending shareholder final approval. 8
This transaction impacted the Company's balance sheet by reducing short and long term debt by approximately $6.6 million; increasing equity by $7.9 million less the elimination of the outstanding warrants of approximately $1.3 million for a net change of approximately $6.6 million. Additionally, the debt discount balance of approximately $1.9 million and debt issuance costs of approximately $600,000 will be written off, further reducing the overall equity impact by approximately $2.5 million. In summary the transaction increased equity by approximately $4.1 million after the adjustments are recorded. The transaction will also reduce ongoing net interest expense by approximately $1.0 million annually and reduce amortization expense by approximately $200,000. The write-off of the debt discount and deferred debt issuance costs as well as the expenses associated with the transaction, approximately $2.6 million, were classified as a onetime restructuring charge in the income statement for the period ending June 2009. Note 9 - FAIR VALUE MEASUREMENTS As described in Note 2, "New Accounting Standards", the Company adopted SFAS 157 effective January 1, 2008. SFAS 157 defines fair value as the price that would be received for an asset or paid to transfer a liability (an exit price) in the principal or most advantageous market for the asset or liability in an orderly transaction between market participants on the measurement date. SFAS 157 also describes three levels of inputs that may be used to measure fair value: Level 1 - quoted prices in active markets for identical assets and liabilities. Level 2 - observable inputs other than quoted prices in active markets for identical assets and liabilities. Level 3 - unobserved inputs in which there is little or no market data available, which require the reporting entity to develop its own assumptions. 9
Item 2. Management's Discussion and Analysis of Financial Condition and Results of Operations Forward-Looking Statements In addition to historical information, this Report contains forward-looking statements. These forward-looking statements are subject to certain risks and uncertainties that could cause actual results to differ materially from those reflected in these forward-looking statements. Factors that might cause such a difference include, but are not limited to, management of growth, competition, pricing pressures on the Company's products, industry growth and general economic conditions. Readers are cautioned not to place undue reliance on these forward-looking statements, which reflect management's opinions only as of the date hereof. The Company undertakes no obligation to revise or publicly release the results of any revision to these forward-looking statements. General This discussion and analysis should be read in conjunction with our financial statements and accompanying notes, which are included elsewhere in this prospectus. This discussion includes forward-looking statements that involve risks and uncertainties. Operating results are not necessarily indicative of results that may occur in future periods. When used in this discussion, the words "believes", "anticipates", "expects" and similar expressions are intended to identify forward-looking statements. Such statements are subject to certain risks and uncertainties that could cause actual results to differ materially from those projected. Our business and results of operations are affected by a wide variety of factors, as we discuss under the caption "Risk Factors" and elsewhere in this prospectus, which could materially and adversely affect us and our actual results. As a result of these factors, we may experience material fluctuations in future operating results on a quarterly or annual basis, which could materially and adversely affect our business, financial condition, operating results and stock price. Any forward-looking statements herein speak only as of the date hereof. Except as required by applicable law, we undertake no obligation to publicly release the results of any revisions to these forward-looking statements that may be made to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events. Income Taxes We make estimates to determine our current provision for income taxes, as well as our income taxes payable. Our estimates with respect to the current provision for income taxes take into account current tax laws and our interpretation of current tax laws, as well as possible outcomes of any future tax audits. Changes in tax laws or our interpretation of tax laws and the resolution of any future tax audits could significantly impact the amounts provided for income taxes in our financial statements. 10
Legal Contingencies The Company is presently involved in one lawsuit which management believes does not have any merit and will not have a material effect upon the financial condition of the Company. There are no other lawsuits pending nor are any such material legal proceedings anticipated. In the opinion of management, the ultimate resolution of such matters will not have a material adverse effect on our financial position, results of operations or liquidity. CORPORATE INFORMATION The Company is a Delaware corporation which was originally organized on November 22, 2002 as Suncoast Naturals, Inc. and commenced business operations in January, 2003. Pursuant to a Registration Statement filed in accordance with the Securities Act of 1933, as amended, and declared effective by the Securities and Exchange Commission on July 3, 2004, the Company in October, 2004 