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SEC Company Response from Altimmune, Inc. (ALT) (CIK 0001326190) (ALT) — Nov 16, 2009

Altimmune, Inc. (ALT) (CIK 0001326190)
Date: Nov. 16, 2009 · CIK: 0001326190 · Accession: 0001104659-09-065065

AI Filing Summary & Sentiment

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Urgency
Document Type
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SEC Posture
Company Posture

Summary

Reasoning

File numbers found in text: 333-161587

Referenced dates: November 6, 2009, October 14, 2009, September 17, 2009

Date
November 16, 2009
Author
Not clearly detected
Form
CORRESP
Company
Altimmune, Inc. (ALT) (CIK 0001326190)

Letter

Division of Corporation Finance United States Securities and Exchange Commission PharmAthene, Inc. Amendment No. 1 to Registration Statement on Form S-3 Filed August 31, 2009 File No. 333-161587

Dear Messrs. Riedler and Foley:

By letter dated September 17, 2009 (the “September Comment Letter”), the staff (the “Staff”) of the Securities and Exchange Commission (the “Commission”) provided comments on Amendment No. 1 to Registration Statement on Form S-3 filed by PharmAthene, Inc. (the “Company”) with the Commission on August 31, 2009 (File No. 333-161587) (the “Registration Statement”). The Company responded to such comments by letter dated October 14, 2009 (the “October Response Letter”). By letter dated November 6, 2009 (the “November Comment Letter”), the Staff provided further comments on Amendment No. 1 to the Registration Statement.

This letter sets forth the Company’s responses to the Staff’s comments contained in the November Comment Letter. For your convenience, we have reproduced below in italics each comment and have provided the Company’s response immediately below the comment. Terms used but not defined herein have the meaning specified in the October Response Letter.

Form S-3

General

1. We note your response to comment 1. After careful consideration of your analysis, we are unable to concur with your conclusion that your proposed transaction should be treated as a secondary offering. We understand that the conversion price is not a discount to the market price and that the conversion price does not adjust relative to the market price of the underlying common stock.

Brussels Chicago Dallas Kansas City Los Angeles New York Phoenix St. Louis

San Francisco Short Hills, N.J. Silicon Valley Washington, D.C. Zurich

Our conclusion that the offering is a primary offering is due to the fact that you are registering the resale of shares constituting 85.1% of your current public float. Given the size relative to the number of shares outstanding held by non-affiliates, the nature of the offering and the selling security holders, the transaction appears to be a primary offering. Please revise your registration statement onto a form you are eligible to use for a primary offering, identify the selling shareholders as underwriters and set a price for the offering. Alternatively, reduce the size of your offering.

Response:

In light of the November 25, 2009 deadline for effectiveness of the Registration Statement imposed by the Registration Rights Agreement, the Company will reduce the number of shares included in the Registration Statement to an amount equal to one-third of the number of shares outstanding immediately prior to the Financing that were held by non-affiliates of the Company, by amending the Registration Statement in Amendment No. 2 (“Amendment No. 2”) to register for resale one-third of 13,747,978 shares, which represented the Company’s public float immediately prior to the Financing, or 4,582,659 shares. We understand that the Staff is considering whether it may be appropriate for the Company to register a greater number of shares, and if such a determination is made, the Company will either amend the Registration Statement or file a new registration statement, as appropriate.

2. We note your responses to comments 4 and 5. We understand that the market price at the time of the transaction was less than the conversion price and that a conversion at the time would have resulted in a loss. Please present the requested information showing the loss the security holders would realize as a result of a conversion.

Response:

In response to the Staff’s comment 2, the Company proposes to add the disclosure appearing below to Amendment No. 2:

Possible Profit/(Loss) to Selling Stockholders with Respect to Conversion or Exercise of Company Securities

The tables below summarize the total possible profit/(loss) that the selling stockholders or their affiliates could have realized as a result of (a) the conversion of the 10% Convertible Notes, (b) the exercise of the related warrants and (c) the exercise of any options to purchase our

common stock, assuming conversion or exercise on the date of sale or date of grant, as applicable:

Security

Market

price per

share on

date of

sale(1)

Conversion

price per

share(2)

Total

number of

underlying

shares(3)

Combined

market price

of total

number of

underlying

shares

Combined

conversion

price of total

number of

underlying

shares

Total

possible

profit/(loss)

realizable by

selling

stockholders

10% Convertible Notes

$

2.50

$

2.541667

9,131,235

$

22,828,087.50

$

23,208,558.67

$

(380,471.17

)

(1)

Represents the closing price per share of our common stock on the NYSE Amex on July 24, 2009, the trading day immediately preceding the time that we entered into the binding agreement to issue the 10% Convertible Notes and related warrants.

