MED EMERG INTERNATIONAL INC - 10-K Annual Report

Back to GetFilings.com

SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
--------------------------------------
FORM 10-K
FOR ANNUAL AND TRANSITION REPORTS PURSUANT TO
SECTIONS 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934

(MARK ONE)

[X] ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934 FOR THE FISCAL YEAR ENDED DECEMBER 31, 2002

OR

[ ] TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES
EXCHANGE ACT OF 1934
FOR THE TRANSITION PERIOD FROM __________ TO __________

COMMISSION FILE NUMBER: 1-13861
MED-EMERG INTERNATIONAL INC.
(Exact Name of Registrant as Specified in Its Charter)

PROVINCE OF ONTARIO, CANADA
(State or Other Jurisdiction of Incorporation or Organization)

2550 Argentia Road, Suite 205
Mississauga, Ontario, Canada L5N 5R1
(Address of Principal Executive Offices) (Zip Code)

Registrant's telephone number, including area code: (905) 858-1368

Securities registered or to be registered pursuant to Section 12(b) of the Act.
(Title of each class) (Name of each exchange on which registered)
COMMON STOCK, NO PAR VALUE OTC Bulletin Board
REDEEMABLE COMMON STOCK
PURCHASE WARRANTS OTC Bulletin Board

Securities registered or to be registered pursuant to Section 12(g) of the Act.
COMMON STOCK, NO PAR VALUE OTC Bulletin Board
REDEEMABLE COMMON STOCK
PURCHASE WARRANTS OTC Bulletin Board
Securities for which there is a reporting obligation pursuant to Section 15(d)
of the Act. NONE

The Common Shares and Redeemable Common Stock Purchase Warrants are no longer
listed on the Boston Stock Exchange.

Indicate by check mark whether the registrant: (1) has filed all reports
required to be filed by Section 13 or 15(d) of the Securities Exchange Act of
1934 during the preceding 12 months (or for such shorter period that the
registrant was required to file such reports), and (2) has been subject to
such filing requirements for the past 90 days. Yes [X] No [ ]

Indicate by check mark if disclosure of delinquent filers pursuant to
Item 405 of Regulation S-K is not contained herein, and will not be
contained, to the best of registrant's knowledge, in definitive proxy or
information statements incorporated by reference in Part III of this Form
10-K or any amendment to this Form 10-K. [X]

Indicate by check mark whether registrant is an accelerated filer (as
defined in Exchange Act Rule 126-2). Yes___ No [X].

The aggregate market value of the shares of Common Stock (based upon
the closing sales price of the Company's Common Stock as reported on the
OTC Bulletin Board on March 28, 2003) of the registrant held by
non-affiliates on December 31, 2002 was approximately US$ 6,473,483.

As of March 28, 2003, 9,519,828 shares of the registrant's Common
Stock were outstanding.

(All figures in US dollars unless otherwise noted.)

PART I

ITEM 1: BUSINESS

BACKGROUND

Med-Emerg International Inc. ("MEII" or the "Company") was founded in 1983 by
Dr. Ramesh Zacharias to provide emergency room (ER) physician coverage to
rural hospitals during nights and weekends. The Company has grown into one of
Canada's largest providers of ER physician coverage. Since inception, MEII
has provided staffing solutions to over 60 hospitals across the country.

Today, the Company is Canada's premier physician management provider,
supplying more than 45,000 hours of ER physician coverage to hospitals in
Ontario, Newfoundland and Manitoba annually. In addition, MEII also manages a
network of 137 family physicians in 21 medical practices across Canada,
treating almost 500,000 patients per year. In 2001, the Company was awarded
the contract to provide more than 800 physicians, dentists, nurses,
pharmacists and other regulated health professions for all 39 of Canada's
Department of National Defence bases. In December of 2002, the Company was
awarded the second phase of a contract to supply healthcare providers to
Canadian Forces overseas. MEII is now the supplier of healthcare to Canada's
military whether in Canada or deployed anywhere around the world. In 2001,
the company leveraged its clinic network and was awarded a contract to
provide infusion services for Remicade to patients in Ontario suffering from
Rheumatoid Arthritis and Crohn's Disease. That network of 15 infusion clinics
provides more that 5,000 infusions per year of this remarkable new
medication. Taking advantage of its ability to provide creative healthcare
solutions, the Company was awarded two contracts to provide integrated
physician - nurse practitioner primary care services to two of Canada's
larger mental health institutions at Whitby Mental Health and Centre for
Addiction and Mental Health in Toronto. In 2001-2002, MEII was contracted by
West Haldimand County and Chatham Kent to review services provided by the
hospital emergency departments and recommend strategies to recruit and retain
physician services in these communities.Last year, the Company began
providing physician services to long term care facilities in Ontario, one of
the fastest growing segments of the health care sector. Providing primary
care, medical directorship and 7/24 physician services to now more than 1200
beds in the province, the Company is poised to play a significant role in
providing an integrated primary care model to this rapidly expanding
marketplace.

In its twenty-year history, the Company has also conducted several
international consulting assignments for healthcare clients in Saipan, the
Cayman Islands, Malaysia and India, including feasibility studies,
identification of medical service needs, planning of healthcare delivery
systems and developing marketing strategies. In 1997, the Company completed a
consulting assignment to provide an integrated strategic plan for the
delivery of health and social services in the Northwest Territories in
Canada, the costs of which were funded by the Northwest Territory Provincial
government.

MEII has demonstrated industry leadership in Canada by providing integrated
professional management services in the delivery of healthcare to the
Canadian healthcare consumer. The Company's operations are divided into five
units; Hospital Staffing, Medical Clinics, Government Healthcare Services
(includes Department of National Defence), Pharmaceutical Support and
Long-Term Care. The Company intends to broaden its recruiting and management
services over a wider geographic base and pursue opportunities for its
expertise in the pharmaceutical industry.

MEII believes that it is well positioned to benefit from the aging of the
baby boomer population, to capitalize on recent developments within the North
American healthcare environment and the current restructuring initiatives
within the healthcare industry in Canada. Specifically, the Company's
strategy is to leverage its 20 years of physician recruitment experience to
become a dominant player in healthcare management services. Now with more
than 1,200 physicians, nurses, dentists, pharmacists, physiotherapists and
other regulated healthcare professionals employed by the company, MEII is
poised to play a dominant role in the delivery and management of Canada's
healthcare system.

THE COMPANY

The "Company" includes: (i) Med-Emerg International Inc.; (ii) its'
wholly-owned subsidiaries, Med-Emerg Urgent Care Centres Inc., Med-Emerg
Health Centres Inc., YFMC Healthcare Inc., 927563 Ontario Inc. and 927564
Ontario Inc.; (iii) its indirect wholly-owned subsidiaries Med-Emerg Inc. and
Med Plus Health Centres Ltd., which is wholly-owned by 927563 Ontario Inc.
and 927564 Ontario Inc., respectively; (iv) its 75% owned subsidiary, Doctors
on Call Ltd.; (v) its 51% owned subsidiary Caremedics (Elmvale) Inc. which is
wholly owned by Med-Emerg Elmvale Clinic Inc., and (vi) its indirect
wholly-owned subsidiaries of 1180668 Ontario Inc., owner of 1024528 Ontario
Ltd. o/a Caresource Physiotherapy and 1292363 Ontario Corp., which are
wholly-owned by 1189543 Ontario Inc., and YFMC Healthcare (Alberta) Inc., a
subsidiary of YFMC Healthcare Inc.

The Company's operations are divided into five units: Hospital Staffing,
Medical Clinics, Government Healthcare Services (including Department of
National Defence), Pharmaceutical Support and Long-Term Care. The following
represents a brief description of those units:

1. HOSPITAL STAFFING

The Company provides ER physicians and ICU nurse staffing services to
approximately 26 hospitals in Ontario, a mix of rural and urban facilities
including tertiary care centers. In 1991, the Company introduced registered
nurses into its staffing mix, when it developed a cost-effective model for
the Lester B. Pearson International Airport utilizing "expanded role"
registered nurses. The Company went on to launch a business devoted entirely
to the provision of emergency trained registered nurses to hospitals in 1997.
In 2002, the hospital staffing unit provided approximately 45,000 hours of
physician coverage and 25,000 hours of nursing coverage for its' clients. The
Company pays its physicians on an hourly or sessional basis, and receives a
fixed monthly administrative management fee from each hospital.

In addition to hospital staffing, the Company has experience in providing
unique integrated staffing solutions in other healthcare settings. In 1996,
the Company was approached by the Whitby Mental Health Centre to recruit five
new primary care physicians to augment their existing resources. Upon a
review of the patient population, the types of cases being treated, and the
total cost of the current system, the Company pioneered an integrated health
care model, combining Primary Care Physicians with Primary Health Care Nurse
Practitioners, becoming the first organization to introduce Nurse
Practitioners into a mental health setting. The program, now operational for
five years, has received high satisfaction ratings from both staff and
patients. In January 2002, the Whitby Mental Health Centre was the recipient
of the ACE award from the Ministry of Health for Innovation in Health Care
Delivery Design. The Company has since been contracted by the Centre for
Addiction and Mental Health (CAMH), a large multi-site psychiatric facility
to provide a review of its primary care program and has implemented the same
type of delivery model that was used at the Whitby site.

HOSPITAL STAFFING OPERATIONS

The principal operating activities of the Hospital Staffing Division include
the following:

RECRUITMENT AND CREDENTIALING. MEII has developed into one of the larger
providers of physician and nurse recruitment and placement services to many
communities and hospitals across Canada. Services include the complete
assessment of a community's needs, practice opportunities, the development of
a recruitment strategy and implementation process.

The recruitment and certifying of credentials of qualified independent
contract physicians and nurses are a central aspect of the Company's
operations. Full-time employees of the Company are dedicated to recruiting
and certifying credentials of the independent contract physicians for the
Company. The Company recruits physicians from three groups. The first group
is recruited directly from postgraduate training programs. Seminars are held
in most of the teaching hospitals in Ontario, with plans to provide seminars
across Canada to educate all the residents in family medicine and other
specialties about career opportunities in the Company. The second and third
groups recruited are established family physicians with an interest in
emergency medicine and full-time emergentologists. The Company has developed
a database that tracks the physicians during their medical career. This
database enhances the Company's ability to maximize the medical service
contribution of each physician. In the Canadian healthcare environment there
exists a significant shortage of qualified physicians. One measure of value
of a physician management organization is its ability to access, in a timely
manner, the physicians required from the organization's database. As part of
its recruiting strategy, the Company has established a stock option plan and
group benefits plan in which its contracted physicians can participate.

