MED EMERG INTERNATIONAL INC
F-4, 1999-09-07
HEALTH SERVICES
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<PAGE>
   AS FILED WITH THE SECURITIES AND EXCHANGE COMMISSION ON SEPTEMBER 7, 1999
                                           REGISTRATION STATEMENT NO. 333-
- --------------------------------------------------------------------------------
- --------------------------------------------------------------------------------

                    U.S. SECURITIES AND EXCHANGE COMMISSION
                             WASHINGTON, D.C. 20549
                           --------------------------

                                    FORM F-4

                             REGISTRATION STATEMENT

                                     UNDER

                           THE SECURITIES ACT OF 1933

                           --------------------------

                          MED-EMERG INTERNATIONAL INC.

             (Exact Name of Registrant as Specified in Its Charter)

<TABLE>
<S>                                      <C>                         <C>
      PROVINCE OF ONTARIO, CANADA                   3842                               N/A
                                             (Primary Standard               (IRS Employer I.D. No.)
                                                 Industrial
    (State or other jurisdiction of         Classification Code
    incorporation or organization)                Number)
</TABLE>

                         2550 ARGENTIA ROAD, SUITE 205
                          MISSISSAUGA, ONTARIO L5N 5R1
                                     CANADA
                                 (905) 858-1368

  (Address, Including Zip Code, and Telephone Number, Including Area Code, of
                   Registrant's Principal Executive Offices)

                           --------------------------

                               MR. CARL PAHAPILL
                PRESIDENT, CHIEF OPERATING OFFICER AND DIRECTOR
                          MED-EMERG INTERNATIONAL INC.
                         2550 ARGENTIA ROAD, SUITE 205
                          MISSISSAUGA, ONTARIO L5N 5R1
                                     CANADA
                                 (905) 858-1368

 (Name, Address, Including Zip Code, and Telephone Number, Including Area Code,
                             of Agent for Service)

                           --------------------------

                                   COPIES TO:
                             JAY M. KAPLOWITZ, ESQ.
                        GERSTEN, SAVAGE & KAPLOWITZ, LLP
                        101 EAST 52ND STREET, 9TH FLOOR
                            NEW YORK, NEW YORK 10022
                                 (212) 752-9700

                           --------------------------

        APPROXIMATE DATE OF COMMENCEMENT OF PROPOSED SALE TO THE PUBLIC:
 As soon as practicable after the effectiveness of this Registration Statement.

                           --------------------------

    If the securities being registered on this form are being offered in
connection with the formation of a holding company and there is compliance with
General Instruction G, check the following box. / /

                           --------------------------

                        CALCULATION OF REGISTRATION FEE

<TABLE>
<CAPTION>
                                               NUMBER OF SHARES    PROPOSED MAXIMUM    PROPOSED MAXIMUM       AMOUNT OF
           TITLE OF EACH CLASS OF                   TO BE           OFFERING PRICE        AGGREGATE          REGISTRATION
        SECURITIES BEING REGISTERED             REGISTERED(1)         PER SHARE         OFFERING PRICE          FEE(2)
<S>                                           <C>                 <C>                 <C>                 <C>
Common Stock................................      1,799,502            US$1.875           $3,374,066           $938.00
Total Registration Fee......................                                                                   $938.00
</TABLE>

(1) Represents the maximum number of shares of common stock of Med-Emerg
    International that may be issued to shareholders of YFMC Healthcare Inc.,
    pursuant to the transactions described herein based on (a) the exchange rate
    of one Med-Emerg share of common stock for every 6.875 YFMC shares of common
    stock and (b) 44,585 shares of common stock that may be issued upon the
    exercise of the Series A Warrants, 44,585 shares of common stock which may
    be issued upon the exercise of the Series B warrants and 100,000 shares of
    common stock being issued to the YFMC preferred shareholders.

(2) Pursuant to rules 457(f)(1) and 457(c) under the Securities Act of 1933, as
    amended, the registration fee has been calculated based on a price of
    US$1.875 per share of Med-Emerg common stock as of September 4, 1999, as
    quoted on the Nasdaq SmallCap Market and the maximum number of shares of
    YFMC Healthcare Inc. common stock that may be outstanding immediately prior
    to the consummation of the transactions contemplated hereby as set forth in
    Footnote (1) above.
                         ------------------------------

    The Registrant hereby amends this Registration Statement on such date or
dates as may be necessary to delay its effective date until the Registrant shall
file a further amendment which specifically states that this Registration
Statement shall thereafter become effective in accordance with Section 8(a) of
the Securities Act of 1933, or until the Registration Statement shall become
effective on such date as the Securities and Exchange Commission, acting
pursuant to said Section 8(a), may determine.

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- --------------------------------------------------------------------------------
<PAGE>
                         [MED-EMERG CHAIRMAN'S LETTER]

                                                               September 3, 1999

Dear Fellow Shareholder:

    You are cordially invited to attend the annual meeting of shareholders of
Med-Emerg International Inc. ("Med-Emerg" or "Company") on November 19, 1999
(the "Med-Emerg Annual Meeting"), at which shareholders of Med-Emerg will be
asked to: (i) elect the Board of Directors of Med-Emerg for the ensuing year;
(ii) ratify the appointment of Schwartz Levitsky Feldman, Chartered Accountants,
as the Company's independent auditors for the ensuing year; and (iii) approve
the combination of the businesses of Med-Emerg and YFMC Healthcare Inc. ("YFMC")
through a tender offer by Med-Emerg for all of the outstanding securities of
YFMC and the issuance of securities of Med-Emerg in connection therewith. Upon
the consummation of this business combination, YFMC will become a wholly-owned
subsidiary of Med-Emerg.

    Upon the terms of the tender offer, each outstanding share of the Common
Stock of YFMC will be exchanged for 0.14545 shares of Med-Emerg common stock (or
6.875 shares of YFMC common stock for 1 share of Med-Emerg common stock).

    Each outstanding YFMC Series A Warrant will be entitled to 0.125 of a
Med-Emerg Series A Warrant.

    Each outstanding YFMC Series B Warrant will be entitled to 0.125 of a
Med-Emerg Series B Warrant.

    Immediately following the business combination, the former holders of
Med-Emerg common stock will collectively hold approximately 65.8% of the issued
and outstanding shares of Med-Emerg common stock and the former holders of YFMC
common stock will collectively hold approximately 34.2% of the issued and
outstanding shares of Med-Emerg common stock, without giving affect to the
exercise of any options or warrants.

    The accompanying Joint Prospectus/Proxy Statement provides you with detailed
information concerning the Med-Emerg Annual Meeting, election of the Company's
Board of Directors, the ratification of the Company's independent auditors, the
proposed business combination and the Med-Emerg common stock to be issued in
connection with the transaction as required by Nasdaq rules.

    Your Board of Directors (the "Board") has carefully reviewed and considered
the terms and conditions of the proposed business combination and believes that
the proposed business combination will provide opportunities to achieve
substantial benefits for Med-Emerg shareholders and customers through the more
efficient utilization of the combined assets, management and personnel of
Med-Emerg and YFMC.

    Your Board, by unanimous vote, (i) recommends a vote for election to the
Board of Directors of the Company each of the nominees, (ii) recommends a vote
for the ratification of the appointment of Schwartz Levitsky Feldman, Chartered
Accountants as the Company's independent auditors for the ensuing year, and
(iii) has determined that the terms and provisions of the proposed business
combination are fair to, and in the best interests of, Med-Emerg, and the
shareholders of Med-Emerg and recommends that you vote FOR the proposal to
approve the business combination and issuance of stock thereunder.

    Please complete, sign and date the enclosed proxy card and return it in the
enclosed prepaid envelope as soon as possible. This action will not limit your
right to revoke your proxy by attending the Med-Emerg Annual Meeting and voting
in person.

                                          Sincerely yours,
                                          William Thomson
                                          CHAIRMAN OF THE BOARD
<PAGE>
                          MED-EMERG INTERNATIONAL INC.
                         2550 ARGENTIA ROAD, SUITE 205
                          MISSISSAUGA, ONTARIO L5N 5R1
                                     CANADA

                    NOTICE OF ANNUAL MEETING OF SHAREHOLDERS
                        TO BE HELD ON NOVEMBER 19, 1999

                                                            Mississauga, Ontario
                                                                          Canada

    Notice is hereby given that the annual meeting of shareholders (the
"Med-Emerg Annual Meeting") of Med-Emerg International Inc. ("Med-Emerg") will
be held on November 19, 1999 at 10:00 a.m. local time, at Hotel
Intercontinental, 111 East 48(th) Street, New York, New York, 10017 for the
following purposes:

    1.  To elect the Board of Directors of Med-Emerg for the ensuing year;

    2.  To consider and vote on a proposal to approve the issuance of an
       aggregate of 1,799,502 additional shares of Med-Emerg pursuant to a
       tender offer and to adopt the Business Combination Agreement whereby
       Med-Emerg shall exchange 1 share of Med-Emerg common stock for every
       6.875 YFMC shares, 0.125 of a Med-Emerg Series A Warrant for each YFMC
       Series A Warrant, 0.125 of a Med-Emerg Series B Warrant for each YFMC
       Series B Warrant, 0.125 Med-Emerg stock options for every YFMC stock
       option and 0.10 Med-Emerg common stock for every YFMC first preferred
       share;

    3.  To ratify the appointment of Schwartz Levitsky Feldman, Chartered
       Accountants, as the Company's independent auditors for the ensuing year;
       and

    4.  To transact such other business as may properly come before the
       Med-Emerg Annual Meeting.

    Shareholders of record at the close of business on October 15, 1999 will be
entitled to receive notice of, and to vote at, the Med-Emerg Annual Meeting. The
presence, in person or by proxy, of the holders of a majority of the outstanding
shares of Med-Emerg common stock entitled to vote at the Med-Emerg Annual
Meeting is necessary to constitute a quorum at the Med-Emerg Annual Meeting.
Pursuant to Med-Emerg's Articles of Incorporation, as amended, the affirmative
vote, in person or by proxy, of the holders of a majority of the shares present
and entitled to vote at the meeting is required to approve each of the proposals
to be voted upon at the Med-Emerg Annual Meeting.

    Please note that attendance at the Med-Emerg Annual Meeting will be limited
to shareholders of Med-Emerg as of the record date (or their authorized
representatives). If your shares are held by a bank or broker, please bring to
the Med-Emerg Annual Meeting evidence from your bank or broker of your
beneficial ownership of Med-Emerg common stock.

    Please advise Med-Emerg's transfer agent of any changes in your address.

    WHETHER OR NOT YOU INTEND TO BE PRESENT AT THE MED-EMERG ANNUAL MEETING,
PLEASE PROMPTLY MARK, SIGN AND DATE THE ACCOMPANYING PROXY CARD AND RETURN IT IN
THE ENCLOSED PREPAID ENVELOPE. SHAREHOLDERS WHO DECIDE TO ATTEND THE MED-EMERG
ANNUAL MEETING MAY REVOKE THEIR PROXIES AT OR PRIOR TO THE MED-EMERG ANNUAL
MEETING AND VOTE IN PERSON EVEN IF THEY HAVE PREVIOUSLY RETURNED A PROXY.

                                          By Order of the Board of Directors,
                                          William Thomson
                                          CHAIRMAN OF THE BOARD
<PAGE>
                                    SUMMARY

    THIS SUMMARY HIGHLIGHTS SELECTED INFORMATION FROM THIS JOINT
PROSPECTUS/PROXY STATEMENT AND MAY NOT CONTAIN ALL OF THE INFORMATION THAT IS
IMPORTANT TO YOU. TO UNDERSTAND THE TRANSACTION FULLY AND FOR A MORE COMPLETE
DESCRIPTION OF THE LEGAL TERMS OF THE TRANSACTION, YOU SHOULD CAREFULLY READ
THIS ENTIRE DOCUMENT AND THE DOCUMENTS WE HAVE REFERRED YOU TO. SEE "ADDITIONAL
INFORMATION." AS USED HEREIN, UNLESS OTHERWISE INDICATED OR THE CONTEXT
OTHERWISE REQUIRES, MED-EMERG REFERS TO MED-EMERG INTERNATIONAL INC., ITS
WHOLLY-OWNED SUBSIDIARIES 927563 ONTARIO INC., 927564 ONTARIO INC., MED-EMERG
URGENT CARE INC., MED-EMERG ELMVALE CLINIC INC., MED-EMERG BRITTANIA URGENT CARE
INC., MED-HEALTH CENTRES INC. AND JC MEDICAL MANAGEMENT INC., ITS INDIRECT
WHOLLY-OWNED SUBSIDIARIES, MED-EMERG INC., AND MED PLUS HEALTH CENTERS LTD., ITS
INDIRECT 45%-OWNED SUBSIDIARY MEDICAL URGENT CARE INC, AND ITS INDIRECT
51%-OWNED SUBSIDIARIES CAREMEDICS (ELMVALE) INC. AND YORK LANES HEALTH CENTRES
INC. AND ITS INDIRECT 75%-OWNED SUBSIDIARY DOCTORS ON CALL LTD. YFMC HEALTHCARE
INC. IS REFERRED TO HEREIN AS "YFMC".

ABOUT OUR COMPANY

    We are a provider of a broad range of quality healthcare management
services. We were established in 1983, and specialize 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 our
business, we have expanded our business to offer a wide variety of medical
services including nurse staffing, physician management services and an
internet-based healthcare network.

    We are positioned to establish industry leadership in Canada by providing
integrated professional management services in the delivery of healthcare to the
Canadian healthcare consumer. Our operations are divided into three divisions:

    (1) Physician and Nurse Recruitment Services;

    (2) Physician Management Services; and

    (3) an internet based healthcare network called HealthyConnect.com.

    Our strategy is to remain focused on these three divisions while continuing
to broaden our consolidation of physicians over a wider geographic base. We
believe that we are well positioned to benefit from the aging of the baby boomer
population and to capitalize on recent developments within the North American
healthcare environment and internet technology. Specifically, our strategy is to
leverage our 15 years of physician recruitment experience to become a dominant
player in Physician Management Services and to develop an internet-based
healthcare network that connects physicians, patients, third party payors and
consumers to a "virtual world" of healthcare products and services.

OUR PHYSICIAN AND NURSE RECRUITMENT DIVISION

    Our Physician and Nurse Recruitment Division provides physician staffing and
administrative support to emergency departments and physician recruitment
services to Canadian hospitals and emergency physician groups. In connection
therewith, we contract with a wide range of physicians and other healthcare
professionals. Under the direction of our management, our physician pool of
approximately 165 emergency physicians provides emergency medical services to 15
emergency rooms in hospitals located in Ontario, Canada.

    Competitive pressures have focused the attention of many hospital
administrators on the need for better management of their professional medical
staff. Hospitals have increasingly turned to contract staffing firms with
specialized skills to help solve physician and nurse contract and scheduling
problems, strengthen the management of their professional medical staff and
specific clinical departments, better control costs, and assist in meeting their
healthcare coverage needs and obligations. Using our management skills and
experience, and the economies of scale which the size and specialization of its
operations permit, we provide an alternative to hospitals while offering a
flexible practice and lifestyle alternative to physicians and nurses.

