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

———————
FORM 10-K
———————

þ
 ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
   
For the fiscal year ended: September 30, 2010
or
   
o
 TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE  ACT OF 1934
   
For the transition period from: _____________ to _____________

———————
COMPUMED, INC.
(Exact name of registrant as specified in its charter)
———————

DELAWARE
 
0-14210
 
95-2860434
(State or Other Jurisdiction
 
(Commission
 
(I.R.S. Employer
of Incorporation or Organization)
 
File Number)
 
Identification No.)
 
5777 WEST CENTURY BLVD., SUITE 360, LOS ANGELES, CA 90045
(Address of Principal Executive Office) (Zip Code)
 
(310)  258 - 5000
(Registrant’s telephone number, including area code)
 
N/A
(Former name or former address, if changed since last report)
 
——————
Securities registered pursuant to Section 12(b) of the Act: None
 
Securities registered pursuant to Section 12(g) of the Act: Common Stock, $0.01 par value
——————
Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.  o Yes  þ No
 
Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15(d) of the Act.   o Yes  þ No
 
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.  þ Yes     o No
 
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§ 232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). o Yes o No
 
Indicate by check mark if disclosure of delinquent filers pursuant to Item 405 of Regulation S-K (§229.405 of this chapter) is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. o
 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company.
 
Large accelerated filer
  o    
Accelerated filer
  o  
Non-accelerated filer
  o    
Smaller reporting company
þ
 
 
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).     o Yes þ No
 
As of March 31, 2010, the issuer had 27,093,742 common shares outstanding. The aggregate market value of the common shares held by non-affiliates (25,503,648) of the issuer was approximately $5,830,803 based upon the average bid and asked prices on such date.
 
As of December 27, 2010, the issuer had 27,287,462 common shares outstanding.
 
DOCUMENTS INCORPORATED BY REFERENCE
 
None.



 
 

 
 
COMPUMED, INC.
TABLE OF CONTENTS
 
PART I
ITEM 1.  DESCRIPTION OF BUSINESS      3  
ITEM 1A. RISK FACTORS      15  
ITEM 1B. UNRESOLVED STAFF COMMENTS     15  
ITEM 2. DESCRIPTION OF PROPERTY     15  
ITEM 3.  LEGAL PROCEEDINGS     15  
ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS      15  
           
PART II
           
ITEM 5.  MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND PURCHASE OF EQUITY SECURITIES     16  
ITEM 6.  SELECTED FINANCIAL DATA      17  
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS      17  
ITEM 8. FINANCIAL STATEMENTS     23  
ITEM 9.  CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL MATTERS     24  
ITEM 9A(T).  CONTROLS AND PROCEDURES     24  
ITEM 9B. OTHER INFORMATION     24  
           
PART III  
           
ITEM 10. DIRECTORS, EXECUTIVE OFFICERS, PROMOTERS AND CORPORATE GOVERNANACE     26  
ITEM 11. EXECUTIVE COMPENSATION     28  
ITEM 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS     30  
ITEM 13. CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS AND DIRECTOR INDEPENDENCE     31  
ITEM 14. PRINCIPAL ACCOUNTANT FEES AND SERVICES      31  
           
PART IV
           
ITEM 15. EXHIBITS     33  
SIGNATURES        35  

 
2

 
 
PART I
 
ITEM 1.
DESCRIPTION OF BUSINESS
 
GENERAL
 
CompuMed has created an electronic telemedicine infrastructure to link clinical cardio-vascular data collected at the patient’s point of care, such as 12-lead ECGs, provide computerized interpretation of the data and to transmit that data to cardiologists for over-read interpretations. Our innovation in this area is the workflow technology being used to manage the inflow of data to its servers, and the routing of that data to a network of cardiologists who provide interpretations under contracts. Our services are available 7x24 and are designed to support general clinical workflows. We have specialized expertise and intellectual properties in electronic workflow, telemonitoring, imaging and analysis. Our services and products are designed to improve healthcare provider workflow and patient care, while reducing costs. We also develop imaging based diagnostic systems for the detection of certain musculoskeletal diseases such as Osteoporosis.
 
We are registered with the Food & Drug Administration, (FDA) and our medical devices including those used in our core products CardioGram™, OsteoGram® and OsteoCare™, are cleared by the FDA. Our products and services are generally reimbursable by Medicare and many private insurers.
 
The CardioGram is an electronic workflow and telemedicine application focused on tele-cardiology. We have been a supplier of telemedicine services for more than twenty years and have established one of the nation's largest telecommunications networks for electronic processing of electrocardiograms on a real time basis, providing ECG equipment and services to hundreds of healthcare providers throughout the U.S and performing tens of thousands of ECG interpretations annually. Using our customized electrocardiogram terminals, an electrocardiogram is acquired from a patient, digitized, transmitted in electronic form to our central computers for digital workflow processing, analyzed and received back on the electrocardiogram terminal where the electrocardiogram trace and computer interpretation are printed, all within a few minutes. If necessary, we can provide an "overread" by a cardiologist and return the results within a short time frame, often in under an hour. We bill for this service on a per-use basis, and we sell or rent a full range of electrocardiogram machines and supplies including electrodes, recording paper, gel, and patient cables. CardioGram can also be used to manage electronic records in connection of electronic medical records and digital workflow applications.
 
The OsteoGram is a non-invasive diagnostic software system that has been shown in clinical studies to provide an effective and accurate bone density measurement in connection with screening for osteoporosis and assessing hip fracture risk from digital X-Rays of the hand and wrist. We believe that the OsteoGram may have significant cost advantages over other non-invasive diagnostic technologies in the marketplace. We license the OsteoGram software for license fees. Our target markets for these products are OEMs and settings where digital X-Ray infrastructure is used such as hospitals, radiology practices, imaging centers, and orthopedic office practices.
 
OsteoCare is a similar product to our OsteoGram but based on a self-contained peripheral unit with a dual-energy absorption X-ray technology. The Company OEMs OsteoCare form a partner. OsteoCare is useful to provide a self-contained BMD testing device in clinical point-of-care settings where a larger digital X-Ray system might not be cost-effective. We sell, lease or rent the OsteoCare system. The Company targets the OsteoCare product at point-of-care markets such as general practices and obstetric-gynecology practices.
 
We were incorporated in the State of Delaware on July 21, 1986.
 
SIGNIFICANT EVENTS FOR THE FISCAL YEAR AND EVENTS SUBSEQUENT TO THE CLOSE OF THE FISCAL YEAR
 
Telecardiology Services
 
CompuMed’s historical customer base for its telecardiology services has been the correctional healthcare segment. During 2010, we continued to leverage investments to expand our telecardiology and telemedicine platform supporting our CardioGram into new market segments (non correctional healthcare). While much of the revenue impact from some of these new markets remains ahead of us, we entered certain new markets. These include, (i) the pediatric cardiology market, specifically in partnership with school based health clinics in support of pre-athletic screening and for students with certain risk factors, (ii) the continued expansion into the rural health market and (iii) the assisted and elderly care marketplace in support of both short term and long term patients.
 
 
3

 
 
Frost and Sullivan, US ECG and Cardiac Monitoring Products and Services Markets, 2006, estimates the overall market size for ECG services in clinical care settings will exceed $1billion in 2010. Additionally, trends towards telemedicine use in support of diagnosis and treatment of disease, including cardiovascular disease, appear to be accelerating due to recent push from the federal government, healthcare reform and cost reductions. We believe that we might be at a key strategic inflection point in the marketplace acceptance of our telemedicine services in the broader point of care clinical market, and believe we might have the opportunity to move the Company into a position of leadership in providing telecardiology services to primary care patients, including to patients directly at home. These market growth rates were partially offset by the recession which during the year put pressures on the budgets of most of our clients, including State and government clients.  It is unclear how much longer these recessionary pressures might continue and the Company is approaching the market under the assumption that budgets will continue to be constrained for the foreseeable future.
 
Our new market expansions have focused principally on customers located in California and Florida, as a precursor to a greater national expansion. This geographic concentration has allowed the Company to identify selling and distribution channels as well as build case studies in preparation of its national expansion of these programs. The Company expects to expand these programs into national programs over 2011. During the year, we have succeeded in partnering with a number of school based health clinics, including the Operation Samahan Community Clinics and Health Centers in San Diego County,  Lincoln High School Learning Centers in Los Angeles, Kids Come First Community Clinics in Ontario, California among others.
 
Telemedicine and health information technology adoption are expected to be among the top 10 healthcare trends of the coming year, according to a report by PricewaterhouseCoopers, a top 10 Health Industry Issues in 2010: Squeezing The Juice Out Of Healthcare: December 2009.They forecast that the healthcare industry might rely on improved broadband connectivity and greater integration of healthcare technologies to further growth of the telemedicine market. Meanwhile, alternative care models could gain greater precedence over traditional in-office patient care. And, to qualify for federal incentives, more hospitals and healthcare providers could also embrace electronic health record systems. PricewaterhouseCoopers also predicts there will be greater adaptation to new healthcare regulations, and fraud and abuse recovery.
 
These types of telemedicine technologies are also gaining in acceptance because they help reduce cost of healthcare. According to market research firm Parks Associates, the total digital home health market in the US could grow at an average annual rate of 36% and turn into a $2.1 billion industry in 2012. According to Parks, the rapid expansion of wellness monitoring programs and online patient-physician messaging services might partly drive this growth. In another study conducted by Penn State University (C. Cruise, M Lee, Physical Medicine and Rehabilitation Clinics of North America, Volume 16, Issue 1, pages 267-284), remote home health monitoring for a single group of diabetes patients cut costs for hospital care by 69%. A Veterans Administration study (Dibya Sarkar, “Broadband Could Be Health Boom For Seniors, Government Health IT, December 9, 2005) of remote monitoring of patients showed a 40% cut in emergency room visits and another study by the Kaufman Foundation (Better Health Care Together – Robert Litan, Vital Signs via Broadband: Remote health Monitoring transmits savings, enhances lives, October 2008) forecasted that 30% of all hospital, out-patient and drug expenses could be saved from remote monitoring for the chronically ill.
 
The Company is responding to these trends by planning to expand its offering to products and services for cardiovascular home health and disease management. Throughout the year, we have been developing a series of new services (eHealth initiative) in home health and disease management that could allow the Company to expand the value of an average patient encounter from the current average of $15 to in excess of $200 based on current reimbursements. These services could include the ability to conduct doctor-patients virtual consults through video and conferencing as well as the ability to collect and manage patient’s vital signs through remote means.  The Company currently processes approximately 100,000 patient encounters per year, principally in the form of ECG tests, and while there are no guarantees that a significant percent of its customers would adopt such expanded products from the Company, we have evidence that some percent of our customers would adopt such services if available. These services are also expected to be required for our long term success in some of the previously announced expansion markets, such as rural, elderly and school health clinics.
 
 During the year, we have made progress towards entering into relationship with a major healthcare industry partner designed to give us access to both expanded technologies to deliver such eHealth services as well as to create scaled distribution mechanism for our new products. This relationship, if consummated, could prove to be a very significant for the Company.  The relationship could allow the Company to access market leading new technologies and at the same time access distribution and marketing resources to be able to drive penetration of it eHealth technologies into the marketplace. Despite the progress of our negotiation, this relationship is not yet finalized and there is some risk that the Company may not be able to consummate it. It is impossible to forecast the timing under which the Company might conclude these negotiations and bring such relationship into existence.
 
 
4

 
 
According to the US Census there are 56 million school children in the US.  While the incidence of cardiovascular disease in children is small, there are subgroups of children that are at increased risk due to the presence of certain risk factors. This subgroup is significant in size and the Company believes it necessitates greater public health involvement to identify and treat such at-risk patients. The American Heart Association (AHA), based on findings from the Congenital Cardiac Defects Committee, issued a recommendation that children with certain risk factors should have selective screening through ECGs before being prescribed ADHD drugs due to potential adverse cardiac effects of psychotropic medications in children. The Company believes that, as a result of the recommendation, demand may grow for specialized pediatric cardiology over-reads of ECGs by pediatricians and mental health professionals. According to the AHA, there are more than 2.5 million children and teens in the US taking stimulants to control their ADHD.
 
Additionally, demand for this type of screening is growing from school settings engaged in athletics. According to Science Daily (2008 -- http://www.sciencedaily.com/releases/2008/07/080703203243.htm), one young competitive athlete dies every three days from an unrecognized cardiovascular disorder in the US. In the majority of cases, the athletes appear healthy and there is no previous clinical sign of heart problems. The clinical usefulness of pre-screening programs to identify people at high risk has been hotly debated but consensus appears to be emerging that there should be some kind of pre-screening program involving electrocardiogram (ECG).
 
We have begun placing a number of CardioGram systems in school based health clinics during the year and believe that these will begin to generate material revenues during the next fiscal year. During the year, we have succeeded in partnering with a number of school based health clinics, including the Operation Samahan Community Clinics and Health Centers in San Diego County,  Lincoln High School Learning Centers in Los Angeles, Kids Come First Community Clinics in Ontario, California among others. We also entered in a relationship to promote our CardioGram program with the California School Health Centers Association, an organization that reaches hundreds of school healths centers throughout the State. We cannot, however, offer assurance that any of these strategies, joint venture or market expansions will be successful in growing the business or that our products will ultimately prove to be effective in these new markets.
 
Our correctional customers responded to the fiscal pressures on their budget by eliminating wide screening of patients, and limiting use of our services to at-risk patients. This trend depressed revenue throughout the year, but was partially offset by the increase in overall customers under contracts due to our new markets expansions.
 
We are currently providing ECG over-read services to 975 institutions, nationwide and have performed tests on over 75,000 patients totaling over 100,000 tests.
 
Skeletal Health Business
 
OsteoGram continues to have limited acceptance at this time. In the US there is a tendency by the physician community to look at RA, the technology on which OsteoGram is based, as a lesser technology than DXA, the prevalent approach to bone densitometry. While this appears to be a “perception” not supported by clinical evidence, it has made sales, especially in the US, difficult. In overseas markets, the bias towards DXA is less pronounced and the Company has continued  supporting its international channels.
 
During the year, we signed a distribution agreement with a firm exploring developing an approach into the chiropractor market as well as developing a software as a service strategy. It is too early to determine if these strategies could improve the product performance materially.
 
While the Company continues to address a worldwide market for its skeletal health products, we focused our marketing effort in China where demand appears to be stronger. The Company believes that Osteoporosis affects more than 200 million people worldwide and is especially prevalent in China, where the traditional diet lacks calcium. According to China's most recent national census, about 100 million Chinese citizens suffer from the disease in various stages. Renowned osteoporosis researcher Dr. Jianhua Wang specifically affirmed the precision and accuracy of CompuMed’s OsteoGram system for low cost osteoporosis screening in China with a landmark study titled "Study on Measurement of Phalangeal Bone Density by Radiographic Absorptiometry" where he presented extremely precise results when performing short-term repeated tests with CompuMed's OsteoGram system. In addition, the study outcome was highly correlated to China's popular osteoporosis normal database, confirming the high accuracy of OsteoGram. Radiographic absorptiometry (RA) is a technique for bone mass measurement from radiographs of peripheral sites, most commonly the hand or heel. This was one of the largest and most thorough studies ever performed to study the value of RA in measuring bone mineral density. We believe that the results further confirmed that the OsteoGram is an effective and efficient alternative to costly DXA systems.
 
 
5

 
 
In July 2008, CompuMed announced that the Company had received approval from China's State Food and Drug Administration (SFDA) to sell the OsteoGram system and therefore work with Chinese OEMs to penetrate the Chinese market for osteoporosis screening. We continue to maintain those clearances.
 
The Company has continued to grow the number of units placed in China, principally through its distribution partners in China. While encouraging as a trend, the volume of units is still small in comparison to the total market potentials. Recognizing the potential importance of certain overseas markets such as China, and the fact that the Company might need to expand its marketing and R&D effort in those markets beyond what it has the resources to accomplish alone, the Company continued to explore entering into a joint venture or other strategic relationship with potential strategic partners to expand its international market reach. However to date such negotiations have not resulted in a significant new partnership.  Currently the products are marketed in China principally through its distributor, Rayco, a unit of Carestream Health.
 
ELECTROCARDIOGRAM SERVICES
 
GENERAL
 
ECG and cardiac monitoring services are among the most powerful tools physicians have in diagnosing heart ailments. According to the Centers for Disease Control (CDC)/National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention, National Center for Health Statistics, “Health, United States, 2008”, for persons born in the United States, the probability at birth that they will die of some form of cardiovascular disease (CVD) is 47 percent. As of 2007 in the United States, forms of CVD remain the number one cause of death for men and women alike, and the number three cause of death for children under the age of 15. Additionally, 3 to 4 people on average die every few minutes in the US from varying forms of CVD, equal approximately 2,600 US lives daily.
 
The term CVD includes several different types of cardiovascular disorders, including high blood pressure, stroke, and coronary heart disease, which include heart attacks (myocardial infarction). Congestive heart failure and congenital heart defects are also forms of CVD. Recent statistics published by the American Heart Association show that CVD affects approximately 64.4 million Americans. The financial burden for CVD was estimated at $368.4 billion in 2007, up from $351 billion in 2006, an increase of 5 percent in one year alone. Of this, $226.7 billion consisted of healthcare expenditures, with the remaining $141.7 billion attributed to indirect costs, such as lost productivity. With risk factors such as obesity, high cholesterol, and sedentary lifestyles steadily increasing, the prevalence of CVD, demand for ECG, and cardiac monitoring services is poised to increase.
 
The market for ECG and cardiac event monitoring includes resting ECG services, Stress ECG Services, Holter monitoring services, cardiac event monitoring services, and pacemaker monitoring services. Each aspect of this market plays an integral role in helping physicians reach accurate and timely diagnoses of various forms of CVD, and to help physicians monitor patient health after measures are taken to correct ailments. Currently CompuMed is addressing only the resting ECG segment but it is exploring entering additional modalities to widen its market. According to a Frost & Sullivan report (Frost & Sullivan, “North American home health care and disease management markets for remote patient monitoring”, June 2009), the total U.S. market for ECG and cardiac monitoring services was estimated at approximately $3.5 billion in 2007. Due to a decline in reimbursement rate for services in most segments, this overall market size is estimated at essentially the same point it was in 2005. Frost & Sullivan forecasts that, increasing demand for services in response to new technologies, increasing pacemaker implantation, aging population, and increased incidence of CVD should outpace the negative impact decreasing reimbursements are expected to have on the market going forward. In 2011, Frost & Sullivan expects the market to reach slightly above $3.7 billion, growing at an estimated CAGR of 2.3 percent over the period 2007 to 2011.
 
 
6

 
 
THE IMPORTANCE OF ECG OVER-READS IN CLINICAL PRACTICE
 
While the training and board examinations required of cardiologists ensure expert ECG interpretation skills, the majority of ECGs are interpreted in primary care settings by non-cardiologists. At one time, this was not understood as a problem. However, as our understanding of the heart increases daily, so does the difficulty of accurately interpreting ECGs. Today, according to medical literature, more than 400 diagnostic statements can be made on the basis of a 12-lead ECG. In 2005 the American Heart Association (AHA) and the American College of Cardiology (ACC) put forward a joint statement under which they recommend that every ECG should be interpreted by a Cardiologist or an ECG-trained physician. The only board certification meeting this standard is Cardiology. This was evidenced by an ACC/AHA study where physicians were tested in ECG interpretation. Of the physicians that were tested,
 
 
70% of all non-Internal Medicine specialists failed
 
 
49% of all Internal Medicine specialists failed
 
 
Up to 30% of all computerized interpretations failed.
 