distributed 499,282 Shares of its Common Stock to shareholders of record of The Quigley Corporation. On December 8, 2006, Patient Portal Connect, Inc. of Palm Beach Gardens, Florida, a Delaware corporation organized in May 2006, acquired approximately 80% of the capital stock of Patient Portal Technologies, Inc. in a tax free exchange that resulted in the shareholders of Patient Portal Connect, Inc. owning 17,500,000 shares of Common Stock of Patient Portal Technologies, Inc., as part of a "reverse" transaction. As a result of this transaction, Patient Portal Connect, Inc. (hereinafter referred to as "PPC") became a wholly-owned operating subsidiary of the Company. Through this acquisition of PPC, we became a leading provider of innovative technology solutions for healthcare institutions. The Company's products and services are delivered over the Company's state-of-the-art proprietary technology platform. This platform is used by the Company as the delivery system for its services. The Company uses the technology to create a communication portal that allows many third parties to communicate and exchange information in a cost effective way. This solution allows the Company to offer many services that optimize patient satisfaction and outcomes, reduces administrative costs, and maximizes reimbursement for their customers. To provide funds for acquisition purposes, on November 1, 2007, the Company entered into a $7,000,000 convertible debenture agreement with Dutchess Private Equities Fund, LTD ("Dutchess"). If Dutchess elects to convert its debentures (the "Debentures") into shares of common stock, par value $0.001 (the "Common Stock") of the Company, the conversion price for their shares of Common Stock is the lower of 85% of the lowest closing bid during the previous twenty day period prior to the conversion or $.46. Part of the financing transaction included issuing warrants to purchase up to 22,826,086 shares of the Company's common stock at a price of $.46 per share. The warrant agreement expires on November 1, 2012. Dutchess' overall ownership in the Company is limited to 4.99% of the then outstanding shares of Common Stock, in accordance with the financing documents. As a result, the number of shares issuable to Dutchess, upon conversion of the Debenture and exercising of its warrants, could potentially be materially adverse to current and potential investors. Although there is a restriction on ownership of 4.99%, Dutchess is free to sell any shares issued to them into the market, thereby enabling Dutchess to systematically convert the remaining Debentures or exercise additional Warrants into shares of Common Stock. 11
On May 18, 2009 the Company closed on a transaction with Dutchess Private Equities Fund, Ltd. to restructure all of its outstanding debt with the Company. This transaction will have a material positive impact on both the Company's balance sheet as well as statement of operations on a going forward basis. The key aspects of the transaction are as follows: Dutchess converted all of their outstanding debt and accrued interest, which was approximately $6.6 million as of the closing date, retired all of their outstanding warrants (22,826,022),and terminated their security interest in the Company's assets; in return for $7.9 million in preferred convertible stock, a cash payment of $100,000 and 4% of the then outstanding common stock of the Company, approximately 1,718,000 shares. The preferred stock will have an 8% cumulative dividend payable in cash or additional preferred stock at the Company's option, and be convertible into 36.8% of the Company's common stock at the option of the holder. The Company also has the right to call up to $1 million of the preferred stock at the time of a capital raising event. On June 21, 2009 the Company closed on a $3.0 million working capital facility with a regional bank located in New York State. The funds will be used to support Company operations as well as consolidate some previous more costly debt. On November 2, 2007, the Company acquired 100% of the capital stock of TB&A Hospital Television, Inc. (hereinafter "TB&A") for a cash purchase price of approximately $3,000,000 and credit for some of the existing accounts receivable, estimated at $300,000. The consideration issued in the stock purchase was determined as a result of arm's-length negotiations between the parties. Following this acquisition, the Company is carrying on the business operations of TB&A as a wholly-owned subsidiary. Prior to the stock purchase, there were no material relationships between us and TB&A or any of our respective affiliates, directors or officers, or any associates of the respective officers or directors. The Company's offices are located at 8276 Willett Parkway, Suite 200, Baldwinsville, New York 13027. The telephone number is (888) 774-3579. The Company's website is www.patientportal.com. OUR PLAN OF OPERATIONS Our Company, through its operating subsidiaries, Patient Portal Connect, Inc. (PPC) and TB&A Hospital Television, Inc., provides patient centric nonmedical services which improve hospital financial performance. Having developed the industry's newest, leading-edge communication/information platform for the healthcare industry, PPC is poised to capture a significant segment of the multi-billion dollar healthcare market. Its proprietary systems were developed in close coordination with hospital industry partners to provide multi-layer functionality across a wide spectrum of critical patient-centric workflows that result in immediate improvements in cost savings, patient outcomes, and revenue growth for hospitals. Our systems and solutions are designed to integrate with existing hospital systems and processes to improve outcomes in today's healthcare environment. 12