OUR PHYSICIAN MANAGEMENT SERVICES DIVISION

    We have an ownership interest in and manage ten clinics in Canada, including
two in Toronto's Pearson International Airport. Generally, the clinics offer a
variety of services, including family practice, walk-in services

                                       2
<PAGE>
for patients and chiropractic and massage therapy. We manage the clinics by
providing scheduling, recruiting, billing, collections and accounting services
to the clinics. In the clinics where we do not own 100% of the outstanding
capital stock, we have entered into a 5-year management services contract
whereby we receive a monthly management fee for our services.

    We plan to continue to develop a chain of Urgent Care Centres, initially in
the Province of Ontario and then expanding to other provinces in Canada. Our
management expects that these centres will offer on-site emergency medical care
services comparable to the services provided in a traditional emergency
department of a hospital. The Urgent Care Centre concept consists of a group of
emergency trained physicians, a medical laboratory, a diagnostic radiology
service and a pharmacy.

    These Urgent Care Centres will be "community based" and offer less
restricted access to non-hospital based health care. Our management believes
that the centres will offer high quality service not only in clinical practice
but also in consumer defined quality attributes such as waiting times, quality
of environment, quality of personal interaction and courtesy. These Urgent Care
Centres will be designed to be less costly to the publicly funded health care
system than traditional emergency departments.

OUR HEALTHYCONNECT.COM INTERNET-BASED HEALTHCARE DIVISION

    HealthyConnect.com is our internet-based healthcare network division
currently under development. This network will connect physicians, hospitals,
third party payors and consumers and will allow all participants to access and
exchange healthcare related information, purchase healthcare products and
services, and communicate more cost-effectively with one another.
HealthyConnect.com will deliver healthcare services and products and provide
timely access to reliable healthcare information through the utilization of
advanced telecommunication technology. Targeted users of HealthyConnect.com are
consumers, physicians and other healthcare providers and healthcare product
suppliers.

    Consumers will benefit from 24-hour, 7-day a week access, via the internet
and telephone, to Med-Emerg's healthcare service provider network. In addition,
consumers will have multiple site secure access to their own and their family
members' electronic medical record, access to a physician management health and
wellness centre and convenient at-home shopping for healthcare products and
services.

    HealthyConnect.com will enable physicians and other healthcare providers to
access reliable information and provide them with additional support in
delivering cost effective, high quality healthcare services. Benefits include
24-hour coverage for patients, access to a comprehensive physician medical
reference database, online continuing medical education courses, tools for
chronic disease management, and participation in clinical trials.

    HealthyConnect.com will link healthcare product and service suppliers with
our clinical network family. Convenient and secure access and at home/office
browsing and purchasing capabilities will facilitate direct sales opportunities
for member suppliers. Healthcare product and service suppliers that may benefit
from using HealthyConnect.com include pharmaceutical companies, insurance
companies, employers, government, managed care organizations, physicians and
hospitals.

CORPORATE INFORMATION

    Med-Emerg was incorporated in the Province of Ontario in January, 1996.
927563 Ontario Inc. and 927564 Ontario Inc. were incorporated in the Province of
Ontario in March, 1991, Med-Emerg Inc. was incorporated in the Province of
Ontario in July, 1983 and Med Plus Health Centers Ltd. was incorporated in the
Province of Ontario in March, 1985. Our offices are located at 2550 Argentia
Road, Suite 205, Mississauga, Ontario L5N 5R1 Canada and our telephone number is
(905) 858-1368. The other subsidiaries were incorporated in the Province of
Ontario as follows: Med-Emerg Urgent Care Inc. in December, 1996; JC Medical
Management Inc. in November, 1990; Med-Emerg Elmvale Clinic Inc. in March, 1999;
Med-Emerg Brittania Urgent Care Inc. in January, 1999; and Med-Health Centres
Inc. in January, 1998.

YFMC HEALTHCARE INC.

    YFMC was continued under the BUSINESS CORPORATIONS ACT (Ontario) on November
4, 1998. YFMC's principal and registered office is located at Suite 250, 441
Maclaren Street, Ottawa, Ontario K2P 2H3.

                                       3
<PAGE>
    YFMC was originally incorporated under the BUSINESS CORPORATIONS ACT
(Alberta) as TransPacific Minerals Inc. In June, 1998, TransPacific Minerals
Inc. acquired all of the issued and outstanding securities of 1189543 Ontario
Inc. in a reverse takeover bid transaction 1189543 owned and operated medical
clinics in Ontario, Quebec and Alberta. By articles of amendment, TransPacific
Minerals Inc. changed its name to YFMC Healthcare Inc.

GENERAL OVERVIEW OF YFMC

    YFMC was formed in response to the growing need to provide health care
professionals with quality practice management support services, and to furnish
communities with accessible, extended-hours medical care within a family
practice setting. YFMC's operations have grown to become a network of family
medical clinics staffed by over 80 family physicians, physiotherapists,
psychotherapists, dietitians and podiatrists. At present YFMC operates a group
of (20) "primary care" medical facilities in Ontario, Alberta and Quebec.

    YFMC is a medical management company that offers physicians a professional
clinic environment and an established patient base, without the prohibitive
financial burden associated with start-up costs and the time consuming
administrative tasks dictated by day-to-day office management. In return, YFMC
generates revenue from management fees charged to its affiliated physicians.

    In management's view, many physicians prefer to work as independent
practitioners within a group practice setting. As a result, YFMC's strategy to
provide a turn-key clinic/management operation empowers each staff physician to
preserve that entrepreneurial perspective by being free to focus on the practice
of medicine unencumbered by administrative responsibility.

    YFMC clinics function as a blended operation of "immediate care" and
"appointment based" patient centres. Each clinic provides the local community
with a primary care mix comprised of family medical care, psychological care,
and other paramedical services such as nutrition, foot care and massage therapy.

    Clinics are generally located in visible, high traffic areas, such as
shopping malls, and strategically positioned as "patient friendly locations"
with free parking and easy access, as well as convenient 9:00 am to 9:00 pm
weekday operating hours and 9:00 a.m. to 5:00 p.m. on weekends.

OUR BUSINESS STRATEGY AND GOALS

    Using the secure web-enabled technology of HealthyConnect.com, we will be
uniquely positioned as the premier provider of health care information,
connectivity and e-commerce for health education and triage, home health
monitoring, drug trials and compliance programs and health industry management.
Through HealthyConnect.com we intend to capture significant market share through
our ability to enhance, expedite and provide better access to health care
services in cooperation with health organizations and our partner clients.

    In this context, the Business Combination with YFMC provides the framework
for the launch of HealthyConnect.com. Please see "Reasons for the Transaction"
for a more detailed description of the expected benefits of the Business
Combination.

                                       4
<PAGE>
                               THE ANNUAL MEETING

MED-EMERG

    The annual meeting of Med-Emerg's shareholders ("Med-Emerg Annual Meeting")
will be held at Hotel Intercontinental, 111 East 48(th) Street, New York, New
York, 10017 on November 19, 1999, starting at 10:00 a.m., local time. At the
Med-Emerg Annual Meeting, Med-Emerg shareholders will be asked to (i) elect the
Board of Directors of Med-Emerg for the ensuing year; (ii) ratify the
appointment of Schwartz Levitsky Feldman, Chartered Accountants, as the
Company's independent auditors for the ensuing year; and (iii) approve the
combination of the businesses of Med-Emerg and YFMC Healthcare Inc. ("YFMC")
through a tender offer by Med-Emerg for all of the outstanding securities of
YFMC and the issuance of securities of Med-Emerg in connection therewith.
Shareholder approval of the business combination is required pursuant to the
change of control and corporate governance rules of the Nasdaq Stock Market
which generally require shareholder approval of issuances of over 20% of the
then outstanding stock of a corporation. See "The Transaction."

    If you are a Med-Emerg common shareholder at the close of business on
October 15, 1999 (the "Med-Emerg Record Date"), then you have the right to
receive notice of, and to vote at, the Med-Emerg Annual Meeting. On the
Med-Emerg Record Date, there were approximately 3,095,544 shares of Med-Emerg
common stock issued and outstanding and entitled to vote. Each share of
Med-Emerg common stock ("Med-Emerg Common Share") outstanding on the Med-Emerg
Record Date is entitled to one vote. The affirmative vote, in person or by
proxy, of the holders of a majority of the shares present, in person or by
proxy, at the Med-Emerg Annual Meeting is required to approve each of the
proposals to be voted upon at the Med-Emerg Annual Meeting. Your proxy may be
revoked by notice of revocation or a later signed and dated proxy or by
attending the Med-Emerg Annual Meeting and voting in person. Attendance at the
Med-Emerg Annual Meeting will not in itself constitute the revocation of a
proxy. See "The Annual Meeting."

                                THE TRANSACTION

    THE BUSINESS COMBINATION AGREEMENT IS ATTACHED AS APPENDIX I TO THIS JOINT
PROSPECTUS/PROXY STATEMENT. WE ENCOURAGE YOU TO READ THE BUSINESS COMBINATION
AGREEMENT AS IT IS THE LEGAL DOCUMENT THAT GOVERNS THIS TRANSACTION.

WHAT YFMC SHAREHOLDERS WILL RECEIVE IN THE TRANSACTION

    If the transaction whereby the businesses of Med-Emerg and YFMC are combined
is approved, YFMC shareholders will receive one Med-Emerg Common Share for every
6.875 YFMC common stock ("YFMC Common Share"). The holder of each YFMC Series A
Warrants will receive 0.125 of a Med-Emerg Series A Warrant while the holder of
each YFMC Series B Warrant will receive 0.125 of a Med-Emerg Series B Warrant.
The holder of each YFMC First Preferred Share will receive 0.1 of a Med-Emerg
Common Share. The former holders of Med-Emerg Common Shares will collectively
hold, on a diluted basis, approximately 78.2% of the issued and outstanding
shares of Med-Emerg Common Shares and, on a diluted basis, the former holders of
common stock, preferred shares, options and warrants of YFMC will hold, on a
diluted basis, approximately 21.8% of the equity interests in Med-Emerg upon
consummation of the transaction. See "The Transaction."

    Each Med-Emerg Series A Warrant entitles the holder thereof to purchase one
Med-Emerg share of common stock at an exercise price of US$2.70 until June 12,
2000. Each Med-Emerg Series B Warrant entitles the holder thereof to purchase
one Med-Emerg share of common stock at an exercise price of US$3.40 until June
12, 2000.

RELATIVE EXCHANGE RATIOS AND CONSIDERATION

    The following table sets forth the market value of the shares of Med-Emerg
common stock to be received upon the exchange calculated based on (i) the last
sale price of shares of YFMC common stock of Cdn$0.34 per share as reported on
the Alberta Stock Exchange on June 18, 1999, the last trading date prior to the
date the proposed business combination was announced, and (ii) the closing price
of shares of YFMC common stock of Cdn$0.345 per share as reported on the Alberta
Stock Exchange on August 31, 1999, using the exchange ratio

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<PAGE>
for each share of YFMC of 0.14545 shares of Med-Emerg Common Stock based on
Med-Emerg's closing price of US$2.00 on the most recent practicable date prior
to the mailing of this Joint Prospectus/Proxy Statement.

<TABLE>
<CAPTION>
                                                                                        MARKET VALUE      MARKET VALUE
                                                                                       (CLOSING PRICE    (CLOSING PRICE
                                                                                             ON                ON
                                                                                       JUNE 18, 1999)   AUGUST 31, 1999)
                                                                                      ----------------  ----------------
<S>                                                                                   <C>               <C>
YFMC Common Stock...................................................................      Cdn$0.34         Cdn$0.345

Med-Emerg Exchange Securities
  Common Stock......................................................................      US$1.875          US$2.00
</TABLE>

    These values are shown for illustrative purposes only. Actual values
received will be dependent upon the market value of Med-Emerg common stock.
There can be no assurance that the values reflected in this table will be
achieved or that the value of YFMC common stock before the exchange will be
indicative of the value of Med-Emerg common stock after the exchange. See "The
Transaction".

RECOMMENDATION OF YFMC BOARD OF DIRECTORS

    The YFMC Board of Directors (the "YFMC Board"), by unanimous vote, has
determined that the terms and provisions of the Business Combination Agreement
are fair to, and in the best interests of, YFMC and the holders of YFMC common
stock and recommends that holders of YFMC common stock vote in favor of approval
of the Business Combination Agreement. See "The Transaction -- Recommendation of
YFMC Board".

    The combination of YFMC and Med-Emerg will create an integrated medical
management company with extensive assets and customers in Canada. The YFMC Board
and Med-Emerg Board of Directors (the "Med-Emerg Board") believe that the
business combination will provide opportunities to achieve substantial benefits
for the respective shareholders of both companies. The Boards further believe
that the combined entities will be better and more quickly able to capitalize on
opportunities in the medical management industry, both domestically and
internationally, and be better positioned to compete effectively in the rapidly
changing industry than either of the entities on a stand-alone basis. For a more
complete discussion of YFMC's and Med-Emerg's reasons for the Transaction, See
"The Transaction -- Reasons for the Transaction".

BOARD OF DIRECTORS AND MANAGEMENT OF MED-EMERG

    It is expected that, following the consummation of the Transaction, the
Med-Emerg Board will consist of William Thomson, Carl Pahapill, Dr. Ramesh
Zacharias, Jeffrey Lyons, Robert Rubin and Martin Scullion.

    Following the consummation of the Transaction, Dr. Ramesh Zacharias will be
Chief Executive Officer, Carl Pahapill will be President and Chief Operating
Officer, Kathryn Gamble will be Chief Financial Officer, Vice-President of
Finance and Secretary, Martin Scullion will be Director of Clinical Operations
and Dr. Donald Wilson will be Executive Medical Director, YFMC Operations.

ACCOUNTING TREATMENT

    We expect that the business combination will be accounted for using the
purchase method of accounting. The purchase method of accounting allocates the
consideration paid by Med-Emerg among the tangible and intangible assets and
liabilities of YFMC. See "The Transaction -- Accounting Treatment". The
unaudited pro forma financial information contained in this Joint
Prospectus/Proxy Statement has been prepared using the purchase accounting
method to account for the merger.

TERMINATION OF THE BUSINESS COMBINATION AGREEMENT

    The Business Combination Agreement may be terminated prior to the effective
date of the transaction under certain circumstances. See "The Business
Combination Agreement -- Termination" and "-- Effect of Termination".

                                       6
<PAGE>
COMPULSORY ACQUISITION

    Pursuant to the provisions of the OBCA, if the Exchange Offer is accepted by
90% of the YFMC shareholders, Med-Emerg may compulsorily acquire any unacquired
shares on the same terms subject to certain appraisal rights. In addition,
Med-Emerg may acquire any unacquired shares, even if less than 90% of the shares
are tendered, through other direct and indirect acquisition transactions. See
"The Business Combination Agreement -- Compulsory Acquisition" and
"-- Subsequent Acquisitions Transactions".

APPRAISAL RIGHTS

    If YFMC Shareholders do not desire to accept the Offer, YFMC Shareholders
may be entitled to exercise certain appraisal rights. See "The
Transaction -- Appraisal Rights".