(2)

The conversion price is subject to customary antidilution adjustments, including in the event of a stock dividend, stock split or stock combination, recapitalization or reorganization, merger or consolidation, sale of all or substantially all of our assets, distribution of debt or assets to our stockholders and in connection with certain other dilutive equity issuances.

(3)

This amount includes (a) up to 7,591,790 shares issuable upon conversion of the aggregate principal amount of the 10% Convertible Notes, and (b) up to 1,539,445 shares issuable in respect of interest that has begun accruing and will continue to accrue throughout the term of the notes.

Security

Market price

per share on

date of sale(1)

Exercise

price per

share (2)

Total

number of

underlying

shares

Combined

market price

of total

number of

underlying

shares

Combined

exercise

price of total

number of

underlying

shares

Total

possible

profit/(loss)

realizable by

selling

stockholders

Warrants related to 10% Convertible Notes

$

2.50

$

2.50

2,572,775

$

6,431,937.50

$

6,431,937.50

$

0.00

(1)

Represents the closing price per share of our common stock on the NYSE Amex on July 24, 2009, the trading day immediately preceding the time that we entered into the binding agreement to issue the 10% Convertible Notes and related warrants.

(2)

The exercise price is subject to customary antidilution adjustments, including in the event of a stock dividend, stock split or stock combination, recapitalization or reorganization, merger or consolidation, sale of all or substantially all of our assets, distribution of debt or assets to our stockholders and in connection with certain other dilutive equity issuances.

Selling

Stockholder

Option

Grant

Date

Market

price

per

share on

grant

date

Exercise

price per

share on

grant

date

Total

number of

underlying

shares

Combined

market

price of

total

number of

underlying

shares

Combined

exercise

price of

total

number of

underlying

shares

Total possible

profit/(loss)

realizable by

selling

stockholder/

affiliate

1/4/2007

$

3.80

$

3.80

44,172

$

167,854

$

167,854

$

Chris Camut

10/2/2007

$

5.20

$

5.20

215,000

$

1,118,000

$

1,118,000

$

1/21/2009

$

2.46

$

2.46

25,308

$

62,258

$

62,258

$

Healthcare Ventures VII, L.P.(1)

9/11/2003

$

2.96

$

2.96

1,655

$

4,899

$

4,899

$

1/18/2006

$

3.80

$

3.80

1,104

$

4,195

$

4,195

$

10/9/2007

$

5.25

$

5.25

20,000

$

105,000

$

105,000

$

3/9/2009

$

2.53

$

2.59

10,000

$

25,300

$

25,900

$

(600

)

8/5/2009

$

2.47

$

2.47

20,000

$

49,400

$

49,400

$

Joel McCleary

9/11/2003

$

2.96

$

2.96

1,655

$

4,899

$

4,899

$

1/18/2006

$

3.80

$

3.80

1,104

$

4,195

$

4,195

$

10/9/2007

$

5.25

$

5.25

20,000

$

105,000

$

105,000

$

4/28/2008

$

2.97

$

2.97

50,000

$

148,500

$

148,500

$

3/9/2009

$

2.53

$

2.59

10,000

$

25,300

$

25,900

$

(600

)

8/5/2009

$

2.47

$

2.47

20,000

$

49,400

$

49,400

$

MPM(2)

1/18/2006

$

3.80

$

3.80

1,104

$

4,195

$

4,195

$

10/9/2007

$

5.25

$

5.25

20,000

$

105,000

$

105,000

$

3/9/2009

$

2.53

$

2.59

10,000

$

25,300

$

25,900

$

(600

)

8/5/2009

$

2.47

$

2.47

20,000

$

49,400

$

49,400

$

Mary Pappajohn(3)

10/9/2007

$

5.25

$

5.25

20,000

$

105,000

$

105,000

$

3/9/2009

$

2.53

$

2.59

10,000

$

25,300

$

25,900

$

(600

)