The Company's technology allows it to leverage the hospitals existing television and cable infrastructure to create a communication portal for patients and third parties. Nationwide, the demand for more customized healthcare has resulted in a greater need for improved productivity, efficiency, and customer service in hospitals and other healthcare institutions. We have has pioneered the development of integrated software applications that combine technology and industry expertise with unique customization designed to better manage the hospital/patient relationship and improve hospital operational processes. Further, our solutions enable hospitals to achieve compliance with strict government mandates that affect reimbursements by requiring measured improvements in productivity, efficiency, and patient satisfaction. Our proven technologies provide tremendous economic benefit for healthcare providers. We intend to rapidly gain market share by leveraging strategic relationships and by acquiring companies with existing hospital contracts. Our acquisition strategy will enable us to achieve greater profitability, grow rapidly, and quickly gain first-mover advantage. Our proprietary technology platform allows us to create additional revenue streams with minimal cost by accessing enhanced service modules as market demand changes. This scalable architecture creates even greater profitability by enabling multiple services to be delivered over our service delivery platform. We believe that our Company is positioned to quickly react to the requirements of an ever-changing healthcare industry. Unlike the costly, capital-intensive and stand-alone products offered by our industry competitors, our sophisticated technology platform offers flexible solutions and functionalities that are universal enough to have broad appeal while still allowing for a level of customization that is necessary to integrate with a hospital's existing legacy system, and at an affordable cost. Our flexible platform also enables the healthcare providers to fulfill the government's newest mandates for a full "continuum of care" from the hospital to the home. This unique ability enables us to present a tailored solution to our customers at a cost-effective price and will significantly enhances our ability to capture significant market share nationwide. Our products and services enable hospitals to improve patient flow, enhance patient satisfaction, and create long-term relationships with patients as they move from hospital to home. In so doing, hospitals gain productivity and efficiency enhancements, reduce the burden on staff and increase cash flow by optimizing reimbursements from third-party sources including Medicare and private insurers. The Company has adopted a multi year subscription revenue model that is based on patient interactions. We have long term contracts with third parties that pay the Company on a per patient basis based upon a variety of factors. This approach provides the Company with an ability to increase revenue as patient flow and services increase. 13
PATIENT PORTAL PRODUCTS AND SERVICES The healthcare industry is in the midst of dynamic change that is redefining the way healthcare facilities do business. Competition, government scrutiny, and consumer demand for more value present new challenges. Giving good medical care is no longer enough. Healthcare facilities are searching for innovative ways to gain and retain patients as life-long customers. This necessitates implementing immediate changes that focus on improving the patient experience across a full continuum of care, and, for the first time, collecting and managing pertinent, real-time data to measure success and improve profitability. Many healthcare facilities are plagued with decentralized workflows and vertical silos of information that create redundant, costly processes, and a disjointed patient experience. There is increasing need to improve education and communication with the patient before, during, and after their medical stay. To accomplish this, facilities need better systems, data management, and information services to assist them in meeting their goals. Our strategy is to utilize our proprietary communications technology platform as a basis to gain and improve business relationships, then build upon that platform to integrate more and more services over time, thereby fully leveraging assets and maximizing profitability. Our platform integrates with existing communication systems and workflows to present private branded services and information to the patient. Once the patient relationship is established, value is extended beyond the bedside with service offerings before and after a stay. This portal can be utilized by any number of third parties, including healthcare facilities, drug and health companies, patient education services, and family members, which ensures myriad revenue opportunities. The core system was created in concert with our healthcare partners in a live laboratory to create solutions that are cost-effective, scalable, and allow for seamless and transparent integration into a facility's legacy systems and culture. Healthcare facilities gain with real-time metrics of all patient activity, which leads to improved medical outcomes, patient satisfaction scores, compliance with government regulations, and, ultimately, higher profits. The following is a brief description of some of the principal products and services that we deliver to our customers: HealthCast(TM) Patient Network System: In March 2007, we acquired a nine percent interest in Omnicast, Inc. in exchange for 2,950,000 shares of the Company's common stock. Omnicast, Inc. is a leading-edge technology and media provider that offers a variety of customized education and entertainment solutions for the healthcare industry. As a part of this agreement, the Company received an exclusive technology license for the newly developed communication portal, HealthCast(TM) Patient Network System. We believe that HealthCast(TM) will fundamentally change the way patient communications are delivered at the bedside, leading to significant revenue opportunities. 14