                            MARKET PRICE INFORMATION

    YFMC Common Shares are listed on the Alberta Stock Exchange under the
trading symbol "YFM.AL". On June 18, 1999, the last full trading day prior to
the public announcement of the proposed business combination, the closing price
of YFMC common stock on the Alberta Stock Exchange was Cdn$0.34 per share. On
August 31, 1999, the closing price of YFMC Common Shares on the Alberta Stock
Exchange was Cdn$0.345 per share. Med-Emerg Common Shares and purchase warrants
are listed for trading under the symbols "MDER" and "MDERW", respectively, on
the NASDAQ Small Cap Market and under the symbols "MEI" and "MEIW",
respectively, on the Boston Stock Exchange. On June 18, 1999, the last full
trading day prior to the public announcement of the business combination, the
closing price on Med-Emerg Common Shares and purchase warrants were US$1.875 and
US$.4375, respectively. On August 31, 1999, the closing price of Med-Emerg
common stock and purchase warrants were US$2.00 and US$0.4375, respectively. You
are urged to obtain current market quotations of the Med-Emerg Common Shares
prior to making any decision with respect to the business combination.

                                  RISK FACTORS

    MED-EMERG SECURITIES ARE HIGHLY SPECULATIVE. YOU SHOULD CAREFULLY CONSIDER
THE FOLLOWING RISK FACTORS, AS WELL AS OTHER INFORMATION SET FORTH ELSEWHERE IN
THIS JOINT PROSPECTUS/PROXY STATEMENT.

RISKS ASSOCIATED WITH THE BUSINESS COMBINATION

YFMC SHAREHOLDERS WILL RECEIVE SHARES OF MED-EMERG COMMON SHARES BASED ON A
FIXED EXCHANGE RATIO.

    The exchange ratios are expressed as fixed ratios in the Business
Combination Agreement. The Business Combination Agreement does not contain any
provisions for adjustment of the exchange ratios based upon fluctuations in the
market price of YFMC Common Shares or Med-Emerg Common Shares or purchase
warrants. Therefore we can not presently ascertain the value of the Med-Emerg
Common Shares and purchase warrants YFMC shareholders will receive upon the
consummation of the business combination which will depend upon the market price
of Med-Emerg Common Shares and purchase warrants, which in turn will be affected
by, among other factors, the market price of YFMC common stock and our common
stock immediately prior to the closing of the business combination and the value
our business and of the business of YFMC. The exchange ratios were determined on
August 10, 1999.

OUR ABILITY TO MANAGE RAPID EXPANSION AND THE INTEGRATION OF OUR BUSINESS AND
YFMC HAS NOT BEEN TESTED AND MAY NOT BE SUCCESSFUL.

    The proposed business combination involves the integration of two companies
which will impose many risks on us, including risks associated with assimilating
the operations, services, products and personnel of the two companies. There can
be no assurance that we will not encounter significant difficulties in
integrating the respective operations of our company and YFMC or that the
benefits and revenue growth expected from such integration will be realized. The
achievement of the benefits and revenue growth expected from such integration
will require us to, among other things, access significant amounts of growth
capital, rapidly expand our sales force and customer service department,
introduce new products, as they become available and incur significant

                                       7
<PAGE>
costs in connection with the integration of the two companies operations,
financial reporting and accounting systems, as well as other costs relating to
transitional planning and implementation. The incurrence of any such costs, as
well as any unexpected costs or delays in connection with such integration,
could have a material adverse effect on our financial condition, results of
operations and cash flow.

RISKS RELATED TO THE COMPANY

OUR RESOURCES MAY NOT BE SUFFICIENT TO MANAGE OUR EXPECTED GROWTH.

    We anticipate a period of rapid growth which we expect to place a strain on
our administrative, financial and operational resources. Our ability to manage
any staff and facilities growth effectively will require us to continue to
improve our operational, financial and management controls, reporting systems
and procedures, install new management information and control systems and
train, motivate and manage our employees. There can be no assurance that we will
install such management information and control systems in an efficient and
timely manner or that the new systems will be adequate to support our future
operations. If we are unable to manage growth effectively, such as if our sales
and marketing efforts exceed our capacity to install, maintain and service our
products or if new employees are unable to achieve performance levels, our
business, operating results and financial condition could be materially
adversely affected.

WE HAVE INCURRED OPERATING LOSSES AND HAVE AN ACCUMULATED DEFICIT.

    We incurred a net loss of $157,536 (on revenues of approximately
$15,283,000) during the year ended December 31, 1998, as compared to a net loss
of $472,085 (on revenues of approximately $11,573,000) during the year ended
December 31, 1997. As of June 30, 1999 we had an accumulated deficit of
approximately $4,895,416. There can be no assurance that we will operate
profitably in the future. See "Selected Consolidated Financial Information" and
"Management's Discussion and Analysis of Financial Condition and Results of
Operations."

WE DEPEND ON OUR CONTRACTS WITH HOSPITALS.

    We derive the majority of our revenues from contracts with hospitals. The
standard hospital contract we have entered into provides for an initial one or
two-year term, which renews automatically unless terminated on 60 days notice.
We have at times experienced a periodic reduction in the number of our hospital
contracts. This reduction is the direct result of the Ontario Hospital's
Restructuring Committee's reduction and/or amalgamation of the number of
hospital emergency departments, the defined nature of the crisis management
service for hospitals that we provide and the risk that a physician elects to
remain in the community and work on a full time basis for the hospital thus
eliminating the need for our services. In addition, in each of our hospital
contracts, each party is able to terminate the contract upon two or three months
prior written notice. In some contracts, the hospital has the right to terminate
immediately if it pays two to three months of management fees. The loss of
several hospital contracts would have a material adverse effect on our business.

WE CLASSIFY OUR PHYSICIANS AND NURSES AS INDEPENDENT CONTRACTORS WHICH MAY
RESULT IN A TAX LIABILITY.

    We contract with physicians and nurses as independent contractors, rather
than employees, to fulfill our contractual obligations to hospitals. Therefore,
we have not historically, and do not currently, withhold income taxes, make
unemployment insurance or Canada Pension Plan payments, or provide worker's
compensation insurance with respect to such independent contractors. The payment
of applicable taxes is regarded as the responsibility of such independent
contractors. A determination by taxing authorities that we are required to treat
the physicians and nurses as employees could have an adverse effect on our
business.

THE MARKET ACCEPTANCE OF URGENT CARE CENTRES IS UNCERTAIN.

    We intend to continue to develop a chain of Urgent Care Centres which will
provide on-site emergency medical services. We currently manage and operate two
Urgent Care Centres, the Dundas Urgent Care Centre and Britannia Urgent Care
Centre. The success of these and future Urgent Care Centres depends on several
factors, including our ability to attract qualified physicians and other health
care providers to work at such centres and the public's willingness to seek
emergency medical care at such centres. There can be no assurance

                                       8
<PAGE>
that we will be able to obtain the necessary qualified personnel or that the
Urgent Care Centre concept will attain market acceptance.

PROVINCIAL LAWS REGARDING THE CORPORATE PRACTICE OF MEDICINE MAY ADVERSELY
AFFECT OUR BUSINESS.

    Business corporations are legally prohibited in many Canadian provinces from
providing or holding themselves out as providers of medical care. While we have
structured our operations to comply with the corporate practice of medicine laws
of Ontario and will seek to structure our operations in the future to comply
with the laws of any province in which we plan to operate, there can be no
assurance that, given varying and uncertain interpretations of such laws, we
would be found to be in compliance with restrictions on the corporate practice
of medicine in such province. If it is determined that we are in violation of
applicable restrictions on the practice of medicine in any province in which we
operate there could be a material adverse effect on our business if we were
unable to restructure our operations to comply with the requirements of such
province. Such regulations may limit the jurisdictions in which we can operate,
thereby inhibiting our future expansion into potential markets in other
jurisdictions.

OUR COMPANY IS EXPOSED TO PROFESSIONAL LIABILITY.

    Due to the nature of our business, we and the physicians and nurses who
provide services on our behalf, may be the subject of medical malpractice
claims, with the attendant risk of substantial damage awards. The sources of
potential liability in this regard include the alleged negligence of physicians
and nurses under contract which we place at hospitals and liabilities in
connection with medical services provided at the clinics. We currently maintain
the following insurance policies related to professional liabilities: (i)
CDN$10,000,000 with respect to general commercial liability; and (ii)
CDN$10,000,000 with respect to errors and omissions caused by a negligent act,
error or omission by us, or any person for whom we are legally liable, arising
out of the conduct of our business. In addition, physicians staffed by us
maintain their own malpractice insurance. To the extent such physicians are to
be regarded as agents of our company in the practice of medicine, there can be
no assurance that a patient would not sue us for any negligence of such
physicians. In addition, in the event that we become liable, there can be no
assurance that our current insurance policy will be adequate to cover any such
liabilities.

GOVERNMENT REGULATION.

    The provision of medical services in Canada is for the most part governed
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. In 1993, the government placed an overall
"hard cap" of approximately $3.8 billion on the amount physicians could
collectively bill Ontario Health Insurance Plan ("OHIP") for insured services.
As physicians' billings exceeded this hard cap in successive years, the
government reduced the fees received under OHIP by prescribed percentages
("clawbacks"). This clawback is subject to constant revision and review. In
addition to the hard cap, individual physicians' billings under 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 our operations, 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 OHIP 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. Our independent
contracted

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<PAGE>
physicians as well as our company are subject to periodic audits by government
reimbursement programs to determine the adequacy of coding procedures and
reasonableness of charges.

    Due to increasing government fiscal restraint, Ontario's health care system
is currently undergoing a significant restructuring by the provincial
government. Based on a determination that the Ontario public healthcare system
was not fiscally efficient, in 1997 the Province of Ontario enacted the Savings
and Restructuring Act, which gives its provincial government the ability to
implement a health care system restructuring plan. The new legislation
established the Health Services Restructuring Commission ("HSRC"), which has
broad decision making authority over every aspect of a public hospital's
operations, including all aspects of operations, fiscal policy, public funding
and even the continuance or cessation of a public hospital's existence. The
objective of the legislation is to induce public hospitals' care delivery
systems in Ontario to improve the quality of health care and particularly to
install efficiencies of cost in the delivery of medical services to the
population of Ontario. Inefficient hospitals run the risk of the loss of public
funding if they fail to meet the objectives of the Commission. Accordingly, the
incentives are in place to induce public hospitals to find solutions to achieve
the desired efficiencies, including outsourcing available from and through
private sector organizations, such as our company.

    The HSRC, established under Bill 26, has the mandate and authority to
facilitate and accelerate hospital restructuring in Ontario. This legislation
contains measures intended to control public and private spending on healthcare
as well as to provide universal public access to the healthcare system. We
cannot predict what effect, if any, this and other healthcare legislation will
have on our operations. Significant changes in Canada's healthcare system are
likely to have a gradual but substantial impact on the manner in which we
conduct business and could have a material effect on our results of operations.

    Despite pronouncements by the Ontario Minister of Health that managed care
options, such as in the United States, are being considered, it is not evident
that American style managed care will play a significant role in the
fee-for-service sector of the publicly funded healthcare system. Management
believes that legislation to date indicates that the Ontario government's
current intention is to let the healthcare system proceed without intervening
directly in the management of patient care, although there can be no assurance
thereof. In the future, greater emphasis may be placed on such managed care
tools as utilization review, practice guidelines, and outcome measurement. The
current move away from traditional fee-for-service mechanisms may have a similar
effect as physicians attempt to minimize the risk they face and as the
government strives for accountability and value-for-dollar assurances.

WE ARE DEPENDENT ON OUR KEY EMPLOYEES.

    Our success is largely dependent upon the efforts and abilities of Dr.
Ramesh Zacharias, our Chief Executive Officer, Carl Pahapill, our President and
Chief Operating Officer and Kathryn Gamble, our Chief Financial Officer. If we
lost the services of any of Dr. Zacharias, Mr. Pahapill or Ms. Gamble, our
business would be materially adversely affected. We have procured key-man life
insurance in the amount of $1,000,000 for Mr. Pahapill, but do not have key-man
life insurance for any other employee. See "Business -- Personnel" and "Officers
and Directors".

CONTROL BY MANAGEMENT AND/OR EXISTING STOCKHOLDERS.

    Following completion of the business combination our officers and directors
will own or have rights to acquire an aggregate of approximately 52.0% of the
voting power of our capital stock. See "Principal Stockholders" and "Description
of Securities". As a result, they will be in a position to exercise significant
influence over the Company and the election of directors and otherwise
essentially control the outcome of all matters requiring stockholder approval.

WE MAY EXPERIENCE ADDITIONAL LOSSES THROUGH THE FINANCING OF ACCOUNTS
RECEIVABLES.

    One of the services provided by our Physician and Nurse Recruitment Services
Division is the collection of fees for services performed by the independent
physician and nurse contractors. In event that we do not collect these fees by
the time payment is due to the physicians and nurses, we are nevertheless
obligated to pay the physicians and nurses for the duties they have fulfilled.
In practice, we use our working capital to finance the

                                       10
<PAGE>
accounts receivable and pay the physicians and nurses. Historically, bad debts
are less than 1% of gross billings since substantially all of the physician
services billed to OHIP are for Ontario residents who are automatically covered
by OHIP for the medical services performed. However, there can be no assurance
that accounts receivables will ultimately be collected from OHIP and the
hospitals. Accordingly, there can be no assurance we will not experience
significant losses due to unpaid accounts receivables which we have financed.

WE MAY NEED ADDITIONAL FINANCING TO ACHIEVE OUR GROWTH STRATEGY.

    We believe that we will need additional financing to continue to pursue our
growth strategy. We have no commitment for any debt or equity financing and we
may not be able to obtain sufficient financing on favorable terms, if at all. If
we do not obtain additional financing when required, we may be required to
modify, delay or abandon some or all of our expansion plans, which may have a
material adverse effect on our business.

COMPETITION IN THE HEALTHCARE INDUSTRY MAY ADVERSELY AFFECT OUR REVENUES AND
MARKET POSITION.

    The healthcare industry is highly competitive. We compete based on scope,
quality and cost of services provided. Many of our existing and potential
competitors have substantially greater financial resources available to them.
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 us (e.g., in the areas of malpractice insurance, cost, savings
from internal billing and collection and a broader scope of services). We also
compete with various local physician groups which provide hospitals with
emergency staffing alternatives. The medical clinics compete with hospitals and
other private physicians. The Urgent Care Centres compete with hospital
emergency rooms. We may not be able to compete effectively.

RISK RELATED TO INVESTMENT IN A CANADIAN CORPORATION.

    We are a corporation incorporated under the OBCA and most of our directors,
controlling persons and officers, as well as experts named herein, are residents
of Canada. Moreover, substantial portions of our assets and the assets of such
persons are located in Canada. As a result, it may be difficult to effect
service of process within the United States upon our company or such persons or
to enforce, in United States federal or state courts, judgments against them
obtained in such courts and predicated on the civil liability provisions of the
United States federal or state securities laws.

WE HAVE NOT, AND DO NOT INTEND TO PAY CASH DIVIDENDS IN THE FORESEEABLE FUTURE.

    We do not intend to pay any dividends on our common stock in the foreseeable
future. We currently intend to retain any earnings to finance our operations. In
addition, our preferred stock prohibits the payment of any dividends on the
common stock until all accrued dividends have been paid on the preferred stock.
Dividends on our preferred stock will accrue at a rate of US$135,000 per year.
See "Dividend Policy" and "Description of Securities."