8/5/2009

$

2.47

$

2.47

20,000

$

49,400

$

49,400

$

Eric Richman

11/15/2003

$

2.96

$

2.96

28,638

$

84,768

$

84,768

$

1/18/2005

$

3.80

$

3.80

11,043

$

41,963

$

41,963

$

2/22/2006

$

3.80

$

3.80

4,510

$

17,138

$

17,138

$

Selling

Stockholder

Option

Grant

Date

Market

price

per

share on

grant

date

Exercise

price per

share on

grant

date

Total

number of

underlying

shares

Combined

market

price of

total

number of

underlying

shares

Combined

exercise

price of

total

number of

underlying

shares

Total possible

profit/(loss)

realizable by

selling

stockholder/

affiliate

1/4/2007

$

3.80

$

3.80

8,282

$

31,472

$

31,472

$

10/2/2007

$

5.20

$

5.20

260,000

$

1,352,000

$

1,352,000

$

1/21/2009

$

2.46

$

2.46

30,573

$

75,210

$

75,210

$

Derace Schaffer

10/9/2007

$

5.25

$

5.25

20,000

$

105,000

$

105,000

$

3/9/2009

$

2.53

$

2.59

10,000

$

25,300

$

25,900

$

(600

)

8/5/2009

$

2.47

$

2.47

20,000

$

49,400

$

49,400

$

David Wright

7/15/2003

$

2.96

$

2.96

82,714

$

244,833

$

244,833

$

1/18/2005

$

3.80

$

3.80

69,130

$

262,694

$

262,694

$

2/22/2006

$

3.80

$

3.80

13,803

$

52,451

$

52,451

$

1/4/2007

$

3.80

$

3.80

16,556

$

62,913

$

62,913

$

8/30/2007

$

5.36

$

5.36

780,000

$

4,180,800

$

4,180,800

$

1/21/2009

$

2.46

$

2.46

37,185

$

91,475

$

91,475

$

(1) Dr. James Cavanaugh is a general partner of the entity that serves as general partner of Healthcare Ventures VII, L.P.

(2) Dr. Steven St. Peter is an affiliate of MPM.

(3) Mary Pappajohn is the wife of John Pappajohn, the chairman of our Board of Directors..

* * *

The Company respectfully advises the Staff that there are no provisions for adjustment to the Conversion Price based upon market price, with respect to the 10% Convertible Notes.

3. Please revise your response to comment 6 to include the one-time liquidated damages in the line item “Payments Made or Required to be Made to Selling Shareholders and Affiliates.”

The Company proposes to add the disclosure appearing below to Amendment No. 2:

Comparison of Proceeds:

Gross Proceeds from the Sale of the 10% Convertible Notes and Warrants(1)

$

19,295,802

Less Payments Made or Required to be Made to Selling Stockholders and Affiliates(2)

$

4,105,718

Less Estimated Payments Made or Required to be Made to Counsel to MPM and Healthcare Ventures VII, L.P. for certain reasonable legal costs and expenses

$

75,000

Resulting Net Proceeds from Sale of the 10% Convertible Notes and Warrants(1)

$

15,115,084

Total Possible Discount to Market Price of Stock Registered Hereunder

$

(1) Represents a combination of canceled debt (8% convertible notes) and new cash. Does not include $6,431,938 receivable by us upon the full exercise of all warrants.

(2) This amount reflects interest payments we would owe the selling stockholders assuming they hold their 10% Convertible Notes through the maturity date, including a one-time payment of $192,958.02, payable in the event the Company fails to meet its registration obligations described above, but excluding monthly payments of $192,958.02, payable each month during which the Company has not cured any failure to meet its registration obligations. We are unable, at this time, to estimate the amount of any other payments that may be required to be made to the selling stockholders in the future.

The total amount of all possible payments payable to the selling stockholders in connection with the sale of the 10% Convertible Notes and warrants reflected in the table above, represents approximately 27.1% of the resulting net proceeds to us from such sale, which is approximately 13.6% per annum averaged over the two-year term of such notes.

4. Please revise the table presented in response to comment 7 to present the requested information for each selling shareholder rather than presenting the information in the aggregate.