Qualified independent contract nurses are recruited through advertising,
word-of-mouth and trade shows. Nurses must have two years of experience in
critical care nursing and possess Basic Life Support ("BLS") training and
preferably Advanced Cardiac Life Support ("ACLS") training.

QUALITY ASSURANCE. The Company maintains a Quality Assurance program designed
to ensure consistency in clinical practice performance. These systems are
subject to review and examination by independent hospital credential and
regulatory agencies. As part of the Company's quality assurance program, all
physicians are required to have ACLS and ATLS certification, provide a
Certificate of Professional Conduct from the College of Physicians and
Surgeons of Ontario, be approved by the credentialing committee in their
respective hospitals that are governed by the Public Hospital Act, maintain
adequate malpractice coverage, and maintain continuing medical education
credits. The efficiency of these systems, and the performance of the
Company's contract physicians are critical to maintaining a good relationship
with the hospitals, as well as minimizing the exposure of the Company to
liability claims.

TIME SCHEDULING. The scheduling of physician hours and nurse hours is
performed monthly. For physician services, hospitals are provided a monthly
physician coverage schedule prior to the first of each month. Under some of
the hospital contracts, multiple physician coverage is required during
certain periods. For nursing services, hospitals contact the Company with
their shift requirements. Because of varying other demands on the contract
nurses and physicians, the scheduling process is complex and requires
significant management attention.

BILLING AND COLLECTION OF SERVICES. Fees generated by emergency department
coverage of physicians are comprised of two elements: (i) hospital
administrative fees which is on fixed fee or on a fee for service basis; and
(ii) physician services. Under each hospital contract, the Company has the
responsibility for the billing and collection of physician fees. The
Company's bad debt experience in collection of physician fees has
historically been less than 1% of allowable billings.

PERSONNEL ADMINISTRATION. The Company assists the contracted physicians in
personnel administration, which includes the administration of physician fee
reimbursement. In addition, the Company provides for the administration of
fringe benefit programs, which may include but are not limited to life
insurance, health insurance, professional dues and disability insurance.

The Company expects to continue its growth through staffing additional
hospital contracts. In particular, the Company intends to both strategically
target hospitals and physician groups. Management actively seeks
opportunities to competitively bid for hospital contracts.

In addition, the Company intends to take advantage of the government's plans
to restructure the delivery of Canadian medical care through fewer, but more
efficient hospitals and hospital groups. Management expects that hospitals
will increasingly look to outsourcing from third party providers.
Specifically, the Company expects that hospitals will seek opportunities for
emergency care specialists not only to staff the emergency departments, but
also to administer and operate all aspects of those departments.

RECRUITMENT OF ER PHYSICIANS

The Company identifies, recruits and screens potential candidates to serve as
emergency room physicians in hospitals for the Company's contract staffing
services. The Company then enters into contracts with physicians who meet its
qualifications and provides those physicians as candidates for admission to
the hospital's medical staff. The Company requires all physicians to be
currently licensed to practice medicine in the appropriate provinces and to
be Advanced Cardiac Life Support ("ACLS") or Advanced Trauma Life Support
("ATLS") certified before entering into a contract for the physician's
services.

The terms and conditions of the Company's contracts with physicians generally
provides that the Company place the physician in a functioning facility and
the Company collects all fees due to the physician for rendering services.
MEII pays the physician for the medical services provided based on terms
agreed to between the Company and the physician. These contracts generally
contain the following provisions: each physician is not an employee of the
Company but is instead an independent contractor of services to various
medical facilities under contract with the Company; each physician must
remain in good standing with the College of Physicians & Surgeons of the
appropriate provinces be licensed to practice medicine in that province; each
physician must remain in good standing with the Canadian Medical Protective
Association ("CMPA") and have appropriate CMPA

coverage to provide physician services to patients while working with the
Company. Physicians are bound by a non-competition restriction not to provide
services at any hospital where the Company has a contract for one year
following the contract term. Each physician full-time contract has a term of
twelve months and renews automatically for an additional twelve months.

CONTRACTS WITH HOSPITALS FOR PHYSICIAN STAFFING.

MEII generally provides contract physician staffing services to hospitals on
either of the following arrangements: fee-for-service contracts, or fixed fee
per shift to the hospital. Physicians under contract to the Company authorize
the Company to bill and collect fees. Depending upon the hospital patient
volume, the Company may receive a subsidy from the hospital. Pursuant to such
contracts, MEII assumes responsibility for billing and collection and assumes
risks of administrative error and subsequent non-payment. All of these
factors are taken into consideration by the Company in arriving at
appropriate contractual arrangements with healthcare institutions and
professionals. The hospital contracts are generally for one year, terminable
by either party upon two months written notice, and automatically renew if
not terminated.

When determining the split arrangement to be used in the physician
compensation model for the Company's fee-for-service contracts, the Company
considers a hospital's emergency room patient volume, the monthly gross
margin targets set by the Company, the location of the hospital in relation
to the supply of physicians, and shift coverage offered or required by the
hospital.

When determining the fixed administrative fee to be charged to the hospital,
the Company considers several factors including location of the hospital in
relation to the availability of physicians, number of physicians from which
to draw, the number of physician shifts required, and patient volumes.

For all but one of the hospital staffing contracts, the Company's monthly fee
is due on the first of the month for which shift coverage is being provided.
For all of the Company's hospital staffing contracts (fee-for-service and
fixed fee) the physicians are paid on the 15th of each month for services
rendered up to the 15th of the prior month.

CONTRACTS WITH HOSPITALS FOR NURSE STAFFING.

The Company provides nursing coverage to hospital emergency departments on a
shift-by-shift basis. The Company charges a fixed hourly rate for every hour
of nursing coverage provided. The hospital contracts are generally for one
year, are terminable by either party upon three months written notice, and
automatically renew if not terminated.

RECRUITMENT OF ER NURSES.

The Company recruits and screens potential candidates to serve as emergency
room nurses in hospitals that have contracted for the Company's staffing
services. The Company then enters into contracts with nurses who meet its
qualifications. The Company requires all nurses to be Basic Life Support
("BLS") certified and prefers Advanced Cardiac Life Support ("ACLS")
certification. Nurses must have a minimum of two years experience in
emergency departments and pass a written examination that tests their skills
as a critical care nurse.

MEII bills a fixed hourly rate to the hospital for each hour of service
provided by a nurse under contract with the Company. The nurses are paid a
lower fixed hourly rate on the 15th and 30th of each month.

2. MEDICAL CLINICS

The Company began expanding its healthcare services in the early 1990's, in
response to the changing needs of patient care. The Company opened three
immediate care clinics in London and Mississauga, well before the concept
became popular in Ontario. Today, the Company is one of the largest physician
practice management companies, owning and operating 21 family practice
clinics throughout Canada; located in Ottawa (11), Toronto (2), London (3),
Winnipeg (1), Edmonton (2) and Calgary (2). With a repository of more that
2,000,000 patient charts and providing care to more than 500,000 patients per
year, the Company also provides administrative support services to physician
practices including management, billing, staffing etc.

Beginning in 2001 and continuing in 2002, the Company began a major
restructuring of its clinic facilities. Several small, unprofitable sites
were closed or consolidated into larger group practices that will leverage
the overhead costs into a more profitable model. The Company then developed
business relationships with several of the large

retail pharmacy chains to build or manage group medical practices adjacent to
drug stores. In addition, the Company was engaged by several small rural
communities to assist in the development of their physician recruitment and
retention programs. One of the projects signed in 2001, resulted in the
Company being retained to build and manage a multi-physician practice that is
adjacent to the local pharmacy. The clinic is electronically linked to the
hospital's information technology systems providing seamless access to
patient information.

3. GOVERNMENT HEALTHCARE SERVICES

DEPARTMENT OF NATIONAL DEFENCE

In August of 1998, the Company was approached by the Department of National
Defence (DND) to recruit a civilian anesthetist. The civilian anesthetist was
needed to support the DND's Advanced Surgical Centre in Coralici, Bosnia for
a period of three months. The DND approved the Company's candidate and
formalized a contract for the provision of anesthetist coverage by this
physician.

In May of 1999, with the arrival of refugees from Kosovo, Citizenship and
Immigration Canada (CIC) retained the Company to coordinate and provide on
site services to the refugee population at Canadian Forces Base (CFB) Borden
and CFB Gagetown. The Company, with its extensive network of primary care
physicians, ER physicians, specialists and nurse practitioners was able to
provide the above services within 72 hours at CFB Borden and within seven
days at CFB Gagetown. Physicians were recruited from the Company's database
of physicians in addition to utilizing relationships with external sources.
The Company continued to provide the on-site service and necessary
administration for the duration of the stay of the refugees of approximately
10 weeks.

In March of 2001, the Company was then awarded the administrative management
services contract, the largest of its kind, to provide up to 400 medical
personnel to the thirty-three Canadian Forces Bases across Canada. The
contract has two stages, an initial period of three years with another three
year renewal option extending to March 31, 2007. As the service
administrator, the Company recruits, schedules and pays physicians, nurses,
dentists, physiotherapists and other regulated healthcare professionals to
provide services as required by the local health authority resident on each
base. The Company is paid a monthly administrative management fee by the DND
that is linked to the number of providers being managed at any one time. The
contract was subsequently broadened, and as at December 31, 2002, the Company
managed more than 800 employees and independent healthcare professionals in
39 bases across Canada.

The primary benefit to DND from this contract will be the existence of a "one
stop shopping" arrangement for the military base. As part of a national
organization, the Company's recruiters source health service providers from
all regions of Canada. By developing a long-term relationship with their
employees and sub-contractors, and being able to react quickly to changing
local conditions, the Company provides some stability in the workforce and
enhances continuity in the delivery of patient care for the DND. The Company
has demonstrated the capability to manage large multi-site, multi-provider
contracts, on a national basis.