SHARES ELIGIBLE FOR FUTURE SALE.

    Of the 3,095,544 Med-Emerg Common Shares outstanding as of the date of this
Joint Prospectus/Proxy Statement, 1,865,000 are "restricted securities", 840,000
of which are owned by "affiliates" of our company, as those terms are defined in
Rule 144 promulgated under the US Securities Act (the "Act"). Absent
registration under the Act, the sale of such shares is subject to Rule 144. In
general, under Rule 144, subject to the satisfaction of certain other
conditions, a person, including our affiliates, who have beneficially owned
restricted shares of common stock for at least one year is entitled to sell in
brokerage transactions, within any three-month period, a number of shares that
does not exceed the greater of 1% of the total number of outstanding shares of
the same class, or if the common stock is quoted on NASDAQ or listed on a stock
exchange, the average weekly trading volume during the four calendar weeks
preceding the sale. Rule 144 also permits a person who presently is not and who
has not been an affiliate for at least three months immediately preceding the
sale and who has beneficially owned the shares of common stock for at least two
years to sell such shares without regard to any of the volume limitations
described above. Robert Rubin, a director, holds options to purchase an
aggregate of 700,000 shares of Med-Emerg Common Shares. In the event Mr. Rubin
exercises such options, the Med-Emerg Common Shares will be eligible for resale
under Rule 144 commencing one year from the exercise of the

                                       11
<PAGE>
options. All of our officers and directors have agreed not to sell or otherwise
dispose of any of their shares of Common Shares until February 12, 2000 and
YFMC's officers and directors have agreed not to sell or otherwise dispose of
any of their shares of common stock for a period of 18 months from the date of
this Joint Prospectus/ Proxy Statement. No prediction can be made as to the
effect, if any, that sales of shares of Med-Emerg Common Shares or the
availability of such shares for sale will have on the market prices of our
securities prevailing from time to time. The possibility that substantial
amounts of common stock may be sold under Rule 144 into the public market may
adversely affect prevailing market prices for our common stock and could impair
our ability to raise capital in the future through the sale of our equity
securities. See "Shares Eligible for Future Sale".

OUR BOARD OF DIRECTORS MAY ISSUE PREFERRED STOCK AND COMMON STOCK WHICH COULD
ADVERSELY AFFECT THE VALUE OF YOUR SECURITIES.

    Our certificate of incorporation authorizes the issuance of an unlimited
number of shares of common stock and "blank check" preferred stock with such
designations, rights and preferences as may be determined from time to time by
the Med-Emerg Board. Accordingly, the Med-Emerg Board is empowered, without
stockholder approval, to issue an unlimited number of shares of common stock for
any purpose without stockholder approval or issue preferred stock with dividend,
liquidation, conversion, voting or other rights which could decrease the amount
of earnings and assets available for distribution to holders of common stock and
adversely affect the relative voting power or other rights of the holders of
Med-Emerg Common Shares. The issuance of the preferred stock or Med-Emerg Common
Shares may be used, under certain circumstances, as a method of discouraging,
delaying or preventing a change in control of our company. Except for 500,000
shares of preferred stock currently held by Dr. Ramesh Zacharias and Victoria
Zacharias, we have no present intention to issue any shares of our preferred
stock. However, there can be no assurance that we will not issue shares of
preferred stock or Med-Emerg Common Shares in the future. We agreed with the
representative of our initial public offering that, except for issuances
disclosed in or contemplated by our initial public offering prospectus, we will
not issue any securities without the prior written consent of the such
representative, until February 12, 2000. See "Certain Transactions" and
"Description of Securities -- Preferred Stock."

RISKS RELATED TO THE MARKET

THERE IS A LIMITED PUBLIC MARKET FOR OUR SECURITIES AND THERE CAN BE NO
ASSURANCE THAT A PUBLIC TRADING MARKET WILL CONTINUE.

    Med-Emerg Common Shares and purchase warrants are quoted on NASDAQ and
listed on the BSE. Currently, there is no public trading market in Canada for
our securities. There are no assurances that a public trading market for our
securities in the United States will be maintained. In any event, because
certain restrictions may be placed upon the sale of such securities, unless such
securities qualify for an exemption from the "penny stock" rules (such as being
listed on NASDAQ) some brokerage firms will not effect transactions in common
stock and it is unlikely that any bank or financial institution will accept such
securities as collateral, which could have a material adverse effect in
developing or sustaining any market for such securities.

    For continued quoting on NASDAQ, a company, among other things, must have
(i) US$2,000,000 in net tangible assets, US$35,000,000 in market capitalization,
or net income of US$500,000 in two of the last three years, (ii) US$1,000,000 in
market value of public float, (iii) a minimum bid price of US$1.00 per share and
(iv) a minimum of two (2) market makers. If we are unable to satisfy the
requirements for continued quoting, trading, Med-Emerg Common Shares would be
conducted in the "pink sheets" or on the NASDAQ OTC Bulletin Board.

PENNY STOCK REGULATION.

    Broker-dealer practices in connection with transactions in "penny stocks"
are regulated by certain penny stock rules adopted by the United States
Securities and Exchange Commission. Penny stocks generally are equity securities
with a price of less than $5.00 (other than securities registered on certain
national securities exchanges or quoted on the NASDAQ system provided that
current prices and volume information with respect to transactions in such
securities are provided by the exchange or system. The penny stock rules require
a broker-dealer, prior to a transaction in a penny stock not otherwise exempt
from the rules, to deliver a standardized risk disclosure document that provides
information about penny stocks and the risks in the penny stock market. The

                                       12
<PAGE>
broker-dealer also must provide the customer with current bid and offer
quotations for the penny stock, the compensation of the broker-dealer and its
salesperson in the transaction and monthly account statements showing the market
value of each penny stock held in the customer's account. In addition, the penny
stock rules generally require that prior to a transaction in a penny stock the
broker-dealer make a special written determination that the penny stork is a
suitable investment for the purchaser and receive the purchaser's written
agreement to the transaction. These disclosure requirements may have the effect
of reducing the level of trading activity in the secondary market for a stock
that becomes subject to the penny stock rules.

                                THE TRANSACTION

GENERAL

    The purpose of the Offer is to enable Med-Emerg to acquire, directly or
indirectly, all of the outstanding YFMC Securities in exchange for corresponding
Med-Emerg Securities in order to complete a business combination involving
Med-Emerg and YFMC.

    YFMC entered into the Business Combination Agreement with Med-Emerg pursuant
to which Med-Emerg agreed to make the Offer whereby the YFMC Securities would be
exchanged for the Med-Emerg Securities. Pursuant to the Lock-Up Agreement, the
YFMC Principals, holders of 63.2% of the issued and outstanding YFMC Common
Shares and 96.9% of the YFMC First Preferred Shares, have agreed to tender such
securities under the Exchange.

    If Med-Emerg takes up and pays for securities validly deposited under the
Exchange and acquires not less than 90% of the issued and outstanding securities
of any class which is subject of the Offer, Med-Emerg intends, to the extent
possible, to acquire the remaining securities of any such class pursuant to the
compulsory acquisition provisions of the OBCA. If Med-Emerg takes up and pays
for securities validly deposited under the Offer and acquires less than such
number thereof or the compulsory acquisition provisions of the OBCA are
otherwise unavailable, Med-Emerg intends to consider other means of acquiring,
directly or indirectly, all of the outstanding YFMC Securities available in
accordance with applicable law, including a subsequent acquisition transaction.
If the Minimum Condition is satisfied, Med-Emerg will own sufficient YFMC
Securities to effect such subsequent acquisition transaction. See "ACQUISITION
OF SECURITIES NOT DEPOSITED".

BUSINESS COMBINATION AGREEMENT

    Pursuant to the Business Combination Agreement entered into between
Med-Emerg and YFMC, Med-Emerg agreed to make an offer on the terms set out
therein to purchase all of the issued and outstanding YFMC Common Shares on the
basis of one share of Med-Emerg common stock for every 6.875 YFMC common shares,
each outstanding YFMC Series A Warrant will be entitled to 0.125 of a Med-Emerg
Series A Warrant and each outstanding YFMC Series B Warrant will be entitled to
0.125 of a Med-Emerg Series B Warrant.

    In addition to the foregoing, Med-Emerg has agreed to offer to holders of
the YFMC Preferred Shares, for every ten YFMC Preferred Shares, one Med-Emerg
Common Share to be held in escrow. See "Escrow Agreements".

    As well, there shall be substituted for the right to acquire YFMC Common
Shares under the YFMC Stock Option Plan the right to acquire Med-Emerg Common
Shares on an exchange basis consistent with that of the warrant exchange under
the Offer. Specifically, Med-Emerg will substitute for every eight options to
acquire YFMC Common Shares under the YFMC Stock Option Plan, the right to
acquire one Med-Emerg Common Share at an exercise price of US$1.75 per share.

    The Business Combination Agreement also includes representations and
warranties of Med-Emerg and YFMC and its principal shareholders. Under the
Business Combination Agreement, the Board of Directors of YFMC agreed to support
the Offer and recommended acceptance of the Offer by the YFMC shareholders and
prepare, file and mail as required by applicable law a directors' circular
recommending the Offer. The representations and warranties contained in the
Business Combination Agreement and given by the principal shareholders of YFMC
to Med-Emerg, and given by Med-Emerg to the principal shareholders of YFMC,
shall in each case survive the completion of the transaction contemplated by the
Offer for a period of 18 months.

                                       13
<PAGE>
RECOMMENDATION OF YFMC BOARD

    THE YFMC BOARD, BY UNANIMOUS VOTE, HAS DETERMINED THAT THE TERMS OF THE
BUSINESS COMBINATION AGREEMENT ARE FAIR TO, AND IN THE BEST INTERESTS OF, YFMC
AND THE HOLDERS OF YFMC COMMON STOCK AND RECOMMENDS THAT HOLDERS OF YFMC COMMON
STOCK ACCEPT THE BUSINESS COMBINATION AGREEMENT.

    In reaching its determination to approve the Business Combination Agreement
and the transactions contemplated thereby, the YFMC Board consulted with YFMC
management and financial and legal advisors and considered the proposed terms of
the Business Combination Agreement and the related agreements. In reaching its
conclusions, the YFMC Board also considered the strategic advantages of the
Transaction described below under "-- Reasons for the Transaction," as well as,
among other things the following: (i) information concerning the financial
performance and condition, business operations, capital levels, asset quality
and prospects of Med-Emerg and the projected future financial performance of
YFMC as a separate entity and of YFMC and Med-Emerg on a combined basis; (ii)
current industry, economic and market conditions and trends, including the
likelihood of continuing consolidation and increasing competition in Med-Emerg's
industry; (iii) presentations by YFMC management and its financial and legal
advisors regarding Med-Emerg; (iv) the risks and benefits of completing the
Transaction with the exchange ratios; (v) the existing cash position of YFMC and
the recognition of the need for capital for YFMC; (vi) expectations for revenue
growth of the combined businesses and expectations for cost savings from
termination of redundant operations; (vii) the synergies among the combined and
complementary management teams; and (viii) the risks associated with the
Transaction which, among other things, include the ability of the two businesses
to manage change and to maintain operations during the merger process, the
ability to integrate the business, the impact upon employees and customers, the
need for capital to achieve the business plan of the combined organizations and
competition.

REASONS FOR THE TRANSACTION

    By the end of the current fiscal year, Med-Emerg is planning to launch a
healthcare e-commerce business by linking participants, medical service
providers, medical product suppliers and member healthcare consumers using an
Internet based health portal.

    Changes in the healthcare sector, including the development of managed care
and the emergence of new medical and pharmaceutical treatments, are placing
increasing pressure on consumers to inform themselves of their healthcare
options. In addition, the healthcare industry is experiencing consolidation and
increased competition, pressuring hospitals and other healthcare organizations
to find new ways to attract patients and deliver services more efficiently.

    One of the critical elements to improving efficiency in healthcare is
improving and integrating the method of handling and integrating data and
information. Most healthcare professionals are intensive users of
administrative, communications and information services, such as electronic data
interchange services, transcription services, after-hours answering services,
paging, voice mail and medical references. These services often are provided by
multiple vendors, are not integrated, require users to become familiar with
multiple devices and are invoiced separately.

    It is becoming clear that the healthcare sector can benefit from the
Internet's open, low cost, flexible technology for exchanging information and
executing commercial transactions. The Internet has the potential to help
healthcare providers and consumers quickly access relevant healthcare
information, identify and communicate with hospitals, other doctors, patients
and healthcare organizations and make better informed evaluations of treatment
alternatives and healthcare products. The Internet is empowering consumers to
educate themselves on health conditions and treatments, share experiences with
other patients, and better manage their health.

    Through HealthyConnect.com, a healthcare information technology division, we
see a significant opportunity emerging for healthcare organizations to use new
web-based technologies to increase practice efficiency, achieve measurable cost
savings and improve the quality of patient care.

                                       14
<PAGE>
    In this context, the business combination with YFMC provides the framework
for the launch of HealthyConnect.com. Some of the expected benefits from the
business combination are set forth below:

1.  The number of clinics owned and/or managed by Med-Emerg will increase
    three-fold, demonstrating our ability to become the pre-eminent Canadian
    clinic management company able to bring together the services of medical
    professionals, medical product suppliers and healthcare consumers as the
    backbone to an Internet based health portal, HealthyConnect.com.

2.  Physicians and patients will benefit from Med-Emerg's national market
    penetration. Med-Emerg healthcare professionals will provide care for over
    approximately one million Canadian citizens over the next twelve months.
    This provides a significant patient base for the success of
    HealthyConnect.com.

3.  The contacts and resources of YFMC management combined with the strong
    financial position of Med-Emerg allows the combined companies to expedite
    their acquisition programs, adding to the framework for HealthyConnect.com.

4.  The combined companies are expected to generate strong positive cashflow
    from operations, which will be available for reinvestment in further medical
    clinic acquisitions and the development of HealthyConnect.com.

INTERESTS OF CERTAIN PERSONS IN THE TRANSACTION

    In considering the business combinations and the recommendation of YFMC's
Board with respect to the transaction, the holders of YFMC Common Shares and the
holders of Med-Emerg Common Shares should be aware that certain members of the
management of YFMC and Med-Emerg have interests in the Transaction that may be
different from, or in addition to, the interests of the holders of YFMC Common
Shares and the holders of Med-Emerg Common Shares generally.

EMPLOYMENT AGREEMENTS

    YFMC and Dr. Donald Wilson have entered into an employment agreement whereby
Dr. Wilson will serve as executive medical director of the combined business,
following the acquisition by Med-Emerg of the YFMC Securities.

    Such employment agreement, for a term expiring on December 31, 2001, provide
that Dr. Wilson receive a salary of $4,000 per month, increasing to $5,000 per
month commencing on June 1, 2000 and $6,000 per month commencing April 1, 2001
upon commencement of employment increasing to $5,000 per month commencing on
June 1, 2000 and $6,000 per month commencing April, 2001, plus a car allowance
and other benefits. Dr. Wilson's responsibilities as executive medical director
will include recruiting qualified physicians, organizing physicians' shifts,
developing an organization-wide quality assurance program, contributing to the
combined business' strategy and plans for growth and developing health programs
for the clinics managed or operated by the combined business. Dr. Wilson will
also receive, as a one-time bonus, 10,000 MEII common shares at the time that
YFMC is acquired by Med-Emerg. He will also receive options to acquire 12,500
common shares of Med-Emerg at the time that YFMC is acquired by Med-Emerg, and
additional grants of options to acquire 10,000 Med-Emerg common shares at the
end of each of the years 2000 and 2001. In the event that Dr. Wilson's
employment is terminated prior to December 31, 2001, he shall receive his full
base salary for a period of one year.

