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SEC Company Response from MED-EMERG INTERNATIONAL INC (CIK 0001030179) — Sep 29, 2005

MED-EMERG INTERNATIONAL INC (CIK 0001030179)
Date: Sept. 29, 2005 · CIK: 0001030179 · Accession: 0001143994-05-000040

AI Filing Summary & Sentiment

Date
August 16, 2005
Author
yours
Form
CORRESP
Company
MED-EMERG INTERNATIONAL INC (CIK 0001030179)

Letter

Ms. Keira Ino United States Securities and Exchange Commission Fifth Street, NW Washington, DC 20549

Dear Ms. Ino:

In response to the questions posed in the correspondence from Mr. Jim Rosenberg, Senior Assistant Chief Accountant, in his letter of August 16, 2005, we are pleased to provide additional information, as requested.

For ease of reference our responses are in sequence consistent with Mr. Rosenberg’s questions and where comments have been modified or expanded upon the changes have been underlined.

If you have questions please contact the writer at your earliest convenience at (905) 288-1003 or bdanis@med-emerg.com.

NOTE: CERTAIN INFORMATION CONTAINED HEREIN IS CONFIDENTIAL AND MAY NOT BE MADE PUBLIC.

Sincerely
yours,
/s/William
J. Danis

Show Raw Text
CORRESP
1
filename1.htm

MDER CORRESP 09-28-2005

                                     6711
      MISSISSAUGA ROAD, SUITE 404

      MISSISSAUGA,
      ONTARIO, CANADA L5N 2W3

      PHONE:
      (905) 858-1368

      FAX:
      (905) 858-1399

      www.med-emerg.com

September
28, 2005

Ms.
Keira Ino

United
States Securities and Exchange Commission

450
Fifth Street, NW

Washington,
DC 20549

Dear
Ms. Ino:

In
response to the questions posed in the correspondence from Mr. Jim Rosenberg,
Senior Assistant Chief Accountant, in his letter of August 16, 2005, we are
pleased to provide additional information, as requested.

For
ease of reference our responses are in sequence consistent with Mr. Rosenberg’s
questions and where comments have been modified or expanded upon the changes
have been underlined.

If
you have questions please contact the writer at your earliest convenience at
(905) 288-1003 or bdanis@med-emerg.com.

NOTE:
CERTAIN INFORMATION CONTAINED HEREIN IS CONFIDENTIAL AND MAY NOT BE MADE
PUBLIC.

Sincerely
yours,

/s/William
J. Danis

Chief
Financial Officer

- 1
-

General

    1.

      We
      hereby acknowledge that:

    §

      The
      Company is responsible for the adequacy and accuracy of the disclosure in
      the filings;

    §

      SEC
      staff comments or changes to disclosure in response to SEC staff comments
      in the filings reviewed by the SEC do not foreclose the SEC from taking
      any action with respect to the filing;
and

    §

      The
      Company may not assert SEC staff comments as a defense in any proceedings
      initiated by the SEC or any person under the federal securities laws of
      the United States.

- 2
-

      Question
      2. Item 6- revised table as requested.

      US$

      YEAR
      ENDED DECEMBER 31,

      2004

      2003

      2002

      2001

      2000

      Statement
      of Operations Data:

      Revenue

      48,447,687

      54,335,558

      37,428,043

      15,813,250

      15,532,767

      Physician
      fees and other direct costs

      43,693,380

      49,217,416

      34,382,752

      13,223,282

      10,011,764

      Gross
      Profit

      4,754,307

      5,118,142

      3,045,291

      2,589,968

      5,521,003

      Operating
      expenses before undernoted items

      4,810,341

      4,678,665

      2,704,529

      2,439,373

      6,103,860

      Depreciation
      and amortization

      182,399

      120,924

      102,345

      92,575

      1,590,006

      Other
      expenses

      1,102,772

      1,730,587

      827,336

      2,078,753

      1,291,150

      6,095,512

      6,530,176

      3,634,210

      4,610,701

      8,985,016

      Loss
      before income taxes

      (1,341,205

      )

      (1,412,034

      )

      (588,919

      )

      (2,020,733

      )

      (3,464,013

      )

      Income
      taxes (recovery)

      -

      (2,458

      )

      -

      1,248,016

      (978,189

      )

      Minority
      interest

      -

      (2,095

      )

      (2,211

      )

      1,926

      (318,223

      )

      Discontinued
      operations

      -

      (167,169

      )

      (16,956

      )

      (3,470,892

      )

      -

      Net
      loss - Canadian GAAP

      (1,341,205

      )

      (1,574,650

      )

      (603,664

      )

      (6,741,567

      )

      (2,167,601

      )

      Net
      loss - US GAAP

      (1,176,578

      )

      (1,983,291

      )

      (619,214

      )

      (6,964,095

      )

      (3,689,914

      )

      Preferred
      share dividends

      (34,173

      )

      (135,006

      )

      (134,983

      )

      (134,870

      )

      (131,240

      )

      Forgiveness
      of Preferred share dividends

      579,582

      -

      -

      -

      Net
      loss attributable to common shareholders - Canadian GAAP

      (795,796

      )