Response:

The Company proposes to add the disclosure appearing below to Amendment No. 2:

Prior Securities Transactions

The following table and accompanying footnotes show information with respect to the prior securities transactions effected between Healthcare Acquisition Corp. (“HAQ”) and the selling stockholders named in this prospectus (or their affiliates) since HAQ’s initial public offering in August 2005, and do not include any grants of stock options or restricted stock made under our 2007 Long-Term Incentive Compensation Plan, which we refer to as the “2007 Plan.” Except for grants under the 2007 Plan and the sale of the 10% Convertible Notes and warrants in July 2009, we have not effected any securities transactions with the selling stockholders identified in this prospectus (or their affiliates) since merging with HAQ’s wholly-owned subsidiary in August 2007.

Selling

Stockholder

Common

stock

outstanding

prior to

transaction

Common

stock

outstanding

prior to

transaction

held by

persons other

than selling

stockholders,

their affiliates

or our

current

affiliates

Common

stock issued

or issuable

in

transaction

Percentage

of common

stock issued

in the

transaction

(based on

non-

affiliate

holdings)(1)

Closing

market

price per

share of

common

stock

immediately

prior to

transaction

(2)

Closing

market

price per

share of

co

Show Raw Text
CORRESP
1
filename1.htm

Jeffrey A. Baumel

973.912.7189

jbaumel@sonnenschein.com

November 16, 2009

Jeffrey
Riedler

Scott
Foley

Division
of Corporation Finance

United
States Securities and Exchange Commission

100
F Street, N.E.

Washington,
D.C. 20549

  Re:

  PharmAthene, Inc.

  Amendment
  No. 1 to Registration Statement on Form S-3

  Filed
  August 31, 2009

  File
  No. 333-161587

Dear Messrs. Riedler
and Foley:

By letter dated September 17, 2009 (the “September Comment
Letter”), the staff (the “Staff”) of the Securities and Exchange Commission
(the “Commission”) provided comments on Amendment No. 1 to Registration
Statement on Form S-3 filed by PharmAthene, Inc. (the “Company”) with
the Commission on August 31, 2009 (File No. 333-161587) (the “Registration
Statement”).  The Company responded to
such comments by letter dated October 14, 2009 (the “October Response
Letter”).  By letter dated November 6,
2009 (the “November Comment Letter”), the Staff provided further comments
on Amendment No. 1 to the Registration Statement.

This letter sets forth the Company’s responses to
the Staff’s comments contained in the November Comment Letter.  For your convenience, we have reproduced
below in italics each comment and have provided the Company’s response
immediately below the comment.  Terms
used but not defined herein have the meaning specified in the October Response
Letter.

Form S-3

General

1.                                      We note your
response to comment 1.  After careful
consideration of your analysis, we are unable to concur with your conclusion
that your proposed transaction should be treated as a secondary offering.  We understand that the conversion price is
not a discount to the market price and that the conversion price does not
adjust relative to the market price of the underlying common stock.

Brussels            Chicago            Dallas            Kansas City            Los Angeles            New York            Phoenix            St. Louis

San Francisco            Short Hills, N.J.            Silicon Valley         Washington, D.C.            Zurich

Our conclusion that the offering is a primary
offering is due to the fact that you are registering the resale of shares
constituting 85.1% of your current public float.  Given the size relative to the number of
shares outstanding held by non-affiliates, the nature of the offering and the
selling security holders, the transaction appears to be a primary
offering.  Please revise your
registration statement onto a form you are eligible to use for a primary
offering, identify the selling shareholders as underwriters and set a price for
the offering.  Alternatively, reduce the
size of your offering.

Response:

In light of the November 25, 2009 deadline for
effectiveness of the Registration Statement imposed by the Registration Rights
Agreement, the Company will reduce the number of shares included in the
Registration Statement to an amount equal to one-third of the number of shares
outstanding immediately prior to the Financing that were held by non-affiliates
of the Company, by amending the Registration Statement in Amendment No. 2
(“Amendment No. 2”) to register for resale one-third of 13,747,978 shares,
which represented the Company’s public float immediately prior to the
Financing, or 4,582,659 shares.  We
understand that the Staff is considering whether it may be appropriate for the
Company to register a greater number of shares, and if such a determination is
made, the Company will either amend the Registration Statement or file a new
registration statement, as appropriate.