We believe that interpreting ECG correctly is a particularly important matter, since 11% of ECG interpretation errors are associated with morbidity and mortality. Liability for the provider is also high. According to the American Academy of Family Physicians, missed "myocardial infarction (MI) is the leading cause of litigation against family physicians. More malpractice dollars are awarded for missed myocardial infarctions than for any other single diagnosis." Studies and court records show that failure to diagnose cardiac conditions is a problem in all primary care settings. One study published in the American Journal of Medicine found "that 2% of emergency doctor’s patients with MI were sent home mistakenly, most commonly related to problems in physician use of the ECG."
 
We believe that expert ECG interpretation can significantly reduce the risk of these kinds of mistakes for many cardiac conditions.
 
COMPUMED PROVIDES EXPERT OVER-READS TO POINT OF CARE SETTINGS THAT DO NOT HAVE ACCESS TO CARDIOLOGISTS AND PLANS TO EXPAND INTO CARDIOVASCULAR DISEASE MANAGEMENT THROUGH eHEALTH
 
CardioGram affords healthcare providers an opportunity to have an ECG over-read by a cardiologist, decreasing the risk of interpretation errors and its ensuing liability. The CardioGram is an electronic workflow and telemedicine application focused on tele-cardiology. We have been a supplier of telemedicine services for more than twenty years and have established one of the nation's largest telecommunications networks for electronic processing of electrocardiograms on a real time basis, providing ECG equipment and services to hundreds of healthcare providers throughout the U.S and performing tens of thousands ECG interpretations annually. Using our customized electrocardiogram terminals, an electrocardiogram is acquired from a patient, digitized, transmitted in electronic form to our central computers for digital workflow processing, analyzed and received back on the electrocardiogram terminal where the electrocardiogram trace and computer interpretation are printed- all within a few minutes. When requested by our customers, we can provide an "over-read" by a cardiologist and return the results within a short time frame, often in under an hour. We bill for this service on a per-use basis, and we sell or rent a full range of electrocardiogram machines and supplies including electrodes, recording paper, gel, and patient cables. With recently introduced options the CardioGram can also be used to manage electronic records in connection of electronic medical records and digital workflow applications.
 
It is possible, although unlikely, that despite the certifications and qualifications of our cardiologists that provide over-reads under contract for our customers, an error might be made or an over-read might lead to an erroneous treatment recommendation or diagnosis on the part of our cardiologists. Our contract cardiologists perform their over-reads services with us under their own medical license and are generally responsible for any malpractice that might ensue from their services. However it is possible that the Company might be held liable for our cardiologists’ mistakes in some circumstances. For this reason the Company maintains a liability insurance policy to cover such claims. There is some risk, however, that the Company might receive a claim of this type, and that the claim might result into a liability for the Company in excess of what might be covered by our insurance policy. Such a claim could put the Company at risk. However in the history of the Company spanning multiple decades of offering such services, there has never been a successful malpractice claim against the Company. As a result management, believes that this risk is small.
 
 
7

 
 
MARKETING - TELECARDIOLOGY SERVICES
 
CompuMed’s historical customer base for its telecardiology services has been the correctional healthcare segment. During 2009, we were able to leverage the significant investments to expand our telecardiology and telemedicine platform supporting our CardioGram into new market segments. While much of the revenue impact from some of these new markets remains ahead of us, we established key new initial customer relationships in significant new markets. These include, (i) a new Fortune 50 customer in the occupational healthcare segment of our market, which we are now using to build a case study for the use and clinical effectiveness of our telecardiology product in the occupational healthcare marketplace, (ii) the continued expansion into the rural health market and (iii) the launch of a new point-of-care initiative aimed at pediatric cardiovascular disease screening in Florida with the University of Miami. These activities have allowed the Company to develop its capabilities to deliver services in primary care settings in addition to the institutional settings that have formed our core business to date.
 
Frost and Sullivan, US ECG and Cardiac Monitoring Products and Services Markets, 2006, estimates the overall market size for ECG services in clinical care settings will exceed $1 billion in 2010. Additionally trends towards telemedicine use in support of diagnosis and treatment of disease, including cardiovascular disease, appear to be accelerating due to recent push from the federal government, healthcare reform and cost reductions. We believe that we might be at a key strategic inflection point in the marketplace acceptance of our telemedicine services in the broader point of care clinical market, and believe we might have the opportunity to move the Company into a position of leadership in providing telecardiology services to primary care patients, including to patients directly at home. Currently our products have been used principally in institutional settings within certain niches, but some of our activities during the year in pediatrics, rural and occupational healthcare have allowed us to test both technology and reimbursements for this primary care targets.
 
Telemedicine and health information technology adoption are expected to be among the top 10 healthcare trends of the coming year, according to a report by PricewaterhouseCoopers, a top 10 Health Industry Issues in 2010: Squeezing The Juice Out Of Healthcare: December 2009.They forecast that the healthcare industry might rely on improved broadband connectivity and greater integration of healthcare technologies to further growth of the telemedicine market. Meanwhile, alternative care models could gain greater precedence over traditional in-office patient care. And, to qualify for federal incentives, more hospitals and healthcare providers will also embrace electronic health record systems. The No. 1 trend of 2010 is likely to be providers’ efforts to reduce healthcare costs, according to the report. PricewaterhouseCoopers also predicts there will be greater adaptation to new healthcare regulations, and fraud and abuse recovery.
 
These types of telemedicine technologies are also gaining in acceptance because they help reduce cost of healthcare. According to market research firm Parks Associates, the total digital home health market in the US could grow at an average annual rate of 36% and turn into a $2.1 billion industry in 2012. According to Parks, the rapid expansion of wellness monitoring programs and online patient-physician messaging services might partly drive this growth. In another study conducted by Penn, State University (C. Cruise, M Lee, Physical Medicine and Rehabilitation Clinics of North America, Volume 16, Issue 1, pages 267-284), remote home health monitoring for a single group of diabetes patients cut costs for hospital care by 69%. A Veterans Administration study (Dibya Sarkar, “Broadband Could Be Health Boom For Seniors”, Government Health IT, December 9, 2005) of remote monitoring of patients showed a 40% cut in emergency room visits and another study by the Kaufman Foundation (Better Health Care Together – Robert Litan, Vital Signs via Broadband: Remote health Monitoring transmits savings, enhances lives, October 2008) forecasted that 30% of all hospital, out-patient and drug expenses could be saved from remote monitoring for the chronically ill.
 
The Company is responding to these trends by planning to expand its offering to products and services for cardiovascular home health and disease management. Throughout the year we have been developing a series of new services (eHealth initiative) in home health and disease management that could allow the Company to expand the value of an average patient encounter from the current average of $15 to in excess of $200 based on current reimbursements. These services could include the ability to conduct doctor-patients virtual consults through video and conferencing as well as the ability to collect and manage patient’s vital signs through remote means.  The Company currently processes approximately 100,000 patient encounters per year, principally in the form of ECG tests, and while there are no guarantees that a significant percent of its customers would adopt such expanded products from the Company, we have evidence that some percent of our customers would adopt such services if available. These services are also expected to be required for our long term success in some of the previously announced expansion markets, such as rural, elderly and school health clinics.
 
 
8

 
 
During the year, we have made progress towards entering into a relationship with a major healthcare industry partner designed to give us access to both expanded technologies to deliver such eHealth services as well as to create scaled distribution mechanism for our new products. This relationship, if consummated, could prove to be significant for the Company.  The relationship could allow the Company to access market leading new technologies and at the same time access distribution and marketing resources to be able to drive penetration of it eHealth technologies into the marketplace. Despite the progress of our negotiation, this relationship is  not yet finalized and there is some risk that the Company may not be able to consummate it. It is impossible to forecast the timing under which the Company might conclude these negotiations and bring such relationship into existence.
 
According to the US Census there are 56 million school children in the US.  While the incidence of cardiovascular disease in children is small, there are subgroups of children that are at increased risk due to the presence of certain risk factors. This subgroup is significant in size and the Company believes it necessitates greater public health involvement to identify and treat such at-risk patients. The American Heart Association (AHA), based on findings from the Congenital Cardiac Defects Committee, issued a recommendation that children with certain risk factors should have selective screening through ECGs before being prescribed ADHD drugs due to potential adverse cardiac effects of psychotropic medications in children. The Company believes that, as a result of the recommendation, demand may grow for specialized pediatric cardiology over-reads of ECGs by pediatricians and mental health professionals. According to the AHA, there are more than 2.5 million children and teens in the US taking stimulants to control their ADHD.
 
Additionally, demand for this type of screening is growing from school settings engaged in athletics. According to Science Daily (2008 -- http://www.sciencedaily.com/releases/2008/07/080703203243.htm), one young competitive athlete dies every three days from an unrecognized cardiovascular disorder in the US. In the majority of cases, the athletes appear healthy and there is no previous clinical sign of heart problems. The clinical usefulness of pre-screening programs to identify people at high risk has been hotly debated but consensus appears to be emerging that there should be some kind of pre-screening program involving electrocardiogram (ECG).
 
We have begun placing a number of Cardiogram systems in school based health clinics during the year and believe that these will begin to generate material revenues during the next fiscal year. During the year, we have succeeded in partnering with a number of school based health clinics, including the Operation Samahan Community Clinics and Health Centers in San Diego County,  Licoln High School Learning Centers in Los Angeles, Kids Come First Community Clinics in Ontario, California among others. We also entered in a relationship to promote our CardioGram program with the California School Health Centers Association, an organization that reaches hundreds of school healths centers throughout the State. We cannot, however, offer assurance that any of these strategies, joint venture or market expansions will be successful in growing the business or that our products will ultimately prove to be effective in these new markets.
 
Our correctional customers responded to the fiscal pressures on their budget by eliminating wide screening of patients, and limiting use of our services to at-risk patients. This trend depressed revenue throughout the year, but was partially offset by the increase in overall customers under contracts due to our new markets expansions.
 
COMPETITION - ELECTROCARDIOGRAM SERVICES & TELECARDIOLOGY
 
We compete with multiple companies in the ECG services markets, some of which have considerably more experience and financial resources. Many of our competitors are regional in nature. Amongst national competitors we compete with Biomedical Systems, Inc., a clinical research organization which offers various monitoring and over-reads services including ECG and Holter monitoring.
 
 
9

 
 
In the drug discovery clinical marketplace there are many companies that offer ECG interpretations services, new drug discovery and new drug applications. Most notable is eResearch Technologies, a large public clinical research corporation. As our focus is the point-of-care market, we have not directly competed with clinical research organizations that service the pharmaceutical sectors, and in fact have successfully provided services to clinical research organizations in that sector. It is possible that such organizations, including eResearch Technologies might change their focus and chose to enter our point-of-care market, in which case we would be direct competitors. Additionally if we chose to target this sector directly we would be competing directly with eResearch and its peers.
 
We also compete with the suppliers of self-interpreting ECG equipment. Although self-interpreting ECG equipment is widely available, our customers have historically preferred the optional feature of automatically sending their ECG results to one of our cardiologists for an over-read when the results are abnormal and when emergencies arise. We believe that this 24/7 over-read feature is a key advantage that enables us to market our services in segments of the market where physicians or specialists may not be available on a routine basis. We could lose customers who choose to receive services from a competitor or who purchase a self-interpretive machine and no longer need our ECG interpretations. If we were to lose existing customers, they may be difficult to replace, and that could have a material adverse impact on our operations and financial condition.
 
Recently, we begun to experience competition from mobile radiology companies, such as Trident. These Companies are able to provide integrated radiological services to clients in addition to ECGs and for certain requirements have an inherent advantage. However they lack experience in cardiovascular disease management and are typically unable to offer the 7x24 cardiology services we offer.
 
We estimate that our centralized electrocardiogram analyses constitute less than 1% of the total number of electrocardiograms taken each year in the U.S.
 
We compete on the basis of service, ease-of-use, and price. Our existing and potential competitors consist principally of companies that have substantially greater financial, technical, marketing, distribution and other resources, greater current market penetration and longer-standing relationships with customers than us. We believe that our ability to compete successfully depends on a number of factors, both within and outside of our control, including the price, quality and performance of our products and those of our competitors. Other factors affecting our ability to compete include the timing and success of our new product introductions, the development of technical innovations, the number and nature of our competitors in a given market, and general market and economic conditions. We may not be able to compete successfully in the future.
 
SKELETAL HEALTH PRODUCTS
 
GENERAL
 
The Company’s OsteoGram product is a non-invasive diagnostic system that has been shown in clinical studies to provide an effective and accurate bone density measurement in connection with screening for osteoporosis and assessing hip fracture risk. We believe that the OsteoGram may have significant cost advantages over other technologies in the marketplace. Our target markets for these products are hospitals, radiology practices, imaging centers, and general OB/GYN and orthopedic office practices. The product is on its third generation and is offered on the market worldwide either directly by the Company or through approved distributors and Original Equipment Manufacturers (OEMs).
 
According to the Bone Health and Osteoporosis report from the U.S. Surgeon General, (Department of Health and Human Services, Bone Health and Osteoporosis, A report of the Surgeon General, 2004), “fractures due to bone disease are common, costly and often become a chronic burden on individuals and society. A white woman over the age of 50 has more than a 40 percent chance of suffering a fracture sometime during the rest of her life (Cummings and Melton 2002). Fractures can have devastating consequences for both the individuals who suffer them and their family members. Hip fractures are associated with increased risk of mortality; the risk of mortality is 2.8 to 4 times greater among hip fracture patients during the first 3 months after the fracture than comparable risk among individuals of similar age who live in the community and do not suffer a fracture”.
 
Despite the devastating impact of bone disease, and Medicare's stated desire to test more at-risk patients, the Centers for Medicare and Medicaid services had previously enacted significant cuts in the reimbursement for central DXA, or dual energy X-ray absorptiometry, a technology which widely used in the United States to perform bone mineral density testing. As a result there had been trends in the marketplace of significant slowing of sales of central DXA systems and the number of centers offering central DXA services appeared to be shrinking. Approved reimbursement for alternative screening technologies such as the Company’s OsteoGram product was left unchanged. However, in July of 2010, Medicare carriers began paying an additional $35 per DXA scan as required by the Health Care Reform bill known as (PPACA). The reimbursement for DXA went from a national average of $62 to $98. It is unclear at this time how and if these changes will affect usage of Central DXA and impact the Company’s OsteoGram products. Approved reimbursement for alternative screening technologies such as the Company’s OsteoGram product was left unchanged. However, there is no guarantee that reimbursements for alternative procedures will remain unchanged in the future.
 
 
10

 
 
In part because of the changing Medicare reimbursement posture is making the economics of owning and operating a DXA facility less attractive, our market research suggests that there may be a new and growing demand for peripheral bone density measurement machines that can perform the test at point-of-care, in a small physician practice and on an inexpensive desktop device. As a result, we have engaged during the quarter in an aggressive test marketing effort to validate the notion that a “point-of-care” unit could enhance our product offering and receive favorable market acceptance.
 
The OsteoGram is a medical image processing software system that enables healthcare providers to screen, diagnose and monitor osteoporosis using digital hand images from filmless x-ray equipment or conventional, film-based x-rays. Osteoporosis is diagnosed by measuring bone mineral density. A low bone mineral density is indicative of the disease. The OsteoGram is based on a bone mass measurement technique called radiographic absorptiometry, which was cited in the 2004 Surgeon General's report on bone disease. Radiographic absorptiometry uses a conventional x-ray of the hand, scanned at high resolution, to measure bone density. The radiographic absorptiometry technique not only measures bone mass, but also the cortical thickness of bones. Recent studies affirm the importance of cortical thickness as an additional measure of bone strength and overall fracture risk. Several prominent pharmaceutical manufacturers are developing products that will strengthen cortical bone. Cortical bone is the outer shell that gives bone strength, much like the hollow tubes from which bicycles are constructed. Our technology has the capability to measure bone mineral density in both cortical and trabecular bone. Dual energy X-ray absorptiometry, or DXA, is considered the "Gold Standard" of bone mineral density measurement because of its long history of clinical trials and the aggressive lobbying by industry organizations but it has difficulty differentiating between cortical and trabecular bone.
 
In May 1999, we received clearance from the United States Food and Drug Administration, or FDA, to market an automated version of the OsteoGram software for use as a stand-alone product by physicians. In 2004 we launched the Digital Imaging and Communications in Medicine, or DICOM, a digital version of the product. Using digital or film-based x-ray equipment, two posterior-anterior views of the left-hand fingers are taken with an aluminum alloy reference wedge in each exposure. The calibration wedge is used to adjust for any differences among x-ray equipment, exposures and other variables. In the case of the film-based version of the OsteoGram, the developed film is scanned with a high-resolution desktop scanner, and the OsteoGram software analysis program rapidly produces an accurate and precise bone mineral density report. With a filmless x-ray system the digital image is captured on a workstation for analysis. We developed the DICOM-compliant version of the OsteoGram for use on filmless systems, which have become a high growth segment in the medical imaging market. DICOM is the industry-consortium established information standard that allows the new generation of digital medical imaging equipment to interconnect.
 
Market acceptance of this product has been limited by the fact that the OsteoGram software is a bolt-on to other Digital Radiology (DR) or equivalent systems. While such systems are normally present in large facilities, many of the smaller physician’s practices that appear most interested in providing bone density screening to their patients typically do not own such systems, or in many cases do not even own x-ray equipment. As a result we have not been able to deploy OsteoGram for the point-of-care opportunity and OsteoGram is principally focused in OEM markets where DR technologies are present such as hospitals, surgery centers, larger orthopedic practices and imaging centers. Recognizing this, the Company has altered its marketing effort of the OsteoGram to focus on larger facilities with existing DR/CT systems, and is looking at its alternate product OsteoCare to address the point-of-care needs of the larger number of smaller physician practices.
 
OsteoGram continues to have limited acceptance at this time. In the US there is a tendency by the physician community to look at RA, the technology on which OsteoGram is based, as a lesser technology than DXA, the prevalent approach to bone densitometry. While this appears to be a “perception” not supported by clinical evidence, it has made sales, especially in the US, difficult. In overseas markets, the bias towards DXA is less pronounced and the Company has continued supporting its international channels.
 
The marketplace for OsteoGram in the US was further negatively impacted by the refusal by some private insurance providers to reimburse physicians for peripheral testing under certain clinical situations, specifically in connection with disease management. We are currently continuing to work with those physicians and those private reimbursers to reconsider those policies. However, there can be no assurances that those decisions will be reconsidered or that we will not have negative impact. Furthermore, the uncertainty associated with healthcare reform and continued cutting of reimbursements associated with imaging devices in general has affected the entire medical imaging business.
 
 
11

 
 
While the Company continues to address a worldwide market for its skeletal health products, we have focused our marketing effort in China where demand appears to be stronger. The Company believes that Osteoporosis affects more than 200 million people worldwide and is especially prevalent in China, where the traditional diet lacks calcium. According to China's most recent national census, about 100 million Chinese citizens suffer from the disease in various stages. Renowned osteoporosis researcher Dr. Jianhua Wang specifically affirmed the precision and accuracy of CompuMed’s OsteoGram system for low cost osteoporosis screening in China with a landmark study titled "Study on Measurement of Phalangeal Bone Density by Radiographic Absorptiometry" where he presented extremely precise results when performing short-term repeated tests with CompuMed's OsteoGram system. In addition, the study outcome was highly correlated to China's popular osteoporosis normal database, confirming the high accuracy of OsteoGram. Radiographic absorptiometry (RA) is a technique for bone mass measurement from radiographs of peripheral sites, most commonly the hand or heel. This was one of the largest and most thorough studies ever performed to study the value of RA in measuring bone mineral density. We believe that the results further confirmed that the OsteoGram is an effective and efficient alternative to costly DXA systems continues to support or market activities in China. Our distributors in China are bidding our system in a number of large scale government sponsored bids and it is possible that the product might experience larger volumes of sales if such contracts should be awarded. However there can be no guarantees at this time that we will attain such contracts.
In July 2008, CompuMed announced that the Company had received approval from China's State Food and Drug Administration (SFDA) to sell the OsteoGram system and therefore work with Chinese OEMs to penetrate the Chinese market for osteoporosis screening. We continue to maintain those clearances.
 