      (1,709,656

      )

      (738,647

      )

      (6,876,437

      )

      (2,298,841

      )

      Net
      loss attributable to common shareholders - US GAAP

      (631,169

      )

      (2,118,297

      )

      (754,197

      )

      (7,098,965

      )

      (3,821,154

      )

      Basic
      loss per common share

      Continuing
      operations

      (0.02

      )

      (0.16

      )

      (0.08

      )

      (0.41

      )

      (0.40

      )

      Discontinued
      operations

      (0.00

      )

      (0.02

      )

      (0.00

      )

      (0.42

      )

      (0.00

      )

      Balance
      Sheet Data:

      Working
      Capital Surplus (deficit)

      1,224,127

      (3,169,692

      )

      (2,329,525

      )

      (1,931,980

      )

      (2,471,958

      )

      Total
      Assets

      7,322,027

      4,044,225

      3,641,207

      3,421,080

      9,268,922

      Long-Term
      debt

      599,991

      599,991

      590,536

      590,536

      11,537

      Shareholders'
      equity (deficit) - Canadian GAAP

      559,249

      (3,448,142

      )

      (2,341,861

      )

      (1,844,350

      )

      4,142,345

      Shareholders'
      equity (deficit) - US GAAP

      1,647,121

      (2,360,270

      )

      (1,253,989

      )

      (756,478

      )

      3,777,466

      Year
      end US$ exchange rate (equivalent to 1Cdn$)

      0.83

      0.77

      0.63

      0.63

      0.67

      Average
      US$ exchange rate (equivalent to 1Cdn$)

      0.77

      0.71

      0.64

      0.65

      0.66

      Range
      of high and low rates (equivalent to 1Cdn$)

      0.71
      to 0.85

      0.63
      to 0.78

      0.62
      to 0.67

      0.62
      to 0.67

      0.64
      to 0.70

- 3
-

Question 2 - Item 6 - additional information as
requested.

      SUPPLEMENTARY
      FINANCIAL INFORMATION

      QUARTERLY
      FINANCIAL DATA (UNAUDITED)

      4TH
      QUARTER

      3rd
      QUARTER

      2nd
      QUARTER

      1ST
      QUARTER

      2004

      2003

      2004

      2003

      2004

      2003

      2004

      2003

      Revenue

      13,619,890

      12,421,081

      11,704,989

      14,297,671

      10,569,207

      16,348,865

      12,553,601

      11,267,941

      Gross
      Profit

      1,252,482

      1,220,583

      1,148,196

      1,417,336

      1,169,895

      1,504,929

      1,183,734

      975,294

      Income(loss)
      before undernoted items

      520,908

      174,425

      -35,286

      221,059

      -620,637

      -32,359

      78,981

      76,352

      Gain
      (loss) from discontinued operations

      3,449

      -898,848

      0

      862,814

      7

      -71,179

      -3,456

      -59,956

      Net
      profit (loss) for the period

      -253,018

      -147,634

      -234,864

      114,715

      -160,350

      -753,635

      -147,564

      -923,102

      Basic
      loss per common share

      Continuing
      operations

      0.01

      0.09

      0.00

      -0.08

      -0.01

      -0.08

      -0.02

      -0.09

      Discontinued
      operations

      0

      -0.09

      0.00

      0.09

      0.00

      -0.01

      0.00

      -0.01

- 4
-

Question
3 - ITEM 7- proposed changes to MD&A in accordance with Rule 303(a) of Reg.
S-K

MANAGEMENT'S
DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF
OPERATIONS

LIQUIDITY
AND CAPITAL RESOURCES

As at
December 31, 2004, the Company's cash position was $2.3 million compared to $129
thousand at December 31, 2003 and $90 thousand at December 31, 2002. The $4.5
million equity financing (the “Financing”) that was completed in June 2004 was
the prime source of the improved cash position.

Operating
activities consumed $1.7 million of cash in the year of which $1.0 million was
absorbed directly by operations and the remainder was consumed by changes in
working capital. The biggest change in 2004 as compared to 2003 was the one-time
impact of closing costs associated with the Financing. These costs totaled about
$610 thousand. The working capital change is largely attributable to an increase
in accounts receivable relative to the accounts payable. While cyclicality in
accounts receivable and accounts payable are common on a month-to-month basis,
based on invoice dates, the accounts payable did not increase as much as the
accounts receivable because proceeds from the Financing were used to reduce
long, outstanding accounts payable. The decrease in cash flow from operations
compares to cash generated by operating activities of about $965 thousand in
2003 and $998 thousand in 2002. For both 2003 and 2002 the cash was generated by
changes in working capital which amounted to $1.07 million in 2003 and $1.14
million in 2002.

We
expect that the loss of the DND
contract will negatively impact our cash flows in 2005, commencing in the second
quarter. While we adjust our business to
deal with the loss of the
contract we expect that we will use up to $700 thousand of our cash resources to
fund operating activities.