In December of 2002, the Company was retained to provide healthcare services
for the CANCAP contract recently awarded by the Department of National
Defence to SNC-Lavalin PAE Inc. Under this five year contract, MEII will
provide all contract healthcare services to the Canadian soldiers, sailors
and air force personnel deployed outside of Canada. On any given day,
thousands of Canadian Forces (CF) members are preparing for, engaged in or
have returned from overseas missions. Since 1947, the CF has completed 73
international operations.

The Company will apply knowledge gained about the unique healthcare
requirements of the Canadian Forces through its in-garrison contract, to the
CANCAP contract. This new project will enable the MEII to provide continuity
of care for the men and women in uniform whether they are deployed overseas
or at home in Canada.

OTHER GOVERNMENT HEALTHCARE AGENCIES

In 2002, Corrections Canada awarded the Company a contract to provide
dentists, and dental hygienists to the three Kingston-area Penitentiaries. In
addition, the company was awarded a contract to provide after hours physician
services to all 13 federal Corrections Canada facilities in Ontario.

Based on its experience with the Department of National Defence and
Corrections Canada, the Company is aggressively pursuing business development
opportunities with other government departments that are responsible for the
provision of healthcare. Provincial correctional facilities, the Royal
Canadian Mounted Police

and Canada's First Nations are a few examples of the potential new markets
where MEII's services would bring considerable value to the publicly funded
healthcare system that exists in this country.

4. PHARMACEUTICAL SUPPORT

On March 15th, 2001, the Company signed a contract to become the coordinator
for the community-based infusion of Remicade(TM). This multi-year contract
with Schering-Plough Canada capitalizes on the Company's national network of
health placement coordinators to provide timely access to clinics for the
treatment of patients with disabling Rheumatoid Arthritis and Crohn's
Disease. The Company has established fifteen infusion sites, and is projected
to open approximately five more by the end of December 31st, 2003. Through
its Pharma Support program, MEII provides a turn-key solution that manages
all aspects of the referring specialist process, including scheduling,
benefit coordination, infusions and reporting.

With the knowledge and skills that it has developed providing infusion
services, the Company is now pursuing business development opportunities to
provide additional services to pharmaceutical manufacturers including other
infusion products, coordination of clinical trials and provision of
compliance programs.

5. LONG-TERM CARE

The problem of physician shortages is evident not only in hospitals in
Ontario but also in its long-term care facilities. The Company has received
requests from long-term care facilities for physicians to provide admission
physical assessments and regular primary care to residents. Residents of
these facilities are typically not cared for by their family physicians once
they are transferred to long term care facilities, thus they lack routine
primary healthcare. During April 2002, the Company commenced providing
admission physical assessments and regular primary care to residents at
long-term care facilities. As at December 31, 2002 the Company provided
physicians and nurse practitioners to 10 long-term care facilities in
Ontario, and has just obtained a contract with another facility to provide
services on April 1, 2003. The Company has developed and now sells a
comprehensive eight-part training program for registered nursing staff that
it conducts twice annually for several of its long-term care facility clients.

FACTORS AFFECTING MEII'S BUSINESS

REGULATION OF HEALTHCARE IN CANADA

The provision of medical services in Canada is, for the most part, under
provincial jurisdiction. Under the Health Insurance Act, the government of
Ontario is responsible for paying physicians for the provision of insured
services to residents of Ontario. Individual physicians' billings under the
Ontario Health Insurance Plan (OHIP) are subject to threshold amounts, or
soft caps. Once a physician reaches a prescribed level in the 12-month period
beginning April 1 of each year, the government reduces payments to the
physician by a prescribed fraction. Any changes in reimbursement regulations,
policies, practices, interpretations or statutes that place material
limitations on reimbursement amounts or practices could adversely affect the
operations of the Company, absent, or prior to, satisfactory renegotiations
of contracts with clients and arrangements with contracted physicians.

Under a combination of statutory provisions, both federal and provincial,
physicians are prohibited from billing their patients for fees in excess of
those payable for services listed in the Provincial Schedule of Benefits. The
Canada Health Act allows for cash contributions by the federal government in
respect of insured health services provided under provincial healthcare
insurance plans. In order for a province to qualify for a full cash
contribution, there is a requirement that the provincial healthcare insurance
plan satisfy the criteria set out in the Canada Health Act. In addition, the
provincial plan must ensure that no payments are permitted in respect of
insured health services that have been subject to extra billing.

Continuing budgetary constraints at both the federal and provincial level and
the rapidly escalating costs of healthcare and reimbursement programs have
led, and may continue to lead, to significant reductions in government and
other third party reimbursements for certain medical charges. The Company's
independent contracted physicians as well as the Company are subject to
periodic audits by government reimbursement programs to determine the
adequacy of coding procedures and reasonableness of charges.

Business corporations are legally prohibited from providing, or holding
themselves out as providers of, medical care in many provinces. While the
Company will seek to structure its operations to comply with the provincial
laws

relating to the corporate practice, given varying and uncertain
interpretations of such laws, the Company would be found in compliance with
restrictions on the corporate practice of medicine in all provinces. A
determination that the Company is in violation of applicable restrictions on
the practice of medicine in any province in which it operates or could
operate could have a material adverse effect on the Company if the Company
were unable to restructure its operations to comply with the requirements of
such province.

COMPETITION

The Company competes with a variety of healthcare service providers. These
include the entire range of licensed physicians in private practice;
physicians practicing in hospitals or under contract to other healthcare
institutions; nurses employed in various healthcare settings; and other
healthcare providers such as pharmacists, dentists, physiotherapists and
regulated healthcare professionals.

Competition in the industry is based on the scope, quality and cost of
services provided. Certain of the Company's current and potential competitors
have substantially greater financial resources than the Company. While
management believes that it competes on the basis of the quality of its
services, the larger resources of its competitors may give them certain cost
advantages over the Company (e.g., in the areas of malpractice insurance,
cost savings from internal billing and collection and a broader scope of
services).

EMPLOYEES

As of March 28, 2003, the Company had 560 full-time employees, 42 were
employed in administration, 67 were employed in the Company's clinics, 97
nurses were employed to work at various hospitals, and 354 were employed to
carry out the contract with the DND. The Company believes its' relations with
its' employees to be good. The Company's employees do not belong to a union
and there is no collective bargaining agreement covering employees. The
Company also has approximately 325 contractors engaged on a full-time basis.

ITEM 2: PROPERTIES

The Company's principal executive office is located at 2550 Argentia Road,
Suite 205, Mississauga, Ontario. The principal office occupies approximately
7,500 square feet of space under a lease that expires in April, 2004 at an
average annual rental rate of approximately $122,000. The Company believes
that its current office space is adequate for its Company's future needs.

ITEM 3: LEGAL PROCEEDINGS

YMFC HealthCare Inc., a wholly owned subsidiary of the Company, is in receipt
of a letter from Canada Customs and Revenue Agency ("CCRA") dated April 30,
2001, adjusting YFMC's Goods and Services Tax returns for the period from
December 31, 1992, to December 31, 1996. The total amount claimed by CCRA for
this period is $249,000. In the event that YFMC becomes liable to pay any
such amount to CCRA, the Company will claim an indemnity for such amount
against the directors and certain named principals of YFMC pursuant to the
Company's rights under the Business Combination Agreement executed on August
10, 1999. The Company's legal counsel has advised that CCRA does not intend
to pursue YFMC for these amounts.

The Company is in receipt of two claims from former employees, claiming
damages for breach of contract and/or severance pay. The Company is
conducting an internal investigation of these complaints and is prepared to
defend itself. In the event that the Company must pay both claims, the
maximum amount payable would be $108,000.

ITEM 4: SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS

There were no matters submitted to a vote of security holders during the
fourth quarter of the fiscal year ended, December 31, 2002.

PART II

ITEM 5: MARKET FOR REGISTRANT'S COMMON EQUITY AND RELATED STOCKHOLDER MATTERS

The Common Shares and Redeemable Common Stock Purchase Warrants are listed
for trading under the symbols "MDER" and "MDERW", respectively, on the OTC
Bulletin Board. From February 12, 1998 to April 16, 2001 the Company's Common
shares and Redeemable Common Stock Purchase Warrants were listed on the NASDAQ
Small Cap Market. Since April 16, 2001, the Company's Common Shares have been
listed on the OTC Bulletin Board. The Common Shares and Redeemable Common Stock
Purchase Warrants are no longer listed on the Boston Stock Exchange.

The following table sets forth the range of high and low sales prices from
First Quarter of 2001:

There were 49 holders of record of the Company's Common Stock as of March 28,
2003.

The Company has never paid or declared cash or stock dividends on its common
stock. The payment of cash dividends, if any, is at the discretion of the
Board of Directors and will depend upon the Company's earnings, capital
requirements, financial condition and other relevant factors. The Company
intends, for the foreseeable future, to retain any future earnings for use in
its business.

On February 13, 2001 a director was issued 486,112 common shares in
consideration of services. The fair value of these shares was $243,000 at
the time of issue.

Pursuant to an agreement dated April 6, 2001, the Company issued 1,000,000
common shares through private placement for proceeds of approximately
$493,000 (before issuance costs).

In 2001 a former employee surrendered 41,607 common shares in settlement of a
loan.

As part of the disposition of HealthyConnect.com Inc. ("HCCI"), the Company
issued 1,077,440 common shares to the minority shareholders of HCCI.

On May 23, 2002 the Company issued 216,000 shares to Wellington Capital
Corporation as consideration payable under a re-financing arrangement.

ITEM 6: SELECTED FINANCIAL DATA

The following selected consolidated financial data of the Company is
qualified by reference to and should be read in conjunction with the
consolidated financial statements, related notes thereto, other financial
data, and "Management's Discussion and Analysis of Financial Condition and
Results of Operations" included elsewhere herein.

(1) Basic income (loss) per common share reflects net income (loss) available
to common shareholders divided by the weighted average number of common
shares outstanding.

ITEM 7: MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS
OF OPERATIONS

OVERVIEW

MEII, based in Ontario, Canada, is a provider of a broad range of quality
healthcare management services. Established in 1983, the Company specializes
in the coordination and contract staffing of emergency physicians for
hospitals and clinics in Canada. Though emergency-related services are still
an important component of the Company's business, MEII has expanded to offer
a wide variety of medical services including nurse staffing, medical clinics,
the recruitment of various healthcare professionals to fulfill a contract
with the Department of National Defence, and a contract with Schering Plough
Canada Inc. a leading pharmaceutical company, to provide infusion services to
patients.