    YFMC and Martin Scullion have also entered into an employment agreement
whereby Med-Emerg will employ Martin Scullion to serve as a general manager of
medical clinic operations for the combined business following the acquisition by
Med-Emerg of the YFMC Securities.

    Such employment agreement provides that Martin Scullion receive a salary of
$90,000.00 per year, increasing to $100,000 a year upon his relocation to
Med-Emerg's principal office and to $110,000 per year of the first anniversary
date of the agreement and upon the relocation of the Executive to Mississauga,
the salary rate per year shall be $100,000 and on the first anniversary date the
salary rate per year shall be $110,000, plus a car allowance and other benefits.
As the general manager of medical clinic operations, Martin Scullion's duties
will include working with operational staff to plan, co-ordinate and execute the
Company's clinic business

                                       15
<PAGE>
operations, including liaison where appropriate with all physicians, clinic
staff, third party service providers, recruiters and schedulers to maximize
operating income, and to integrate facilities which may be acquired from time to
time. Mr. Scullion is also entitled to receive options to acquire 12,500
Med-Emerg common shares at the time YFMC is acquired by Med-Emerg. If Mr.
Scullion's employment with Med-Emerg is terminated, he shall be entitled to
receive his full salary for a one-year period.

ACCOUNTING TREATMENT

    YFMC and Med-Emerg expect that the business combination will be accounted
for using the purchase method of accounting. The purchase method of accounting
allocates the consideration paid by Med-Emerg among the tangible and intangible
assets and liabilities of YFMC. The purchase method of accounting differs from
pooling of interest accounting which assumes that the combining companies were
merged from inception and the historical financial statements for the periods
prior to consummation of the merger are restated as though the companies had
been combined from inception subject to certain adjustments. The unaudited pro
forma financial information contained in this Joint Prospectus/Proxy Statement
has been prepared using the purchase accounting method to account for the
business combination. See "Unaudited Pro Forma Combined Condensed Financial
Statements."

COMPULSORY ACQUISITION OF YFMC SHARES

    As described under the heading "Acquisition of Securities not
Deposited -- Compulsory Acquisition", YFMC Securities may be acquired, in
certain circumstances, pursuant to the compulsory acquisition provisions of the
OBCA.

REGULATORY APPROVALS

    The Transaction is not subject to any state or federal regulatory approvals.

US FEDERAL SECURITIES LAWS CONSEQUENCES

    All shares of Med-Emerg Common Stock received by holders of YFMC Common
Stock in the transaction will be freely transferable, under US Securities laws
except that shares of Med-Emerg Common Stock received by persons who are deemed
to be "affiliates" (as such term is defined under the Securities Act) of YFMC
prior to the transaction may be resold by them only in transactions permitted by
the resale provisions of Rule 145 promulgated under the Securities Act (or Rule
144 in the case of such persons who become affiliates of Med-Emerg) or as
otherwise permitted under the Securities Act. Persons who may be deemed to be
affiliates of YFMC or Med-Emerg generally include individuals or entities that
control, are controlled by, or are under common control with, such party and may
include certain officers and directors of such party as well as principal
shareholders of such party.

APPRAISAL RIGHTS -- YFMC

    If within 120 days after the date hereof, the offer has been accepted by
holders of not less than 90% of any class of YFMC Securities which are the
subject of the offer, other than YFMC Securities held on the date of the offer
by or on behalf of Med-Emerg or its affiliates and associates, and Med-Emerg
acquires such deposited securities, Med-Emerg intends, to the extent possible,
to acquire the remainder of the securities of each class of YFMC Securities on
the same terms as securities of such class were acquired under the offer
pursuant to the provisions of the OBCA.

    To exercise such statutory right, Med-Emerg must give notice (the "Offeror's
Notice") to each holder of YFMC Securities who did not accept the offer (and
each person who subsequently acquires any such securities) (in each case a
"Dissenting Offeree") and to the Director under the OBCA of such proposed
acquisition on or before the earlier of 60 days from the Expiry Time and 180
days from the date of the offer. Within 20 days of giving the Offeror's Notice,
Med-Emerg must pay or transfer to YFMC the consideration Med-Emerg would have
had to pay or transfer to the Dissenting Offerees if they had elected to accept
the offer, to be held in trust for the Dissenting Offerees. In accordance with
section 188 of the OBCA, within 20 days after receipt of the Offeror's Notice,
each Dissenting Offeree must send the certificates representing the applicable
securities held

                                       16
<PAGE>
by such Dissenting Offeree to YFMC, and may, within 20 days after the date of
Offeror's Notice, elect either to transfer such securities to Med-Emerg on the
terms of Med-Emerg or to demand payment of the fair value of such securities
held by such holder by so notifying Med-Emerg and by applying to a court having
jurisdiction to hear an application to fix the fair value of such securities. If
a Dissenting Offeree has elected to demand payment of the fair value of such
securities, Med-Emerg may apply to a court having jurisdiction to hear an
application to fix the fair value of such securities of that Dissenting Offeree
within 20 days after it made the payment or transferred the consideration to
YFMC referred to above. If there is no such application by the Dissenting
Offeree within the period referred to above, the Dissenting Offeree will be
deemed to have elected to transfer such securities to Med-Emerg on the terms of
the offer. Any judicial determination of the fair value of the securities could
be more or less than the amount paid pursuant to the offer.

    The foregoing is a summary only. Reference is made to sections 187 to 190 of
the OBC. Such sections are complex and may require strict adherence to notice
and timing provisions, failing which such rights may be lost or altered. Persons
who wish to be better informed about these provisions should consult their legal
advisors.

                                       17
<PAGE>
                 DIRECTORS AND EXECUTIVE OFFICERS OF MED-EMERG

DIRECTORS AND OFFICERS

    It is expected that, following the consummation of the Transaction, the
Board of Directors of Med-Emerg will consist of William Thomson, Ramesh
Zacharias, Carl Pahapill, Robert Rubin, Jeffrey Lyons and Martin Scullion.

    It is expected that, following the consummation of the business combination,
Med-Emerg Board's audit committee will be responsible for reviewing Med-Emerg's
annual audit and meeting with YFMC's independent accountants to review YFMC's
internal controls and financial management practices.

    Directors who are employees of Med-Emerg or its subsidiaries will not
receive any compensation for service on the Med-Emerg Board, but will be
reimbursed by Med-Emerg for expenses incurred in attending meetings of the
Med-Emerg Board or any committees thereof.

    The directors and the senior management team of Med-Emerg are expected to be
comprised of the following individuals, upon completion of the Business
Combination and the approval of Med-Emerg shareholders at the Annual Meeting,
many of whom are currently officers and/or directors of YFMC or Med-Emerg:

<TABLE>
<CAPTION>
NAME                                                                            AGE                     POSITION
- --------------------------------------------------------------------------      ---      --------------------------------------
<S>                                                                         <C>          <C>
William Thomson, C.A......................................................          57   Chairman of the Board, Director

Ramesh Zacharias, M.D., FRCSC.............................................          47   Chief Executive Officer, Director

Carl W. Pahapill, C.A.....................................................          40   Chief Operating Officer, President and
                                                                                         Director

Kathryn Gamble, C.A.......................................................          31   Vice President of Finance, Chief
                                                                                         Financial Officer, Secretary

Stephen Fowler, M.D.......................................................          49   Executive Medical Director

Martin Scullion...........................................................          53   General Manager -- YFMC, Director

Donald Wilson, M.D........................................................          40   Executive Medical Director, YFMC

Robert M. Rubin...........................................................          57   Director

Jeffery Lyons.............................................................          58   Director
</TABLE>

    WILLIAM E. THOMSON, C.A.  Mr. William Thomson has been a Director of
Med-Emerg since January 1992 and is currently the Chairman. Mr. Thomson is
President of William E. Thomson Associates Inc., one of Canada's best known
crisis management firms. His assignments at Thomson Associates Inc. include the
operation of companies in crisis; monitoring the clients of financial
institutions; counselling 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 manufacturing,
hospitality, forest products, medical services, transportation and tier two
automotive supplies.

    Mr. Thomson has been President and Chief Executive Officer of Speedware
Corporation, a TSE listed information technology company, since June 1998. Mr.
Thomson is Chairman of Asia Media Group Corp. in Singapore. In addition, Mr.
Thomson serves as a director of the following companies: TPI Plastics Ltd.,
Elegant Communications Ltd., Imperial Plastech Corp., Electrical Contacts Ltd.,
The Aurora Fund, Media Groupings Far East Pte Ltd. and Esna Technologies Ltd.

    RAMESH ZACHARIAS, M.D., FRCSC.  Dr. Ramesh Zacharias is the founder and
Chief Executive Officer of Med-Emerg. He has been a Director of Med-Emerg since
the Company's inception. He has practiced medicine in Canada since 1981 and has
extensive experience in the delivery of emergency medical care. He has provided
consulting services regarding the delivery of emergency care in the Caribbean,
Saipan and Malaysia and has

                                       18
<PAGE>
provided management consulting services regarding the operation of medical
clinics in Canada, the United States and Russia.

    CARL W. PAHAPILL, C.A.  Mr. Carl Pahapill joined Med-Emerg as President in
February 1996 and became a Director of Med-Emerg in October 1996. From September
1995 to January 1996, Mr. Pahapill acted as a consultant to Med-Emerg. From 1994
to 1995, Mr. Pahapill was the Chief Operating Officer of Signature Brands
Limited, a publicly traded food processing company whose shares are listed on
the Toronto Stock Exchange. From 1984 to 1993, Mr. Pahapill was a Partner at BDO
Dunwoody Chartered Accountants. Prior to that, Mr. Pahapill was a supervisor at
Ernst & Young Chartered Accountants.

    KATHRYN GAMBLE, C.A.  Ms. Kathryn Gamble joined Med-Emerg in January, 1996
as Med-Emerg's Vice President of Finance and became Med-Emerg's Chief Financial
Officer in October, 1996. From February, 1995 to December, 1995, Ms. Gamble was
the Corporate Controller for Signature Brands Limited, a publicly traded food
processing company whose shares are listed on the Toronto Stock Exchange. From
February 1993 to February 1995, Ms. Gamble was an Audit Analyst with Abitibi
Price Inc., a publicly traded company whose shares are listed on the Toronto
Stock Exchange and the New York Stock Exchange.

    STEPHEN FOWLER, MD.  Dr. Fowler serves as the Executive Medical Director of
Med-Emerg and is responsible for medical oversight of Med-Emerg's operations.
Dr. Fowler has over 20 years experience in the delivery of emergency medicine
and primary care family services. He was formerly the Chief of Family Medicine
at Credit Valley Hospital in Mississauga, Ontario, from 1985 to 1992 and then
the Emergency Department Director at such hospital from 1991 to 1997. Dr. Fowler
joined Med-Emerg in 1996 as Associate Medical Director.

    MARTIN SCULLION.  Mr. Scullion joined YFMC in 1996 and served as its CEO
from 1998 to 1999. From 1988 to 1995 he was president of PEL Plastics Ltd. From
1974 to 1988 Mr. Scullion was vice-president, marketing for FCA International
Ltd., a publicly traded company of the Montreal Stock Exchange and Toronto Stock
Exchange. Mr. Scullion is responsible for operations of the physician management
services division.

    DONALD WILSON, MD.  Dr. Wilson founded YFMC in 1992 and served as its
president prior to joining Med-Emerg. He has practices family medicine since
1988 and is licenced in Quebec and Ontario. Dr. Wilson is responsible for
quality assurance and the integration of new services.

    ROBERT M. RUBIN.  Mr. Rubin has served as a director of Med-Emerg since
October, 1996. Since June, 1992, Mr. Rubin has served as a director of Diplomat
Corporation, a publicly traded company involved in the sale of infant wear and
babycare products through direct mail order catalogues.

    Since November 20, 1992, Mr. Rubin has served as the Chairman of the Board
of Directors of Western Power & Equipment Corp. ("WPEC"), a construction
equipment distributor. Between October, 1990 and January 1, 1994, Mr. Rubin
served as the Chairman of the Board and Chief Executive Officer of American
United Global Inc., a technology and communication company offeror and majority
owner of WPEC ("AUGI") and since January 1, 1994, solely as Chairman of the
Board of AUGI. Mr. Rubin was the founder, President, Chief Executive Officer and
a Director of Superior Care, Inc. ("SCI") from its inception in 1976 until May,
1986 and continued as a Director of SCI (now known as Olsten Corporation) until
the latter part of 1987. Olsten Corporation, a New York Stock Exchange listed
company, is engaged in providing home care and institutional staffing services
and health care management services. Mr. Rubin is also a member of the Board of
Directors and minority stockholder of Response USA, Inc., a public company
engaged in the sale and distribution of personal emergency response systems.

    JEFFERY LYONS, Q.C.  Mr. Lyons recently joined the Board of Directors of
Med-Emerg. Mr. Lyons practices municipal law, administrative law and public
policy with Morrison, Brown, Sosnovitch, Barristers and Solicitors in Toronto,
Ontario. He currently serves as the Commissioner of the Toronto Police Services
Board and as a Director of VIA Rail Canada Inc., BDP Business Data Services
Limited, CAMVEC Corporation, Toronto International Film Festival and Toronto
Police Benefit Fund. Mr. Lyons is also a member of the Molson Indy Board of
Trustees, Governor's Council of North York General Hospital and the Contract
Settlement Board, Supply and Services Canada. In addition to several previous
offices and directorships held, Mr. Lyons was a Director of International
Managed Healthcare Inc. from 1996 to 1998.

                                       19
<PAGE>
EXECUTIVE COMPENSATION

    The following table sets forth the cash compensation, as well as certain
other compensation paid or accrued to Med-Emerg's Chief Executive Officer Dr.
Ramesh Zacharias and Chief Operating Officer and President Carl Pahapill
(collectively, the "Named Executive Officers") for the fiscal year ended
December 31, 1998, 1997 and 1996. No other executive officer received a total
annual salary and bonus of more than US$100,000 during the reporting periods.

<TABLE>
<CAPTION>
                                                                                           ANNUAL COMPENSATION (CDN.$)
                                                                                       ------------------------------------
                                                                                                                  OTHER
NAME AND PRINCIPAL POSITION                                                              SALARY      BONUS    COMPENSATION
- --------------------------------------------------------------------------             ----------  ---------  -------------
<S>                                                                         <C>        <C>         <C>        <C>
Ramesh Zacharias..........................................................       1998  $  224,000  $       0   $   7,688(1)
Chief Executive Officer                                                          1997  $  204,000  $       0   $  13,064(1)
                                                                                 1996  $  169,462  $       0   $  19,582(1)

Carl Pahapill.............................................................       1998  $  175,000  $  25,000   $    10,000
Chief Operating Officer and President                                            1997  $  175,000  $       0   $    10,000
                                                                                 1996  $  131,845  $  15,000   $   9,000(2)
</TABLE>

- ------------------------

(1) In addition to being the Chief Executive Officer, Dr. Ramesh Zacharias
    occasionally covers physician assignments that Med-Emerg is otherwise unable
    to fill. For each assignment that Dr. Ramesh Zacharias covers, he is paid as
    an independent contracting physician. This amount represents fees paid to
    him for such services.