2.                                      We note your
responses to comments 4 and 5.  We
understand that the market price at the time of the transaction was less than
the conversion price and that a conversion at the time would have resulted in a
loss.  Please present the requested
information showing the loss the security holders would realize as a result of
a conversion.

Response:

In response to the Staff’s comment 2, the
Company proposes to add the disclosure appearing below to Amendment No. 2:

Possible Profit/(Loss) to
Selling Stockholders with Respect to Conversion or Exercise of Company
Securities

The tables below summarize the total possible
profit/(loss) that the selling stockholders or their affiliates could have
realized as a result of (a) the conversion of the 10% Convertible Notes, (b) the
exercise of the related warrants and (c) the exercise of any options to
purchase our

2

common stock, assuming
conversion or exercise on the date of sale or date of grant, as applicable:

  Security

  Market

  price per

  share on

  date of

  sale(1)

  Conversion

  price per

  share(2)

  Total

  number of

  underlying

  shares(3)

  Combined

  market price

  of total

  number of

  underlying

  shares

  Combined

  conversion

  price of total

  number of

  underlying

  shares

  Total

  possible

  profit/(loss)

  realizable by

  selling

  stockholders

  10%
  Convertible Notes

  $

  2.50

  $

  2.541667

  9,131,235

  $

  22,828,087.50

  $

  23,208,558.67

  $

  (380,471.17

  )

  (1)

  Represents the closing
  price per share of our common stock on the NYSE Amex on July 24, 2009,
  the trading day immediately preceding the time that we entered into the
  binding agreement to issue the 10% Convertible Notes and related warrants.

  (2)

  The conversion price is
  subject to customary antidilution adjustments, including in the event of a
  stock dividend, stock split or stock combination, recapitalization or
  reorganization, merger or consolidation, sale of all or substantially all of
  our assets, distribution of debt or assets to our stockholders and in
  connection with certain other dilutive equity issuances.

  (3)

  This amount includes (a) up to 7,591,790 shares
  issuable upon conversion of the aggregate principal amount of the 10%
  Convertible Notes, and (b) up to 1,539,445 shares issuable in respect of
  interest that has begun accruing and will continue to accrue throughout the
  term of the notes.

  Security

  Market
  price

  per share on

  date of sale(1)

  Exercise

  price per

  share (2)

  Total

  number of

  underlying

  shares

  Combined

  market price

  of total

  number of

  underlying

  shares

  Combined

  exercise

  price of total

  number of

  underlying

  shares

  Total

  possible

  profit/(loss)

  realizable by

  selling

  stockholders

  Warrants
  related to 10% Convertible Notes

  $

  2.50

  $

  2.50

  2,572,775

  $

  6,431,937.50

  $

  6,431,937.50

  $

  0.00

3

  (1)

  Represents the closing
  price per share of our common stock on the NYSE Amex on July 24, 2009,
  the trading day immediately preceding the time that we entered into the
  binding agreement to issue the 10% Convertible Notes and related warrants.

  (2)

  The exercise price is
  subject to customary antidilution adjustments, including in the event of a
  stock dividend, stock split or stock combination, recapitalization or
  reorganization, merger or consolidation, sale of all or substantially all of
  our assets, distribution of debt or assets to our stockholders and in
  connection with certain other dilutive equity issuances.

  Selling

  Stockholder

  Option

  Grant

  Date

  Market

  price

  per

  share on

  grant

  date

  Exercise

  price per

  share on

  grant

  date

  Total

  number of

  underlying

  shares

  Combined

  market

  price of

  total

  number of

  underlying

  shares

  Combined

  exercise

  price of

  total

  number of

  underlying

  shares

  Total
  possible

  profit/(loss)

  realizable by

  selling

  stockholder/

  affiliate

  1/4/2007

  $

  3.80

  $

  3.80

  44,172

  $

  167,854

  $

  167,854

  $

  0

  Chris
  Camut

  10/2/2007

  $

  5.20

  $

  5.20

  215,000

  $

  1,118,000

  $

  1,118,000

  $

  0

  1/21/2009

  $

  2.46

  $

  2.46

  25,308

  $

  62,258

  $

  62,258

  $

  0

  Healthcare
  Ventures VII, L.P.(1)