HealthCast(TM) is the first suite of customized hospital television channels that invites viewers to interact with channel programming and delivers condition-specific content directly to a patient's TV, IP phone, or home computer. HealthCast(TM) features an exclusive digital-signage platform that promotes an unparalleled level of communication by simultaneously showing video, an information scroll, and additional customized messaging to a single patient, certain patient groups, or to specific areas of the hospital. HealthCast(TM) is the only patient network that puts the hospital in control of multiple information streams for an unprecedented level of communication and education for patients and families. In addition, HealthCast(TM)'s proprietary platform captures viewing metrics so hospitals can document content delivery for pay-for-performance reimbursement, and commercial sponsors can respond to patient viewing habits. In response to demand from healthcare facilities, we have developed channels for Patient Education, Hospital Foundation, Maternity and New Born Care, Patient Safety, General Information, and Nutrition, in addition to customized, condition-specific content that can be delivered on-demand to patients. MedEx(SM): MedEx(SM) Home Delivery offers the patient free home delivery within hours of all prescription medications issued to the patient at discharge and free delivery of all refills, too. With MedEx(SM), we offer a turnkey solution for healthcare facilities that improves the hand-off of prescriptions when patients are discharged and returns all real-time data to the facility and physician for improved medication reconciliation and medication therapy management. The Company controls the private-branded process by deploying its technology to manage the information flow between all stakeholders, in addition to being the primary interface between the healthcare provider, patient, drivers, and pharmacy. This service is provided in conjunction with national pharmacy retailers. MedEx(SM) presents a unique vehicle to extend the patient relationship to the home and opens an array of revenue streams through patient education, aftercare, advertising, and product offerings. Instant Response Line: The Instant Response Line is an interactive, live-response solution that enables patients to log a non-medical need that is electronically transferred to an appropriate facility department for resolution in a timely fashion. Multiple staff can be notified using various media, and all communications are time stamped and escalated as needed for immediate service recovery. A key element to the success of this system is access to real-time data, which enables administrators to see how quickly and efficiently staff respond and allows for improved strategic planning over time. Instant Response Line provides a single point of contact for all patient problems and leads to greater patient satisfaction. Putting the facility in proactive mode improves interdepartmental communication and adds an unparalleled level of customer service for the patient. Quick Pulse Surveys: Quick inpatient surveys allow administrators to keep their "finger on the pulse" of what patients are thinking while in house or shortly after returning home. By conducting live surveys with patients while they are still involved in the experience leads to a higher response rate and gives the facility opportunity to proactively respond in real time. This presents a vastly different concept from the standard post-discharge written surveys healthcare facilities typically employ that include a six to eight week delay in data return. Our customized surveys focus on finite issues, allowing the facility to direct specific, timely solutions. These short, flexible surveys are cost effective enough to be repeated frequently, which enables the facility to benchmark data and measure improvements in operational efficiencies over time. Giving administrators real-time access to patient response data is a key differentiator between our service and competing survey services. 15