(2) Represents fees paid to Mr. Pahapill for acting as a consultant to Med-Emerg
    prior to joining Med-Emerg on a full-time basis.

                 INDEBTEDNESS OF DIRECTORS AND SENIOR OFFICERS

    As of June 30, 1999, the aggregate indebtedness outstanding to Med-Emerg or
any of its subsidiaries of all officers, directors, employees and former
officers, directors and employees of Med-Emerg or any of its subsidiaries, in
connection with the purchase of securities of Med-Emerg or any of its
subsidiaries, is equal to Cdn$60,000. Such indebtedness is owing to Med-Emerg by
Carl Pahapill.

<TABLE>
<CAPTION>
                                                                    LARGEST      AMOUNT
                                                    INVOLVEMENT     AMOUNT     OUTSTANDING     FINANCIALLY
                                                    OF MED-EMERG  OUTSTANDING  AS AS JUNE   ASSISTED SECURITY
                                                         OR       DURING 1998   30, 1999    PURCHASES DURING   SECURITY FOR
NAME AND PRINCIPAL POSITION                          SUBSIDIARY     (CDN$)       (CDN$)         1998 (#)       INDEBTEDNESS
- --------------------------------------------------  ------------  -----------  -----------  -----------------  -------------
<S>                                                 <C>           <C>          <C>          <C>                <C>
Carl Pahapill, Chief Operating Officer and          Lender
  President.......................................                 $  60,000    $  60,000             nil             None
</TABLE>

       AGGREGATED OPTION/SAR EXERCISES DURING THE MOST RECENTLY COMPLETED
            FINANCIAL YEAR AND FINANCIAL YEAR-END OPTIONS/SAR VALUES

<TABLE>
<CAPTION>
                                                                                                                   VALUE OF
                                                                                                                  UNEXERCISED
                                                                                              UNEXERCISED        IN-THE-MONEY
                                                                                            OPTIONS/SARS AT     OPTIONS/SARS AT
                                                       SECURITIES                          DECEMBER 31, 1998   DECEMBER 31, 1998
                                                       ACQUIRED ON      AGGREGATE VALUE    (#) EXERCISABLE/   (US$) EXERCISABLE/
NAME                                                  EXERCISE (#)      REALIZED (US$)       UNEXERCISABLE       UNEXERCISABLE
- ---------------------------------------------------  ---------------  -------------------  -----------------  -------------------
<S>                                                  <C>              <C>                  <C>                <C>
Dr. Ramesh Zacharias...............................           nil                nil           65,000/nil            nil/nil
Carl Pahapill......................................           nil                nil           65,000/nil            nil/nil
</TABLE>

    An additional 100,000 options were granted to each of Dr. Ramesh Zacharias
and Carl Pahapill on January 6, 1999. These options are exercisable immediately
at an exercise price of US$1.25.

                                       20
<PAGE>
EMPLOYMENT AGREEMENTS

    All of Med-Emerg's executive officers offer their full business time to the
affairs of Med-Emerg. Med-Emerg has entered into employment agreements with both
Dr. Zacharias and Mr. Pahapill. Dr. Zacharias' agreement provides that he will
devote all of his business time to Med-Emerg in consideration of an annual
salary of $204,000 effective January 1, 1997 increasing to $225,000 per year
during the final year of the agreement's three year term. The agreement is for a
term of three years, but may be terminated by Med-Emerg for cause, or without
cause upon payment of his salary to February 20, 2001, plus $300,000 for
termination on or before February 20, 2000 with a lesser amount payable for
termination thereafter in lieu of notice. Mr. Pahapill's agreement was for a
term of two years, but may be terminated by Med-Emerg for cause or without cause
upon payment of one year's salary in lieu of notice. Such agreement provides
that Mr. Pahapill devote all of his business time to Med-Emerg in consideration
of an annual salary of $175,000. The terms of future employment arrangements
between Med-Emerg and Dr. Zacharias and Mr. Pahapill are currently under
negotiation.

STOCK OPTION PLAN

    In April, 1997, the Med-Emerg Board and shareholders adopted and approved
the 1997 Stock Option Plan (the "Plan"). The Plan is to be administered by the
Board or a committee appointed by the Board. Pursuant to the Plan, options to
acquire an aggregate of 638,000 Med-Emerg Common Shares may be granted, 495,000
of which have been granted as of June 30, 1999. The Plan provides for grants to
Med-Emerg's employees, independent physician contractors, consultants, officers
and directors. During the fiscal year ended December 31, 1998, Med-Emerg granted
1,500 options to eligible employees at an exercise price of US$2.50 and 19,400
options to eligible physicians at an exercise price of US$4.25 under the Plan.
No options were granted during the fiscal year ended December 31, 1998 to the
Named Executive Officers.

OWNERSHIP OF MED-EMERG

    It is anticipated that, after giving effect to the business combination,
approximately 4,805,970 shares of Med-Emerg Common Stock will be issued and
outstanding, approximately 239,545 additional shares will be reserved for
issuance upon the exercise of options and warrants to acquire YFMC Common Shares
and Med-Emerg Common Stock assumed by Med-Emerg.

    The following table sets forth information concerning the beneficial
ownership of Med-Emerg Common Shares as of August 10, 1999 after giving effect
to the business combination by (a) each person or group of persons known to YFMC
and Med-Emerg expected to beneficially own more than five percent (5%) of the
outstanding shares of Med-Emerg Common Shares, (b) each person who is (or, upon
consummation of the business combination, will be) an executive officer,
director or director nominee of Med-Emerg and (c) all such executive officers
and directors of Med-Emerg as a group. The information contained in this table
with respect to beneficial ownership reflects "beneficial ownership" as defined
in Rule 13d-3 under the Exchange Act, which means generally any person who,
directly or indirectly, has or shares voting power or investment power with
respect to a security. Med-Emerg Common Shares not outstanding but deemed
beneficially owned by virtue of the right of an individual or group to acquire
such shares within 60 days after August 10, 1999 are treated as outstanding only
when determining the amount and percentage of Med-Emerg Common Shares owned by
such individual or group. All information with respect to the beneficial
ownership of any principal shareholder was furnished by such principal
shareholder and Med-Emerg believes that, except as otherwise noted or pursuant
to

                                       21
<PAGE>
community property laws, each shareholder has sole voting and investment power
with respect to the shares shown.

<TABLE>
<CAPTION>
                                                                                          NUMBER OF SHARES
                                                                                            BENEFICIALLY
NAME AND ADDRESS(1)                                                                             OWNED         PERCENTAGE
- ----------------------------------------------------------------------------------------  -----------------  -------------
<S>                                                                                       <C>                <C>
Ramesh Zacharias, M.D., FRCSC(2)........................................................       1,207,544            21.1%

1245841 Ontario Inc.(3).................................................................       1,042,544            18.8%

William Thomson, C.A.(4)................................................................          45,000                *

Carl W. Pahapill, C.A(5)................................................................         265,000             5.3%

Kathryn Gamble, C.A.(6).................................................................          55,000             1.1%

Robert M. Rubin(7)......................................................................         750,000            13.6%

Jeffrey Lyons(8)........................................................................          30,000                *

Hampton House...........................................................................         274,375             5.7%

Donald Wilson, M.D.(9)..................................................................         615,283            12.4%

Martin Scullion(10).....................................................................         560,061            11.5%

All Officers and Directors as a Group (8 persons).......................................       3,517,888            52.0%
</TABLE>

- ------------------------

*   Less than 1% of the outstanding shares of the class.

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

(2) Includes: (i) 292,544 shares owned by 1245841 Ontario Inc., which is owned
    by Dr. and Mrs. Zacharias; (ii) options to purchase up to 165,000 shares
    common stock; and (iii) 750,000 shares of common stock issuable upon the
    conversion of up to 500,000 shares of convertible preferred stock, such
    preferred stock currently held by 1245841 Ontario Inc., which is owned by
    Dr. and Mrs. Zacharias. 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
    US$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 on-half conversion. See
    "Description of Securities."

(3) 1245841 Ontario Inc. is an Ontario company in which the beneficial ownership
    is held by Ramesh and Victoria Zacharias.

(4) Includes 45,000 shares of common stock issuable upon the exercise of
    options.

(5) Includes 165,000 shares of common stock issuable upon the exercise of
    options.

(6) Includes 55,000 shares of common stock issuable upon the exercise of
    options.

(7) Includes 700,000 shares of common stock issuable upon the exercise of
    options.

(8) Includes 30,000 shares of common stock issuable upon the exercise of
    options.

(9) Includes: (i) 529,648 shares owned by 977675 Ontario Inc., which is
    beneficially owned by Donald Wilson; (ii) 25,000 shares of common stock
    issuable upon the exercise of options; (iii) 50,635 shares of common stock
    that will be converted from YFMC preferred shares.

(10) Includes: (i) 488,751 shares owned by Page Raymond & Associates, which is
    beneficially owned by Martin Scullion; (ii) 25,000 shares of common stock
    issuable upon the exercise of options; (ii) 46,310 shares of common stock
    that will be converted from YFMC preferred shares.

                                       22
<PAGE>
                               EXCHANGE RATE DATA

    Med-Emerg International Inc. maintains its books of account in Canadian
dollars.

    The following table sets forth, for the periods indicated, certain exchange
rates based on the noon buying rate in New York City for cable transfers in
Canadian dollars. Such rates are the number of United States dollars per one
Canadian dollar and are the inverse of rates quoted by the Federal Reserve Bank
of New York for Canadian dollars per US$1.00. The average exchange rate is based
on the average of the exchange rates on the last day of each month during such
periods. On May 31, 1999, the exchange rate was US$1.00 per Cdn$1.48.

<TABLE>
<CAPTION>
YEAR ENDED DECEMBER 31,                                              1994       1995       1996       1997       1998
- -----------------------------------------------------------------  ---------  ---------  ---------  ---------  ---------
<S>                                                                <C>        <C>        <C>        <C>        <C>
RATE AT END OF PERIOD............................................  $  0.7143  $  0.7353  $  0.7299  $  0.6991  $  0.6532
AVERAGE RATE DURING PERIOD.......................................     0.7299     0.7299     0.7353     0.7223     0.6745
HIGH.............................................................     0.7092     0.7009     0.7212     0.6945     0.7061
LOW..............................................................     0.7642     0.7533     0.7526     0.7493     0.6376
</TABLE>

          COMPARATIVE PER SHARE MARKET PRICE AND DIVIDEND INFORMATION

    YFMC common stock is listed on the Alberta Stock Exchange under the symbol
"YFM.AL". Following the Transaction YFMC Common Stock will not trade on any
market. Med-Emerg common stock and warrants are listed on the Nasdaq SmallCap
Market under the symbols "MDER" and "MDERW" respectively and under the symbols
"MEI" and "MEIW" respectively on the Boston Stock Exchange.

    The following table sets forth for the period indicated the high and low per
share and per warrant closing prices for Med-Emerg and YFMC's securities on
their respective exchanges.
<TABLE>
<CAPTION>
                                                                                           CLOSING PRICE
                                                                       -----------------------------------------------------
                                                                         MED-EMERG COMMON     MED-EMERG PURCHASE     YFMC
                                                                                                                    COMMON
                                                                            STOCK US$            WARRANTS US$        STOCK
                                                                       --------------------  --------------------    CDN$
                                                                         HIGH        LOW       HIGH        LOW       HIGH
                                                                       ---------  ---------  ---------  ---------  ---------
<S>                                                                    <C>        <C>        <C>        <C>        <C>
1998
First Quarter (from 2/12/98 for Med-Emerg)...........................       4.75     3.375      1.4375      .50          .28
Second Quarter.......................................................       4.00     2.8125      .50        .4375        .29
Third Quarter........................................................       3.25     1.6875      .6563      .25          .30
Fourth Quarter.......................................................       2.00     1.00        .375       .1563        .49

1999
First Quarter........................................................       2.25     1.031       .5938      .25          .46
Second Quarter.......................................................       2.50     1.0625      .875       .25          .45
Third Quarter (through August 9, 1999)...............................       2.00     1.50       0.625      0.50         0.36

<CAPTION>

                                                                          LOW
                                                                       ---------
<S>                                                                    <C>
1998
First Quarter (from 2/12/98 for Med-Emerg)...........................        .15
Second Quarter.......................................................        .15
Third Quarter........................................................        .20
Fourth Quarter.......................................................        .26
1999
First Quarter........................................................        .31
Second Quarter.......................................................        .26
Third Quarter (through August 9, 1999)...............................       0.28
</TABLE>

    THE QUOTATIONS IN THE ABOVE TABLES REFLECT INTER-DEALER PRICES WITHOUT
RETAIL MARK-UP, MARK-DOWN OR COMMISSIONS AND MAY NOT REPRESENT ACTUAL
TRANSACTIONS.

    On June 18, 1999, the last full trading day prior to the public announcement
of the proposed business combination, the price of the Med-Emerg Common Shares
on Nasdaq was US$1.875 and of the Med-Emerg Purchase Warrants on Nasdaq was
US$0.4375.

    There were 23 holders of record of Med-Emerg Common Shares and 4 holders of
record of the Med-Emerg Purchase Warrants as of August 9, 1999. Med-Emerg has
not declared any dividends on the Med-Emerg Common Shares in the last two fiscal
years.

    There were no unregistered sales of Med-Emerg Securities during the last
fiscal year.

                                       23
<PAGE>
       SUMMARY HISTORICAL FINANCIAL DATA OF MED-EMERG INTERNATIONAL, INC.