The Company has continued to grow the number of units placed in China, principally through its distribution partners in China. While encouraging as a trend, the volume of units is still small in comparison to the total market potentials. Recognizing the potential importance of certain overseas markets such as China, and the fact that the Company might need to expand its marketing and R&D effort in those markets beyond what it has the resources to accomplish alone, the Company continued to explore entering into a joint venture or other strategic relationship with potential strategic partners to expand its international market reach. However to date such negotiations have not resulted in a significant new partnerships.  Currently the products are marketed in China principally through its distributor, Rayco, a unit of Carestream Health.
 
STRATEGIC RELATIONSHIPS
 
The Company continues to work closely with its network of OEM distributors for the OsteoGram. We believe that our network of digital equipment partners, which now includes Rayco (CareStream China), CareStream Health (previously Kodak Health Group), Swissray International and FujiFilm Medical USA. Our principal challenge however, remains to help these partners be effective in the marketplace with our products, and help them acquire the specialized knowledge necessary to market our products effectively in their clinical markets. We continue to be engaged in multiple initiatives with our partners to help them build effective sales channels, target specific clinical customers, build reference sites, and create market awareness. There can be no guarantees, however, that we will ultimately be successful in increasing our revenues.
 
During the year, we signed a distribution agreement with a firm exploring developing an approach into the chiropractor market as well as developing a software as a service strategy. It is too early to determine if these strategies could improve the product performance materially.
 
The Company has continued to offer, based on an agreement signed in 2008 with OSI Systems, a further skeletal health diagnostic technology, initiative under the brand OsteoCare, targeting primary care physicians in the US.
 
The marketplace for OsteoCare was however negatively impacted by the refusal by some private insurance providers to reimburse physicians for peripheral testing. We are working with those physicians and those private reimbursers to reconsider those policies. However, there can be no assurances that those decisions will be reconsidered or that we will not have negative impact by those policies. Furthermore, the uncertainty associated with healthcare reform and continued cutting of reimbursements associated with imaging devices in general has affected the entire medical imaging business.
 
 
12

 
 
The Company is constantly re-evaluating its success metrics for the OsteoCare program and plans on reviewing its inventory available for trial on a quarter-to-quarter basis and based on its cash flow.
 
RESEARCH AND DEVELOPMENT
 
We have moderated our R&D investment in the core product and aligned some of our R&D to the response of the market, including the reduction of our US R&D effort in favor of R&D in support of China. Currently, we believe that majority of the R&D for our Skeletal Health business is completed and we are reducing our effort in this area.
 
COMPETITION-OSTEOGRAM & OSTEOCARE
 
Bone mineral density measurements are the primary methods used to assist physicians in detecting osteoporosis. Bone mineral density is measured by passing x-ray beams or ultrasound through bone and determining how much energy the bone absorbs.
 
Dual energy x-ray absorptiometry (DXA) is currently the mostly widely used osteoporosis detection technology, with a worldwide installed base in 2003 exceeding 16,000 units according to Frost & Sullivan. The DXA market is divided into axial or central machines, which are designed to measure bone mass and density at a variety of skeletal sites, primarily the hip and spine, and peripheral machines, which measure bone mass and density at appendicular sites such as forearm, hand or heel.
 
The leading manufacturers of whole-body DXA scanners include General Electric's Lunar Division U.S. and Hologic, Inc. U.S., which together command most of the worldwide DXA market. The leading manufacturers of peripheral DXA machines are General Electric, Hologic. Whole body DXA products typically cost from $50,000-$130,000 and require specially trained technicians, who must be licensed in most states, and who are not available on a 24-hour, 7 days a week basis.
 
We experience extensive competition for the OsteoGram from companies that offer DXA machines, primarily because they are considered the "Gold Standard" for measuring bone mineral density and have a large installed base worldwide. We compete by offering cost effective testing and a product with a unique digital format. The OsteoGram was developed to enhance the use of existing radiological equipment for generating bone mineral density reports comparable to tests performed on the expensive, dedicated DXA equipment generally found in hospitals and specialty practices. The OsteoGram test is reimbursed by Medicare and many medical insurance plans.
 
Other competition for the OsteoGram comes from less accurate ultrasound and other peripheral devices. Our competition also uses single-energy x-ray absorptiometry, quantitative computed tomography, quantitative ultrasound, and radiographic absorptiometry. All radiographic techniques in use today have been validated through extensive clinical studies and are currently approved in the U.S. for Medicare reimbursement. We employ the radiographic absorptiometry technology because we believe it offers a combination of accuracy, ease of use and relative low cost.
 
Quantitative Computed Tomography. Quantitative computed tomography (QCT) utilizes existing computed tomography, CT or CAT scanners that have been upgraded with specialized software, while peripheral quantitative computed tomography (pQCT) utilizes specialized peripheral computed tomography equipment. Quantitative computed tomography and peripheral quantitative computed tomography are expensive to perform and require a high degree of expertise to operate properly. In addition, the radiation dose of quantitative computed tomography is remarkably high compared to the OsteoGram(R) process.
 
Quantitative Ultrasound. Quantitative ultrasound (QUS) bone densitometers were introduced in the early 1990s, and they are widely available. General Electric Lunar and Hologic are leaders in the ultrasound market segment; however, the market also includes numerous regional manufacturers. We believe that there are now approximately 10,000 quantitative ultrasound machines installed worldwide. Quantitative ultrasound has U.S. FDA clearance for screening in the U.S., but unlike the OsteoGram(R), is not recommended by the National Osteoporosis Foundation for diagnosis.
 
 
13

 
 
To our knowledge, the only manufacturer using radiographic absorptiometry, other than us, is Alara, Inc. U.S. In 2000, the FDA approved Alara's self-contained, tabletop system that performs digital radiographic absorptiometry of the hand. We believe Alara is currently focused on developing computed radiography systems.
 
Our existing and potential competitors consist principally of companies that have substantially greater financial, technical, marketing, distribution and other resources, greater current market penetration and longer-standing relationships with customers than us. We believe that our ability to compete successfully depends on a number of factors, both within and outside of our control, including the price, quality and performance our products and those of our competitors. Other factors include the timing and success of our new product introductions and our competitors, the development of technical innovations, the number and nature of our competitors in a given market, and general market and economic conditions. We may not be able to compete successfully in the future.
 
ASSEMBLY, REPAIR AND CUSTOMER SERVICE
 
We repair and maintain most of the electrocardiographs rented, leased or sold to our customers. All repair and assembly operations are conducted at our headquarters in Los Angeles. Our internal customer service staff handles customer equipment and training problems, and our customer service department handles initial installation and set-up, usually over the telephone.
 
GOVERNMENT REGULATION
 
The Centers for Medicare and Medicaid Services approve diagnostic tests for reimbursement by Medicare. The OsteoGram is approved for reimbursement by Medicare as a centralized laboratory test and as a stand-alone system. Government regulations may change at any time and Medicare reimbursement for the OsteoGram test, as well as for other bone mineral density tests, may be withdrawn or reduced. Furthermore, other forms of testing for bone mineral density as an indicator of osteoporosis have been or may be approved for reimbursement, which may reduce our market share or profit margins for these services.
 
Our OsteoGram test and automated software have been cleared by FDA for use and sale. In addition, the OsteoGram is approved for use in a number of other countries, including the People’s Republic of China and the European Union through the award of a CE Mark. ECG testing is FDA cleared and Medicare approved.
 
There can be no guarantees that the Company will obtain and in the future maintain all the necessary regulatory approvals in each jurisdiction it is doing business in. Loss of such regulatory approvals could have a material adverse effect on our business.
 
PATENTS AND PROPRIETARY RIGHTS
 
The U.S. Patent and Trademark Office awarded us our first OsteoGram patent in June 2001 with a duration of 20 years. The patent covers twenty aspects of method and apparatus for determining bone mineral density. In April 2004 we were awarded a second patent with a duration of 20 years, which includes twenty-four claims covering image processing and bone segmentation technology.
 
In October 2007 the Company was issued a US Patent for a Method, code, and system for assaying joint deformity. We believe that the claims underlying these patents have implication in the quantification and measurement of joint disease such as Arthritis. We have been approached by parties associated with pharmaceutical drug discovery and are exploring options to leverage our software and our intellectual properties in this area for a possible joint venture or other business relationship designed to couple our technology with new drugs being introduced in the Arthritis area. This could lead to new products as well as new distribution channels and revenue streams. However, there can be no guarantee at this time that such relationship can be made or that it would be successful.
 
The Company has a number of other active applications under prosecution as well as multiple foreign applications of its US patents. The Company continues to pursue aggressively new patents, however, it has recently begun a review of pending applications that remain unissued. The Company might abandon, combine or restructure applications that might be proving to be too costly or time-consuming in relationship to their potential benefit or for which significant objections from the patent examiners makes the likelihood of final issuance unlikely. The Company is evaluating the foreign jurisdictions in which the patents were filed and chose not to prosecute in certain foreign jurisdictions that might be duplicative, (e.g. not prosecute in individual European countries if already covered by the European Patent Office application) due to their maintenance costs. In fiscal year 2008, the Company elected to abandon some of the applications relating to its DICOM Patent application for OsteoGram, which remained unissued due to significant objections by the patent examiners citing significant prior art. The Company believes that this decision is not material to its ability to protect its intellectual properties. As a result of this decision, the Company wrote off capitalized expenses incurred in connection with this patent.
 
 
14

 
 
The OsteoGram trademark has been our registered trademark since July 2, 2002. We filed and were awarded trademark protection for the OsteoClick, our remote, pay-per-use system utilizing the OsteoGram software positioned on a central server.
 
EMPLOYEES
 
As of September 30, 2010 we had 9 full-time and 1 part-time employees, in addition to our network of independent sales representatives and distributors. None of our employees are represented by a labor union and we have experienced no work stoppages. We consider our relations with our employees to be good. We also retain consultants from time to time when necessary. Independent cardiologists are retained for electrocardiogram "overreads" on a per-procedure basis.
 
INSURANCE
 
We maintain liability insurance on our current products and are not aware of any claims based on the use or failure of our products that are expected to have material adverse effect on our operations or financial condition. Claims made in the future with respect to our products may not be successfully defended or our insurance may not be sufficient. Furthermore, liability insurance may not continue to be available to us on acceptable terms.
 
ITEM 1A.  RISK FACTORS
 
Not applicable.
 
ITEM 1B.  UNRESOLVED STAFF COMMENTS
 
Not applicable.
 
ITEM 2.  DESCRIPTION OF PROPERTY
 
The Company's corporate office, computer center and warehouse facilities are located in an office building located at 5777 West Century Boulevard, Los Angeles, CA 90045. This 10,949 square feet facility is leased through February 2013 at a monthly rent of $13,686 for the first year, with a 3% increase in the ensuing lease years, plus certain operating expenses.
 
ITEM 3.  LEGAL PROCEEDINGS
 
None.
 
ITEM 4.  SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS
 
None.
 
 
15

 

PART II
 
ITEM 5. MARKET FOR REGISTRANT’S COMMON EQUITY, RELATED STOCKHOLDER MATTERS AND PURCHASE OF EQUITY SECURITIES
 
Our common stock is currently quoted on the over-the-counter bulletin board under the symbol "CMPD.OB". Prior to December 1, 1999, our common stock was listed on the NASDAQ National Market System. The following table sets forth the range of high and low bid prices for our common stock during the periods indicated. The prices set forth below represent inter-dealer prices, which do not include retail mark-ups and markdowns, or any commission to the broker-dealer, and may not necessarily represent actual transactions.
 
Year Ending September 30, 2010
           
Quarter Ended:
 
Common Stock
 
   
High
   
Low
 
December 31, 2009
  $ 0.15     $ 0.08  
March 31, 2010
  $ 0.25     $ 0.12  
June 30, 2010
  $ 0.25     $ 0.17  
September 30, 2010                                                                                                      
  $ 0.19     $ 0.09  

Year Ending September 30, 2009
           
Quarter Ended:
 
Common Stock
 
   
High
   
Low
 
December 31, 2008
     
$
0.25
 
     
$
0.12
 
March 31, 2009
 
$
0.22
   
$
0.13
 
June 30, 2009
 
$
0.25
   
$
0.12
 
September 30, 2009                                                                                                      
 
$
0.18
   
$
0.09
 

As of December 27, 2010, there were approximately 464 record holders of our common stock, which does not include common stock held in "nominee" or "street" name.
 
DIVIDENDS
 
On March 14, 2007, we closed a private placement of our securities to an institutional investor pursuant to the Securities Purchase Agreement. We sold to the investor 4,167 Units at a price of $480 per Unit resulting in total proceeds of $2,000,000. Each Unit consisted of 1 share of our Class D Preferred Stock as well as 1,000 Common Stock Purchase Warrants with an exercise price of $0.30 per share. Pursuant to the Agreement, we issued all 4,167 shares of the authorized Class D Preferred Stock. Each share of Class D Preferred Stock is convertible at any time into 2,000 shares of common stock. The holder of each issued and outstanding share of Class D Preferred Stock will be entitled to receive a dividend in respect of each such share at the rate per share of $9.60 per annum, payable on each of the first, second, third, and fourth anniversaries of March 12, 2007, commencing March 12, 2008. Dividend payments to each holder will be made in shares of our common stock valued at the average Market Price over 20 trading days, as defined in the Certificate of Designation. In the event the dividends may not lawfully be paid by the issuance of our common stock and may be lawfully paid in cash, the dividends will be paid in cash. The Company issued a total of 526,594 shares of common stock in lieu of cash to pay for dividends due March 2008, 2009 and 2010. In the event of any liquidation, dissolution or winding-up, either voluntarily or involuntarily, the holders of shares of the Class D Preferred Stock then issued and outstanding will be entitled to be paid out of our assets available for distribution to its stockholders, whether from capital, surplus or earnings, before any payment shall be made to the holders of shares of our common stock or upon any other series of our Preferred Stock with a liquidation preference subordinate to the liquidation preference of Class D Preferred Stock, an amount per share equal to $480 plus the dollar amount equal to all unpaid and accrued dividends and interest thereon. In addition, a merger or consolidation with or into any other corporation, or a sale, lease, exchange, or transfer of all or any part of our assets will be deemed a liquidation event unless no assets are distributed in respect of any class of our capital stock in connection with, or as a result of, such merger or consolidation.
 
 
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STOCK OPTION PLAN
 
2006 STOCK INCENTIVE PLAN
 
There are 12,500,000 shares of common stock available for issuance under the 2006 Stock Incentive Plan. Options generally become exercisable at a rate of 33% of the shares subject to an option one year after its grant. The remaining shares generally become exercisable over an additional 24 months. The duration of the options may not exceed ten years, and in the case of an incentive stock option granted to a 10% stockholder, shall not exceed five years. Options are generally non-assignable, except in the case of death and may be exercised only while the optionee is employed by us or, in certain cases, within twelve months after death or disability. The purchase price and number of shares of common stock that may be purchased upon exercise of options are subject to adjustment in certain cases including stock splits, recapitalizations and reorganizations.
 
Both the amount of options granted and to whom they are granted, is determined by the Board of Directors with the recommendation of the Compensation Committee, at their discretion. There are no specific criteria, performance formulas or measures applicable to the determination of the amount of options to be granted and to whom these options are to be granted.
 
ITEM 6. SELECTED FINANCIAL DATA
 
Not applicable.
 
ITEM 7. MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
 
The following discussion and analysis compares our results of operations for the year ended September 30, 2010 to the same period in 2009. This discussion and analysis should be read in conjunction with the consolidated financial statements and notes thereto.
 
CAUTIONARY STATEMENT CONCERNING FORWARD-LOOKING STATEMENTS
 
This Report on Form 10-K contains forward-looking statements, including, without limitation, statements concerning our possible or assumed future results of operations. These statements are preceded by, followed by or include the words "believes," "could," "expects," "intends" "anticipates," or similar expressions. Our actual results could differ materially from those anticipated in the forward-looking statements for many reasons including, but not limited to, product and service demand and acceptance, changes in technology, ability to raise capital, the availability of appropriate acquisition candidates and/or business partnerships, economic conditions, the impact of competition and pricing, capacity and supply constraints or difficulties, government regulation and other risks described in this report. Although we believe the expectations reflected in the forward-looking statements are reasonable, they relate only to events as of the date on which the statements are made, and our future results, levels of activity, performance or achievements may not meet these expectations. We do not intend to update any of the forward-looking statements after the date of this document to conform these statements to actual results or to changes in our expectations, except as required by law.
 
RESULTS OF OPERATIONS
 
FISCAL YEAR ENDED SEPTEMBER 30, 2010 AS COMPARED TO 2009
 
Total revenues for ECG and Skeletal Health products for fiscal 2010 were $1,762,000 as compared to $2,048,000 in fiscal 2009, a decrease of 14.0%. This decrease was due to timing of capital acquisition cycles by certain customers as well as the market factors discussed below.
 
ECG services revenue, which consists of ECG processing, equipment rental, overread and maintenance, during fiscal 2010, decreased by 11.8% to $1,554,000 from $1,762,000 in fiscal 2009. ECG product and supplies sales decreased by 25.6% in fiscal 2010 to $87,000 from $117,000 in fiscal 2009. The decrease was due to state budget constraint of certain State Department of Corrections which resulted in reduced utilization of our services in those settings, partially offset by an increase of new customer’s revenues in non-correctional markets.
 
Skeletal Health products’ revenue decreased by 28.4% in fiscal 2010 to $121,000 from $169,000 in fiscal 2009, due to decreased sales in OsteoGram offset by increased sales in Osteometer. The decreased sales of OsteoGram was due to continued negative pressure on imaging equipment purchasing in the US as well as the timing of certain budget cycles in China.
 
Cost of ECG services decreased by 4.3% to $647,000 in fiscal 2010 compared to $676,000 in fiscal 2009 and cost of goods sold for ECG for fiscal 2010 decreased by 23.4% to $59,000 from $77,000 in fiscal 2009. Both of these costs decreased as a result of the decrease in ECG sales and services mentioned above as well as some efficiencies improvements in our operations.
 
Cost of goods sold for the Skeletal Health Products increased by 3100.0% during fiscal 2010 to $32,000 from $1,000 of fiscal 2009. This cost was related to Osteometer and was consistent with the increase in Osteometer revenue mentioned above.
 
 
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Selling expenses decreased by 11.6% for fiscal 2010 to $304,000 from $344,000 of fiscal 2009. The decrease was mainly due to decreases in commission expenses associated with lower sales in OsteoGram products mentioned above.
 
General and administrative expenses in fiscal 2010 decreased by 2.0% to $938,000 from $957,000 of fiscal 2009 due to continued implementation of cost containments in the Company.
 
Research and development costs for fiscal 2009 decreased by 88.4% to $5,000 from $43,000 in fiscal 2009 due to the effect of cost reductions stemming from the re-alignment of R&D priorities and the completion of certain product development efforts.
 
The Company recorded $48,000 and $96,000 of stock based compensation expenses in fiscal years 2010 and 2009, respectively. This expense will continue to decrease until the fair value of options previously granted become fully amortized.
 