  9/11/2003

  $

  2.96

  $

  2.96

  1,655

  $

  4,899

  $

  4,899

  $

  0

  1/18/2006

  $

  3.80

  $

  3.80

  1,104

  $

  4,195

  $

  4,195

  $

  0

  10/9/2007

  $

  5.25

  $

  5.25

  20,000

  $

  105,000

  $

  105,000

  $

  0

  3/9/2009

  $

  2.53

  $

  2.59

  10,000

  $

  25,300

  $

  25,900

  $

  (600

  )

  8/5/2009

  $

  2.47

  $

  2.47

  20,000

  $

  49,400

  $

  49,400

  $

  0

  Joel
  McCleary

  9/11/2003

  $

  2.96

  $

  2.96

  1,655

  $

  4,899

  $

  4,899

  $

  0

  1/18/2006

  $

  3.80

  $

  3.80

  1,104

  $

  4,195

  $

  4,195

  $

  0

  10/9/2007

  $

  5.25

  $

  5.25

  20,000

  $

  105,000

  $

  105,000

  $

  0

  4/28/2008

  $

  2.97

  $

  2.97

  50,000

  $

  148,500

  $

  148,500

  $

  0

  3/9/2009

  $

  2.53

  $

  2.59

  10,000

  $

  25,300

  $

  25,900

  $

  (600

  )

  8/5/2009

  $

  2.47

  $

  2.47

  20,000

  $

  49,400

  $

  49,400

  $

  0

  MPM(2)

  1/18/2006

  $

  3.80

  $

  3.80

  1,104

  $

  4,195

  $

  4,195

  $

  0

  10/9/2007

  $

  5.25

  $

  5.25

  20,000

  $

  105,000

  $

  105,000

  $

  0

  3/9/2009

  $

  2.53

  $

  2.59

  10,000

  $

  25,300

  $

  25,900

  $

  (600

  )

  8/5/2009

  $

  2.47

  $

  2.47

  20,000

  $

  49,400

  $

  49,400

  $

  0

  Mary
  Pappajohn(3)

  10/9/2007

  $

  5.25

  $

  5.25

  20,000

  $

  105,000

  $

  105,000

  $

  0

  3/9/2009

  $

  2.53

  $

  2.59

  10,000

  $

  25,300

  $

  25,900

  $

  (600

  )

  8/5/2009

  $

  2.47

  $

  2.47

  20,000

  $

  49,400

  $

  49,400

  $

  0

  Eric
  Richman

  11/15/2003

  $

  2.96

  $

  2.96

  28,638

  $

  84,768

  $

  84,768

  $

  0

  1/18/2005

  $

  3.80

  $

  3.80

  11,043

  $

  41,963

  $

  41,963

  $

  0

  2/22/2006

  $

  3.80

  $

  3.80

  4,510

  $

  17,138

  $

  17,138

  $

  0

4

  Selling

  Stockholder

  Option

  Grant

  Date

  Market

  price

  per

  share on

  grant

  date

  Exercise

  price per

  share on

  grant

  date

  Total

  number of

  underlying

  shares

  Combined

  market

  price of

  total

  number of

  underlying

  shares

  Combined

  exercise

  price of

  total

  number of

  underlying

  shares

  Total
  possible

  profit/(loss)

  realizable by

  selling

  stockholder/

  affiliate

  1/4/2007

  $

  3.80

  $

  3.80

  8,282

  $

  31,472

  $

  31,472

  $

  0

  10/2/2007

  $

  5.20

  $

  5.20

  260,000

  $

  1,352,000

  $

  1,352,000

  $

  0

  1/21/2009

  $

  2.46

  $

  2.46

  30,573

  $

  75,210

  $

  75,210

  $

  0

  Derace
  Schaffer

  10/9/2007

  $

  5.25

  $

  5.25

  20,000

  $

  105,000

  $

  105,000

  $

  0

  3/9/2009

  $

  2.53

  $

  2.59

  10,000

  $

  25,300

  $

  25,900

  $

  (600

  )

  8/5/2009

  $

  2.47

  $

  2.47

  20,000

  $

  49,400

  $

  49,400

  $

  0

  David
  Wright

  7/15/2003

  $

  2.96

  $

  2.96

  82,714

  $

  244,833

  $

  244,833

  $

  0

  1/18/2005

  $

  3.80

  $

  3.80

  69,130

  $

  262,694

  $

  262,694

  $

  0

  2/22/2006

  $

  3.80

  $

  3.80

  13,803

  $

  52,451

  $

  52,451

  $

  0

  1/4/2007

  $

  3.80

  $

  3.80

  16,556

  $

  62,913

  $

  62,913

  $

  0

  8/30/2007

  $

  5.36

  $

  5.36

  780,000

  $

  4,180,800

  $

  4,180,800

  $

  0

  1/21/2009

  $

  2.46

  $

  2.46

  37,185

  $

  91,475

  $

  91,475

  $

  0

(1)                                  Dr. James Cavanaugh is a general
partner of the entity that serves as general partner of Healthcare Ventures
VII, L.P.