    Set forth below is a summary of certain consolidated financial information
with respect to Med-emerg and its subsidiaries as at and for the six months
ended June 30, 1999 and 1998, as at and for the years ended December 31, 1998,
1997, 1996, 1995, and 1994, excerpted from documents filed with the Commission,
except for earnings before interest, taxes, depreciation and amortization
("EBITDA"). More comprehensive financial information is included in such
statements and reports and other documents filed by Med-Emerg with the
Commission, and the financial information summary set forth below is qualified
in its entirety by reference to, and should be read in conjunction with, such
reports and other documents, and all the financial statements, including the
notes thereto.
<TABLE>
<CAPTION>
                                                                                                               SIX MONTHS
                                                                                                               ENDED JUNE
                                                                                                                 30,(1)
                                                                                                               -----------
                                                                                                                  1999
                                                                                                               -----------
<S>                                                                                                            <C>
STATEMENT OF OPERATIONS DATA:
  Revenue....................................................................................................  $ 8,768,298
  Physician Fees and Other Direct Costs......................................................................    6,332,448
  Gross Profit...............................................................................................    2,435,850
  Operating Expenses before Depreciation and Amortization(2)
    -- Canadian GAAP.........................................................................................    2,628,278
    -- U.S. GAAP.............................................................................................    2,594,858
  Depreciation and Amortization..............................................................................      207,849
  Operating Income (Loss)
    -- Canadian GAAP.........................................................................................     (400,277)
    -- U.S. GAAP.............................................................................................     (366,857)
  Other Income (Expense).....................................................................................      (11,175)
  Provision for Income Taxes (Recovery)......................................................................     (181,039)
Net Income (Loss)
    -- Canadian GAAP.........................................................................................     (230,413)
    -- U.S. GAAP.............................................................................................     (196,993)
  Net Income per Common Share(3)
    Canadian GAAP............................................................................................  $     (0.07)
Basic and Fully Diluted Income (Loss) per Common Share(3)
    -- Canadian GAAP.........................................................................................  $     (0.10)
  Primary and Fully Diluted Income (Loss) per Common Share
    -- U.S. GAAP                                                                                               $     (0.10)
BALANCE SHEET DATA:
  Working Capital............................................................................................  $ 1,461,307
  Total Assets...............................................................................................    8,520,808
  Long-term Debt.............................................................................................      422,266
  Shareholders' Equity.......................................................................................    5,338,000
OTHER DATA:
  EBITDA(1)(4)
    -- Canadian GAAP.........................................................................................  $  (192,428)
    -- U.S. GAAP.............................................................................................  $  (159,008)

<CAPTION>

                                                                                                                  1998
                                                                                                               -----------
<S>                                                                                              <C>
STATEMENT OF OPERATIONS DATA:
  Revenue....................................................................................................  $ 7,171,300
  Physician Fees and Other Direct Costs......................................................................    5,704,514
  Gross Profit...............................................................................................    1,466,786
  Operating Expenses before Depreciation and Amortization(2)
    -- Canadian GAAP.........................................................................................    1,417,678
    -- U.S. GAAP.............................................................................................    1,578,468
  Depreciation and Amortization..............................................................................       69,922
  Operating Income (Loss)
    -- Canadian GAAP.........................................................................................      (20,814)
    -- U.S. GAAP.............................................................................................     (181,604)
  Other Income (Expense).....................................................................................       24,886
  Provision for Income Taxes (Recovery)......................................................................        1,099
Net Income (Loss)
    -- Canadian GAAP.........................................................................................        2,973
    -- U.S. GAAP.............................................................................................     (157,817)
  Net Income per Common Share(3)
    Canadian GAAP............................................................................................  $      0.00
Basic and Fully Diluted Income (Loss) per Common Share(3)
    -- Canadian GAAP.........................................................................................  $     (0.02)
  Primary and Fully Diluted Income (Loss) per Common Share
    -- U.S. GAAP                                                                                               $     (0.08)
BALANCE SHEET DATA:
  Working Capital............................................................................................  $ 3,172,110
  Total Assets...............................................................................................    8,217,771
  Long-term Debt.............................................................................................      146,239
  Shareholders' Equity.......................................................................................    5,614,798
OTHER DATA:
  EBITDA(1)(4)
    -- Canadian GAAP.........................................................................................  $    49,108
    -- U.S. GAAP.............................................................................................  $  (111,682)

<CAPTION>

                                                                                                                YEAR ENDED
                                                                                                               DECEMBER 31,
                                                                                                               ------------
                                                                                                                   1998
                                                                                                               ------------
STATEMENT OF OPERATIONS DATA:
  Revenue....................................................................................................  $ 15,282,584
  Physician Fees and Other Direct Costs......................................................................    11,837,088
  Gross Profit...............................................................................................     3,445,496
  Operating Expenses before Depreciation and Amortization(2)
    -- Canadian GAAP.........................................................................................     3,455,530
    -- U.S. GAAP.............................................................................................     3,717,575
  Depreciation and Amortization..............................................................................       184,194
  Operating Income (Loss)
    -- Canadian GAAP.........................................................................................      (194,228)
    -- U.S. GAAP.............................................................................................      (456,273)
  Other Income (Expense).....................................................................................       (18,657)
  Provision for Income Taxes (Recovery)......................................................................       (55,349)
Net Income (Loss)
    -- Canadian GAAP.........................................................................................      (157,536)
    -- U.S. GAAP.............................................................................................      (419,581)
  Net Income per Common Share(3)
    Canadian GAAP............................................................................................  $      (0.05)
Basic and Fully Diluted Income (Loss) per Common Share(3)
    -- Canadian GAAP.........................................................................................  $      (0.11)
  Primary and Fully Diluted Income (Loss) per Common Share
    -- U.S. GAAP                                                                                               $      (0.20)
BALANCE SHEET DATA:
  Working Capital............................................................................................  $  2,295,360
  Total Assets...............................................................................................     8,352,468
  Long-term Debt.............................................................................................       102,322
  Shareholders' Equity.......................................................................................     5,670,806
OTHER DATA:
  EBITDA(1)(4)
    -- Canadian GAAP.........................................................................................  $    (10,034)
    -- U.S. GAAP.............................................................................................  $   (272,079)

<CAPTION>

                                                                                                                   1997
                                                                                                               ------------
STATEMENT OF OPERATIONS DATA:
  Revenue....................................................................................................  $ 11,572,667
  Physician Fees and Other Direct Costs......................................................................     8,749,735
  Gross Profit...............................................................................................     2,822,932
  Operating Expenses before Depreciation and Amortization(2)
    -- Canadian GAAP.........................................................................................     2,762,618
    -- U.S. GAAP.............................................................................................     2,909,395
  Depreciation and Amortization..............................................................................       128,130
  Operating Income (Loss)
    -- Canadian GAAP.........................................................................................       (67,816)
    -- U.S. GAAP.............................................................................................      (214,593)
  Other Income (Expense).....................................................................................      (444,878)
  Provision for Income Taxes (Recovery)......................................................................       (40,609)
Net Income (Loss)
    -- Canadian GAAP.........................................................................................      (472,085)
    -- U.S. GAAP.............................................................................................      (618,862)
  Net Income per Common Share(3)
    Canadian GAAP............................................................................................  $      (0.24)
Basic and Fully Diluted Income (Loss) per Common Share(3)
    -- Canadian GAAP.........................................................................................  $      (0.24)
  Primary and Fully Diluted Income (Loss) per Common Share
    -- U.S. GAAP                                                                                               $      (0.31)
BALANCE SHEET DATA:
  Working Capital............................................................................................  $ (1,930,382)
  Total Assets...............................................................................................     5,201,571
  Long-term Debt.............................................................................................        79,352
  Shareholders' Equity.......................................................................................       115,214
OTHER DATA:
  EBITDA(1)(4)
    -- Canadian GAAP.........................................................................................  $     60,314
    -- U.S. GAAP.............................................................................................  $    (86,463)

<CAPTION>

                                                                                                                   1996
                                                                                                               ------------
STATEMENT OF OPERATIONS DATA:
  Revenue....................................................................................................  $ 10,817,048
  Physician Fees and Other Direct Costs......................................................................     8,554,396
  Gross Profit...............................................................................................     2,262,652
  Operating Expenses before Depreciation and Amortization(2)
    -- Canadian GAAP.........................................................................................     5,869,690
    -- U.S. GAAP.............................................................................................     5,928,264
  Depreciation and Amortization..............................................................................        78,379
  Operating Income (Loss)
    -- Canadian GAAP.........................................................................................    (3,685,417)
    -- U.S. GAAP.............................................................................................    (3,743,991)
  Other Income (Expense).....................................................................................       (55,461)
  Provision for Income Taxes (Recovery)......................................................................      (146,554)
Net Income (Loss)
    -- Canadian GAAP.........................................................................................    (3,594,324)
    -- U.S. GAAP.............................................................................................    (3,652,898)
  Net Income per Common Share(3)
    Canadian GAAP............................................................................................  $      (1.18)
Basic and Fully Diluted Income (Loss) per Common Share(3)
    -- Canadian GAAP.........................................................................................  $      (1.18)
  Primary and Fully Diluted Income (Loss) per Common Share
    -- U.S. GAAP                                                                                               $      (1.51)
BALANCE SHEET DATA:
  Working Capital............................................................................................  $ (1,192,641)
  Total Assets...............................................................................................     3,539,823
  Long-term Debt.............................................................................................       --
  Shareholders' Equity.......................................................................................       100,799
OTHER DATA:
  EBITDA(1)(4)
    -- Canadian GAAP.........................................................................................  $ (3,607,038)
    -- U.S. GAAP.............................................................................................  $ (3,665,612)

<CAPTION>

                                                                                                                   1995
                                                                                                               ------------
STATEMENT OF OPERATIONS DATA:
  Revenue....................................................................................................  $ 10,983,553
  Physician Fees and Other Direct Costs......................................................................     8,406,631
  Gross Profit...............................................................................................     2,576,922
  Operating Expenses before Depreciation and Amortization(2)
    -- Canadian GAAP.........................................................................................     2,811,550
    -- U.S. GAAP.............................................................................................     2,811,550
  Depreciation and Amortization..............................................................................        49,342
  Operating Income (Loss)
    -- Canadian GAAP.........................................................................................      (283,970)
    -- U.S. GAAP.............................................................................................      (283,970)
  Other Income (Expense).....................................................................................        54,930
  Provision for Income Taxes (Recovery)......................................................................        71,447
Net Income (Loss)
    -- Canadian GAAP.........................................................................................      (300,487)
    -- U.S. GAAP.............................................................................................      (300,487)
  Net Income per Common Share(3)
    Canadian GAAP............................................................................................  $      (0.13)
Basic and Fully Diluted Income (Loss) per Common Share(3)
    -- Canadian GAAP.........................................................................................  $      (0.13)
  Primary and Fully Diluted Income (Loss) per Common Share
    -- U.S. GAAP                                                                                               $      (0.13)
BALANCE SHEET DATA:
  Working Capital............................................................................................  $   (480,475)
  Total Assets...............................................................................................     2,699,369
  Long-term Debt.............................................................................................       --
  Shareholders' Equity.......................................................................................      (166,253)
OTHER DATA:
  EBITDA(1)(4)
    -- Canadian GAAP.........................................................................................  $   (234,628)
    -- U.S. GAAP.............................................................................................  $   (234,628)

<CAPTION>

                                                                                                                   1994

                                                                                                               ------------

STATEMENT OF OPERATIONS DATA:
  Revenue....................................................................................................  $ 10,474,754

  Physician Fees and Other Direct Costs......................................................................     7,977,679

  Gross Profit...............................................................................................     2,497,075

  Operating Expenses before Depreciation and Amortization(2)
    -- Canadian GAAP.........................................................................................     2,172,407

    -- U.S. GAAP.............................................................................................     2,172,407

  Depreciation and Amortization..............................................................................        46,013

  Operating Income (Loss)
    -- Canadian GAAP.........................................................................................       278,655

    -- U.S. GAAP.............................................................................................       278,655

  Other Income (Expense).....................................................................................       (51,879)

  Provision for Income Taxes (Recovery)......................................................................        52,245

Net Income (Loss)
    -- Canadian GAAP.........................................................................................       174,531

    -- U.S. GAAP.............................................................................................       174,531

  Net Income per Common Share(3)
    Canadian GAAP............................................................................................  $       0.07

Basic and Fully Diluted Income (Loss) per Common Share(3)
    -- Canadian GAAP.........................................................................................  $       0.07

  Primary and Fully Diluted Income (Loss) per Common Share
    -- U.S. GAAP                                                                                               $       0.08

BALANCE SHEET DATA:
  Working Capital............................................................................................  $    104,154

  Total Assets...............................................................................................     1,663,815

  Long-term Debt.............................................................................................       --

  Shareholders' Equity.......................................................................................       338,257

OTHER DATA:
  EBITDA(1)(4)
    -- Canadian GAAP.........................................................................................  $    324,668

    -- U.S. GAAP.............................................................................................  $    324,668

</TABLE>

- ----------------------------------

(1) Unaudited

(2) At December 31, 1997, operating expenses included stock compensation
    expenses of $139,000 for shares issued to a director. At December 31, 1996,
    operating expenses included stock compensation expenses of $1,695,800 for
    shares issued to a shareholder and $1,246,000 for the issuance of stock
    options to a director.

(3) Net income (loss) per common share reflects net income (loss) before
    preferred share dividends divided by the weighted average number of common
    shares outstanding. Basic and fully diluted income (loss) per common share
    reflects net income (loss) available to common shareholders divided by the
    weighted average number of common shares outstanding.

(4) EBITDA is the sum of income before interest, taxes, depreciation and
    amortization expense. EBITDA should not be considered as an alternative to
    net income (loss) or to cash flows from operating activities (all as
    determined in accordance with generally accepted accounting principles).
    EBITDA is presented because it is a widely used financial indicator of a
    company's ability to service indebtedness and other factors.

                                       24
<PAGE>
                SELECTED HISTORICAL DATA OF YFMC HEALTHCARE INC.

    Set forth below is a summary of certain consolidated financial information
with respect to YFMC Healthcare Inc. and its subsidiaries as at and for the six
months ended June 30, 1999 and 1998 and as at and for the years ended December
31, 1998, 1997, 1996 and 1995. Financial information as at and for the year
ended December 31, 1994 is not available. More comprehensive financial
information is available in the financial statements and related documents of
YFMC Healthcare Inc., and the financial information is qualified in its entirety
by reference to, and should be read in conjunction with, such financial
statements and related documents, including the notes thereto.
<TABLE>
<CAPTION>
                                                                                                                    YEAR
                                                                                                                    ENDED
                                                                                              SIX MONTHS ENDED    DECEMBER
                                                                                                JUNE 30,(1)          31,
                                                                                            --------------------  ---------
                                                                                              1999       1998       1998
                                                                                            ---------  ---------  ---------
<S>                                                                                         <C>        <C>        <C>
STATEMENT OF OPERATIONS DATA:
Net Revenue...............................................................................  $1,911,537 $1,415,913 $3,037,231
Operating Expenses before Depreciation and Amortization...................................  1,845,513  1,281,112  2,777,172
Depreciation and Amortization.............................................................     50,610     44,400    117,912
Operating Income (Loss)...................................................................     14,414     90,401    142,147
Other Income (Expense)....................................................................    (11,510)    (5,023)   (12,266)
Provision for Income Taxes (Recovery).....................................................      1,300     34,000     43,805
Net Income (Loss).........................................................................      1,604     51,378     86,076
Basic and Fully Diluted Income per Common Share(2)........................................  $    0.00  $    0.01  $    0.01
BALANCE SHEET DATA:
Working Capital...........................................................................  $ 113,220  $ 303,861  $  26,197
Total Assets..............................................................................  2,386,064  1,260,300  1,547,124
Long-term Debt............................................................................    506,165     97,424    169,348
Shareholders' Equity......................................................................  1,001,214    683,406    699,111
OTHER DATA:
EBITDA(1)(3)..............................................................................     65,024    134,801    260,059

<CAPTION>

                                                                                              1997      1996(1)    1995(1)
                                                                                            ---------  ---------  ---------
<S>                                                                                         <C>        <C>        <C>
STATEMENT OF OPERATIONS DATA:
Net Revenue...............................................................................  $2,139,630 $1,522,009 $ 959,211
Operating Expenses before Depreciation and Amortization...................................  1,891,204  1,487,249  1,029,834
Depreciation and Amortization.............................................................     77,756     51,892     74,877
Operating Income (Loss)...................................................................    170,670    (17,132)  (145,500)
Other Income (Expense)....................................................................     (7,756)    --         --
Provision for Income Taxes (Recovery).....................................................     45,000     --         --
Net Income (Loss).........................................................................    117,914    (17,132)  (145,500)
Basic and Fully Diluted Income per Common Share(2)........................................  $    0.02        n/a        n/a
BALANCE SHEET DATA:
Working Capital...........................................................................  $(189,181) $(164,635) $ (99,357)
Total Assets..............................................................................    868,061    780,895    723,949
Long-term Debt............................................................................     91,185     76,185    121,222
Shareholders' Equity......................................................................    117,924    (55,184)   (38,052)
OTHER DATA:
EBITDA(1)(3)..............................................................................    214,062     34,760    (70,623)
</TABLE>

- ------------------------------

(1) Unaudited.