Interest income and dividends for fiscal year 2010 was none compared to $1,000 in fiscal 2009, a decrease of 100% due to the sell-off of marketable securities to supplement working capital.
 
Interest expense in fiscal 2010 decreased by 40.0% to $30,000 from $50,000 in fiscal 2009, mostly due to paying off of certain capital lease obligations.
 
The Company’s net loss increased by 49.4% to $378,000 in fiscal 2010 from $253,000 in fiscal 2009 mostly due to declining revenues causing by the global downturn economy.
 
FINANCIAL CONDITION, LIQUIDITY AND CAPITAL RESOURCES
 
At September 30, 2010, we had approximately $58,000 in cash and investments compared to $208,000 at September 30, 2009, a net decrease of $150,000 or 72.1%, due to declining revenues in both product lines.
 
During fiscal year 2010, purchases of property and equipment increased to $6,000 from $2,000 for fiscal 2009. The increase was due to the demand of upgrading ECG machine from certain customers.
 
We have historically used existing cash and readily available marketable securities balances to fund operating losses and capital expenditures. We also have raised funds through the sale of common and preferred stock issuances and proceeds from the exercise of stock options and warrants.
 
In December 2009, the Company entered into an agreement to effect the private placement of 1,000,000 shares of the Company's common stock at a price of $0.12 per share. During the second quarter of fiscal 2010, the Company received a net proceeds of $106,000.

Our primary capital resource commitments at September 30, 2010 consist of capital and operating lease commitments, primarily for computer equipment, electrocardiogram terminals, osteometer equipment and for our corporate office facility.
 
The Company is analyzing a number of options to improve cash flow for the Company, including raising additional equity capital, drawing down into existing or new credit facilities, exploring strategic opportunities and further costs elimination measures. Currently, the Company is negotiating a new $200,000 credit facility and has reached agreement in principal with the lender on its key terms.
 
Additionally, we intend to pursue the significant strategic relationship described previously which could prove to be a significant inflection point in the Company’s future growth and provide impetus to the execution of our business plan.
 
 
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FINANCING ACTIVITIES
 
On March 14, 2007, we closed a private placement of our securities with Boston Avenue Capital, LLC pursuant to the Securities Purchase Agreement. We sold to the investor 4,167 Units at a price of $480 per Unit resulting in total proceeds of $2,000,000. Each Unit consisted of 1 share of our Class D Preferred Stock as well as 1,000 Common Stock Purchase Warrants with an exercise price of $0.30 per share. Pursuant to the Agreement, we issued all 4,167 shares of the authorized Class D Preferred Stock. Each share of Class D Preferred Stock is convertible at any time into 2,000 shares of common stock. The holder of each issued and outstanding share of Class D Preferred Stock will be entitled to receive a dividend in respect of each such share at the rate per share of $9.60 per annum, payable on each of the first, second, third, and fourth anniversaries of March 12, 2007, commencing March 12, 2008. Dividend payments to each holder will be made in shares of our common stock valued at the average Market Price over 20 trading days, as defined in the Certificate of Designation. In the event the dividends may not lawfully be paid by the issuance of our common stock and may be lawfully paid in cash, the dividends will be paid in cash. The Company issued a total of 526,594 shares of common stock in lieu of cash to pay for dividends due March 2008, 2009 and 2010. In the event of any liquidation, dissolution or winding-up, either voluntarily or involuntarily, the holders of shares of the Class D Preferred Stock then issued and outstanding will be entitled to be paid out of our assets available for distribution to its stockholders, whether from capital, surplus or earnings, before any payment shall be made to the holders of shares of our common stock or upon any other series of our Preferred Stock with a liquidation preference subordinate to the liquidation preference of Class D Preferred Stock, an amount per share equal to $480 plus the dollar amount equal to all unpaid and accrued dividends and interest thereon. In addition, a merger or consolidation with or into any other corporation, or a sale, lease, exchange, or transfer of all or any part of our assets will be deemed a liquidation event unless no assets are distributed in respect of any class of our capital stock in connection with, or as a result of, such merger or consolidation.
 
The Class D Preferred Stock has the same voting rights as our common stock except that each share of Class D Preferred Stock is entitled to 2,000 votes for each vote allowed for a share of common stock, however such amount will be proportionally adjusted in the event of a reverse or forward split of our common stock.
 
On February 15, 2008, the Company entered into a revolving line of credit agreement (the "Credit Agreement") between the Company, as Borrower, and Boston Avenue Capital, LLC, an Oklahoma limited liability company, as Lender (the "Lender" or "BAC"). The Credit Agreement provided for a new revolving line of credit facility in an aggregate principal amount of up to $4 million. The revolving line of credit matured on December 31, 2017. Advances under the revolving line of credit bore interest at the current three-month London Interbank Offered Rate (LIBOR), payable quarterly in arrears for the prior fiscal quarter on the fifth business day of each January, April, July and October, commencing on April 7, 2008. The Credit Agreement also provided that unused amounts up to the total commitment bore interest at a rate of one percent (1%) per annum, compounded annually on the first business day of each calendar year. Under the Credit Agreement, the Lender provided the Company a letter of credit issued by JP Morgan Chase NA in an amount at all times equal to the amount of (i) $4,000,000 less (ii) the aggregate amount of advances then outstanding under the revolving line of credit. Advances under the revolving line of credit were unsecured senior obligations of the Company.
 
The Credit Agreement contained customary representations and warranties of the Company. Availability under the new revolving line of credit was subject to certain conditions, including (i) certain covenants relating to the composition of the Board of Directors of the Company, (ii) that the members of the Board of Directors of the Company unanimously approve any advance, (iii) that there not be any undisclosed material liabilities at the time of an advance, and (iv) that the Lender shall have consented (in its sole discretion) in the event that an advance is requested and, at the time of the request for the advance, the Company or any of its officers, directors, employees, shareholders or affiliates is a party to any pending legal proceedings related to the Company or its affiliates.
 
The February 15, 2008 revolving line of credit facility could be prepaid at any time in whole or in part without premium or penalty, other than payment of the 1% commitment interest on unused advances if the commitment is not terminated.
 
The Credit Agreement also included certain customary events of default including, but not limited to: failure to pay principal or interest when due (subject to grace period); any representation or warranty proving to have been materially incorrect when made or confirmed; failure to perform or observe covenants set forth in the Credit Agreement; and bankruptcy and insolvency defaults.
 
On December 16, 2008, the Company entered into an amended revolving line of credit agreement (the “Amended Credit Agreement”) between the Company, as Borrower, and Boston Avenue Capital, LLC, an Oklahoma limited liability company, as Lender (the “Lender” or “BAC”). The Amended Credit Agreement amends the original credit agreement entered into between Borrower and Lender dated February 15, 2008 (the “Original Credit Agreement”).
 
The Amended Credit Agreement provides a credit facility in an aggregate principal amount of up to $4 million. Advances under the revolving line of credit shall bear interest at the current three-month London Interbank Offered Rate (LIBOR), payable quarterly in arrears for the prior fiscal quarter on the firth business day of each January, April, July and October commencing after the first advance. The Amended Credit Agreement provides that unused amounts up to the total commitment shall bear interest at a rate of one percent (1%) per annum, compounded annually on the first business day of each calendar year, if the letter of credit is held by a third party. In this Amended Credit Agreement, BAC provided the Company a promissory note in lieu of a third party letter of credit. This will eliminate the 1% interest bearing on the unused amount. The Amended Credit Agreement matures on December 31, 2010. Currently, the Company is negotiating a new $200,000 credit facility that matures in December 31, 2012 and has reached agreement in principal with the lender on key terms. The Company expects to finalize the credit facility in the beginning of January 2011.
 
 
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The Amended Credit Agreement terminates the 16,000,000 warrants (the “Original Warrants”) issued to BAC as consideration for the Original Credit Agreement. The Original Warrants were granted i) at a variable price based on the trading of the stock price and ii) regardless of whether an advance was made under the Original Credit Agreement. Under the Amended Credit Agreement, the Company will issue 16,000,000 warrants (the “New Warrants”) to BAC for a purchase price of $5,000 only if, and after, an advance of funds under the Amended Credit Agreement occurs. The strike price of the New Warrants is fixed at two dollars ($2.00) each. The New Warrants may only be issued upon shareholder approval, which the Company must use its best efforts to obtain before the second anniversary of any advance.
 
The Amended Credit Agreement contains customary representations and warranties of the Company. Availability under the new revolving line of credit is subject to certain conditions, including (i) that the existing board members of the Company and other directors approved by the Lender comprise all of the directors of the Company, (ii) that the members of the board of directors of the Company unanimously approve any advance, (iii) that there not be any undisclosed material liabilities a the time of an advance, and (iv) that the Lender shall have consented (in its sole discretion) in the event that an advance is requested and, at the time of the request for the advance, the Company or any of its officers, directors, employees, shareholders or affiliates is a party to any pending legal proceedings related to the Company or its affiliates.
 
Advances under the Amended Credit Agreement may be prepaid at any time in whole or in part without premium or penalty. The Amended Credit Agreement also includes certain customary events of default including, but not limited to failure to pay principal or interest when due (subject to grace period); any representation or warranty proving to have been materially incorrect when made or confirmed; failure to perform or observe covenants set for the in the Amended Credits Agreement; and bankruptcy and insolvency defaults.
 
As of September 30, 2010, there was no draw made against the line of credit.
 
MATERIAL TRENDS AND UNCERTAINITIES
 
The marketplace acceptance of peripheral densitometry equipment is limited, and subject to complex scientific, clinical, reimbursement and policy-making factors which are constantly evolving. It is difficult to predict if any of these factors will create material barriers to our ability to expand the OsteoGram or OsteoCare business. Additionally, these factors are different in various foreign markets. The overall business is also competitive and a number of competitive technologies are emerging that may hinder the acceptance of our product in the marketplace. We are investing heavily to help our channel partners develop the expertise to position and sell our products effectively, however, we have not yet seen material results from that effort and there are no guarantees that we will.
 
Our ECG business is very competitive and we rely significantly on certain contracts with individual state governments. While we successfully renewed many contracts in 2010 that came due for expiration, many customers reserve the rights to cancel such contract under a broad base of options. A loss of some of these contracts could be material for the Company. Additionally, it is possible that competitive pressures may force us to lower our prices, which could adversely effect our overall revenues as well as our gross profits. Additionally many of our customers have responded to the current financial and economic crisis by reducing their volume of use to high-risk patients. If this trend should continue we might experience a downturn of our volume of business, which might not be offset by an increase of revenue from other sources.
 
 
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We are also potentially vulnerable by fiscal and budget crisis on the part of the States that are our principal customers. The Company receives significant revenues from the States of California, Illinois, New York and Florida and any significant budget problems in those states could adversely affect us.
 
We are attempting to expand into new markets such as the assisted living/nursing home, pediatric/schools health clinics, rural health and similar non-correctional markets. These new markets are as of yet unproven and there is a risk that we might discover that these markets will fail to generate significant  revenues or that our products might not address those market needs and require us to expend capital and time addressing those needs. Our execution in these new markets is also in part subject to our ability to enter into enabling relationships for distribution and product development which might prove to be difficult to achieve.
 
Our services are regulated by both Federal and State regulators. Many policies relating to telemedicine regulatory and licensing oversight are evolving often on a state- by- state basis. We might be forced to change or cease offering certain services if some of the regulatory or licensing landscape changes. This could have a material effect on our business.
 
If our revenues should be impacted materially by some of these negative trends, we might have to draw on our credit line or seek equity capital to meet short-term liquidity needs. Both of those events might be dilutive to our shareholders. Additionally we might not meet all the conditions and criteria to effect a drawdown on the credit facility or to be able to secure suitable equity funding from an investor. In such an event, the Company might be forced to significantly reduce its operations or abandon some or all of its activities.  Additionally our credit facility is expected to expire on December 31, 2010 and while the Company is negotiating to extend and amend the Credit facility there can be no guarantees that the Company will be successful in doing so.
 
OFF-BALANCE SHEET ARRANGEMENTS
 
None
 
CRITICAL ACCOUNTING POLICIES
 
Our discussion and analysis of our financial condition and results of operations, including the discussion on liquidity and capital resources, are based upon our financial statements, which have been prepared in accordance with accounting principles generally accepted in the United States. The preparation of these financial statements requires us to make estimates and judgments that affect the reported amounts of assets, liabilities, revenues and expenses, and related disclosure of contingent assets and liabilities. On an ongoing basis, we re-evaluate our estimates and judgments, particularly those related to the determination of the estimated recoverable amounts of trade accounts receivable, impairment of long-lived assets, deferred tax valuation allowance and valuation of stock options. We believe the following critical accounting policies require our more significant judgment and estimates used in the preparation of the financial statements.
 
We maintain an allowance for doubtful accounts for estimated losses that may arise if any of our customers are unable to make required payments. Management specifically analyzes the age of customer balances, historical bad debt experience, customer credit-worthiness, and changes in customer payment terms when making estimates of the collectibility of our trade accounts receivable balances. If we determine that the financial condition of any of our customers has deteriorated, whether due to customer specific or general economic issues, increases in the allowance may be made. Accounts receivable are written off when all collection attempts have failed.
 
We have a significant amount of property, equipment and intangible assets, including patents. In accordance with guidance issued by the Financial Accounting Standards Board ("FASB"), we review our long-lived assets and certain identifiable intangibles for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset or asset group may not be recoverable. Recoverability of long-lived and amortizable intangible assets to be held and used is measured by a comparison of the carrying amount of an asset to the future operating cash flows expected to be generated by the asset. If these assets are considered to be impaired, the impairment to be recognized is measured by the amount by which the carrying value of the assets exceeds their fair value.
 
ECG sales and services revenue is recognized in accordance with SAB 104 as the following criteria have been met: (1) persuasive evidence of an arrangement exists, (2) the product has been delivered or the services have been rendered, (3) the fee is fixed or determinable, and (4) collectibility of the fee is reasonably assured.
 
 
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ECG services are comprised of ECG processing, over-read, rental and maintenance. ECG processing and over-read revenue is recognized monthly on a per-usage basis after the services are performed. Equipment rental and maintenance revenue is recognized monthly over the terms of the customer's agreement.
 
ECG product and supplies sales revenue is recognized upon shipment of the products and passage of title to the customer.
 
OsteoGram software revenue is recognized in accordance with guidance issued by the FASB as the following criteria have been met: (1) persuasive evidence of an arrangement exits, (2) the software has been delivered, (3) the fee is fixed or determinable, and (4) collectibility of the fee is probable. OsteoGram PCS revenue is recognized in accordance with guidance issued by the FASB as the following criteria have been met: (1) the PCS is part of the initial license (software) fee, (2) the PCS period is for one year, (3) the estimated cost of providing the PCS is immaterial, (4) we do not offer upgrades and enhancements during the PCS arrangement. Our policy is to accrue all estimated costs of providing the PCS services.
 
OsteoMeter rental is recognized monthly over the terms of the customer rental agreement, as the following criteria has been met: (1) persuasive evidence of an arrangement exists, (2) the product has been delivered or the services have been rendered, (3) the fee is fixed or determinable, and (4) collectability of the fee is reasonably assured.

Osteometer sales revenue is recognized upon shipment of the products and passage of title to the customer.

Income taxes are accounted for under the asset and liability method. Under this method, to the extent that we believe that the deferred tax asset is not likely to be recovered, a valuation allowance is provided. In making this determination, we consider estimated future taxable income and taxable timing differences expected to reverse in the future. Actual results may differ from those estimates.
 
Commencing October 1, 2006, we implemented changes that the FASB issued related to the accounting for employee stock options, on a modified-prospective basis, to recognize share-based compensation for employee stock option awards in our statements of operations. We account for the issuance of stock, stock options and warrants for services based on the estimated fair value of options and warrants using the Black-Scholes pricing model. This model’s calculations include the exercise price, the market price of shares on grant date, weighted average assumptions for risk-free interest rates, expected life of the option or warrant, expected volatility of our stock and expected dividend yield. The amounts recorded in the financial statements for share-based expense could vary significantly based on the subjective assumptions used in the pricing model.
 
Accounting Pronouncements Recently Adopted

In January 2010, the FASB issued ASU No. 2010-06, “Fair Value Measurements and Disclosures” (“ASU 2010-06”) which provides amendments to Subtopic 820-10 that require new disclosures regarding (1) transfers in and out of Levels 1 and 2 fair value measurements and (2) activity in Level 3 fair value measurements. Additionally, ASU 2010-06 clarifies existing fair value disclosures about the level of disaggregation and about inputs and valuation techniques used to measure fair value. The guidance in ASU 2010-06 became effective for the Company’s second quarter of fiscal year 2010 and the disclosures required by this adoption are included in Note A under “Fair Value Measurements”, except for disclosures about purchases, sales, issuances, and settlements in the roll forward activity in Level 3 fair value measurements which are effective for fiscal years beginning after December 15, 2010, and for interim periods within those fiscal years. The adoption of this guidance did not have a material impact on the Company’s financial statements.

In June 2008, ASC Topic 260, “Earnings Per Share”, was amended to require that unvested share-based payment awards that contain nonforfeitable rights to dividends or dividend equivalents (whether paid or unpaid) be treated as participating securities and shall be included in the computation of earnings per share pursuant to the two-class method. This amendment became effective for financial statements issued for fiscal years beginning after December 15, 2008, and interim periods within those years, and requires that all prior period earnings per share data presented (including interim financial statements, summaries of earnings and selected financial data) be adjusted retrospectively to conform to its provisions. This Topic became effective October 1, 2009, and did not have an impact on the Company’s financial statements.

In April 2008, ASC Topic 350, “Intangibles – Goodwill and Other”, was amended to include a list of factors an entity should consider in developing renewal or extension assumptions used in determining the useful life of recognized intangible assets. The new guidance applies to (1) intangible assets that are acquired individually or with a group of other assets and (2) intangible assets acquired in both business combinations and asset acquisitions. Under this amendment, entities estimating the useful life of a recognized intangible asset must consider their historical experience in renewing or extending similar arrangements or, in the absence of historical experience, must consider assumptions that market participants would use about renewal or extension. This amendment required certain additional disclosures beginning October 1, 2009, and prospective application to useful life estimates prospectively for intangible assets acquired after September 30, 2009. This Topic became effective October 1, 2009, and did not have an impact on the Company’s financial statements.
 
 
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In December 2007, the FASB amended its guidance on accounting for business combinations. The new accounting guidance was effective for the company on October 1, 2009, and is being applied prospectively to all business combinations subsequent to the effective date. Among other things, the new guidance amends the principles and requirements for how an acquirer recognizes and measures in its financial statements the identifiable assets acquired, the liabilities assumed and any noncontrolling interest in the acquiree and the goodwill acquired. It also establishes new disclosure requirements to enable the evaluation of the nature and financial effects of the business combination. The adoption of this accounting guidance did not have a significant impact on the Company’s  financial statements, and the impact it will have on the Company’s  financial statements in future periods will depend on the nature and size of business combinations completed subsequent to the date of adoption.

In February 2010, the FASB issued ASU No. 2010-09, “Subsequent Events (Topic 855)” (“ASU 2010-09”) which provides an update to Topic 855, “Subsequent Events”. This update clarifies that an SEC filer is required to evaluate subsequent events through the date that the financial statements are issued and removes the requirement for SEC filers to disclose the date through which subsequent events have been evaluated. This guidance became effective upon issuance and has been adopted by the Company.