(2)                                  Dr. Steven St. Peter is an affiliate
of MPM.

(3)                                  Mary Pappajohn is the wife of John
Pappajohn, the chairman of our Board of Directors..

*  *  *

The Company respectfully advises the Staff that
there are no provisions for adjustment to the Conversion Price based upon
market price, with respect to the 10% Convertible Notes.

5

3.                                      Please revise
your response to comment 6 to include the one-time liquidated damages in the
line item “Payments Made or Required to be Made to Selling Shareholders and
Affiliates.”

The Company proposes to add the disclosure appearing
below to Amendment  No. 2:

Comparison of Proceeds:

  Gross Proceeds from the Sale of the 10%
  Convertible Notes and Warrants(1)

  $

  19,295,802

  Less Payments Made or Required to be Made to
  Selling Stockholders and Affiliates(2)

  $

  4,105,718

  Less Estimated Payments Made or Required to be
  Made to Counsel to MPM and Healthcare Ventures VII, L.P. for certain
  reasonable legal costs and expenses

  $

  75,000

  Resulting Net Proceeds from Sale of the 10%
  Convertible Notes and Warrants(1)

  $

  15,115,084

  Total Possible Discount to Market Price of Stock
  Registered Hereunder

  $

  0

(1)                                  Represents a
combination of canceled debt (8% convertible notes) and new cash. Does not
include $6,431,938 receivable by us upon the full exercise of all warrants.

(2)                                  This
amount reflects interest payments we would owe the selling stockholders assuming
they hold their 10% Convertible Notes through the maturity date, including a
one-time payment of $192,958.02, payable in the event the Company fails to meet
its registration obligations described above, but excluding monthly payments of
$192,958.02, payable each month during which the Company has not cured any
failure to meet its registration obligations. We are unable, at this time, to
estimate the amount of any other payments that may be required to be made to
the selling stockholders in the future.

The total amount of all possible payments payable to
the selling stockholders in connection with the sale of the 10% Convertible
Notes and warrants reflected in the table above, represents approximately 27.1%
of the resulting net proceeds to us from such sale, which is approximately
13.6% per annum averaged over the two-year term of such notes.

6

4.                                      Please revise
the table presented in response to comment 7 to present the requested
information for each selling shareholder rather than presenting the information
in the aggregate.

Response:

The Company proposes to add the disclosure appearing
below to Amendment No. 2:

Prior Securities Transactions

The following table and accompanying footnotes show
information with respect to the prior securities transactions effected between
Healthcare Acquisition Corp. (“HAQ”) and the selling stockholders named in this
prospectus (or their affiliates) since HAQ’s initial public offering in August 2005,
and do not include any grants of stock options or restricted stock made under
our 2007 Long-Term Incentive Compensation Plan, which we refer to as the “2007
Plan.”  Except for grants under the 2007
Plan and the sale of the 10% Convertible Notes and warrants in July 2009,
we have not effected any securities transactions with the selling stockholders
identified in this prospectus (or their affiliates) since merging with HAQ’s
wholly-owned subsidiary in August 2007.

  Selling

  Stockholder

  Common

  stock

  outstanding

  prior to

  transaction

  Common

  stock

  outstanding

  prior to

  transaction

  held by

  persons other

  than selling

  stockholders,

  their affiliates

  or our

  current

  affiliates

  Common

  stock issued

  or issuable

  in

  transaction

  Percentage

  of common

  stock issued

  in the

  transaction

  (based on

  non-

  affiliate

  holdings)(1)

  Closing

  market

  price per

  share of

  common

  stock

  immediately

  prior to

  transaction

  (2)

  Closing

  market

  price per

  share of

  co