Investing
activities used cash of about $700 thousand in the year ended December 31, 2004,
of which about $500 thousand was used to upgrade computer hardware and software
and to finance the leaseholds and furniture associated with our move to new
premises. About $200 thousand was used in the purchase of the Scarborough Pain
Clinic, and resulted in an increase in goodwill. This compares with cash
generated by investing activities of $120 thousand in 2003, which was comprised
of proceeds from the sale of our clinic operations of $470 thousand and which
was offset by cash used to acquire property, plant and equipment of $135
thousand and $210 thousand used by discontinued operations. In 2002, cash of
about $300 thousand was used in investing activities. Of this about $100
thousand was generated through the sale of an investment, $65 thousand was used
to acquire property, plant and equipment, and $335 thousand was used to invest
in discontinued operations.

Financing
activities generated $4.5 million of cash during the year. This occurred when
the Company issued 39,360,272 common shares as part of an equity financing. This
compares to cash used by financing activities of $640 thousand in 2003 and $605
thousand in 2002. In 2003 the cash was largely used to repay $660 thousand of
debt. In 2002 the decrease in cash arose when the Company raised about $475
thousand of debt, but in turn reduced bank indebtedness by $970 thousand and
incurred $70 thousand to finance discontinued operations and $42 thousand to
finance deferred financing costs.

Question
3 - revised disclosure regarding contractual obligations

      CONTRACTUAL
      OBLIGATIONS

      Total

      2005

      2006

      2007

      2008

      2009

      Thereafter

      Obligations

      Long-term
      debt1

      295,960

      295,960

      295,960

      295,960

      69,247

      -

      1,253,087

      Operating
      lease obligations

      288,309

      293,276

      293,679

      135,342

      113,352

      171,472

      1,295,430

      Notes payable2

      -

      809,991

      -

      -

      -

      -

      809,991

      Total

      $

      584,269

      $

      1,399,227

      $

      589,639

      $

      431,302

      $

      182,599

      $

      171,472

      $

      3,358,508

- 5
-

Notes:

1 -
Includes interest on long-term debt at the prescribed rate established by the
Canada Revenue Agency (CRA), currently set at 7%. These interest costs have been
waived by CRA in recent years.

2 -
Includes interest at the rate of 7%. Interest is payable in cash or by the
issuance of common stock, or any combination thereof.

Question
4 - revised discussion re accounting policies and assumptions

CRITICAL
ACCOUNTING POLICIES AND ASSUMPTIONS

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 during the reporting period. Significant
areas requiring the use of estimates relate to: 1) the reported amounts of
revenues and expenses, 2) the assessment of collection risk associated with
accounts receivable, 3) the disclosure of contingent liabilities. We
evaluate our estimates on an on-going basis. We state our accounting policies in
the notes to the audited consolidated financial statements and related notes for
the year ended December 31, 2004, contained herein. These estimates are based on
information that is currently available to us and on various other assumptions
that we believe to be reasonable under the circumstances. Actual results could
vary from those estimates under different assumptions or conditions. We believe
that the following critical accounting policies affect the more significant
judgments and estimates used in the preparation of our consolidated financial
statements:

    §

      We
      maintain accruals for revenues, physician fees and other direct costs,
      salaries, benefits, and other costs. Major accruals, revenues and
      expenses, relate to the accrual of revenue and expenses associated with
      staffing contracts. These accruals are of a short duration; that is,
      revenues and expenses are generally known before financial statements are
      finalized. Based on historical experience our accruals have proven
      accurate. Should changes occur in the future, we may be required to revise
      our accrual assumptions.

    §

      We
      maintain an allowance for doubtful accounts for estimated losses resulting
      from fraudulent claims made by patients, the inability of our corporate
      customers to make required payments, or as a result of a dispute in the
      invoiced amount. Fraudulent claims arise when patients seek medical care
      and provide an invalid health card for payment. The introduction of
      electronic medical records services, which pre-screen patients prior to
      services being rendered, is rapidly diminishing our exposure to fraudulent
      claims by patients. We determine the adequacy of our bad debt allowance by
      continually evaluating individual customer receivables, considering the
      customer’s financial condition, credit history and current economic and
      business conditions. If the financial condition of our customers were to
      deteriorate, resulting in an impairment of their ability to make payments,
      additional allowances may be required. Historically losses on
      uncollectible accounts have not exceeded our allowances. As of December
      31, 2004, our allowance for doubtful accounts was $15,800 (2003 -
      $46,115).

    §

      We
      are subject to various claims and legal actions in the ordinary course of
      our business. These matters include breach of contract or similar matters
      arising from contractual disputes. Our hospital and healthcare facility
      clients may also become subject to claims, governmental inquiries and
      investigations and legal actions to which we may become a party relating
      to services provided by our professionals. From time to time, and
      depending upon the particular facts and circumstances, we may be subject
      to indemnification obligations under our contracts with our hospital and
      healthcare facility clients relating to these matters. Material pending
      legal proceedings brought against the Company is described in Item 3.
      Legal Proceedings above. As mentioned, we are unable to determine our
      potential exposure regarding these lawsuits at this time. Similarly, we
      have other contingent liabilities that pertain to amounts potentially
      owing to government authorities. We continue to evaluate the probab