Recent Accounting Pronouncements Not Yet Adopted as of September 30, 2010

In April 2010, the FASB issued ASU No. 2010-17, “Revenue Recognition - Milestone Method (Topic 605)” (“ASU 2010-17”) which provides guidance on defining a milestone and determining when it may be appropriate to apply the milestone method of revenue recognition for certain revenue transactions. This guidance is effective on a prospective basis for milestones achieved in fiscal years, and interim periods within those years, beginning on or after June 15, 2010 (fiscal year 2011 for the Company). This accounting guidance is not expected to have a material impact on the Company’s financial statements.

In October 2009, the FASB issued new accounting guidance for revenue recognition with multiple deliverables. This guidance impacts the determination of when the individual deliverables included in a multiple-element arrangement may be treated as separate units of accounting. Additionally, this new accounting guidance modifies the manner in which the transaction consideration is allocated across the separately identified deliverables by no longer permitting the residual method of allocating arrangement consideration. The new guidance is effective for the Company prospectively for revenue arrangements entered into or materially modified beginning in the first quarter of fiscal 2011. Early adoption is permitted. This accounting guidance is not expected to have a significant impact on the Company’s financial statements.

ITEM 7A.  QUANTATIVE AND QUALITIVE DISCLOSURES ABOUT MARKET RISK
 
Not applicable.
 
ITEM 8.  FINANCIAL STATEMENTS
 
The financial statements are included as a separate section following the signature page to this Form 10-K.
 
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ITEM 9.  CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL MATTERS
 
None
 
ITEM 9A(T).  CONTROLS AND PROCEDURES
 
EVALUATION OF DISCLOSURE CONTROLS AND PROCEDURES
 
Our management evaluated, with the participation of our Chief Executive Officer and our Principal Financial Officer, the effectiveness of our disclosure controls and procedures as of the end of the period covered by this Annual Report on Form 10-K. Based on this evaluation, our Chief Executive Officer and our Principal Financial Officer have concluded that our disclosure controls and procedures are effective to ensure that information we are required to disclose in reports that we file or submit under the Securities Exchange Act of 1934 (i) is recorded, processed, summarized and reported within the time periods specified in Securities and Exchange Commission rules and forms, and (ii) is accumulated and communicated to our management, including our Chief Executive Officer and our Principal Financial Officer, as appropriate to allow timely decisions regarding required disclosure. Our disclosure controls and procedures are designed to provide reasonable assurance that such information is accumulated and communicated to our management. Our disclosure controls and procedures include components of our internal control over financial reporting. Management's assessment of the effectiveness of our internal control over financial reporting is expressed at the level of reasonable assurance that the control system, no matter how well designed and operated, can provide only reasonable, but not absolute, assurance that the control system's objectives will be met.
 
MANAGEMENT’S REPORT ON INTERNAL CONTROL OVER FINANCIAL REPORTING
 
Management is responsible for establishing and maintaining adequate internal control over financial reporting for CompuMed. CompuMed’s internal control over financial reporting is a process designed under the supervision of its Chief Executive Officer and Principal Financial Officer to provide reasonable assurance regarding the reliability of financial reporting and the preparation of our financial statements for external purposes in accordance with U.S. generally accepted accounting principles.
 
Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Also, projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions, or that the degree of compliance with the policies or procedures may deteriorate.
 
Management has made a comprehensive review, evaluation, and assessment of CompuMed’s internal control over financial reporting as of September 30, 2010. In making its assessment of internal control over financial reporting, management used the criteria issued by the Committee of Sponsoring Organizations of the Treadway Commission in Internal Control-Integrated Framework. Based on that assessment, management concluded that, as of September 30, 2010, CompuMed’s internal control over financial reporting was effective.
 
This Annual Report on Form 10-K does not include an attestation report of CompuMed’s independent registered public accounting firm regarding internal control over financial reporting. Management’s report was not subject to attestation by CompuMed’s registered public accounting firm pursuant to temporary rules of the Securities and Exchange Commission that permit the provision of only management’s report in this Annual Report on Form 10-K.
 
CHANGES IN INTERNAL CONTROL OVER FINANCIAL REPORTING
 
There was no change in our internal control over financial reporting during fiscal 2010 that has materially affected, or is reasonably likely to materially affect, our internal control over financial reporting.
 
LIMITATION ON THE EFFECTIVENESS OF CONTROLS
 
Our management, including our Chief Executive Officer and Principal Financial Officer, does not expect that our disclosure controls and internal controls will prevent all error and all fraud. A control system, no matter how well conceived and operated, can provide only reasonable, not absolute, assurance that the objectives of the control system are met. Further, the design of a control system must reflect the fact that there are resource constraints, and the benefits of controls must be considered relative to their costs. Because of the inherent limitations in all control systems, no evaluation of controls can provide absolute assurance that all control issues and instances of fraud, if any, within the company have been detected. These inherent limitations include the realities that judgments in decision-making can be faulty, and that breakdowns can occur because of simple error or mistake. Additionally, controls can be circumvented by the individual acts of some persons, by collusion of two or more people, or by management override of the control.
 
 
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The design of any system of controls also is based in part upon certain assumptions about the likelihood of future events, and there can be no assurance that any design will succeed in achieving its stated goals under all potential future conditions.
 
ITEM 9B.  OTHER INFORMATION
 
On October 28, 2005, we declared a dividend of one Common Stock Purchase Right for each outstanding share of common stock. The dividend is payable to holders of record at the close of business on August 1, 2005. Each Right entitles the registered holder to purchase shares of common stock at a purchase price of $0.40, subject to adjustment.
 
Initially, the Rights will not be exercisable, certificates for the Rights will not be issued and the Rights will automatically trade with our common stock. Until the close of business on the earlier of (i) the tenth day following the public announcement that a person or group of affiliated or associated persons, together the "Acquiring Person" other than us, our subsidiary or any employee benefit plan or employee stock plan, together an "Exempt Person" has acquired, or obtained the right to acquire, beneficial ownership of 15% or more of our outstanding common stock or (ii) the tenth business day following the commencement by any person, other than an Exempt Person of, or the announcement of the intention to commence, a tender or exchange offer that would result in the ownership of 15% or more of our outstanding common stock with the earlier of such dates in clauses (i) and (ii) being called the "Distribution Date", the Rights will be evidenced, with respect to any of the common stock certificates outstanding as of August 1, 2005, by such common stock certificate, together with a copy of the Summary of Rights. On March 27, 2007, our Board of Directors approved an amendment to the Rights Agreement to modify the definition of an Acquiring Person so that it requires ownership of 35% or more of the outstanding common stock of the Company, as opposed to 15% or more, as set forth in the original Rights Agreement. A copy of that amendment is attached as Exhibit 10.17.
 
The Rights are not exercisable until the Distribution Date. The Rights will expire at the close of business on October 28, 2009, unless redeemed or exchanged.
 
The terms and conditions of the Rights are contained in a Rights Agreement between U.S. Stock Transfer Corporation and us. A copy of the Rights Agreement was filed with the Securities and Exchange Commission as an Exhibit to a Registration Statement on Form 8-A on November 2, 2005. This summary description of the Rights does not purport to be complete and is qualified in its entirety by reference to the Rights Agreement, as amended from time to time, which is incorporated in this summary description by reference.
 
 
 
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PART III
 
ITEM 10. DIRECTORS, EXECUTIVE OFFICERS, PROMOTERS AND CORPORATE GOVERNANCE
 
EXECUTIVE OFFICERS AND DIRECTORS
 
The following table sets forth certain information concerning our directors and executive officers as of September 30, 2010:
 
NAME
 
POSITION WITH COMPANY
 
YEAR BECAME DIRECTOR
 
AGE
 
Mark Stolper
 
Chairman of the Board
 
2008
  38  
Charles Gillman
 
Director
 
2008
  39  
Mark Crockett
 
Director
 
2008
  44  
Maurizio Vecchione
 
Interim CEO and President
      48  
Phuong Dang
 
Principal Financial Officer and Secretary
      53  

The terms of the Board of Directors will expire at the next annual meeting of stockholders. Our officers are elected by the Board of Directors and hold office at the will of the Board.
 
 
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BACKGROUND EXPERIENCE OF DIRECTORS AND OFFICERS
 
Mark Stolper is the Chief Financial Officer of RadNet, Inc., a NASDAQ-listed leading owner and operator of medical diagnostic imaging centers. From January 2001 to July 2004, Mr. Stolper was a partner at Broadstream Capital Partners and West Coast Capital, Los Angeles-based investment banking firms focused on advising middle market companies engaged in financing and merger and acquisition transactions. Prior to joining Broadstream, Mr. Stolper was responsible for business development and mergers and acquisitions for Eastman Kodak’s entertainment companies and its online image licensing business, Picture Network International. Mr. Stolper has also served as a member of Archon Capital Partners, Dillon, Read & Co., Inc., and Saratoga Partners, LLP. Mr. Stolper graduated magna cum laude from the University of Pennsylvania and received a finance degree from the Wharton School.
 
Mr. Crockett is managing partner of Vici Capital Partners, an activist investment, financial advisory and consulting firm, founded in 2008. Since 2005, Mr. Crockett has also been a principal of NightWatch Capital, a private investment firm. Since 1999, Mr. Crockett has been a client services director with Harvest Earnings and EHS Partners, both earnings improvement and turnaround firms. Mr. Crockett began his career as a banking and securities lawyer with Latham & Watkins before joining McKinsey & Company for several years as a strategy and M&A consultant. He then left to acquire and operate a venture-backed retail financial services company, Tax One, later selling it to a strategic buyer.
 
Charles Gillman is the Senior Managing Member of the Boston Avenue Capital, LLC a private investment partnership. Boston Avenue makes long-term investments after extensive due-diligence is conducted by its research staff. Boston Avenue maintains research offices in New York, Los Angeles, Tulsa, and Chennai. Mr. Gillman founded Boston Avenue Capital in 2001. Prior to 2001, Mr. Gillman served clients in a variety of industries as a strategy consultant in the New York office of McKinsey and Company. He also held positions in the investing industry. Mr. Gillman received a bachelor's degree from the Wharton School of the University of Pennsylvania in 1992. He serves on the Board of the Penn Club of New York.
 
Maurizio Vecchione is a Managing Partner of Synthetica Holdings, LLC, a private equity fund, and the Chairman of Synthetica (America) Ltd., a turn-around consulting firm and a management consultant retained to provide strategic advice to CompuMed. Mr. Vecchione co-founded Synthetica in September 2001 and has been managing its effort since then. He also serves as Chairman of The IDEAS Studio, a multimedia content company in the educational field and Chairman of THWAPR, Inc. (Previously Mobile Video Developent, Corp), an early stage company in wireless video technology. Both firms are clients of Synthetica. From July 2004 to September 2006 Mr. Vecchione served as CEO of Trestle Holdings, Inc, a medical imaging company for digital pathology and a company for which he orchestrated a restructuring and the sale of its operating assets. Trestle was a client of Synthetica and Mr. Vecchione's executive role there was as part of the engagement with Synthetica. From April 2003 to July 2004 Mr. Vecchione was President and CEO of Microwave Photonics, a wireless technology company he spun out of British Telecommunications. Microware Photonics was a client of Synthetica and Mr. Vecchione's executive role there was as part of the engagement with Synthetica. Prior to joining Microwave he was the founder and co-CEO of imaging rendering company ModaCAD (later Styleclick).
 
Ms. Dang has a degree in Accounting and been employed by us since 1990. She has served as Controller, Secretary and Principal Financial Officer since 1997. Ms. Dang has over 30 years of corporate accounting and finance experience in the healthcare field, mail order and retail stores. Prior to joining to us, she served as Accounting Manager for the Maxicare Medical Center from 1984 to 1990. From 1978 to 1984, she served as Senior Staff Accountant for Sunset House/ Gadget Tree a division of Carter Hawley Hale.
 
BOARD MEETINGS AND COMMITTEES
 
Our Board of Directors held a total of five meetings during the fiscal year ended September 30, 2010. All of our Directors attended each meeting.
 
AUDIT COMMITTEE
 
The Audit Committee is primarily responsible for approving the services performed by our independent auditors and reviewing reports of our external auditors regarding our accounting practices and systems of internal accounting controls. This Committee currently consists of Mr. Stolper and Mr. Crockett. The Audit Committee met four times during the fiscal year ended September 30, 2010. Mr. Stolper has been approved by our Board of Directors as the independent Audit Committee Financial Expert.
 
 
27

 
 
COMPENSATION COMMITTEE
 
The Compensation Committee reviews and approves our compensation policy and has assumed responsibility for administration of our Stock Option Plans. This Committee currently consists of Mr. Stolper and Crockett. The Compensation Committee met one time during the fiscal year ended September 30, 2010.
 
COMPLIANCE WITH SECTION 16(A) OF THE EXCHANGE ACT
 
Section 16(a) of the Exchange Act, as amended, requires our executive officers, directors and persons who beneficially own more than 10% of our common stock to file reports of their beneficial ownership and changes in ownership (Forms 3, 4 and 5, and any amendment thereto) with the SEC. Executive officers, directors, and greater-than-ten percent holders are required to furnish us with copies of all Section 16(a) forms they file. Based on our review of the activity of our officers and directors for the fiscal year ended September 30, 2010, we believe Forms 3, 4 or 5 were timely filed.
 
CODE OF ETHICS
 
We have adopted a Code of Ethics that applies to our principal executive officer and principal financial officer. A copy of the Code of Ethics is available on our website at http://www.compumed.net/info/index.html. We intend to disclose any amendment or waiver to the Code of Ethics on our website at http://www.compumed.net/info/index.html. We will provide to any person without charge, upon written request to our above address, a copy of such code of ethics.
 
ITEM 11.  EXECUTIVE COMPENSATION
 
The following table shows for the fiscal year ended September 30, 2010 certain compensation information for our principal executive officer, principal financial officer. Other than our principal executive and principal financial officers serving during fiscal year 2010, we had no other reportable executive officers for the period.
 
SUMMARY COMPENSATION TABLE
Name and
Principal
 
Year
 
Salary
($) (1)
 
Bonus
($)
 
Stock
Awards
($)
   
Option
Awards
($)
   
Non-Equity
Incentive
Plan
Compensation
($)
   
Non-qualified
Deferred
Compensation
Earnings
($)
   
All Other
Compen-
sation
($) (2)
   
Total
($)
 
Maurizio Vecchione
 
2010
 
$
171,000
 
––
          $
12,000
     
––
     
––
     
––
   
$
183,000
 
Chief Executive Officer
                                                             
 
                                                             
Phuong Dang
 
2010
 
$
123,000
 
––
   
––
    $
3,000
     
––
     
––
   
$
2,000
   
$
128,000
 
Principal Financial Officer
 
 
                                                         

(1)
Reflects a 5% voluntary reduction of salary.
 
(2)
Reflects matching Company contributions on behalf of the officer in the Company-sponsored 401(k) tax-deferred savings plan.
 
 
28

 
 
The following table shows the number of shares covered by exercisable and unexercisable options held by the named executive officers on September 30, 2010. There were no other outstanding equity awards as of September 30, 2010.
 
Outstanding Equity Awards At Fiscal 9/30/09
Name
 
Option Awards
   
Number
of
Securities
Underlying
Unexercised
Options
(#)
Exercisable
   
Number
of
Securities
Underlying
Unexercised
Options
(#)
Unexercisable
 
Equity
Incentive
Plan
Awards:
Number
of
Securities
Underlying
Unexercised
Unearned
Options
 
Option
Exercise
Price
($)
 
Option
Expiration
Date
Maurizio Vecchione
     
 
170,000
 
     
 
     
     
$
0.29
     
5/17/2017
Chief Executive Officer
   
  83,334
     
216,666 
 (1)
 
 
$
0.10
 
  11/06/2019
                 
 
       
 
Phuong Dang
   
35,000
     
 
 
$
0.35
 
12/23/2013
 Principal Financial Officer
   
35,000
     
 
 
$
0.32
 
12/13/2014
 
   
45,000
     
 
 
$
0.64
 
12/22/2015
 
   
125,000
     
 
 
$
0.39
 
 08/18/2016
 
   
125,000
     
 
 
$
0.29
 
05/17/2017
 
   
27,778 
     
72,222
 (2)
 
$
0.10
 
11/06/2019
———————
(1)  
The remaining 216,666 shares of this option grant vest monthly to November 2012.
 
(2)  
The remaining 72,222 shares of this option grant vest monthly to November 2012
 
COMPENSATION OF DIRECTORS
 
None
 
EMPLOYMENT AND CONSULTING AGREEMENTS
 
Effective June 1, 2007, we appointed Maurizio Vecchione to the position of Interim Chief Executive Officer. We amended our Contractor Agreement with Synthetica (America), Ltd. to provide the services of Mr. Vecchione in this capacity for consideration of $15,000 per month and 170,000 warrants at $0.29 per share. One third of the warrants vested on May 17, 2007, one third vested on May 17, 2008 and one third will vest on May 17, 2009. These warrants will expire on May 17, 2017. Under the terms of the Amendment, Mr. Vecchione, while part-time, will spend sufficient time at the Company to discharge the duties needed of the CEO.
 
On November 24, 2009, CompuMed, Inc. entered into an agreement with Mark Crockett, a director on CompuMed’s Board of Directors, for the provision of certain investment banking and financial advisory services. CompuMed will compensate Mr. Crockett for his services in the form of a transaction fee tied to the value received by CompuMed upon the closing of a transaction whereby the Company’s capital stock, assets or revenue streams are transferred for consideration, including, without limitation, a sale or exchange of capital stock or assets, a merger, plan of exchange or consolidation, a lease or license of assets with or without a purchase option, the formation of a joint venture, or any similar transaction. As of September 30, 2010, there was no compensation due to Mr. Crockett.
 
 
29

 
 
ITEM 12.  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT AND RELATED STOCKHOLDER MATTERS
 
SECURITIES AUTHORIZED FOR ISSUANCE UNDER EQUITY COMPENSATION PLANS
 
The following table sets forth information as of September 30, 2010 regarding shares of our common stock subject to outstanding options or authorized for issuance under our currently existing equity compensation plan.
 
   
Number of
Securities to be
Issued upon
Exercise of
Outstanding
Options,
Warrants and
Rights
(a)
   
Weighted
Average
Exercise price of
Outstanding
Options,
Warrants and
Rights
(b)
   
Number of
Securities
Remaining and
Available for
Future issuance
Under equity
Compensation
Plans (excluding
Securities
Reflected in
Column (a))
(c)
 
Equity compensation plans approved by security holders
    570,000       0.20       -0-  
Equity compensation plans not approved by security holders
    7,447,000       0.27       8,017,000  
Total
    8,017,000       0.26       8,017,000  

NARRATIVE DESCRIPTION OF THE 2006 STOCK INCENTIVE PLAN
 
There are 12,500,000 shares of common stock available for issuance under the 2006 Stock Incentive Plan. Options generally become exercisable at a rate of 33% of the shares subject to an option one year after its grant. The remaining shares generally become exercisable over an additional 24 months. The duration of the options may not exceed ten years, and in the case of an incentive stock option granted to a 10% stockholder, shall not exceed five years. Options are generally non-assignable, except in the case of death and may be exercised only while the optionee is employed by us or, in certain cases, within twelve months after death or disability. The purchase price and number of shares of common stock that may be purchased upon exercise of options are subject to adjustment in certain cases including stock splits, recapitalizations and reorganizations.
 
Both the amount of options granted and to whom they are granted are determined by the Board of Directors with the recommendation of the Compensation Committee, at their discretion. There are no specific criteria, performance formulas or measures applicable to the determination of the amount of options to be granted and to whom these options are to be granted.
 
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS
 
The following table sets forth, to our knowledge, certain information concerning the beneficial ownership of the our common stock as of November 30, 2010 by: (a) each director of the Company; (b) the executive officer named in the Executive Compensation Table; (c) our directors and executive officer as a group; and (d) each person known to us who beneficially owns 5% or more of our common stock.
 
SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

The following table sets forth certain information regarding beneficial ownership of our outstanding capital stock as of November 30, 2010 by (i) each person known by us to be the beneficial owner of more than 5% of any class of our voting securities, (ii) each of our directors, (iii) each of our executive officers and (iv) our directors and executive officers as a group.  Unless otherwise indicated, the address of the beneficial owner is c/o CompuMed, Inc., 5777 W. Century Boulevard, Suite 360, Los Angeles, CA 90045.

 
Common Stock (1)
Name of Beneficial Owner
Number of Shares
%
Mark Crockett
-
-
Phuong Dang
     403,889(2)
1.5%
Charles Gillman
13,091,094(3)
32.9%
Mark Stolper
 1,000,000(4)
3.5%
Maurizio Vecchione
    286,668(5)
1.0%
All officers and directors as a group (five persons)
14,781,651(6)
35.6%
 
 
30

 
 
(1)  
27,287,452 shares of common stock were outstanding as of November 30, 2010.  All percentages are rounded to the nearest tenth and are based upon the number of shares outstanding on November 30, 2010.  For purposes of computing the percentages of the outstanding shares owned by persons described in the table, any shares such person is deemed to own by having a right to acquire such shares by exercise or conversion are included, but shares acquirable by other persons by exercise or conversion are not included.
(2)  
Includes 403,889 shares issuable within 60 days under stock options.
(3)  
Includes:
a)  
8,334,000 shares of common stock issuable within 60 days upon conversion of Series 2% Preferred Stock owned by Boston Avenue Capital, LLC.
b)  
4,167,000 shares of common stock issuable within 60 days upon conversion of warrants.
c)  
63,500 shares of common stock held directly by Yorktown Avenue Capital, LLC (“YAC”) and 526,594 shares held directly by Boston Avenue Capital, LLC (“BAC”).  Mr. Gillman is the manager of BAC and YAC.  Mr. Gillman disclaims beneficial ownership of these shares.
(4)  
Includes 1,000,000 shares issuable within 60 days under stock options.
(5)  
Includes 286,668 shares issuable within 60 days under warrants.
(6)  
Includes 1,403,889 shares issuable within 60 days under stock options, 4,453,668 shares issuable within 60 days under warrants, and 8,334,000 shares issuable within 60 days upon conversion of Series 2% Preferred Stock.

ITEM 13.  CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS AND DIRECTOR INDEPENDENCE
 
On June 1, 2007, the Company appointed Mr. Vecchione as Interim Chief Executive Officer. Mr. Vecchione is a principal of Synthetica (America), Ltd, to which the Company paid $171,000 and $173,000 in consulting fees during the year ended September 30, 2010 and 2009, respectively.
 
On November 24, 2009, CompuMed, Inc. entered into an agreement with Mark Crockett, a director on CompuMed’s Board of Directors, for the provision of certain investment banking and financial advisory services. CompuMed will compensate Mr. Crockett for his services in the form of a transaction fee tied to the value received by CompuMed upon the closing of a transaction whereby the Company’s capital stock, assets or revenue streams are transferred for consideration, including, without limitation, a sale or exchange of capital stock or assets, a merger, plan of exchange or consolidation, a lease or license of assets with or without a purchase option, the formation of a joint venture, or any similar transaction. As of September 30, 2010, there was no compensation due to Mr. Crockett.
 
The OTC Bulletin Board, on which the Company's common stock is currently traded, does not have a requirement that a majority of the Board of Directors be independent or separate independence determination requirements. Of the Company's three current directors, two would be deemed independent, while Charles Gillman may not be. The Company believes that each member of the Company's audit committee would be deemed to be independent under the applicable rules of The NASDAQ Stock Market, and that the two members of the Company's compensation committee would be deemed independent.
 
ITEM 14.  PRINCIPAL ACCOUNTANT FEES AND SERVICES
 
Audit Fees
 
For the fiscal years ended September 30, 2010 and 2009, the aggregate fees billed for professional services rendered by Rose, Snyder and Jacobs (independent auditors) for the audits of the Company’s annual financial statements and the reviews of its financial statements included in the Company's quarterly reports and filings under the Securities Act of 1933 totaled approximately $59,000 and $58,000 respectively.
 
 
31

 
 
Audit-Related Fees
 
For the fiscal years ended September 30, 2010 were none and $5,000 in fiscal year end 2009, the aggregate fees billed for professional services rendered by the Company’s independent auditors for audit-related fees, which include assistance with responding to SEC comment letters, consents, and procedures performed relating to potential acquisitions.
 
Tax Fees
 
For the fiscal years ended September 30, 2010 and 2009, the aggregate fees billed by our independent auditors relating to the preparation of corporate tax returns were $8,000 and $10,000, respectively.
 
Audit Committee – Pre-Approval
 
All services provided to the Company by Rose, Snyder & Jacobs as detailed above, were pre-approved by the Audit Committee and all work of said firm was performed solely by their permanent employees.
 
 
32

 

ITEM 15.
EXHIBITS
 
EXHIBIT
NUMBER
 
 
DESCRIPTION OF EXHIBIT
3.1
     
Certificate of Incorporation (included as Exhibit 3.1 to the Form S-1 effective May 7, 1992, and incorporated herein by reference).
3.2
 
Certificate of Amendment of Certificate of Incorporation (included as Exhibit 3.1a to the Form S-2/A filed June 28, 1994, and incorporated herein by reference).
3.3
 
Certificate of Amendment of Certificate of Incorporation (included as Exhibit 3.1b to the Form S-2/A filed November 7, 1994, and incorporated herein by reference).
3.4
 
Certificate of Correction of Certificate of Amendment (included as Exhibit 3.1c to the Form S-2/A filed November 7, 1995, and incorporated herein by reference).
3.5
 
By-Laws (included as Exhibit 3.5 to the Form 10-QSB filed February 13, 2004, and incorporated herein by reference).
3.6
 
Amendment to By-Laws (included as Exhibit 3.6 to the Form 10-QSB filed February 13, 2004, and incorporated herein by reference).
4.1
 
Certificate of Designation of Class A Preferred Stock (included as Exhibit 4.5 to the Form 10-KSB filed December 29, 1995, and incorporated herein by reference).
4.2
 
Certificate of Designation of Class B Preferred Stock (included as Exhibit 4.6 to the Form 10-KSB filed December 29, 1995, and incorporated herein by reference).
4.3
 
Certificate of Designation of Class C Preferred Stock (included as Exhibit 3.1 to the Form 8-K filed January 9, 1998, and incorporated herein by reference).
4.4
 
Certificate of Correction for Class C Preferred Stock (included as Exhibit 3.2 to the Form 8-K filed January 9, 1998, and incorporated herein by reference).
4.5
 
Rights Agreement between the Company and U.S. Stock Transfer Corporation, dated October 28, 2005 (included as Exhibit 4.1 to the Company's Form 8-A filed on November 2, 2005, and incorporated herein by reference).
4.6
 
Certificate of Designation for Class D 2% Convertible Preferred Stock (included as Exhibit 4.1 to the Form 8-K filed March 16, 2007, and incorporated herein by reference).
10.1
 
Form of Non-Qualified Stock Option Agreement (included as Exhibit 10 to the Form S-8 filed October 14, 1995, and incorporated herein by reference).
10.2
 
Commercial Office Lease between the Company and L.A.T. Investment Corporation, dated August 16, 1999 (included as Exhibit 10.24 to the Form 10-KSB filed December 29, 1999, and incorporated herein by reference).
10.3
 
Form of Stock Option Agreement (included as Exhibit 10.5 to the Form 10-QSB filed August 14, 2002, and incorporated herein by reference).
10.4
 
2003 Stock Incentive Plan (included as Exhibit 99.2 to the Form S-8 filed June 2, 2003, and incorporated herein by reference).
10.5
 
Investment Agreement between the Company and Dutchess Private Equities Fund, L.P., dated February 25, 2004 (included as Exhibit 10.9 to the Form SB-2 filed February 27, 2004, and incorporated herein by reference).
10.6
 
Registration Rights Agreement between the Company and Dutchess Private Equities Fund, L.P., dated February 25, 2004 (included as Exhibit 10.10 to the Form SB-2 filed February 27, 2004, and incorporated herein by reference).
10.7
 
Placement Agent Agreement between the Company, Charleston Capital Securities, and Dutchess Private Equities Fund, L.P., dated February 25, 2004 (included as Exhibit 10.11 to the Form SB-2 filed February 27, 2004, and incorporated herein by reference).
10.8
 
Amendment to Commercial Office Lease between the Company and L.A.T. Investment Corporation, dated July 13, 2004 (included as Exhibit 10.6 to the Form 10-KSB filed December 29, 2004, and incorporated herein by reference).
10.10
 
Amended and Restated 2003 Stock Incentive Plan (included as Exhibit 10.1 to the Form S-8 filed April 13, 2005, and incorporated herein by reference).
10.11
 
Amendment to Commercial Office Lease between the Company and L.A.T. Investment Corporation, dated August 12, 2005 (included as Exhibit 10.6 to the Form 10-KSB filed December 27, 2005, and incorporated herein by reference).
 
 
33

 
 
EXHIBIT
NUMBER
 
 
DESCRIPTION OF EXHIBIT
10.12
     
2006 Stock Incentive Plan (included as Exhibit 10.1 to the Form S-8 filed August 23, 2006, and incorporated herein by reference).
10.13
 
Third Amendment to Commercial Office Lease between the Company and L.A.T. Investment Corporation, dated August 10, 2006 (included as Exhibit 10.14 to the Form 10-KSB filed December 29, 2006, and incorporated herein by reference).
10.14
 
Securities Purchase Agreement between the Company and Boston Avenue Capital, LLC, dated March 12, 2007 (included as Exhibit 10.1 to the Form 8-K filed March 12, 2007, and incorporated herein by reference).
10.15
 
Common Stock Purchase Warrant, dated March 12, 2007 (included as Exhibit 10.2 to the Form 8-K filed March 12, 2007, and incorporated herein by reference).
10.16
 
Amendment of the Rights Agreement to modify the definition of an Acquiring Person so that it requires ownership of 35% or more of the outstanding common stock of the Company opposed to 15% or more, as set forth in the original Rights Agreement (included as item 3.03 to the Form 8-K filed April 02, 2007, and incorporated herein by reference).
10.17
 
Appointment of Simon James and Mark Stolper as Directors pursuant to the Side Letter Agreement with Boston Avenue Capital, LLC (included as 10.1 and 10.2 to the Form-8K filed May 23, 2007, and incorporated herein by reference).
10.18
 
Consulting Agreement between the Company and Synthetica, LTD, dated June 7, 2007 (included as Exhibit 10.1 to the Form-8K filed June 7, 2007, and incorporated herein by reference).
10.19
 
Consulting Agreement between the Company and Mark Crockett, dated November 24, 2009 (included as Exhibit 99.1 to the Form-8K filed November 25, 2009, and incorporated herein by reference).
 
Consent of Independent Registered Public Accounting Firm (filed herewith).
 
Certification pursuant to Section 302 of the Sarbanes-Oxley Act of 2002(filed herewith).
 
Certification pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 (filed herewith).
 
Certification of Officers pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 (filed herewith).
 
 
34

 
 
SIGNATURES
 
In accordance with Section 13 or 15(d) of the Exchange Act, the Registrant caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.

   
COMPUMED, INC.
 
   
 
 
       
 
By:
/s/ Maurizio Vecchione
 
   
Maurizio Vecchione
 
   
President and Chief Executive Officer
 
Date: December 29, 2010
 
In accordance with the Exchange Act, this report has been signed below by the following persons on behalf of the registrant and in the capacities and on the dates indicated.
 
 

Signature
 
Title
 
Date
         
/s/ Maurizio Vecchione
 
President and Chief Executive Officer
 
December 29, 2010
Maurizio Vecchione
       
         
/s/ Phuong Dang
 
Secretary and Principal Financial Officer
 
December 29, 2010
Phuong Dang
       
         
/s/ Mark Stolper
 
Chairman of the Board
 
December 29, 2010
Mark Stolper
       
         
/s/ Mark Crockett
 
Director
 
December 29, 2010
Mark Crockett
       
         
/s/ Charles Gillman
 
Director
 
December 29, 2010
Charles Gillman
       
 
 
35

 

COMPUMED, INC.
INDEX TO FINANCIAL STATEMENTS
 
    PAGE  
Report of Independent Registered Public Accounting Firm     F-2  
         
Balance Sheets as of September 30, 2010 and 2009     F-3  
         
Statements of Operations for the years ended September 30, 2010 and 2009     F-4  
         
Statements of Stockholder's Equity for the years ended September 30, 2010 and 2009     F-5  
         
Statements of Cash Flows for the years ended September 30, 2010 and 2009     F-6  
         
Notes To Financial Statements     F-7  
 
 
F -1

 
 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM


To the Board of Directors and Shareholders of
CompuMed, Inc.

We have audited the accompanying balance sheets of CompuMed, Inc. as of September 30, 2010 and 2009, and the related statements of operations, stockholders’ equity and cash flows for the years then ended.  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 the standards established by the Public Company Accounting Oversight Board (United States). Those standards require that we plan and perform the audit to obtain reasonable assurance about whether the financial statements are free of material misstatement. The Company is not required to have, nor were we engaged to perform, an audit of its internal control over financial reporting. Our audits included consideration of internal control over financial reporting as a basis for designing audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Company’s internal control over financial reporting. Accordingly, we express no such opinion. An audit also includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements, 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 CompuMed, Inc. as of September 30, 2010 and 2009, 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.


Rose, Snyder & Jacobs
A Corporation of Certified Public Accountants

Encino, California

December 28, 2010
 
 
F -2

 

COMPUMED, INC.
BALANCE SHEET
 
   
September 30,
   
September 30,
 
   
2010
   
2009
 
ASSETS
           
CURRENT ASSETS
           
Cash and cash equivalents
    58,000       97,000  
Investments, at fair market value
    -       111,000  
Accounts receivable, less allowance of $19,000 (September 2010) and $14,000 (September 2009)
    258,000       293,000  
Other receivables
    1,000       -  
Inventory
    18,000       18,000  
Prepaid expenses and other current assets
    13,000       17,000  
                 
TOTAL CURRENT ASSETS
    348,000       536,000  
                 
PROPERTY AND EQUIPMENT, AT COST
               
Machinery and equipment
    1,477,000       1,388,000  
Furniture, fixtures and leasehold improvements
    80,000       76,000  
Equipment under capital leases
    343,000       421,000  
                 
      1,900,000       1,885,000  
                 
Accumulated depreciation and amortization
    (1,655,000 )     (1,556,000 )
                 
TOTAL PROPERTY AND EQUIPMENT
    245,000       329,000  
                 
OTHER ASSETS
               
Patents, net of accumulated amortization of $41,000 (September 2010) and $30,000 (September 2009)
    129,000       127,000  
                 
Other assets
    19,000       15,000  
                 
TOTAL OTHER ASSETS
    148,000       142,000  
                 
TOTAL ASSETS
    741,000       1,007,000  
                 
LIABILITIES AND STOCKHOLDERS' EQUITY
               
CURRENT LIABILITIES
               
Accounts payable
    177,000       153,000  
Accrued liabilities
    100,000       118,000  
Unearned revenue- ECG processing
    2,000       2,000  
Current portion of capital lease obligations
    59,000       70,000  
                 
TOTAL CURRENT LIABILITIES
    338,000       343,000  
                 
Capital lease obligations
    71,000       108,000  
Commitments and Contingencies, note E
               
                 
TOTAL LIABILITIES
    409,000       451,000  
                 
STOCKHOLDERS' EQUITY
               
Preferred Stock, $0.10 par value - authorized 1,000,000 shares
               
Preferred Stock- Class A $3.50 cumulative convertible voting -
               
issued and outstanding - 8,400 shares
    1,000       1,000  
                 
Preferred Stock- Class B $3.50 cumulative convertible voting -
               
issued and outstanding - 300 shares
    -       -  
                 
Preferred Stock- Class D 2% convertible -
    -       -  
issued and outstanding - 4,167 shares
               
                 
Common Stock, $0.01 par value - authorized 50,000,000 shares,
               
issued and outstanding - 27,287,462 (September 2010) and 26,093,742 shares (September 2009)
    274,000       262,000  
                 
Additional paid-in capital
    36,679,000       36,497,000  
                 
Accumulated deficit
    (36,622,000 )     (36,204,000 )
                 
                 
TOTAL STOCKHOLDERS' EQUITY
    332,000       556,000  
                 
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY
    741,000       1,007,000  
 
See notes to financial statements and report of Independent Registered Public Accounting Firm

 
F -3

 

COMPUMED, INC.
STATEMENTS OF OPERATIONS
FOR THE YEARS ENDED SEPTEMBER 30,
 
   
For the Years Ended September 30,
 
   
2010
   
2009
 
REVENUE
           
ECG services
    1,554,000       1,762,000  
ECG product and supplies sales
    87,000       117,000  
OsteoGram ® and Osteometer sales and services
    121,000       169,000  
                 
      1,762,000       2,048,000  
COSTS AND EXPENSES
               
Costs of ECG services
    647,000       676,000  
Cost of goods sold-ECG
    59,000       77,000  
Cost of goods sold - OsteoGram ® and Osteometer
    32,000       1,000  
Selling expenses
    304,000       344,000  
Research and development
    5,000       43,000  
General and administrative expenses
    938,000       957,000  
Depreciation and amortization
    125,000       152,000  
                 
TOTAL OPERATING EXPENSES
    2,110,000       2,250,000  
                 
OPERATING LOSS
    (348,000 )     (202,000 )
                 
Interest income and dividends
    -       1,000  
Loss on disposal of fixed assets
    -       (2,000 )
Interest expense
    (30,000 )     (50,000 )
                 
NET LOSS
    (378,000 )     (253,000 )
                 
Net loss per common share (basic and diluted)
    (0.01 )     (0.01 )
                 
Weighted average number of common shares outstanding
    26,816,205       25,899,994  
 
See notes to financial statements and report of Independent Registered Public Accounting Firm.
 
 
F -4

 
 
COMPUMED, INC.
STATEMENTS OF STOCKHOLDER'S EQUITY
 
                             
Additional
          Other        
   
Series A Stock
   
Series D Stock
   
Common Stock
    Paid In    
Accumulated
   
Conprehensive
       
   
Shares
   
Amount
   
Shares
   
Amount
   
Shares
   
Amount
   
Capital
   
Deficit
   
Income
   
Total
 
Balances at
                                                           
 September 30, 2008
    8,400     $ 1,000       4,167       -       25,882,643     $ 260,000     $ 36,363,000     $ (35,911,000 )     -     $ 713,000  
                                                                                 
Issuance of common stock
                                    211,099     $ 2,000     $ 38,000     $ (40,000 )             -  
to pay dividends to Boston
                                                                               
Avenue Capital LLC
                                                                               
                                                                                 
Stock based compensation
                                                  $ 96,000                     $ 96,000  
                                                                                 
Net Loss
    -       -       -       -       -       -       -     $ (253,000 )     -     $ (253,000 )
Balances at
                                                                               
 September 30, 2009
    8,400     $ 1,000       4,167       -       26,093,742     $ 262,000     $ 36,497,000     $ (36,204,000 )     -     $ 556,000  
                                                                                 
Issuance of common stock
    -       -       -       -       193,720     $ 2,000     $ 38,000     $ (40,000 )     -       -  
to pay dividends to Boston
                                                                               
Avenue Capital LLC
                                                                               
                                                                                 
Issuance of common stock
    -       -       -       -       1,000,000     $ 10,000     $ 96,000       -       -     $ 106,000  
to effect a private placement                                                                                
                                                                                 
Stock based compensation
    -       -       -       -       -       -     $ 48,000       -       -     $ 48,000  
                                                                                 
Net Loss
    -       -       -       -       -       -       -     $ (378,000 )     -     $ (378,000 )
Balances at
    8,400       1,000       4,167       -       27,287,462       274,000       36,679,000       (36,622,000 )     -     $ 332,000  
 September 30, 2010
 
Comprehensive losses for the years ended September 30, 2010 and 2009 were ($378,000) and ($253,000), respectively.
 