The Company is positioned to build on its industry leadership by providing
integrated professional management services in the delivery of healthcare to
the healthcare consumer. The Company's operations are divided into five
units: Hospital Staffing, Medical Clinics, Government Healthcare Services,
Pharmaceutical Support, and Long-Term Care.

In April, 2002, the Company commenced providing physicians and nurse
practitioners to four long-term care facilities and as at December 31, 2002
MEII supported 6 facilities in Ottawa and 4 facilities in the Greater Toronto
Area (GTA). The Company intends to expand this business unit in 2003 to
provide services to 20 facilities.

In May, 2002, Corrections Canada awarded the Company a contract to provide
dentists, and dental hygienists to the three Kingston-area Penitentiaries. In
addition, in July, 2002 the company was awarded a contract to provide after
hours physician services to all 13 federal Corrections Canada facilities in
Ontario.

In December of 2002, the Company was retained to provide healthcare services
for the CANCAP contract recently awarded by the Department of National
Defence to SNC-Lavalin PAE Inc. Under this five-year contract, MEII will
provide all contract healthcare services to the Canadian soldiers, sailors
and air force personnel deployed outside of Canada. On any given day,
thousands of Canadian Forces (CF) members are preparing for, engaged in or
have returned from overseas missions. Since 1947, the CF has completed 73
international operations. With the addition of the CANCAP contract, MEII will
now be the provider of healthcare to Canada's military both home and abroad.

In 2001, the Company was awarded the contract for civilian in-garrison
healthcare services for the Department of National Defence. The contract, the
largest of its kind in Canada is a six year agreement (3 year agreement plus
a 3 year renewal option) that will see the Company recruit and staff an
annual complement in excess of 800 full time healthcare providers in all
Canadian Forces Bases. The Company receives an annual administrative fee to
recruit and manage required personnel. Annual revenue for services provided
under this contract is expected to exceed $34 million for fiscal 2003, of
which approximately $32 million will be paid to the healthcare providers
supporting this contract. The Company's staff who manage this project have
previous Canadian military experience and this experience has been
instrumental to match the project requirements to the specific needs of the
Canadian Forces. This contract and its supporting infrastructure create a
horizontal platform to allow the Company to secure of other major government
staffing contracts.

In March 2001, the Company and Schering Canada Inc., a leading Canadian
pharmaceutical supplier, entered into an agreement to pay the Company a
management fee to recruit, credential and install new infusion sites across
Canada to deliver Remicade(TM) infusion services to patients suffering from
Crohn's Disease and rheumatoid arthritis. Remicade(TM) reduces inflammation
in patients with Crohn's disease and rheumatoid arthritis. It is estimated
that approximately 40,000 patients in Canada suffer from the debilitating
effects of these two diseases. Under this agreement, the Company coordinates
and manages infusion services for patients referred to it by physicians at
its clinic locations. By December, 2002, there were approximately 975
patients registered with the Company for this program, receiving regular
infusions. It is anticipated that the number of patients participating in
this program will reach 1,400 by the end of 2003.

Forward-looking statements of MEII, included herein or incorporated by
reference including, but not limited to, those regarding future business
prospects, the acquisition of additional clinics, the adequacy of capital
resources and other statements regarding trends relating to various revenue
and expense items, could be affected by a number of uncertainties and other
factors beyond management's control.

FINANCIAL OVERVIEW

The Company reported a net loss of $738,647 for the year ended December 31,
2002 compared to a net loss of $6,876,437 for the year ended December 31,
2001. The loss amounted to $0.09 per share for the year ended December 31,
2002 compared with a loss of $0.84 per share the previous year. As the
Company implemented their strategic plan of realigning the business units and
the consolidation and closure of non-performing medical clinics, the direct
results had a significant impact on the operating results in 2002. MEII
continues to pursue profitable contracts that are consistent with the current
operating strategy.

REVENUE

The Company's revenue for the year ended December 31, 2002 increased to $45.0
million, compared to $23.1 million for the year ended December 31, 2001, an
increase of approximately 95%. This revenue growth was largely attributable
to the Department of National Defence management service contract whereby
MEII staffed an increased number of health providers in fiscal 2002 compared
to the prior year. The Department of National Defence accounted for 69% of
the Company's revenues during the year ended December 31, 2002.

Revenue from the DND contract amounted to $31.3 million during the year ended
December 31, 2002 compared to $9.0 million for the prior year, an increase
of 248%. As at December 31, 2001 the Company was providing approximately 500
medical personnel at the DND bases across Canada, and as of the end of the
2002 fiscal year it was supporting over 800 health providers.

Revenues generated by the medical clinics totaled $8.1 million during the
year ended December 31, 2002 compared to $7.5 million for the prior year, an
increase of 8%. This was despite closing 4 non-performing medical clinics.
The focus in this business unit was to open larger, more profitable
facilities with greater physician coverage.

Revenues from the hospital staffing unit decreased to $5.6 million during the
year ended December 31, 2002 compared to $6.6 million for the prior year, a
decrease of 15.1%. The decrease in revenues resulted from the loss of a
single ER physician contract that had revenues of over $1.5 million in 2001.

GROSS MARGIN

Gross Margin (revenue less physician and other direct costs) increased to
$6.6 million for the year ended December 31, 2002 compared to $6.2 million
for the prior year, an increase of 6.5%. This growth in gross margin was due
to the Department of National Defence management service contract.

Physician fees and direct costs, primarily fees paid to contract physicians,
increased to $38.4 million for the year ended December 31, 2002 compared to
$16.9 million for the prior year, an increase of 127.2%. Physician fees and
other direct costs increased as a percent of revenue to 85.2% of revenue for
the year ended December 31, 2002 compared to 73.2% of revenue for the year
ended December 31, 2001. This increase reflected the inclusion of the DND
contract where physician fees are a greater percentage of revenue than that
of the Company's other business units. The Hospital Staffing unit, which
includes the Long Term Care facilities, contributed a gross margin of 17.3%
for 2002, while the Medical Clinics unit, which includes the revenues and
cost for the Pharmaceutical Support unit, generated a 47% gross margin for
the 2002 fiscal year. Although these business units provided a higher gross
margin contribution than the DND contract (6%), the latter contract has
enabled MEII to become the largest national provider of physician and allied
health professionals in Canada (see note 26 for more information).

OPERATING EXPENSES

Operating expenses totaled $6.1 million for the year ended December 31, 2002
compared to $5.9 million in the prior year, an increase of 3.4%. Despite the
substantial growth in revenues and services delivered, management maintained,
and in some cases reduced overhead costs during fiscal 2002.

AMORTIZATION AND INTEREST

Amortization decreased by $3.2 million during the 2002 fiscal year as the
Company wrote off all intangible assets in the prior year.

Interest and financing costs increased by approximately $550,000 during the
year ended December 31, 2002 compared to the prior year, due to higher
interest rates on financing the DND contract. The company operated without
bank financing and utilized non-institutional financing arrangements.

INCOME TAXES

The Company has loss carry forwards of approximately $5.0 million to be
applied against future corporate income taxes. This benefit has not been
reflected in these statements.

LIQUIDITY AND CAPITAL RESOURCES

As at December 31, 2002, the Company's working capital deficit totaled
$2,461,282.

On May 24, 2002 the Company issued a $720,000 discounted secured debenture,
with net proceeds of $600,000. The net proceeds were applied against the
Company's debt it had outstanding with its former bank.

The terms of the secured debenture include:
1. maturity of June 1, 2003
2. an effective interest rate of 23.4% per annum
3. convertible into common shares at $1 per share at the option of the secured
debenture holder
4. repayable at $35,000 per month (for months eight through eleven); $395,000
in month twelve [as at the balance sheet date]
5. 216,000 restricted common shares issued to the debenture holders
6. redeemable on or before 180th day from the date of the closing at 115%
of the principal amount, and any date thereafter at 120% of the
principal amount.

A principal shareholder of the Company has guaranteed the debenture,
providing as security, unrestricted free trading common shares of the Company
equivalent to 150% of the face value of the debenture. In exchange for the
guarantee, the Company issued to the guarantor shareholder common share
purchase warrants to purchase 100,000 common shares at $1.00 per share. In
the event that the market value of the common shares provided as security
falls below 200% of the face amount of the debenture, the Company is required
to pledge additional securities to return the market value to 200% of the
face amount.

On June 28, 2002, Morrison Financial Services Limited ("MFSL") paid HSBC
$475,406 on MEII's behalf which was the balance owing under the forbearance
agreement. The completion of the aforementioned financial transaction has the
effect of reducing the Company's total debt by $228,459 since the obligation
to the HSBC was eliminated at a discounted value. MFSL provided the Company
with a full-recourse invoice discounted facility in an amount not to exceed
$475,406 based on purchasing and advancing up to 75% of the face amount of a
qualifying invoice with the balance held on reserve until the invoice is
collected in full. The facility has a term of one year, with an annualized
interest rate of 34.22% that matures on June 28, 2003. In addition to the
specific Standard Form Assignments (General), all amounts due to MFSL are
secured by a general security agreement on all assets and undertakings of
MEII, an assignment of all risk insurance policies and an assignment of key
man life insurance of a director.

QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

There are no financial instruments that are sensitive to changes in interest
rates.

The Company has a financial instrument (see note 12) that has exposure to
foreign currency exchange gains/losses.

ITEM 8: FINANCIAL STATEMENTS AND SUPPLEMENTARY DATA

The Company's consolidated financial statements and the related notes,
together with the report of Schwartz Levitsky Feldman LLP thereon, are set
forth in Item 15.

ITEM 9: CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND
FINANCIAL DISCLOSURE

There have not been disagreements with the auditors on any matter of
accounting principles or practices, financial statement disclosure, or
auditing scope or procedures, which disagreements if not resolved to their
satisfaction would have caused them to make reference in connection with
their opinion to the subject matter of the disagreement.

PART III

ITEM 10: DIRECTORS AND EXECUTIVE OFFICERS OF THE REGISTRANT

The following table sets forth certain information concerning the directors,
executive officers and key employees of the Company.

