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cardionet wants to be as close as your next heartbeat the company provides realtime outpatient cardiac monitoring and telemetry services for ambulatory mobile patients throughout the usby providing continuous heartbeat monitoring with nearly three weeks of datathe cardionet systemprovides doctors with a complete picture of heart functions to help diagnose and monitor arrhythmias abnormal heart rhythms the system relies on twoway wireless communication providing mobility for the patient and remote adjustment for physicians cardionet also manufactures and sells traditional cardiac event and holter monitors which record patient heart rhythm data but cannot transmit the data in real time cardionets mobile cardiac outpatient telemetry mcotservices rely onthe systemsfdaapprovedmonitoring equipment wireless transmission network proprietary software and a 24hour monitoring center the mcot system automatically detects rhythm irregularities and transmits the corresponding ecg electrocardiogram data to the monitoring center the cardionet systemis marketed directly to doctors and patientsthroughout the us and has been used with more than500000 patients whilemedicarereimbursements account for a third of the companys revenues it also has contracts with more than 350 commercial payerspart of cardionets strategy is to increase the number of more lucrative commercial payer contracts it has as compared to its government contracts cardionets revenuesclimbed up to $1406 million in 2009 but that yearmedicaresharply reduced the rate it reimburses for for mcot services and the commercial insurance carries followed suit additionally some large commercial health planshave deemed the services to be experimental and do not reimburse for them at all these factors have bit hard in 2010 patient service revenues dropped 15 to $1199 million and then dropped an additional 11 in 2011 down to 1068 million however as a result of its 2010 acquisition of biotel the company added product manufacturing which has offset losses in patient servicesproduct manufacturing repair and sales added revenue of some $122 million in 2011 cardionets revenues are likely to wobble for a while shifting to event and holter monitoring may boost its patient volume but such monitoring is reimbursed at a lower rate acquisitions have helped cardionet with its expansion of products services and geographic range the company intends to move beyond arrhythmia monitoring into new market areas such as cardiac monitoring for clinical trials and disease management for congestive heart failure diabetes and other diseases that require outpatient or ambulatory monitoring and management to that end in 2012 it paid some $235 million to acquire cardiocore lab that business gives cardionet centralized cardiac testing labs in the us and uk cardionet has plans to use its technology to create instant telemetry beds which allow patients to be continually monitored by technologyin rural hospitals stepdown units or skilled nursing facilities to help cope with acute nursing shortages by reducing the number of nurses needed to oversee ecg monitoring and reduce capital equipment costs proceeds from cardionets 2007 ipowere used to pay off debt bankroll acquisitions build up inventory of cardionet systems and develop improved versions of the product

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