VIRTUAL NURSE(TM) MARKETING AGREEMENT In April, 2007, we acquired a 9% minority interest in Virtual Nurse, Inc. of Palm Beach Gardens, FL, in exchange for 750,000 shares of the Company's common stock and entered into a joint Marketing Agreement to introduce Patient Portal and Virtual Nurse(TM) services to healthcare institutions throughout the United States. Virtual Nurse's mission is to provide healthcare organizations with outsourced pre admission screening and scheduling services provided by using licensed nurse working from their home. After the service is complete the Company provides the healthcare provider with a digital record of the screening. It offers the highest quality of care through experienced, skilled, productive, and motivated nurses who benefit from the convenience of working at home on a flexible time schedule. As a result, it is able to give healthcare facilities assurance that every patient receives condition-specific education before entering their facilities and ensure that every assessment has been carefully documented and delivered on time. Virtual Nurse's "PASS" (Pre-Admission Screening Services) program fulfills a critical need in the healthcare industry. As expenditures continue to increase and nursing shortages become greater Virtual Nurse offers the expertise of registered nurses without the challenges or costs of adding on-site staff. Virtual Nurse's RNs perform the administrative medical screening tasks usually conducted by registered nurses in a healthcare facility, with one important distinction: their RNs are dedicated to this service seven days a week, including extended hours, while hospital nurses attempt to contact patients during abbreviated calling hours. Virtual Nurse enables healthcare providers to reallocate all available RNs to medical areas where they are needed most, free from the time-consuming administrative responsibilities of calling patients and coordinating paperwork. Further, the perception to patients is that the healthcare facility is the service provider. Therefore, the healthcare facilities gain improved patient care and satisfaction, superior customer service, and enhanced brand image. COMPETITION Our Company's markets are extremely competitive and are subject to rapid technological change. We believe that our Company is unique in the healthcare industry because we are positioned to provide services and products across the entire patient-service spectrum. Our competitors typically focus products on specific market niches that address a finite need within the industry. We approach the market with more innovation and versatility. Our services coordinate multiple processes toward improved productivity and communication between various stakeholders. The competition that we face in this healthcare services marketplace can be broken down into two different company types: Small Niche Competitors: The competition in this category is comprised of smaller companies offering few very specific products. They focus on one or two areas, such as providing patient education information or administrative services. Some of the competitors in this area include Get Well Network, Allen Technologies, Skylight Systems, Beryl, and TeleTracking. Most companies in this category have a very small hospital base (ten or fewer). Patient Portal Connect has a unique advantage vis-a-vis the small-niche competitors because we offer revenue-generating opportunities across a full continuum of care instead of a stand-alone application, 24/7 integration with our Patient Contact Center, access to an extensive customer base, and a long history serving hospitals and patients. Large Technology-based Providers: The large technology-based providers typically offer very expensive and complex systems that deliver a variety of administrative services at high cost. Companies such as Siemens and Hill-Rom are in this category. Although the product set is enticing, to date they have sold few services due to the cost, complexity of integration, and the amount of system wide change required to sustain the services. Our technology allows us to integrate new products easily without requiring a cultural shift or debt load. Patient Portal Connect focuses on rapidly deploying less expensive, user-friendly services compared to the competition. 16
RESEARCH AND DEVELOPMENT The Company employs a multiple product and services sourcing strategy that includes internal software and hardware development and licensing from third parties. In the future, Company strategy may also include acquisitions of technologies, product lines or companies. As part of our business strategy to reduce direct costs and improve margins, elements of some of the Company's products and services are licensed from third parties. Our main outsourcing activities are related to both developing new modules for our software, and marketing and supporting our product. While our business depends somewhat on our ability to outsource, we are not dependent on any one contractor or vendor. In the future, the Company may make select strategic acquisitions to secure certain technology, people and products which complement or augment overall product and services strategy. Both time-to-market and potential market share growth, among other factors, are considered when evaluating acquisitions of technologies, product lines or companies. Management may acquire and/or dispose of other technologies and products in the future. As a technology and services Company, we realize that we must maintain our investment in research and development to design both new, experimental products and marketing campaigns. Management anticipates incurring additional research and development expenditures as its business grows and adequate cash flow becomes available to fund such costs. EMPLOYEES As of March 31, 2009, the Company and its affiliates had approximately 60 full time equivalent employees. REGULATORY ISSUES We are not subject to any special governmental regulation concerning our supplying of products and services to the market place and we believe we are in compliance in all material respects with all existing regulations governing other aspects of our businesses. RESULTS OF OPERATIONS Recently Issued Accounting Standards In September 2006, the Financial Accounting Standards Board (FASB) issued Statement of Financial Accounting Standards (SFAS) 157, " Fair Value Measurements ". SFAS 157 defines fair value, establishes a framework for measuring fair value in generally accepted accounting principles (GAAP) and expands disclosures about fair value measurements. SFAS 157 is effective for fiscal years beginning after November 15, 2007 and interim periods within those fiscal years. The adoption of this standard has not had a significant impact on the Company's consolidated financial position, results of operations or cash flows. 17