NAME AGE POSITION
- ---- --- --------

William Thomson, C.A. 61 Chairman of the Board

Dr. Frank Baillie, M.D., Ch.B., FRCSC 51 Director

Major General Lewis MacKenzie, Oont, MSC, OstJ, CD 62 Director

John Yarnell 74 Director

Ramesh Zacharias, M.D., FRCSC 51 Chief Executive Officer,
Director

Donald Ross, D.M.D., M.Sc. 51 V.P. Operations

John Jarman, B.Com, C.A. 51 Chief Financial Officer

NAME POSITION PRINCIPAL OCCUPATION AND POSITIONS HELD
- ---- -------- ---------------------------------------

William E. Thomson(1)(3) Chairman Mr. Thomson is President of William E. Thomson Associates Inc., whose activities
include the operation of companies in crisis, monitoring the clients of financial
institutions, counseling Boards of Directors, Chief Executive Officers and senior
management during periods of change, growth, initial public offerings and other
financings, and general consulting and financial intermediation services. Mr.
Thomson has operated companies in diverse fields including information technology,
manufacturing, hospitality, forest products, medical services, financial services,
transportation, and tier two automotive supplies.

Currently Mr. Thomson is chairman of Med-Emerg International Inc, Esna Technologies
Ltd., Asia Media Group Corporation, and HealthworksTMS. In addition, he serves as a
director of the following companies and organizations: The Aurora Fund, Delfour
Corporation, Electrical Contacts Ltd., Elegant Communications Ltd., Imperial
Plastech Inc., Opera Mississauga, Redpearl Funding Corporation and The World
Education Services (advisory board).

Dr. Frank Baillie(1)(2)(3) Director Dr. Frank Baillie has been a Director of the Company since January 1, 2002. Dr.
Frank Baillie has over twenty years of clinical and managerial experience as an
Emergency Physician and General Surgeon in an academic setting. Dr. Baillie has
maintained a surgical practice at McMaster University Medical Centre in Hamilton,
Ontario since 1979. He also introduced emergency physician staffing and postgraduate
training in Emergency Medicine at McMaster's Faculty of Health Sciences. He has
managed a number of medical programs, including Hamilton General Hospital, Chedoke
McMaster Hospital and St. Peter's Hospital. Dr. Baillie has provided consultative
services regarding the delivery of emergency care for the Ontario government as well
as internationally in Thailand, Malaysia, Kerala Province in India, Beijing and Abu
Dhabi. Currently, Dr. Baillie is Associate Professor of Surgery and Postgraduate
Surgical Program Director at McMaster University Faculty of Health Sciences, he is
the International Medical Liaison Officer for the Hamilton Health Sciences
Corporation, and the Medical Director for Ontario CritiCall Service.

Lewis MacKenzie(2) Director During his thirty-six years of military service in the Infantry he served nine years
in Germany with NATO forces and managed nine peacekeeping tours of duty in six
different mission areas-The Gaza strip, Cyprus, Vietnam, Cairo, Central America and
Sarajevo. He retired from the forces in 1993 and in that same year received the
prestigious Vimy Award for his outstanding contribution to the preservation of
democratic values. Since his retirement from the military, Lew MacKenzie has
regularly appeared on many of the international TV and radio networks as a
commentator. Following the attacks of September 11, 2001, General MacKenzie was
appointed one of two advisors to the Government of Ontario on counter-terrorism and
emergency measures. He is a graduate of the Xavier Junior College of Sydney, Cape
Breton and The University of Manitoba.

John Yarnell(2)(3) Director John Yarnell is the President Of Yarnell Companies Inc. Yarnell Companies Inc. is an
investment and management services company formed in 1978 to invest and manage
venture capital initiatives. Mr. Yarnell is the founder and retired Chairman of the
Quorum Group of companies and a former director and chairman of Poco Petroleums
Ltd., Guard Inc., and Aluma Systems Inc. He is a graduate of The University of
Manitoba and Harvard Business School.

Ramesh Zacharias President and Dr. Ramesh Zacharias is the founder of Med-Emerg and serves as the President
Chief Executive and Chief Executive Officer, and Executive Medical Director, of Med-Emerg Inc.
Officer and He has practiced medicine in Canada since 1981 and has extensive experience in the
Director delivery of emergency and primary, medical care. He has provided consulting services

regarding the delivery of emergency care internationally in the Caribbean, Saipan
and Malaysia and provided management-consulting services regarding the operation of
medical clinics in Canada, the United States and Russia. In this continued role in
providing medical insight and with his extensive business experience, he provides
the strategic guidance and leadership to the Med-Emerg management team. Under his
leadership, the Company has grown to become the leading Canadian medical clinic
management and medical staffing organization.

Donald Ross Vice President Dr. Ross has been Vice-President of Med-Emerg International Inc. since
Operations November 1, 2000 and is responsible for the operations of the Company. He is an
experienced healthcare executive, responsible for hands-on day-to-day operations. In
addition to his professional experience, Don holds a Masters degree in Clinical
Epidemiology, is a Doctor of Dental Medicine, and has an honours Bachelors degree in
neurophysiology from the University of British Columbia. Prior to working with
Med-Emerg, Don was the Executive Vice President (Health Care) of Aetna Canada for
five years and has extensive experience in managing clinical business units in the
public and private sectors.

John Jarman Chief Financial Mr. Jarman is a chartered accountant having articled at PriceWaterhouseCoopers
Officer and has been the Company's CFO since January 2, 2001. He has consulted to the
healthcare industry and brings more than eighteen years experience in senior
management positions prior to working with Med-Emerg Inc. John graduated from the
University of Toronto with a Bachelor of Commerce. He has broad experience in
corporate finance, acquisitions, and strategic alliances.

NOTES:

(1) Member of the Nominating and Governance Committee.
(2) Member of the Compensation Committee.
(3) Member of the Audit Committee.

ITEM 11: EXECUTIVE COMPENSATION

The following table sets forth the cash compensation, as well as certain other
compensation paid or accrued to the Company's Chief Executive Officer for the
fiscal years ended December 31, 2002, 2001 and December 31, 2000. No other
executive officer has a total annual salary and bonus of more than $100,000
during the reporting periods.

ANNUAL COMPENSATION (US$)
-------------------------
OTHER
NAME AND PRINCIPAL POSITION SALARY BONUS COMPENSATION
- --------------------------- ------ ----- ------------

Ramesh Zacharias 2002 $215,816 $ 0 $ 9,541 (1)
Chief Executive Officer 2001 $218,882 $ 0 $ 8,998 (1)
2000 $227,000 $ 0 $ 9,713 (1)

(1) In addition to being the Chief Executive Officer of the Company, Dr.
Zacharias on occasion covers physician assignments that the Company is
otherwise unable to fill. For each assignment that Dr.

Zacharias covers, he is paid as an independent contracting physician. This
amount represents fees paid to Dr. Zacharias for services rendered as a
physician.

Stock Option Plan

In November 1999, the Board of Directors and shareholders adopted and approved
the Company's Stock Option Plan (the "Plan"). The Plan provides for grants to
both employees and directors of the Company. The Plan is to be administered by
the Board of Directors or a committee appointed by the Board. The Plan was
amended to authorize the Company to issue options to acquire an aggregate of
2,090,000 shares of Common Stock, 1,670,000 of which have been granted as of
December 31, 2002. As at December 31, 2002, 420,000 options were still available
to be granted under the Stock Option Plan.

During the fiscal 2002, 100,000 options were issued and 271,300 options were
cancelled or expired. No options were granted to eligible physicians during the
fiscal year ended December 31, 2002.

As at December 31, 2002 total options outstanding of 2,270,000 are comprised of
1,670,000 granted under the Company's Stock Option Plan and 600,000 granted
outside the Plan.

ITEM 12: SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT

PRINCIPAL SHAREHOLDERS

The following table sets forth, as of March 28, 2003 certain information with
respect to stock ownership of (i) all Officers and Directors; (ii)persons known
by the Company to be beneficial owners of 5% or more of its outstanding shares
of Common Stock; (iii) all directors and officers as a group.

SHARES OF PERCENTAGE
NAME OF BENEFICIAL OWNER(2) COMMON STOCK(1) OWNERSHIP
- --------------------------- --------------- ----------

1245841 Ontario Inc
and Ramesh Zacharias
M.D., FRCSC(3)(4) 2,302,828 19.5 %
William Thomson, C.A.(5) 370,000 3.7 %
John Jarman, B.Com., C.A.(6) 100,000 1.0 %
Donald Ross, D.M.D., M.Sc.(6) 100,000 1.0 %
H.T. Ardinger(8) 1,745,000 18.3 %
EMC2(9) 614,282 6.5 %
All Officers and Directors as
a group(4)(5)(6)(7) 2,872,828 25.2 %

(1) Pursuant to the rules and regulations of the Securities and Exchange
Commission, shares of Common Stock that an individual or group has a right
to acquire within 60 days pursuant to the exercise of options or warrants
are deemed to be outstanding for the purposes of computing the percentage
ownership of such individual or group, but are not deemed to be outstanding
for the purposes of computing the percentage ownership of any other person
shown in the table.

(2) Unless otherwise indicated, the address is c/o Med-Emerg International,
Inc., 2550 Argentia Road, Suite 205, Mississauga, Ontario L5N 5R1, Canada.

(3) 1245841 Ontario Inc. is a Canadian company which is owned by Ramesh and
Victoria Zacharias. Dr. Zacharias and Mrs. Zacharias each disclaim
beneficial ownership of the shares owned by the other.

(4) Includes (i) 292,544 shares owned by 1245841 Ontario Inc., which is owned
by Dr. and Mrs. Zacharias (ii) 300,000 shares issuable upon exercise of
currently exercisable options granted under the Company's 1997 Stock Option
Plan to Dr. Zacharias, and (iii) 750,000 shares of Common stock issuable
upon conversion of up to 500,000 shares of Convertible Preferred Stock
which preferred stock is currently held by 1245841 Ontario Inc., for a
period of ten years from issuance, each share of preferred stock is
convertible into 1.5 shares of Common Stock and thereafter into such number
of shares of Common Stock as is equal to U.S.$4,500,000 divided by the then
current market price of the Common Stock on the date of conversion, for
purposes of the above chart, the number of shares of Common Stock issuable
upon conversion of the Preferred Stock was calculated by assuming a one for
one and one-half conversion. (iv) 140,375 common shares issuable as of May
7, 2001 as a stock dividend payable on the preference shares, but which
have not as of the date hereof been formally issued from treasury. (v)
options to purchase up to 500,000 common shares granted by the board of
directors on April 06, 2001, and (vi) 319,909 common shares issuable as of
March 20, 2003 as a stock dividend payable on the preference shares, but
which have not as of the date hereof been formally issued from treasury.