See notes to financial statements and report of Independent Registered Public Accounting Firm.
 
 
F -5

 
 
COMPUMED, INC.
STATEMENTS OF CASH FLOWS
FOR THE YEARS ENDED SEPTEMBER 30,
 
 
   
Twelve Months Ending September 30,
 
   
2010
   
2009
 
                 
CASH FLOW FROM OPERATING ACTIVITIES:
               
Net loss
  $ (378,000 )   $ (253,000 )
Adjustments to reconcile net loss to net cash used in operating activities:
               
Loss on sale/disposal of property and equipment
    32,000       2,000  
Stock-based compensation
    48,000       96,000  
Depreciation and amortization
    125,000       150,000  
Bad debt expense
    11,000       -  
(Increase)/Decrease in accounts receivable
    23,000       (6,000 )
(Increase)/Decrease in inventories, prepaid expenses and other assets
    2,000       21,000  
Increase/(Decrease) in accounts payable and other liabilities
    (21,000 )     (86,000 )
                 
NET CASH USED IN OPERATING ACTIVITIES
    (158,000 )     (76,000 )
                 
CASH FLOW FROM INVESTING ACTIVITIES:
               
Sale of marketable securities
    111,000       26,000  
Purchase of other asset
    (16,000 )     (14,000 )
Purchase of property and equipment
    (6,000 )     (2,000 )
                 
NET CASH PROVIDED BY INVESTING ACTIVITIES
    89,000       10,000  
                 
CASH FLOW FROM FINANCING ACTIVITIES:
               
Payments on capital lease obligations
    (76,000 )     (106,000 )
Net offering of a private placement
    106,000       -  
                 
NET CASH (USED IN)/PROVIDED BY FINANCING ACTIVITIES
    30,000       (106,000 )
                 
NET INCREASE/(DECREASE) IN CASH AND CASH EQUIVALENTS
    (39,000 )     (172,000 )
                 
CASH AND CASH EQUVALENTS AT BEGINNING OF PERIOD
    97,000       269,000  
                 
CASH AND CASH EQUIVALENTS AT END OF PERIOD
  $ 58,000     $ 97,000  
                 
SUPPLEMENTAL DISCLOSURES:
               
Interest paid
    30,000       50,000  
Equipment acquired under capital lease
    55,000       105,000  
Disposal of fixed assets, cost
    48,000       43,000  
Stock dividend declared and paid
    40,000       40,000  
 
See notes to financial statements and report of Independent Registered Public Accounting Firm
 
 
F -6

 
 
COMPUMED, INC.
NOTES TO FINANCIAL STATEMENTS
SEPTEMBER 30, 2010 AND 2009
 
NOTE A - BASIS OF PRESENTATION AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
 
Description of Business: CompuMed, Inc. (the Company) is a medical diagnostic product and services company focusing on the diagnosis, monitoring and management of several costly, high incidence diseases, particularly cardiovascular disease and osteoporosis. The Company's primary business is the development and marketing of its osteoporosis testing technology OsteoGram (R) and the computer interpretation of electrocardiograms ("ECGs"). The Company applies advanced computing, medical imaging, telecommunications and networking technologies to provide medical professionals and patients with affordable, point-of-care solutions for disease risk assessment and decision support.
 
Nature of Operations and Going Concern
 
The accompanying financial statements have been prepared assuming the Company will continue as a going concern. This basis of accounting contemplates the recovery of the Company's assets and the satisfaction of its liabilities in the normal course of conducting its business. The Company's ability to continue as a going concern is dependent upon various factors including, among others, its ability to reduce its operating losses and negative cash flows, and the ability to draw from our existing revolving line of credit or other sources of financing. Should we not be able to reduce our operating losses and negative cash flows, and draw or obtain funding, we may have to restructure or curtail our operations. The Company used existing cash and readily available marketable securities balances to fund operating losses and capital expenditures. The Company has raised funds from 1997 through 2010 through stock issuances and proceeds from the exercise of certain stock options and warrants.
 
As of September 30, 2010, the Company had $58,000 cash on hand.
 
The Company has incurred recurring losses of $378,000 and $253,000 in fiscal years ended September 30, 2010 and 2009, respectively, resulting in aggregate losses of $631,000 over that two-year period. The net loss before non-cash expenses (depreciation and amortization, loss on disposal of property and equipment and stock-based compensation) amounted to $173,000. The net cash used by operating activities in the twelve months ended September 30, 2010 was $158,000 compared to $76,000 for the same period in 2009. Significant components of the difference included a $23,000 decrease in accounts receivable due to the recovery of some customer’s delinquent accounts and $21,000 increase in accounts payable related to purchase of ECG equipment to provide to customers who required and/or requested to be upgraded. The remaining difference in working capital was related to changes in various current assets balances.
 
Currently, the Company is negotiating a new $200,000 credit facility and has reached agreement in principal with the lender on its key terms. The Company anticipates that with its cash flow from operations, available cash, and the new credit facility, the Company will have sufficient cash flow to meet its anticipated financial needs for at least the next 12 months, assuming that no significant downturn in its business occurs.  Accordingly, the financial statements do not include any adjustments to reflect the possible future effects on the recoverability or classification of assets and liabilities that may result from the outcome of this uncertainty. The Company may find it desirable to raise additional capital through issuance of equity securities or through convertible debentures. However, these sources of financing may not be available on acceptable terms, if at all. If additional funds were raised through the issuance of equity securities, the percentage of ownership of existing stockholders would be reduced.  Furthermore, these equity securities might have rights, preferences, or privileges senior to the Company’s common stock. The Company’s common stock is currently quoted on the over the counter bulletin board, which may make it more difficult to raise funds through the issuance of equity securities.
 
CASH EQUIVALENTS:
 
The Company considers investments in all highly liquid debt instruments with maturity of three months or less when purchased, and investments in money market accounts to be cash equivalents. Cash and cash equivalents also consist of cash on hand and demand deposit accounts.
 
 
F -7

 
 
INVESTMENTS:
 
Investments consist of money market accounts and are stated at market value based on the most recently traded price of these securities. All marketable securities are classified as available for sale at September 30 2009. Unrealized gains and losses, determined by the difference between historical purchase price and the market value at each balance sheet date, are recorded as a component of Accumulated Other Comprehensive Income in Stockholders' Equity. Realized gains and losses are determined by the difference between historical purchase price and gross proceeds received when the marketable securities are sold. The Company has liquidated all marketable securities as of September 30, 2010.
 
ACCOUNTS RECEIVABLE:
 
The Company maintains an allowance for doubtful accounts for estimated losses that may arise if any of its customers are unable to make required payments. Management specifically analyzes the age of customer balances, historical bad debt experience, customer credit-worthiness, and changes in customer payment terms when making estimates of the collectibility of the Company's trade accounts receivable balances. If the Company determines that the financial conditions of any of its customers has deteriorated, whether due to customer specific or general economic issues, increases in the allowance may be made. Accounts receivable are written off when all collection attempts have failed.
 
INVENTORY:
 
Inventory consists of ECG terminals, component parts and ECG medical supplies and OsteoGram (R) hardware. Inventory, which is primarily finished goods, is stated at the lower of cost (first-in first-out method) or market.
 
PROPERTY AND EQUIPMENT:
 
Property and equipment are stated at cost. Depreciation and amortization are computed on the straight-line basis over 3 to 5 years. As of September 30, 2010, the property and equipment being leased to customers had a historical cost of $1,481,000. Amortization of assets leased under capital leases is included in Depreciation and Amortization Expenses.
 
REVENUE RECOGNITION:
 
ECG sales and services revenue is recognized in accordance with guidance issued by the Financial Accounting Standards Board (“FASB”) when the following criteria has been met: (1) persuasive evidence of an arrangement exists, (2) the product has been delivered or the services have been rendered, (3) the fee is fixed or determinable, and (4) collectibility of the fee is reasonably assured.
 
ECG SERVICES are comprised of ECG processing, Over-read, Rental and Maintenance. ECG Processing and Over-read revenue is recognized monthly on a per-usage basis after the services are performed. Equipment rental and maintenance revenue is recognized monthly over the terms of the customer's agreement.
 
ECG PRODUCT AND SUPPLIES SALES revenue is recognized upon shipment of the products and passage of title to the customer.
 
OsteoGram software revenue is recognized in accordance with guidance issued by the Financial Accounting Standards Board (“FASB”) when the following criteria has been met: (1) persuasive evidence of an arrangement exits, (2) the software has been delivered, (3) the fee is fixed or determinable, and (4) collectibility of the fee is probable.
 
OsteoGram PCS revenue is recognized in accordance with guidance issued by the FASB as the Company met the following criteria: (1) the PCS is part of the initial license (software) fee, (2) the PCS period is for one year, (3) the estimated cost of providing the PCS is immaterial, (4) the Company does not offer upgrades and enhancements during the PCS arrangement. The Company's policy is to accrue all estimated costs of providing the PCS services.
 
OsteoMeter rental is recognized monthly over the terms of the customer rental agreement, as the following criteria has been met: (1) persuasive evidence of an arrangement exists, (2) the product has been delivered or the services have been rendered, (3) the fee is fixed or determinable, and (4) collectability of the fee is reasonably assured.

Osteometer sales revenue is recognized upon shipment of the products and passage of title to the customer.

 
F -8

 
 
PATENTS:
 
Patents are amortized over 15 years, starting from their approval date. The Company estimates that amortization expense related to patents will be approximately $11,000 per year in each of the next five fiscal years.
 
INCOME TAXES:
 
The Company utilizes the liability method to determine the provision for income taxes, whereby deferred tax assets and liabilities are determined based on differences between financial reporting and tax bases of assets and liabilities and are measured using the enacted tax rates and laws that will be in effect when the differences are expected to reverse.
 
PER SHARE DATA:
 
The Company reports its earnings (loss) per share in accordance with guidance issued by the FASB. Basic loss per share is calculated using the net loss divided by the weighted average common shares outstanding. Shares from the assumed conversion of outstanding warrants, options and the effect of the conversion of the Class A Preferred Stock, Class B Preferred Stock and Class D Preferred Stock are omitted from the computations of diluted loss per share because the effect would be antidilutive.
 
Net loss
   
(378,000
)
Less: preferred stock dividends
   
(89,000
)
Net loss available to common stockholders
   
(467,000
)
 
       
Net loss per common share (basic and diluted)
 
$
(0.02
)
Weighted average number of common shares outstanding
   
26,816,205
 

FINANCIAL INSTRUMENTS:
 
The carrying value of short-term financial instruments such as cash equivalents, accounts receivable, accounts payable, accrued liabilities and capital leases approximates their fair value based on the short-term maturities of these instruments.
 
LONG-LIVED ASSETS:
 
In accordance with guidance issued by the FASB, we review our long-lived assets and certain identifiable intangibles for impairment whenever events or changes in circumstances indicate that the carrying amount of an asset or asset group may not be recoverable. Recoverability of long-lived and amortizable intangible assets to be held and used is measured by a comparison of the carrying amount of an asset to the future operating cash flows expected to be generated by the asset. If these assets are considered to be impaired, the impairment to be recognized is measured as the amount by which the carrying value of the assets exceeds their fair value. The Company has a number of other active applications under prosecution as well as multiple foreign applications of its US patents. In the process of evaluating the applications that remain unissued, the Company abandoned, combined or restructured applications that might be proving to be too costly or time-consuming in relationship to their potential benefit. The Company did not record any impairment charge for long lived assets during fiscal 2010 and 2009.
 
USE OF ESTIMATES:
 
The preparation of financial statements in conformity with accounting principles generally accepted in the United States requires management to make estimates and assumptions affecting the reported amounts of assets and liabilities and the 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 results could differ from those estimates.
 
STOCK BASED COMPENSATION:
 
The Company accounts for stock options in accordance with guidance issued by the FASB using the modified prospective method. Under this method, compensation cost recognized during fiscal years 2009 and 2008 includes: (a) compensation cost for all share-based payments granted prior to, but not yet vested as of October 1, 2006, based on the grant-date fair value estimated in accordance with guidance issued by the FASB amortized over the options' vesting period, and (b) compensation cost for all share-based payments granted subsequent to October 1, 2006, based on the grant-date fair value estimated in accordance with guidance issued by the FASB amortized on a straight-line basis over the options' vesting period. Stock-based compensation was $48,000 and $96,000 for the years ended September 30, 2010 and 2009, respectively.
 
 
F -9

 
 
CONCENTRATION OF CREDIT RISK:
 
Financial instruments, which potentially subject us to a concentration of risk, include cash, marketable securities and accounts receivable. Most of our customers are based in the United States at this time and we are not subject to exchange risk for accounts receivable.
 
The Company maintains its cash in domestic financial institutions subject to insurance coverage issued by the Federal Deposit Insurance Corporation (FDIC). Under FDIC rules, the Company is entitled to aggregate coverage as defined by Federal regulation per account type per separate legal entity per financial institution. The Company has incurred no losses as a result of any credit risk exposures.
 
The Company sells its products throughout the United States and in the international markets. The Company performs periodic credit evaluations of its customers' financial condition and generally does not require collateral. Credit losses have been within management's expectations. For the year ended September 30, 2010, total revenue from three customers accounted for approximately 40.2% of the Company total receivables, of which one customer accounted for 19.6% of total accounts receivable at September 30, 2010.
 
FAIR VALUE MEASUREMENTS
 
The Company measures its financial assets and liabilities at fair value. Fair value is defined as the price that would be received to sell an asset or paid to transfer a liability (i.e., exit price) in an orderly transaction between market participants at the measurement date. Additionally, the Company is required to provide disclosure and categorize assets and liabilities measured at fair value into one of three different levels depending on the assumptions (i.e., inputs) used in the valuation. Level 1 provides the most reliable measure of fair value while Level 3 generally requires significant management judgment. Financial assets and liabilities are classified in their entirety based on the lowest level of input significant to the fair value measurement. The fair value hierarchy is defined as follows:
 
Level Input:
 
Input Definition:
Level I
     
Inputs are unadjusted, quoted prices for identical assets or liabilities in active markets at the measurement date.
Level II
 
Inputs, other than quoted prices included in Level I, that are observable for the asset or liability through corroboration with market data at the measurement date.
Level III
 
Unobservable inputs that reflect management’s best estimate of what market participants would use in pricing the asset or liability at the measurement date.

For certain of the Company's financial instruments, including cash and cash equivalents, accounts receivable, accounts payable, accrued payroll and other expenses, the carrying amounts approximate fair value due to their short maturities.
 
The following table summarizes fair value measurements by level at September 30, 2010 for assets and liabilities measured at fair value on a recurring basis:

   
Level I
   
Level II
   
Level III
   
Total
 
Cash
 
$
58,000
   
$
   
$
   
$
58,000
 
                                 
 Total assets
 
$
58,000
   
$
   
$
   
$
58,000
 
 
 
F -10

 

NOTE B - INCOME TAXES
 
At September 30, 2010, the Company has available for federal income tax purposes, net operating loss carry forwards of approximately $9.5 million, which expire between 2018 and 2030 and approximately $4.1 million available for state income tax purposes, which expire between 2011 and 2020.  The utilization of the above net operating loss carry forwards are subject to significant limitations under the tax codes due to changes in ownership and portions may expire prior to utilization.  The difference between the Company’s effective income tax rate and the statutory federal rate for the years ended September 30, 2010 and 2009 relates primarily to losses incurred for which no tax benefit was recognized, due to the uncertainty of its realization.  The valuation allowance was approximately $3,486,000 and $3,335,000 at September 30, 2010 and 2009, respectively, representing an increase of $151,000 for the year ended September 30, 2010.  This increase is primarily related to increases in the Company's net operating loss carryforward for which no tax effect was recognized due to the uncertainty of its realization.

Significant components of the deferred income tax liabilities and assets as of September 30, 2010 and 2009 are as follows:

   
2010
   
2009
 
Deferred tax liabilities
    -       -  
                 
Deferred tax assets:
               
                 
Net operating loss carry forwards
    3,470,000       3,313,000  
                 
Other assets and liabilities
    16,000       22,000  
                 
Total deferred tax assets
    3,486,000       3,335,000  
                 
Valuation allowance for deferred tax assets
    (3,486,000 )     (3,335,000 )
                 
Net deferred tax assets
    -       -  
                 
Total
    -       -  
 
The Company has adopted guidance that clarifies the accounting for uncertainty in income taxes recognized in an enterprise's financial statements and prescribes a recognition threshold of more likely than not and a measurement process for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. In making this assessment, a company must determine whether it is more likely than not that a tax position will be sustained upon examination, based solely on the technical merits of the position and must assume that the tax position will be examined by taxing authorities. Our policy is to include interest and penalties related to unrecognized tax benefits in income tax expense. Interest and penalties totaled $0 for the years ended September 30, 2010 and 2009, respectively. The Company files income tax returns with the Internal Revenue Service (“IRS”) and various state jurisdictions. For jurisdictions in which tax filings are prepared, the Company is no longer subject to income tax examinations by state tax authorities for years through 2004, and by the IRS for years through 2005. The Company’s net operating loss carryforwards are subject to IRS examination until they are fully utilized and such tax years are closed. Our review of prior year tax did not result in a material impact on the Company’s financial position or results of operations.

NOTE C - STOCKHOLDERS' EQUITY
 
CLASS A $3.50 CUMULATIVE CONVERTIBLE VOTING PREFERRED STOCK:
 
The holders of Class A Preferred Stock are entitled to receive, when and as declared by the Board of Directors, dividends at an annual rate of $0.35 per share, payable quarterly. Dividends are cumulative from the date of issuance. Total cumulated dividends not declared at September 30, 2010 amounted to $29,000. Every two shares of the Class A Preferred Stock are presently convertible, subject to adjustment, into one share of Common Stock. In the event of any liquidation, the holders of the Class A Preferred Stock are entitled to receive $2.00 in cash per share plus accumulated and unpaid dividends out of assets available for distribution to stockholders, prior to any distribution to holders of Common Stock or any other stock ranking junior to the Class A Preferred Stock. The Class A Preferred Stock may be redeemed by the Company, upon 30-days' written notice, at a redemption price of $3.85 per share. Class A Preferred Stock stockholders have the right to convert their shares into Common Stock during such 30-day period.
 
 
F -11

 
 
Shares of Class A Preferred Stock have one vote each. Shares of Class A Preferred Stock vote along with shares of Common Stock and shares of Class B Preferred Stock as a single class on all matters presented to the stockholders for action except as follows: Without the affirmative vote of the holder of a majority of the Class A Preferred Stock then outstanding, voting as a separate class, the Company may not (i) amend, alter or repeal any of the preferences or rights of the Class A Preferred Stock, (ii) authorize any reclassification of the Class A Preferred Stock, (iii) increase the authorized number of shares of Class A Preferred Stock or (iv) create any class or series of shares ranking prior to the Class A Preferred Stock as to dividends or upon liquidation. A total of 4,200 shares of Common Stock are currently issuable upon conversion of the remaining 8,400 shares of the Class A Preferred Stock.
 