In February 2007, the FASB issued SFAS No. 159, "The Fair Value Option for Financial Assets and Financial Liabilities ", including an amendment of FASB No. 115 ("FAS 159"). The Statement permits companies to choose to measure many financial instruments and certain other items at fair value in order to mitigate volatility in reported earnings caused by measuring related assets and liabilities differently without having to apply complex hedge accounting provisions. FAS 159 is effective for the Company beginning January 1, 2008. The adoption of this standard has not had a significant impact on the Company's consolidated financial position, results of operations or cash flows. In December 2007, the FASB issued Statement of Financial Accounting Standard No. 160, "Non-controlling Interests in Consolidated Financial Statements -- an amendment of ARB No. 51" ("FAS 160"). FAS 160 establishes accounting and reporting standards for the non-controlling interest in a subsidiary and for the retained interest and gain or loss when a subsidiary is deconsolidated. This statement is effective for financial statements issued for fiscal years beginning on or after December 15, 2008 with earlier adoption prohibited. The Company is currently evaluating the impact, if any, of FAS 160 on its operating results and financial position. In December 2007, the FASB issued SFAS No. 141R, "Business Combinations," ("SFAS 141R") which establishes principles and requirements for how an acquirer recognizes and measures in its financial statements the identifiable assets acquired, the liabilities assumed and any non-controlling interest in the acquirer. SFAS 141R also establishes disclosure requirements to enable the evaluation of the nature and financial effects of the business combination. SFAS 141R applies prospectively to business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008, and interim periods within those fiscal years. Critical Accounting Estimates The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent liabilities at the dates of the financial statements and the reported amounts of revenues and expenses during the reporting periods. Actual results could differ from those estimates. Management believes there are no material charges to net income in the current period related to sales from a prior period. Three months ended September 30, 2009 compared with three months ended September 30, 2008 Net sales for the three month period ended September 30, 2009 were $4,369,000, reflecting a decrease of approximately $57,000 over the net sales of $4,426,000 for the comparable three month period ended September 30, 2008. The decrease was caused by a reduction of equipment sales of approximately 17% or $437,000 offset by an increase in patient services revenue of approximately 18% or $380,000. Cost of sales as a percentage of net sales for the three months ended September 30, 2009 was 63% % compared to 62.4% % for the comparable 2008 period. The cost of sales for equipment was higher by 3% for 2009 compared to 2008. This increase was offset by a higher mix and lower cost of sale for patient services in 2009 compared to 2008 resulting in very little overall change in margin from 2008 to 2009. Sales and administrative expenses for the three month period ended September 30, 2009 were $1,215,000, an minor increase of $6,000 over the 2008 amount of $1,209,000. Nine months ended September 30, 2009 compared with nine months ended September 30, 2008 Net sales for the nine month period ended September 30, 2009 were $12,388,000, reflecting a decrease of $ 792,000 over the net sales of $13,180,000 for the comparable nine month period ended September 30, 2008. The decrease was caused by a reduction of equipment sales of approximately $2,200,000 offset by an increase in patient services revenue of approximately $1,400,000, which represents an increase of approximately 24%. Cost of sales as a percentage of net sales for the nine months ended September 30, 2009 was 60.6 % compared to 63.44% for the comparable 2008 period. The decrease was due to the mix of revenue shifting from equipment sales, with higher cost of sales, to patient services, with lower cost of sales. Sales and administrative expenses for the nine month period ended September 30, 2009 were $4,036,000, an increase of $81,000 over the 2008 amount of $3,955,000 which was due to the increase in costs associated with patient service revenue increasing 24% over the comparable nine month period of 2008 partially offset by operational efficiencies. 18