(5) Includes 370,000 shares of Common Stock issuable upon exercise of warrants
and options.

(6) Includes 100,000 shares of Common Stock issuable upon exercise of options.

(7) Represents 1,502,828 voting securities currently owned and 1,370,000 voting
securities issuable upon exercise of currently exercisable options issued
under the Company's Stock Option Plan to Directors and Officers.

(8) Includes 1,150,000 shares of Common Stock owned by H.T. Ardinger & Sons
Inc. a corporation controlled by H.T. Ardinger (ii) 495,000 unrestricted
shares of Common Stock owned by H.T. Ardinger & Sons, and (iii) 100,000
options to purchase shares of Common Stock.

(9) Includes 614,282 voting securities currently owned.

Equity Compensation Plan Information

- -------------------------------------------------------------------------------------------------------------
Plan category Number of Securities to Weighted-average Number of securities
be issued upon exercise exercise price of remaining available for
of outstanding options, outstanding options, future issuance under
warrants and rights warrants and rights equity compensation
plans (excluding
securities reflected in
column (a))
- -------------------------------------------------------------------------------------------------------------

Equity compensation plans
approved by security 1,670,000 0.843 420,000
holders
- -------------------------------------------------------------------------------------------------------------
Equity compensation plans
not approved by security 600,000 0.58 0
holders
- -------------------------------------------------------------------------------------------------------------

ITEM 13: CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

The Company believes all previous transactions between the Company and its
officers, directors or 5% stockholders, and their affiliates were made on terms
no less favorable to the Company than those available from unaffiliated parties.
The Company presents all proposed transactions with affiliated parties to the
Board of Directors for its consideration and approval. Any such transaction is
approved by a majority of the disinterested directors.

ITEM 14: CONTROLS AND PROCEDURES

Included on the signature page of this report is the Certification that is
required under Section 302 of the Sarbanes-Oxley Act of 2002. This section of
the report contains information concerning the controls evaluation referred to
in the Section 302 Certifications and the information contained herein should be
read in conjunction with the Certification.

Internal controls are designed with the objective of ensuring that assets are
safeguarded, transactions are authorized, and financial reports are prepared on
a timely basis in accordance with generally accepted accounting principles in
the United States. The disclosure procedures are designed to comply with the
regulations established by the Securities and Exchange Commission.

Internal controls, no matter how designed, have limitations. It is the Company's
intent that the internal controls be conceived to provide adequate, but not
absolute, assurance that the objectives of the controls are met on a consistent
basis. Management plans to continue its review of internal controls and
disclosure procedures on an ongoing basis.

The Company's chief executive officer, after supervising and participating in an
evaluation of the effectiveness of the Company's internal and disclosure
controls and procedures during the year ended December 31, 2002 (the "Evaluation
Date"), has concluded that as of the Evaluation Date, the Company's internal and
disclosure controls and procedures were effective.

There were no significant changes in the Company's internal and disclosure
controls or in other factors that could significantly affect such internal and
disclosure controls subsequent to the date of their evaluation.

PART IV

ITEM 15: EXHIBITS, FINANCIAL STATEMENT SCHEDULES, AND REPORTS ON FORM 8-K

(A) EXHIBITS

99.1 Certification of CEO pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002

99.2 Certification of CFO pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002

99.3 List of Subsidiaries

(B) FINANCIAL STATEMENTS

Auditors' Report

Consolidated Balance Sheet

Consolidated Statement of Operations and Deficit

Consolidated Statement of Changes in Financial Position

Notes to Consolidated Financial Statements

(C) REPORTS ON FORM 8-K

There were no reports filed on Form 8-K during the fourth quarter of
fiscal 2002.

SIGNATURES

Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange
Act of 1934, the registrant has duly caused this report to be signed on its
behalf by the undersigned, thereunto duly authorized.

MED-EMERG INTERNATIONAL, INC.

/s/ Ramesh Zacharias
-------------------------------
Ramesh Zacharias
Director, Chief Executive Officer
DATE: March 28, 2003

Pursuant to the requirements of the Securities Exchange Act of 1934, this report
has been signed below by the following persons on behalf of the registrant and
in the capacities and on the dates indicated.

/s/ William Thomson
-------------------------------
William Thomson
Chairman of the Board
DATE: March 28, 2003

/s/ Ramesh Zacharias
-------------------------------
Ramesh Zacharias
Director, Chief Executive Officer
DATE: March 28, 2003

/s/ Dr. Frank Baillie
-------------------------------
Dr. Frank Baillie
Director
DATE: March 28, 2003

/s/ Lewis MacKenzie
-------------------------------
Lewis MacKenzie
Director
DATE: March 28, 2003

/s/ John Yarnell
-------------------------------
John Yarnell
Director
DATE: March 28, 2003

/s/ John Jarman
-------------------------------
John Jarman
Chief Financial Officer
DATE: March 28, 2003

CERTIFICATION PURSUANT TO 18 U.S.C. SECTION 1350

Below are the certifications that need to be included on the signature page:

CERTIFICATIONS

I, Dr. Ramesh Zacharias, certify that:

1. I have reviewed this report on Form 10-K of Med-Emerg International, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a
material fact or omit to state a material fact necessary to make the statements
made, in light of the circumstances under which such statements were made, not
misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial
information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as
of, and for, the periods presented in this report;

4. The registrant's other certifying officers and I are responsible for
establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-14 and 15d-14) for the registrant and we have:

a) designed such disclosure controls and procedures to ensure that
material information relating to the registrant, including its consolidated
subsidiaries, is made known to us by others within those entities, particularly
during the period in which this report is being prepared;

b) evaluated the effectiveness of the registrant's disclosure controls
and procedures as of a date within 90 days prior to the filing date of this
report (the "Evaluation Date"); and

c) presented in this report our conclusions about the effectiveness of
the disclosure controls and procedures based on our evaluation as of the
Evaluation Date.

5. The registrant's other certifying officers and I have disclosed, based on our
most recent evaluation, to the registrant's auditors and the audit committee of
registrant's board of directors (or persons performing the equivalent
functions):

a) all significant deficiencies in the design or operation of internal
controls which could adversely affect the registrant's ability to record,
process, summarize and report financial data and have identified for the
registrant's auditors any material weaknesses in internal controls; and

b) any fraud, whether or not material, that involves management or
other employees who have a significant role in the registrant's internal
controls.

6. The registrant's other certifying officers and I have indicated in this
report whether or not there were significant changes in internal controls or in
other factors that could significantly affect internal controls subsequent to
the date of our most recent evaluation, including any corrective actions with
regard to significant deficiencies and material weaknesses.

Date: March 28, 2003

_______________________

Dr. Ramesh Zacharias
Chief Executive Officer

I, John Jarman, certify that:

1. I have reviewed this report on Form 10-K of Med-Emerg International, Inc.;

2. Based on my knowledge, this report does not contain any untrue statement of a
material fact or omit to state a material fact necessary to make the statements
made, in light of the circumstances under which such statements were made, not
misleading with respect to the period covered by this report;

3. Based on my knowledge, the financial statements, and other financial
information included in this report, fairly present in all material respects the
financial condition, results of operations and cash flows of the registrant as
of, and for, the periods presented in this report;

4. The registrant's other certifying officers and I are responsible for
establishing and maintaining disclosure controls and procedures (as defined in
Exchange Act Rules 13a-14 and 15d-14) for the registrant and we have:

a) designed such disclosure controls and procedures to ensure that
material information relating to the registrant, including its consolidated
subsidiaries, is made known to us by others within those entities, particularly
during the period in which this report is being prepared;

b) evaluated the effectiveness of the registrant's disclosure controls
and procedures as of a date within 90 days prior to the filing date of this
report (the "Evaluation Date"); and

c) presented in this report our conclusions about the effectiveness of
the disclosure controls and procedures based on our evaluation as of the
Evaluation Date.

5. The registrant's other certifying officers and I have disclosed, based on our
most recent evaluation, to the registrant's auditors and the audit committee of
registrant's board of directors (or persons performing the equivalent
functions):

a) all significant deficiencies in the design or operation of internal
controls which could adversely affect the registrant's ability to record,
process, summarize and report financial data and have identified for the
registrant's auditors any material weaknesses in internal controls; and

b) any fraud, whether or not material, that involves management or
other employees who have a significant role in the registrant's internal
controls.

6. The registrant's other certifying officers and I have indicated in this
report whether or not there were significant changes in internal controls or in
other factors that could significantly affect internal controls subsequent to
the date of our most recent evaluation, including any corrective actions with
regard to significant deficiencies and material weaknesses.

Date: March 28, 2003

________________________

John Jarman
Chief Financial Officer

AUDITORS' REPORT

To the Shareholders of
Med-Emerg International, Inc.

We have audited the consolidated balance sheets of Med-Emerg International, Inc.
as at December 31, 2002 and 2001 and the consolidated statements of operations
and deficit and cash flows for each of the years then ended. These consolidated
financial statements are the responsibility of the Company's management. Our
responsibility is to express an opinion on these consolidated financial
statements based on our audits.

We conducted our audits in accordance with Canadian generally accepted auditing
standards. Those standards require that we plan and perform an audit to obtain
reasonable assurance whether the financial statements are free of material
misstatement. An audit includes examining, on a test basis, evidence supporting
the amounts and disclosures in the financial statements. An audit also includes
assessing the accounting principles used and significant estimates made by
management, as well as evaluating the overall financial statement presentation.

In our opinion, these consolidated financial statements present fairly, in all
material respects, the financial position of the Company as at December 31, 2002
and 2001 and the results of its operations and cash flows for each of the years
then ended in accordance with Canadian generally accepted accounting principles.