CLASS B $3.50 CONVERTIBLE VOTING PREFERRED STOCK:
 
In August 1994, the Company issued 52,333 shares of Class B $3.50 Convertible Preferred Stock ("Class B Preferred Stock") in connection with the acquisition of certain property. The holders of Class B Preferred Stock are entitled to receive dividends only, when and as declared by the Board of Directors. Each share of Class B Preferred Stock is convertible, subject to adjustment, into ten shares of Common Stock. In the event of any liquidation, the holders of the Class B Preferred Stock are entitled to receive $3.50 in cash per share plus accumulated and unpaid dividends out of assets available for distribution to stockholders, prior to any distribution to holders of Common Stock or any other stock ranking junior to the Class B Preferred Stock. Each share of Class B Preferred Stock may be redeemed by the Company, upon 30-days' written notice, at a redemption price of $3.85 per share. Class B Preferred Stock stockholders have the right to convert their shares into Common Stock during this 30-day period.
 
Shares of Class B Preferred Stock are entitled to one vote each. Shares of Class B Preferred Stock vote as a single class on all matters presented to the stockholders for action except as follows: Without the affirmative vote of the holder of a majority of the Class B Preferred Stock then outstanding, voting as a separate class, the Company may not (i) amend, alter or repeal any of the preferences or rights of the Class B Preferred Stock, (ii) authorize any reclassification of the Class B Preferred Stock, (iii) increase the authorized number of shares of Class B Preferred Stock or (iv) create any class or series of shares ranking prior to the Class B Preferred Stock as to dividends or upon liquidation. A total of 3,000 shares of Common Stock are currently issuable upon conversion of the remaining 300 shares of Class B Preferred Stock.
 
CLASS D VOTING PREFERRED STOCK:
 
On March 14, 2007, the Company closed a private placement of its securities to an institutional investor pursuant to the Securities Purchase Agreement. The Company sold to the investor 4,167 Units at a price of $480 per Unit resulting in total proceeds of $2,000,000. Each Unit consisted of 1 share of the Company’s Class D Preferred Stock as well as 1,000 Common Stock Purchase Warrants with an exercise price of $0.30 per share. Pursuant to the Agreement, the Company issued all 4,167 shares of the authorized Class D Preferred Stock. Each share of Class D Preferred Stock is convertible at any time into 2,000 shares of the Company’s common stock. The holder of each issued and outstanding share of Class D Preferred Stock will be entitled to receive a dividend in respect of each such share at the rate per share of $9.60 per annum, payable on each of the first, second, third, and fourth anniversaries of March 12, 2007, commencing March 12, 2008. Dividend payments to each holder will be made in shares of the Company’s common stock valued at the average Market Price over 20 trading days, as defined in the Certificate of Designation. In the event the dividends may not lawfully be paid by the issuance of the Company’s common stock and may be lawfully paid in cash, the dividends will be paid in cash. In the event of any liquidation, dissolution or winding-up, either voluntarily or involuntarily, the holders of shares of the Class D Preferred Stock then issued and outstanding will be entitled to be paid out of the Company’s assets available for distribution to its stockholders, whether from capital, surplus or earnings, before any payment shall be made to the holders of shares of the Company’s common stock or upon any other series of the Company’s Preferred Stock with a liquidation preference subordinate to the liquidation preference of Class D Preferred Stock, an amount per share equal to $480 plus the dollar amount equal to all unpaid and accrued dividends and interest thereon. In addition, a merger or consolidation with or into any other corporation, or a sale, lease, exchange, or transfer of all or any part of the Company’s assets will be deemed a liquidation event unless no assets are distributed in respect of any class of the Company’s capital stock in connection with, or as a result of, such merger or consolidation. The Class D Preferred Stock has the same voting rights as the Company’s common stock except that each share of Class D Preferred Stock is entitled to 2,000 votes for vote allowed a share of the Company’s common stock, however such amount will be proportionally adjusted in the event of a reverse or forward split of the Company’s common stock.
 
 
F -12

 
 
ISSUANCE OF COMMON STOCK - EQUITY LINE OF CREDIT
 
On March 14, 2007, we closed a private placement of our securities with Boston Avenue Capital, LLC pursuant to the Securities Purchase Agreement. We sold to the investor 4,167 Units at a price of $480 per Unit resulting in total proceeds of $2,000,000. Each Unit consisted of 1 share of our Class D Preferred Stock as well as 1,000 Common Stock Purchase Warrants with an exercise price of $0.30 per share. Pursuant to the Agreement, we issued all 4,167 shares of the authorized Class D Preferred Stock. Each share of Class D Preferred Stock is convertible at any time into 2,000 shares of common stock. The holder of each issued and outstanding share of Class D Preferred Stock will be entitled to receive a dividend in respect of each such share at the rate per share of $9.60 per annum, payable on each of the first, second, third, and fourth anniversaries of March 12, 2007, commencing March 12, 2008. Dividend payments to each holder will be made in shares of our common stock valued at the average Market Price over 20 trading days, as defined in the Certificate of Designation. In the event the dividends may not lawfully be paid by the issuance of our common stock and may be lawfully paid in cash, the dividends will be paid in cash. The Company issued a total of 526,594 shares of common stock in lieu of cash to pay for dividends due March 2008,2009 and 2010. In the event of any liquidation, dissolution or winding-up, either voluntarily or involuntarily, the holders of shares of the Class D Preferred Stock then issued and outstanding will be entitled to be paid out of our assets available for distribution to its stockholders, whether from capital, surplus or earnings, before any payment shall be made to the holders of shares of our common stock or upon any other series of our Preferred Stock with a liquidation preference subordinate to the liquidation preference of Class D Preferred Stock, an amount per share equal to $480 plus the dollar amount equal to all unpaid and accrued dividends and interest thereon. In addition, a merger or consolidation with or into any other corporation, or a sale, lease, exchange, or transfer of all or any part of our assets will be deemed a liquidation event unless no assets are distributed in respect of any class of our capital stock in connection with, or as a result of, such merger or consolidation.
 
The Class D Preferred Stock has the same voting rights as our common stock except that each share of Class D Preferred Stock is entitled to 2,000 votes for vote allowed a share of common stock, however such amount will be proportionally adjusted in the event of a reverse or forward split of our common stock.
 
On February 15, 2008, the Company entered into a revolving line of credit agreement (the "Credit Agreement") between the Company, as Borrower, and Boston Avenue Capital, LLC, an Oklahoma limited liability company, as Lender (the "Lender" or "BAC"). The Credit Agreement provided for a new revolving line of credit facility in an aggregate principal amount of up to $4 million. The revolving line of credit matured on December 31, 2017. Advances under the revolving line of credit bore interest at the current three-month London Interbank Offered Rate (LIBOR), payable quarterly in arrears for the prior fiscal quarter on the fifth business day of each January, April, July and October, commencing on April 7, 2008. The Credit Agreement also provided that unused amounts up to the total commitment bore interest at a rate of one percent (1%) per annum, compounded annually on the first business day of each calendar year. Under the Credit Agreement, the Lender provided the Company a letter of credit issued by JP Morgan Chase NA in an amount at all times equal to the amount of (i) $4,000,000 less (ii) the aggregate amount of advances then outstanding under the revolving line of credit. Advances under the revolving line of credit were unsecured senior obligations of the Company.
 
The Credit Agreement contained customary representations and warranties of the Company. Availability under the new revolving line of credit is subject to certain conditions, including (i) certain covenants relating to the composition of the Board of Directors of the Company, (ii) that the members of the Board of Directors of the Company unanimously approve any advance, (iii) that there not be any undisclosed material liabilities at the time of an advance, and (iv) that the Lender shall have consented (in its sole discretion) in the event that an advance is requested and, at the time of the request for the advance, the Company or any of its officers, directors, employees, shareholders or affiliates is a party to any pending legal proceedings related to the Company or its affiliates.
 
The February 15, 2008 revolving line of credit facility could be prepaid at any time in whole or in part without premium or penalty, other than payment of the 1% commitment interest on unused advances if the commitment is not terminated.
 
The Credit Agreement also included certain customary events of default including, but not limited to: failure to pay principal or interest when due (subject to grace period); any representation or warranty proving to have been materially incorrect when made or confirmed; failure to perform or observe covenants set forth in the Credit Agreement; and bankruptcy and insolvency defaults.
 
 
F -13

 
 
On December 16, 2008, the Company entered into an amended revolving line of credit agreement (the “Amended Credit Agreement”) between the Company, as Borrower, and Boston Avenue Capital, LLC, an Oklahoma limited liability company, as Lender (the “Lender” or “BAC”). The Amended Credit Agreement amends the original credit agreement entered into between Borrower and Lender dated February 15, 2008 (the “Original Credit Agreement”).
 
The Amended Credit Agreement provides a credit facility in an aggregate principal amount of up to $4 million. Advances under the revolving line of credit shall bear interest at the current three-month London Interbank Offered Rate (LIBOR), payable quarterly in arrears for the prior fiscal quarter on the firth business day of each January, April, July and October commencing after the first advance. The Amended Credit Agreement provides that unused amounts up to the total commitment shall bear interest at a rate of one percent (1%) per annum, compounded annually on the first business day of each calendar year, if the letter of credit is held by a third party. In this Amended Credit Agreement, BAC provided the Company a promissory note in lieu of a third party letter of credit. This will eliminate the 1% interest bearing on the unused amount. The Amended Credit Agreement matures on December 31, 2010. Currently, the Company is negotiating a new credit facility that matures December 31, 2012 and has reached agreement in principal with the lender on key terms. The Company expects to finalize the credit facility in the beginning of January 21011.
 
The Amended Credit Agreement terminates the 16,000,000 warrants (the “Original Warrants”) issued to BAC as consideration for the Original Credit Agreement. The Original Warrants were granted i) at a variable price based on the trading of the stock price and ii) regardless of whether an advance was made under the Original Credit Agreement. Under the Amended Credit Agreement, the Company will issue 16,000,000 warrants (the “New Warrants”) to BAC for a purchase price of $5,000 only if, and after, an advance of funds under the Amended Credit Agreement occurs. The strike price of the New Warrants is fixed at two dollars ($2.00) each. The New Warrants may only be issued upon shareholder approval which the Company must use its best efforts to obtain before the second anniversary of any advance.
 
The Amended Credit Agreement contains customary representations and warranties of the Company. Availability under the new revolving line of credit is subject to certain conditions, including (i) that the existing board members of the Company and other directors approved by the Lender comprise all of the directors of the Company, (ii) that the members of the board of directors of the Company unanimously approve any advance, (iii) that there not be any undisclosed material liabilities a the time of an advance, and (iv) that the Lender shall have consented (in its sole discretion) in the event that an advance is requested and, at the time of the request for the advance, the Company or any of its officers, directors, employees, shareholders or affiliates is a party to any pending legal proceedings related to the Company or its affiliates.
 
Advances under the Amended Credit Agreement may be prepaid at any time in whole or in part without premium or penalty. The Amended Credit Agreement also includes certain customary events of default including, but not limited to: Failure to pay principal or interest when due (subject to grace period); any representation or warranty proving to have been materially incorrect when made or confirmed; failure to perform or observe covenants set for the in the Amended Credits Agreement; and bankruptcy and insolvency defaults.
 
As of September 30, 2010, there was no draw made against the line of credit.
 
NOTE D - STOCK OPTIONS AND WARRANTS
 
The Company has adopted two non-stockholder approved stock incentive plans, the 2003 Stock Incentive Plan (the "2003 Plan") and the 2006 Stock Incentive Plan (the "2006 Plan"), and the others were stockholder approved stock options plans. Awards are outstanding under all Plans, but awards may be granted in the future only under the 2006 Plan. The 2006 Plan provides for the granting of options and stock awards to any officer, director, employee and certain individuals. Both nonqualified and incentive options may be granted under the 2006 Plan. The 2006 plan authorized 12.5 million shares.
 
Options granted under the Plans generally become exercisable at a rate of 33% of the shares subject to an option one year after the date of grant and the remaining shares generally become exercisable over an additional 24 months. The duration of options may not exceed ten years beyond the date of grant.
 
In addition to options issued pursuant to these Plans, the Company has granted non-qualified stock options to certain members of the Board of Directors, management and consultants. Such options have been granted with exercise prices equal to the market prices of the common stock at the date of grant and are for a term of ten years.
 
During fiscal year 2010, the Company granted an aggregate of 740,000 warrants and options to purchase shares of common stock, of which 300,000 warrants were issued to the Chief Executive Officer, 100,000 options to the Principal Financial Officer, and the remaining to certain key employees and consultants.
 
 
F -14

 
 
The expected stock volatility rates are based on the historical stock volatility of the Company’s common stock. The risk free interest rates are based on the U.S. Treasury yield curve in effect at the time of the grant for periods corresponding to the expected life of the option. The Company has opted to use the simplified method as allowed by guidance issued by the FASB for estimating our expected term to arrive at a term in between the vesting period and the contractual term. The Company uses the simplified method because the unvested options are forfeited at termination and the vested options are forfeited in 90 days if not exercised.
 
A summary of the stock option activity, and related information for the years ended September 30 follows:
 
   
2010
   
2009
 
         
Weighted-
         
Weighted-
 
         
Average
         
Average
 
         
Exercise
         
Exercise
 
   
Shares
   
Price
   
Shares
   
Price
 
   
 
   
 
   
 
   
 
 
Options outstanding, beginning of period
    8,226,748       0.29       8,748,248       0.30  
Options exercised
    -       -       -       -  
Options granted
    300,000       0.10       -       -  
Options forfeited/canceled
    (509,100 )     0.66       (521,500 )     0.50  
                                 
                                 
Options outstanding, end of period
    8,017,648       0.26       8,226,748       0.29  
                                 
Options exercisable, end of period
    7,800,978       0.27       7,738,416       0.29  
 
The aggregate intrinsic value of the options outstanding and of the options exercisable at September 30, 2010 is $2,695.
 
The following summarizes information concerning stock options outstanding at September 30, 2010:
 
                 
Weighted
         
Weighted
 
           
Weighted
   
Average
         
Average
 
           
Average
   
Exercise
         
Exercise
 
           
Remaining
   
Price
         
Price
 
     
Shares
   
Contractual
   
of Shares
   
Shares
   
of Shares
 
Range of Exercise Prices    
Outstanding
   
Life
   
Outstanding
   
Exercisable
   
Exercisable
 
                                 
$ 0.000000 - $0.425000       7,767,648       5.27     $ 0.25       7,550,978     $ 0.25  
$ 0.425001 - $0.850000       250,000       5.23     $ 0.64       250,000     $ 0.64  
                                             
          8,017,648       5.27     $ 0.26       7,800,978     $ 0.27  
                                             
 
 
F -15

 
 
                           
Weighted Average
 
               
Weighted Average
   
Aggregate
   
Remaining
 
   
Shares
   
Exercise Price
   
Exercise price
   
Intrinsic Value
   
Contractual Life
 
Outstanding as of 09/30/2010
    8,017,648     $ 0.080000 - $0.640000     $ 0.26     $ 2,675.39       5.27  
     Vested
    7,800,978     $ 0.080000 - $0.640000     $ 0.27     $ 2,675.39       5.17  
     Unvested
    216,670     $ 0.100000 - $0.100000     $ 0.10     $ 0.00       9.10  
Exercisable as of 09/30/2010
    7,800,978     $ 0.080000 - $0.640000     $ 0.27     $ 2,675.39       5.17  
                                         
 
There were no options exercised during fiscal year 2010 and 2009.
 
During the year ended September 30, 2010, the total unrecognized fair value compensation costs relating to unvested stock options was $15,000, which is to be recognized over a remaining of approximately 1 year.
 
There were 5,308,118 warrants outstanding at a weighted average exercise price of $0.28 and exercisable on a weighted average term of 2 years.
 
NOTE E - COMMITMENTS AND CONTINGENCIES
 
The Company has capital leases for machinery and equipment that expire in 2013.
 
The Company has an operating lease for a facility that expires in February 2013, with an option to extend the term for an additional five years. The following is a summary as of September 30, 2010 of future minimum lease payments together with the present value of the net minimum lease payments on capital leases:

Year ending September 30
 
Capital
Lease
   
Operating
Leases
 
2011
    76,000       176,000  
2012
    55,000       174,000  
2013
    27,000       71,000  
      158,000       421,000  
Less amount representing interest
    28,000          
Net minimum lease payment
    130,000          
Less current portion
    59,000          
Present value of net minimum payment, less current portion
    71,000          
 
During the year ended September 30, 2010, the Company entered into a capital lease obligation for equipment at the cost of $27,500. This obligation bears an interest rate of 19.65%, a monthly payment of $800 and matures in 2013. The range of interest rates on capital leases outstanding as of September 30, 2010 was 14.72% to 19.65%.
 
Rental expense under operating leases was $178,000 and $166,000 in fiscal years 2010 and 2009, respectively.
 
LITIGATION
 
From time to time the Company is involved in litigation and threatened litigation arising in the ordinary course of business. The Company is not aware of any material unsettled litigation.
 
NOTE F - SAVINGS AND RETIREMENT PLANS
 
The Company has a Savings and Retirement Plan (the "Plan") under which every full-time salaried employee who is 18 years of age or older may contribute up to 100% of his or her eligible annual salary to the Plan. For an employee contribution of up to but not exceeding 6% of the employee's annual salary the Company makes a matching contribution of $0.25 for every $1.00 of the employee's contribution. The Company's contributions are 100% vested after 36 months of contributions to the Plan. Benefits are payable under the Plan upon termination of a participant's employment with the Company or at retirement. The Plan meets the requirements of Section 401(k) of the Internal Revenue Code. The Company's matching contribution, which was charged to expense, was $8,000 and $9,000 for fiscal 2010 and 2009, respectively.
 
 
F -16

 
 
NOTE G - RELATED PARTY TRANSACTIONS
 
On June 1, 2007, the Company appointed Mr. Vecchione as Interim Chief Executive Officer. Mr. Vecchione is a principal of Synthetica (America), Ltd, to which the Company paid $171,000 and $173,000 in consulting fees during the year ended September 30, 2010 and 2009, respectively.
 
On November 24, 2009, CompuMed, Inc. entered into an agreement with Mark Crockett, a director on CompuMed’s Board of Directors, for the provision of certain investment banking and financial advisory services. CompuMed will compensate Mr. Crockett for his services in the form of a transaction fee tied to the value received by CompuMed upon the closing of a transaction whereby the Company’s capital stock, assets or revenue streams are transferred for consideration, including, without limitation, a sale or exchange of capital stock or assets, a merger, plan of exchange or consolidation, a lease or license of assets with or without a purchase option, the formation of a joint venture, or any similar transaction. As of September 30, 2010, there was no compensation due to Mr. Crockett.
 
On March 11, 2009, the Company recorded $45,000 payable to Boston Avenue Capital, LLC (“BAC”), of which $40,000 was related to interest on the $4 million third party line of credit and $5,000 related to fees reimbursed to BAC due to the cancellation of warrants to purchase 16 million shares of the Company's common stock, pursuant to the Amended Credit Agreement. As of September 30, 2010, the Company owed BAC $6,000 relating to these amounts.
 
NOTE H – SUBSEQUENT EVENTS
 
During the first quarter of 2011, the Company entered into the agreement to sublease 2,500 square feet of our corporate office space to two companies at an aggregate monthly rent of $8,500. These leases are on a month-to-month term.
 
Currently, the Company is negotiating a new $200,000 credit facility and has reached agreement in principal with the lender on its key terms. This credit facility will mature on December 31, 2012.
 
 
 
 
F-17