Liquidity and Capital Resources As shown in the above financial statements, the Company incurred a net loss of ($4,059,000) during the nine month period ended September 30, 2009 and ($2,311,990) during the year ended December 31, 2008. Approximately $2.6 million of the loss was due to a one time charge associated with the restructuring of the company's debt. A majority of the charge was non cash and represented the accelerated write off of debt discount and deferred debt charges associated with the initial Dutchess transaction. The Company has been successful in raising capital through private placements of its equity. It has plans to raise more capital through public or private financing, through the issuance of its common stock and the issuance of debt instruments, including debt convertible to equity. When attaining financing if available, it cannot be certain such financing will be on attractive terms. Should the Company obtain more capital, in turn, it may cause dilution to its existing stockholders and providing the Company can obtain more capital, it cannot be assured to ultimately attain profitability. However, management expects that its core business will continue to experience positive growth and the restructuring transaction with Dutchess Capital will have a significant positive impact on the company's liquidity and overall operations. As part of the debt restructuring transaction the Company closed on a $3.0 million credit facility to be used to fund working capital. The new debt was obtained at competitive commercial bank rates. The Company intends to continue its efforts to complete the necessary steps in order to meet its cash flow requirements throughout fiscal 2009 and to continue its product development efforts and adjust its operating structure to reduce losses and ultimately attain profitability. Management's plans in this regard include, but are not limited to, the increase in business operations which it expects from the acquisition of additional retail hospital contracts by our Patient Portal Connect subsidiary and the continuing roll-out of its product line to its existing and future customer base. We also expect to see significant growth in the revenues of our TB&A Hospital Television, Inc. subsidiary during the second half of fiscal 2009 both through new contracts and through the sale of new flat-screen television equipment to our existing customer base. Management believes that actions presently being taken will generate sufficient revenues to provide cash flows from operations and that sufficient capital will be available, when required, to permit the Company to realize its plans. However, there can be no assurance that this will occur. The accompanying financial statements do not include any adjustments that might result from the outcome of this uncertainty. Because our business is evolving and changing, particularly regarding our recent acquisitions and the Dutchess restructuring transaction, our future operating cash flows will be significantly increased from past results, and past operations are not a good gauge for anticipating future operations. 19
Inflation The rate of inflation has had little impact on the Company's results of operations and is not expected to have a significant impact on continuing operations. Capital Expenditures Capital expenditures during the remainder of 2009 are not expected to be material. Item 3. Quantitative and Qualitative Disclosures about Market Risk The Company's operations are not subject to risks of material foreign currency fluctuations, nor does it use derivative financial instruments in its investment practices. The Company places its marketable investments in instruments that meet high credit quality standards. The Company does not expect material losses with respect to its investment portfolio or exposure to market risks associated with interest rates. The impact on the Company's results of one percentage point change in short-term interest rates would not have a material impact on the Company's future earnings, fair value, or cash flows related to investments in cash equivalents or interest-earning marketable securities .. Item 4. Controls and Procedures Evaluation of disclosure controls and procedures. Under the supervision and with the participation of our management, including the Chief Executive Officer and Chief Financial Officer, we have evaluated the effectiveness of our disclosure controls and procedures as required by Exchange Act Rule 13a-15(b) as of the end of the period covered by this report. Based on that evaluation, the Chief Executive Officer and Chief Financial Officer have concluded that these disclosure controls and procedures are effective. Changes in internal control over financial reporting. There was no change in our internal control over financial reporting (as defined in Rules 13a-15(f) and 15d-15(f) under the Exchange Act) during our third quarter of fiscal 2009 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting. 20
Part II. Other Information Item 1. Legal Proceedings The Company is presently involved in two lawsuits which management believes do not have any merit and will not have a material effect upon the financial condition of the Company. There are no other lawsuits pending nor are any such material legal proceedings anticipated. Item 4. Submission of Matters to a Vote of Security Holders None. Item 6. Exhibits (1) Exhibit 31.1 Certification by the Chief Executive Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (2) Exhibit 31.2 Certification by the Chief Financial Officer pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (3) Exhibit 32.1 Certification by the Chief Executive Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (4) Exhibit 32.2 Certification by the Chief Financial Officer pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 21
SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. PATIENT PORTAL TECHNOLOGIES, INC. By: /s/ Kevin J. Kelly ------------------ KEVIN J. KELLY Chief Exec. Officer Date: November 4, 2009 22 --------------------------------------------------------------------------------