/s/ Schwartz Levitsky Feldman, LLP

Chartered Accountants

Toronto, Ontario
March 18, 2003

COMMENTS BY AUDITORS FOR U.S. READERS ON CANADIAN-U.S. REPORTING DIFFERENCES

In the United States, reporting standards for auditors require the addition of
an explanatory paragraph when the consolidated financial statements are affected
by conditions and events that cast substantial doubt on the Company's ability to
continue as a going concern, such as those described in note 3 to the
consolidated financial statements. Our report to the shareholders dated March
18, 2003 is expressed in accordance with Canadian reporting standards which do
not permit a reference to such events and conditions in the auditor's report
when these are adequately disclosed in the financial statements.

/s/ Schwartz Levitsky Feldman, LLP

Chartered Accountants

Toronto, Ontario
March 18, 2003

MED-EMERG INTERNATIONAL INC.
CONSOLIDATED BALANCE SHEET
AS AT DECEMBER 31, 2002 AND 2001
(IN US$)

2002 2001
--------------- --------------
(see note 28)

ASSETS

CURRENT ASSETS
Cash $ 173,841 $ 70,341
Accounts receivable (note 6) 2,531,424 2,418,664
Prepaid expenses and other 127,947 147,528
Deferred financing costs (note 7) 42,883 -
Short term investments (note 8) - 102,051
--------------- --------------
2,876,095 2,738,584
--------------- --------------

Property, plant and equipment (note 9) 765,112 682,496
--------------- --------------
TOTAL ASSETS $ 3,641,207 $ 3,421,080
--------------- --------------
--------------- --------------

LIABILITIES AND SHAREHOLDERS' DEFICIT

CURRENT LIABILITIES
Demand Loan (note 10) $ 11,462 $ -
Bank Indebtedness (note 11) - 1,193,865
Accounts payable and accrued liabilities 4,780,680 3,323,410
Other loans (note 13) 545,235 153,289
--------------- --------------
TOTAL LIABILITIES 5,337,377 4,670,564

Minority interest 2,170 4,330

Commitments and contingencies (note 20 and 21)

SHAREHOLDERS' DEFICIT
Capital Stock (note 15) 11,544,736 11,350,336
Contributed surplus (note 16) 1,236,587 1,174,300
Convertible debentures (note 14) 261,440 124,375
Deficit (14,333,572) (13,510,845)
Cumulative translation adjustment (407,531) (391,980)
--------------- --------------
(1,698,340) (1,253,814)
--------------- --------------
$ 3,641,207 $ 3,421,080
--------------- --------------
--------------- --------------

The accompanying notes are an integral part of these consolidated financial
statements.

MED-EMERG INTERNATIONAL INC.
CONSOLIDATED STATEMENT OF OPERATIONS AND DEFICIT
FOR THE YEARS ENDED DECEMBER 31, 2002 AND 2001
(IN US$)

2002 2001
------------------ -----------------
(see note 28)

REVENUE $ 45,044,310 $ 23,058,455
Physician fees and other direct costs 38,381,541 16,869,850
------------------ -----------------
6,662,769 6,188,605
------------------ -----------------
EXPENSES
Salaries and benefits $ 3,246,059 $ 3,027,587
General and administration 1,055,072 989,250
Occupancy costs and supplies 1,520,061 1,511,971
Public company costs 72,423 112,512
Travel & Marketing 224,452 262,634
------------------ -----------------
Total operating expenses 6,118,067 5,903,954
------------------ -----------------

INCOME BEFORE UNDERNOTED ITEMS 544,702 284,651

Interest and financing expenses 1,001,446 451,924
Amortization of property, plant, and equipment 297,374 1,015,404
Amortization of goodwill - 1,779,253
Amortization of other assets - 709,071
HealthyConnect.com development costs - 1,375,584
Dilution Gain - (25,462)
Stock compensation expenses 62,287 100,000
Restructuring and other expenses - 149,002
Forgiveness of loan (note 11) (228,459) -
Loss on disposition of assets 19,507 258,941
------------------ -----------------
1,152,155 5,813,717
------------------ -----------------

LOSS BEFORE INCOME TAXES (607,453) (5,529,066)
Income taxes (recovery) (note 17) (13,570) 1,248,016
------------------ -----------------

NET LOSS BEFORE MINORITY INTEREST AND PREFERRED SHARE DIVIDENDS (593,883) (6,777,082)

Minority Interest (9,781) 35,515
------------------ -----------------

NET LOSS BEFORE PREFERRED SHARE DIVIDENDS (603,664) (6,741,567)

Preferred share dividends (134,983) (134,870)
------------------ -----------------

NET LOSS (738,647) (6,876,437)

DEFICIT, BEGINNING OF THE YEAR (13,510,845) (6,634,408)

Convertible debenture charges (note 14) (84,080) -
------------------ -----------------
DEFICIT, END OF THE YEAR $ (14,333,572) $ (13,510,845)
------------------ -----------------
------------------ -----------------
BASIC LOSS PER COMMON SHARE (NOTE 18) $ (0.09) $ (0.84)
------------------ -----------------
------------------ -----------------
WEIGHTED AVERAGE BASIC COMMON SHARES OUTSTANDING 9,429,828 8,161,874
------------------ -----------------
------------------ -----------------

The accompanying notes are an integral part of these consolidated financial
statements.

MED-EMERG INTERNATIONAL INC.
CONSOLIDATED STATEMENT OF CASH FLOWS
AS AT DECEMBER 31, 2002 AND 2001
(IN US$)

2002 2001
------------------ -----------------
(see note 28)

CASH FLOWS FROM OPERATING ACTIVITIES
Net loss for the year $ (738,647) $ (6,876,437)
Adjustments for:
Amortization of property, plant and equipment 297,374 1,015,404
Amortization of goodwill and other assets - 2,601,238
Future income taxes (note 17) - 1,248,016
Dilution gain from HealthyConnect.com - (25,462)
Writedown investment in HealthyConnect.com - 1,375,584
Loss on disposition 19,507 258,941
Minority interest (2,160) (568,675)
Non cash compensation - 52,200
Stock compensation 62,287 100,000
Convertible debentures (note 14) 52,985 124,375
Forgiveness of loan (228,459) -
Common shares issued for financing 194,400 -
------------------ -----------------
(342,713) (694,816)

Increase/(decrease) in non-cash working
capital components (note 19) 1,364,091 (794,239)
------------------ -----------------
1,021,378 (1,489,055)
------------------ -----------------
------------------ -----------------
CASH FLOWS FROM INVESTING ACTIVITIES
Additions to property, plant, and equipment (399,498) (151,287)
Sale of Investment in Next Generation Technology Holdings, Inc. 102,051 -
Other assets - 2,441,131
Sale of investment in clinic - (15,099)
Investment in HealthyConnect.com - (1,477,635)
------------------ -----------------
(297,447) 797,110
------------------ -----------------
------------------ -----------------
CASH FLOWS FROM FINANCING ACTIVITIES
Repayment of bank indebtedness (965,406) (326,831)
Demand loan 11,462 -
Issue of common shares - 1,291,361
Deferred financing costs incurred (42,883) -
Issuance/(repayment) of debt 391,946 (176,810)
Due to shareholder - (175,059)
------------------ -----------------
(604,881) 612,661

Effect of foreign currency exchange rate changes (15,550) 74,841
INCREASE (DECREASE) IN CASH 103,500 (4,443)
Cash, beginning of year 70,341 74,784
------------------ -----------------
CASH, END OF YEAR $ 173,841 $ 70,341
------------------ -----------------
------------------ -----------------

The accompanying notes are an integral part of these consolidated financial
statements.

MED-EMERG INTERNATIONAL INC.
Notes to Consolidated Financial Statements
December 31, 2002 and 2001

1. ORGANIZATION AND DESCRIPTION OF BUSINESS

Med-Emerg International Inc. ("MEII' or the "Company") is a private sector
provider of quality healthcare management services to the Canadian healthcare
industry.

The Company is publicly traded and listed on the OTC Bulletin Board. The Company
completed its initial public offering in February 1998.

The Company's operations are in Canada and are divided into five business units:
Hospital Staffing, Medical Clinics, Government Healthcare Services,
Pharmaceutical Support and Long-Term Care. The Company intends to broaden its
healthcare management services over a wider geographic base.

For hospital staffing, the Company provides emergency department physician and
nurse recruitment, staffing and administrative support services to hospitals, on
a contractual basis. At December 31, 2002, the Company had 26 contracts for
physician staffing and 3 contracts for nurse staffing.

The Company owns and manages 21 medical clinic facilities. This unit provides
physicians with the ability to practice within a professional managed network
and to concentrate on the clinical aspects of their practices.

The Company provides medical personnel to the entire Canadian Forces. The
Company provides in-garrison healthcare at bases across Canada. Through this
contract the Company recruits, schedules and manages physicians, nurses,
dentists, physiotherapists and other healthcare professionals to provide
services as required by the Canadian Forces health authority resident at each
base.

The Company provides special access Remicade(TM) infusion services to patients
suffering from Crohn's Disease and rheumatoid arthritis at clinic locations
across Canada.

MEII provides provides physician and nurse practitioners to select long-term
care facilities in Ontario. Such physician services include admission physical
assessments and regular primary care to residents of the facilities.

2. BASIS OF PRESENTATION

The accompanying audited consolidated financial statements have been prepared in
accordance with Canadian generally accepted accounting principles. These
financial statements consolidate, with minority interest, the accounts of MEII
and all wholly- and partially-owned subsidiaries of MEII.

Significant intercompany accounts and transactions have been eliminated on
consolidation.

The consolidated financial statements are expressed in US dollars and are
prepared in accordance with Canadian generally accepted accounting principles.
Differences between Canadian and United States accounting principles are
described in note 24.

MED-EMERG INTERNATIONAL INC.
Notes to Consolidated Financial Statements
December 31, 2002 and 2001

3. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

a) Going concern

The consolidated financial statements have been prepared on principles
applicable to a going concern which assumes that the Company will be able to
realize its assets and discharge its obligations in the normal course of
business. As at December 31, 2002, the Company had a working capital deficiency
of $2,461,282 and a shareholders' deficit of $ 1,698,340.

On June 28th, 2002 the Company discharged its primary banker (HSBC) and MEII
currently does not have any traditional bank credit facilities.

Management has implemented certain plans and has obtained alternative financing
from private investors (see note 11 and 12 for further details), which it
believes will alleviate these conditions and enable the company to return to
profitability in the foreseeable future. These plans include:

1) closure of non-profitable clinics, termination of redundant staff and
cost-cutting measures;

2) negotiating discounts with creditors; and

3) disposition of redundant assets.

Further, the Company has recently obtained a Government contract, Canadian
Contractor Augmentation Program (CANCAP) to provide support to overseas military
initiatives, with third party associates SNC Lavalin and PAE located in
California. The contract is to provide all the logistical and medical support to
the Canadian Military when they are involved in overseas engagements.

The Company is continuously pursuing opportunities for alternative sources of
financing at more favourable interest rates and its ability to continue as a
going concern is dependent on obtaining such financing and ensuring that there
is no further deterioration in its working capital and shareholder's deficit.

Should the Company be unable to obtain such alternative financing, it may not be
able to continue as a going concern. As a result, certain assets and liabilities
currently reflected in the balance sheet at book value would have to be adjusted
to liquidated values.

b) Use of Estimates

The preparation of consolidated financial statements in conformity with Canadian
generally accepted accounting principles requires management to make estimates
and assumptions that affect the reported amounts of assets and liabilities and
disclosure of contingent liabilities and liabilities during the reporting
period. Significant areas requiring the use of estimates relate to: 1) the
reported amounts of revenues and expenses, 2) the disclosure of contingent
liabilities, 3) the carrying value of goodwill and property, plant, and
equipment and the rate of amortization related thereto. Actual results could
differ from those estimates.

c) Short term investments

Short term investments comprising marketable securities were written down to its
market value.

d) Property, plant, and equipment

Property, plant, and equipment are recorded at cost and are amortized over their
estimated useful lives at the undernoted rates and methods:

Furniture and fixtures 20% Declining balance
Medical Equipment 10% Declining balance
Computer software 100% Declining balance
Computer hardware 30% Declining balance
Leasehold improvements 5-10 years Straight-line

MED-EMERG INTERNATIONAL INC.
Notes to Consolidated Financial Statements
December 31, 2002 and 2001

3. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONT'D)

e) Impairment charges

At least annually and when events and circumstances warrant a review, the
Company evaluates the carrying value of its assets for potential impairment. An
impairment loss is recognized when the estimated net realizable value of any
asset is less than its carrying value. Any impairment in assets is written down
and charged to earnings in the year.

f) Revenue Recognition

The company has adopted the provisions of Emerging Issues Committee ("EIC") -
123,issued by the Canadian Institute of Chartered Accountants (CICA). which
became effective on January 1, 2002. EIC -123 addresses the reporting of revenue
on a gross basis as a principal versus on a net basis as an agent.

The following is a description of MEII's revenue recognition policies for each
of the significant business units.

(1) Clinic Staffing:

Revenue is reported on a mix of both gross and net basis for clinic staffing.

MEII acts as principal in providing health service delivery through the clinic
network. MEII is the operator of the clinic that provides the health service,
has the responsibility to provide the facility (bricks & mortar), staffing and
follow-up effort (both by way of clinic managers and the London Billing office)
and also controls the patient records, patient billings and patient collections.
There are a number of risks MEII attempts to manage which includes insurance
coverage both in respect of the property and also coverage on healthcare
professionals who work for the Company. For certain clinics, MEII has the risk
of collection in that claims may be submitted for ineligible patients or the
Minister of Health may reject certain claims processed. Revenue from these
clinics is recognized on a gross basis. However, in certain other clinics the
billings are submitted and collected by the physicians directly and only the
Company's portion is remitted to MEII. In such cases the revenue is recorded on
a net basis.

(2) Hospital Staffing, Pharmaceutical support and Long-term care:

Revenue is reported on a gross basis.

MEII acts as a principal in providing these services. MEII contracts with
emergency room physician personnel to provide services to hospitals in Ontario,
a mix of rural and urban facilities including tertiary care centres. Under
contract with Schering-Plough Canada, MEII acts as the national co-ordinator for
the community-based infusion of RemicadeTM for the treatment of patients with
rheumatoid arthritis and Chron's disease. During April 2002, MEII commenced a
new line of business, which involves contracting with physicians and nurse
practitioners to provide services to long-term care facilities in Ontario. MEII
has the risk of non-collection from these revenue streams.

(3) Healthcare Services (Department of National Defence ("DND"):

Revenue is reported on a gross basis.

MEII has an administrative management contract with DND to provide medical
personnel to Canadian armed forces across Canada.

Under the terms of the contract, MEII has the responsibility to hire medical
personnel and support staff and where necessary provide appropriate training and
supervision of the work performed at the respective bases across Canada. MEII
bills DND for the work performed by these individuals and in turns pays the
medical personnel and support staff based on the terms of the respective
contracts signed with them. MEII has a risk of non-collection from DND.

MED-EMERG INTERNATIONAL INC.
Notes to Consolidated Financial Statements
December 31, 2002 and 2001

3. SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONT'D)

g) Future Income Taxes

The Company accounts for income taxes using the asset and liability method.
Future tax assets and liabilities are recognized for the future taxes
attributable to the temporary differences between the financial statement
carrying amounts of existing assets and liabilities and their respective tax
carrying values. Future tax assets and liabilities are measured using enacted or
substantially enacted tax rates expected to apply to taxable income in the years
in which those temporary differences are expected to be recovered or settled. A
valuation allowance against future tax assets is provided to the extent that the
realizations of these future tax assets is not more likely than not.

h) Cash

Cash consists of cash on hand and in banks.

i) Foreign currency translation

During 2002, the Company adopted the recommendation of the Canadian Institute of
Chartered Accountants ("CICA") handbook section 1650 Foreign Currency
Translation. The amended standard eliminates the deferral and amortization
approach to exchange gains and losses on long-term monetary items and requires
the disclosure of the exchange gains and losses included in the calculation of
net income. There is no material effect of this change in accounting policy on
the financial statements of the Company.

The Company maintains its books and records in Canadian dollars. The financial
statements are converted to U.S. dollars as the Company is a reporting issuer in
the United States of America. The translation method used is the current rate
method. Under the current rate method all assets and liabilities are translated
at the current rate prevailing at the balance sheet date, shareholder's deficit
is translated at historical rates and all income and expense items are
translated at average rates for the year. Due to the fact that items in the
financial statements are being translated at different rates according to their
nature, a translation adjustment is created. This translation adjustment has
been included in cumulative translation adjustment.

j) Stock compensation

The Company has adopted section 3870 issued by the CICA in respect of stock
based compensation and other stock based payments. The standard requires either
the recognition of a compensation expense for grants of stock, stock options,
and other equity instruments to employees based on the estimated fair value of
the instruments at the grant date , or alternatively, the disclosure of pro
forma net earnings and earnings per share data as if stock based compensation
had been recognized in earnings.

4. CHANGE IN ACCOUNTING POLICY

During the fourth quarter of fiscal 2001, the Company retroactively adopted the
new recommendations of the Canadian Institute of Chartered Accountants for
calculating and reporting earnings per share. Under the new recommendations,
basic and diluted earnings per share should be computed using the treasury stock
method. The treasury stock method should reflect the effect of potentially
dilutive securities, including stock options, share purchase price warrants,
preferred shares and notes payable, when dilutive. Prior to the adoption of the
new recommendations, diluted earnings per share were calculated by adjusting
basic earnings per share for the effect of all dilutive securities outstanding
and inputing interest income on the cash proceeds derived from the exercise of
such securities. The result of applying the new recommendations had no effect on
diluted loss per share due to the anti-dilutive impact of the losses generated
by the Company during the years before and after adoption of the new
recommendations.

MED-EMERG INTERNATIONAL INC.
Notes to Consolidated Financial Statements
December 31, 2002 and 2001

5. BUSINESS ACQUISITIONS AND DISPOSITIONS

The Company disposed of the York Lanes Health Centre clinic on March 31, 2001.

On September 1, 2001 the Company purchased all the assets of a medical clinic
operating in Winnipeg, Manitoba.

On September 18, 2001 the Company disposed of its ownership interest in
HealthyConnect.com Inc. (HCCI). All the outstanding issues between the Company
and HCCI were settled as follows:

(1) all amounts due and payable under a lease agreement were cancelled,
releasing the Company from any remaining obligations;

(2) the Company received 1,000,000 HCCI shares and issued 200,000 shares to pay
outstanding accounts;

(3) certain of the former HCCI shareholders exercised their right to exchange
HCCI shares for 1,077,440 shares of the Company and a promissory note of
$590,536. One promissory note in the amount of $356,248 was converted to
common shares (restricted) to complete this transaction at the Company's
option. The outstanding promissory notes bear an interest rate of 7% and
become due payable in five years after issuance. The Company may pay
principal amount and accrued interest in the note at any time, upon five
business days notice, prior to maturity. The Company may make payment of
the note in the form of cash or shares or a combination of cash and shares
with an aggregate market value equal to principal amount of the note plus
accrued interest on the note. With the completion of the merger between
HCCI and Next Generation Technology Holdings Inc. (NGTH), the Company was
entitled to receive an additional 1.923 share of HCCI Common Stock for
every share of HCCI Common Stock surrendered by the former shareholders of
Harmonie Group Inc., for a total additional shares of HCCI of 3,355,070. At
the closing of these transactions the Company held 18,099,776 shares in
HCCI which were converted to 1,929,921 shares in NGTH pursuant to a
supplement to the merger dated September 27, 2001. The Company proceeded to
dispose of its interest in NGTH during fiscal 2001and the balance of
$102,051 in fiscal 2002 (see note 8).

6. ACCOUNTS RECEIVABLE

2002 2001
------------------------------

Trade receivable $ 2,600,939 $ 2,567,660
Allowance for doubtful accounts (69,515) (148,996)
------------------------------
$ 2,531,424 $ 2,418,664
------------------------------

7. DEFERRED FINANCING COSTS

As part of the re-financing arrangement with Wellington Capital Corporation (the
"Lendor"), the interest component of the loan totaling $ 120,000 was withheld by
the lendor and these related interest charges (initially deferred) are being
expensed over the twelve month term of the loan (See note 12).

8. SHORT TERM INVESTMENTS

2002 2001
----------------------------

Short Term Investments $ Nil 102,051
----------------------------
----------------------------