(2) There were no shares outstanding for the years ended December 31, 1996 and
    1995 because the assets and operations of YFMC were held in a partnership.

(3) See Note (4) in "SELECTED HISTORICAL FINANCIAL DATA OF MED-EMERG
    INTERNATIONAL, INC."

                                       25
<PAGE>
           UNAUDITED PRO FORMA CONSOLIDATED FINANCIAL INFORMATION OF
                         MED-EMERG INTERNATIONAL, INC.

    The following unaudited pro forma consolidated financial information of
Med-Emerg was prepared to illustrate the estimated effects of the YFMC
transaction for balance sheet purposes as at June 30, 1999 and for purposes of
the results of operations for the six months ended June 30, 1999 and for the
year ended December 31, 1998.

    Based upon the terms of the Business Combination Agreement, and the
resulting attributes of the transaction, the pro forma statements have been
prepared in accordance with Canadian GAAP using the purchase method of
accounting for the transaction which is consistent in all material respects with
the method expected to be used under U.S. GAAP, except as indicated in Note 1.
The unaudited pro forma consolidated financial information of Med-Emerg
presented is derived from a combination of YFMC financial information and
Med-Emerg financial information, both of which are prepared in accordance with
Canadian GAAP.

    The balance sheets and statements of operations of Med-Emerg and YFMC have
been summarized and reclassified so that they may be presented on a consistent
basis for purposes of the unaudited pro forma consolidated financial information
of Med-Emerg. The pro forma consolidated balance sheet as at June 30, 1999 gives
effect to the transactions set out in the Business Combination Agreement, more
fully described in Note 2, as though they had occurred on June 30, 1999. The pro
forma consolidated statements of operations for the six months ended June 30,
1999 and the year ended December 31, 1998 give effect to these transactions as
if they had occurred on January 1, 1998.

    The allocation of the aggregate purchase price reflected in the unaudited
pro forma consolidated financial information of Med-Emerg is preliminary. The
actual purchase price allocation to reflect the fair values of assets acquired
and liabilities assumed will be based upon management's evaluation of such
assets and liabilities following the effective date of the transaction and,
accordingly, the adjustments that have been included will change based upon the
final allocation of the total purchase price (including any purchase price
adjustment). Such allocation may differ significantly from the preliminary
allocation included herein.

                                       26
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

                      PRO FORMA CONSOLIDATED BALANCE SHEET

                                  (UNAUDITED)

                              AS AT JUNE 30, 1999
                                   (IN CDN$)

<TABLE>
<CAPTION>
                                                                              PRO FORMA ADJUSTMENTS
                                                                              ----------------------
                                                                              PURCHASE                 PRO FORMA
                                 NOTES      MED-EMERG     YFMC     SUBTOTAL     PRICE    CONFORMING   CONSOLIDATED
                                 -----     -----------  ---------  ---------  ---------  -----------  -----------
<S>                           <C>          <C>          <C>        <C>        <C>        <C>          <C>

ASSETS
Current assets
  Cash......................         2.3    $ 284,453   $ 158,311  $ 442,764  $(250,000)               $ 192,764
  Accounts receivable.......                3,071,253     729,268  3,800,521     --                    3,800,521
  Note receivable from
    director................                   --          --         --                                  --
  Prepaid and other.........                  724,558     104,326    828,884                             828,884
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                            4,080,264     991,905  5,072,169   (250,000)  $  --        4,822,169

Loans and advances..........                  130,975      --        130,975                             130,975
Capital assets..............         2.7    1,392,946     741,213  2,134,159  1,474,955                3,609,114
Other assets................         2.3    2,017,662     652,946  2,670,608    250,000                5,070,082
                                     2.4                                       (652,946)
                                     2.7                                      2,802,420
Deferred income taxes.......                  898,961      --        898,961                             898,961
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                            $8,520,808  $2,386,064 $10,906,872 $3,624,429  $  --      1$4,531,301
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                           -----------  ---------  ---------  ---------  -----------  -----------

LIABILITIES AND
  SHAREHOLDERS' EQUITY
Current liabilities
  Bank indebtedness.........                $ 142,558   $ 436,332  $ 578,890                           $ 578,890
  Accounts payable and
    accrued liabilities.....                2,383,329     290,615  2,673,944                           2,673,944
  Note payable..............                               --         --                                  --
  Income taxes payable......                                4,891      4,891                               4,891
  Current portion of
    long-term debt..........                   93,070     146,847    239,917                             239,917
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                            2,618,957     878,685  3,497,642  $  --       $  --        3,497,642

Deferred tax credit.........         2.7       --          --         --        764,532                  764,532
Long term debt..............                  392,129     454,574    846,703                             846,703
Due to a director...........                   --          51,591     51,591                              51,591
Due to minority
  shareholders..............                   30,137      --         30,137                              30,137
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                            3,041,223   1,384,850  4,426,073    764,532      --        5,190,605

Minority interest...........                  141,585      --        141,585                             141,585

Shareholders' equity
  Capital stock.............         2.1    8,325,811     695,621  9,021,432  3,771,489               11,997,300
                                     2.6                                       (795,621)
  Convertible debenture.....                  590,625     100,000    690,625                             690,625
  Contributed surplus.......         2.2    1,316,980      --      1,316,980     89,621                1,406,601
  Retained earnings.........         2.6   (4,895,416)    205,593  (4,689,823)   447,353              (4,895,416)
                                     2.4                                       (652,946)
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                            5,338,000   1,001,214  6,339,214  2,859,896      --        9,199,110
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                            $8,520,808  $2,386,064 $10,906,872 $3,624,429  $  --      1$4,531,301
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                           -----------  ---------  ---------  ---------  -----------  -----------
</TABLE>

                                       27
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

                  PRO FORMA CONSOLIDATED STATEMENT OF EARNINGS

                                  (UNAUDITED)

                     FOR THE SIX MONTHS ENDED JUNE 30, 1999
                                   (IN CDN$)

<TABLE>
<CAPTION>
                                                                              PRO FORMA ADJUSTMENTS
                                                                              ----------------------
                                                                              PURCHASE                 PRO FORMA
                                 NOTES      MED-EMERG     YFMC     SUBTOTAL     PRICE    CONFORMING   CONSOLIDATED
                                 -----     -----------  ---------  ---------  ---------  -----------  -----------
<S>                           <C>          <C>          <C>        <C>        <C>        <C>          <C>

Revenue.....................                $8,768,298  $2,120,347 $10,888,645                        1$0,888,645
Physician fees and other
  direct costs..............                6,332,448     468,538  6,800,986                           6,800,986
                                           -----------  ---------  ---------  ---------  -----------  -----------
Gross margin................                2,435,850   1,651,809  4,087,659  $  --       $  --        4,087,659
                                           -----------  ---------  ---------  ---------  -----------  -----------
Operating expenses
  Salaries and benefits.....                1,116,253     732,859  1,849,112                           1,849,112
  General and
    administration..........         2.5      385,305     233,252    618,557                (40,477)     578,080
  Occupancy costs and
    supplies................                  479,494     546,366  1,025,860                           1,025,860
  Product development.......                  306,747      --        306,747                             306,747
  Public company costs......                  228,656      18,501    247,157                             247,157
  Travel and marketing......                  111,823      38,169    149,992                             149,992
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                            2,628,278   1,569,147  4,197,425     --         (40,477)   4,156,948

Earnings (loss) from
  operations................                 (192,428)     82,662   (109,766)    --          40,477      (69,289)
  Interest and financing
    expense.................                   11,175      29,149     40,324                              40,324
  Depreciation and
    amortization............         2.8      207,849      50,610    258,459     65,138                  502,617
                                     2.8                                        179,020
                                           -----------  ---------  ---------  ---------  -----------  -----------
Net income (loss) before
  taxes.....................                 (411,452)      2,903   (408,549)  (244,158)     40,477     (612,230)
  Income tax recovery
    (expense)...............         2.5      181,039      (1,300)   179,739                (18,126)     215,328
                                     2.9                                         53,715
                                           -----------  ---------  ---------  ---------  -----------  -----------
Net income (loss)...........                 (230,413)      1,603   (228,810)  (190,443)     22,351     (396,902)
Preferred share dividends...                 (100,035)     --       (100,035)                           (100,035)
                                           -----------  ---------  ---------  ---------  -----------  -----------
Net income (loss) applicable
  to common shares..........                $(330,448)  $   1,603  $(328,845) $(190,443)  $  22,351    $(496,937)
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                           -----------  ---------  ---------  ---------  -----------  -----------
Net loss before preferred
  share dividend, per common
  share.....................                $   (0.07)                                                 $   (0.08)
Preferred share dividends,
  per share.................                    (0.03)                                                     (0.02)
                                           -----------                                                -----------
Basic and fully diluted
  loss,
  per share.................                $   (0.10)                                                 $   (0.10)
                                           -----------                                                -----------
                                           -----------                                                -----------
Weighted average number of
  common shares.............                3,095,544                                                  4,805,970
                                           -----------                                                -----------
                                           -----------                                                -----------
</TABLE>

                                       28
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

                 PRO FORMA CONSOLIDATED STATEMENT OF OPERATIONS

                                  (UNAUDITED)

                      FOR THE YEAR ENDED DECEMBER 31, 1998
                                   (IN CDN$)

<TABLE>
<CAPTION>
                                                                              PRO FORMA ADJUSTMENTS
                                                                              ----------------------
                                                                              PURCHASE                 PRO FORMA
                                 NOTES      MED-EMERG     YFMC     SUBTOTAL     PRICE    CONFORMING   CONSOLIDATED
                                 -----     -----------  ---------  ---------  ---------  -----------  -----------
<S>                           <C>          <C>          <C>        <C>        <C>        <C>          <C>

Revenue.....................               1$5,282,584  $3,037,231 $18,319,815                        1$8,319,815
Physician fees and other
  direct costs..............               11,837,088      --      11,837,088                         11,837,088
                                           -----------  ---------  ---------  ---------  -----------  -----------
Gross margin................                3,445,496   3,037,231  6,482,727  $  --       $  --        6,482,727
                                           -----------  ---------  ---------  ---------  -----------  -----------
Operating expenses
  Salaries and benefits.....                1,886,679   1,382,998  3,269,677                           3,269,677
  General and
    administration..........                  753,345     373,807  1,127,152                 --        1,127,152
  Occupancy costs and
    supplies................                  554,040     945,505  1,499,545                           1,499,545
  Travel and marketing......                  261,466      74,862    336,328                             336,328
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                            3,455,530   2,777,172  6,232,702     --          --        6,232,702

Earnings (loss) from
  operations................                  (10,034)    260,059    250,025     --          --          250,025
  Interest and financing
    expense.................                   18,657      12,266     30,923                              30,923
  Depreciation and
    amortization............         2.8      184,194     117,912    302,106    130,275                  728,069
                                     2.8                                        295,688
                                           -----------  ---------  ---------  ---------  -----------  -----------
Net income before taxes.....                 (212,885)    129,881    (83,004)  (425,963)     --         (508,967)
  Income tax recovery
    (expense)...............                   55,349     (43,805)    11,544                 --          118,973
                                     2.9                                        107,429
                                           -----------  ---------  ---------  ---------  -----------  -----------
Net income (loss)...........                 (157,536)     86,076    (71,460)  (318,534)     --         (389,994)
Preferred share dividends...                 (175,576)     --       (175,576)                           (175,576)
                                           -----------  ---------  ---------  ---------  -----------  -----------
Net income (loss) applicable
  to common shares..........                $(333,112)  $  86,076  $(247,036) $(318,534)  $  --        $(565,570)
                                           -----------  ---------  ---------  ---------  -----------  -----------
                                           -----------  ---------  ---------  ---------  -----------  -----------
Net loss before preferred
  share dividend, per common
  share.....................                $   (0.05)                                                 $   (0.08)
Preferred share dividends,
  per share.................                    (0.06)                                                     (0.04)
                                           -----------                                                -----------
Basic and fully diluted
  loss,
  per share.................                $   (0.11)                                                 $   (0.12)
                                           -----------                                                -----------
                                           -----------                                                -----------
Weighted average number of
  common shares.............                2,975,853                                                  4,686,279
                                           -----------                                                -----------
                                           -----------                                                -----------
</TABLE>

                                       29
<PAGE>
                         MED-EMERG INTERNATIONAL, INC.

              NOTES TO PRO FORMA CONSOLIDATED FINANCIAL STATEMENTS

                                  (UNAUDITED)

1.  BASIS OF PRESENTATION

    The pro forma statements have been prepared using the purchase method of
    accounting for the transaction. The total purchase price will be allocated
    to the assets acquired and liabilities assumed, based on their respective
    fair values. The allocation of the aggregate purchase price reflected in the
    pro forma statements is preliminary and is based upon the Med-Emerg share
    price on August 1, 1999. The actual purchase allocation to reflect the fair
    values of the assets acquired and liabilities assumed will be based upon
    management's evaluation of such assets and liabilities and, accordingly, the
    adjustments that have been included in the pro forma statements will change
    based upon the final allocation of the total purchase price (including any
    purchase price adjustment). Such allocation may differ significantly from
    the preliminary allocation included herein. In addition, a significant
    difference between the Canadian GAAP and the U.S. GAAP calculation of the
    total purchase price may result. Under Canadian GAAP, the purchase price
    will be determined based on Med-Emerg's stock price on the date of the
    transaction (which cannot be determined at this time). Under U.S. GAAP, the
    purchase price is determined based on the period surrounding the
    announcement date.

    The accompanying pro forma statements have been prepared by management of
    Med-Emerg based on the unaudited and audited consolidated financial
    statements of Med-Emerg as at and for the six months ended June 30, 1999 and
    for the year ended December 31, 1998, respectively, and the unaudited and
    audited consolidated financial statements of YFMC as at and for the six
    months ended June 30, 1999 and for the year ended December 31, 1998,
    respectively, adjusted to reflect classifications consistent with the
    presentation adopted by Med-Emerg. The accounting policies used in the
    preparation of the pro forma statements are those disclosed in Med-Emerg's
    audited and unaudited consolidated financial statements. The pro forma
    adjustments include those adjustments necessary to conform the YFMC
    financial statements with the accounting policies used by Med-Emerg in the
    preparation of its consolidated financial statements, except as described in
    note 4.

    In the opinion of the management of Med-Emerg, these pro forma statements
    include all adjustments necessary for a fair presentation of pro forma
    financial statements.

    The pro forma statements also are not necessarily indicative of the results
    that actually would have been achieved if the transactions reflected therein
    had been completed on the dates indicated or the results which may be
    obtained in the future. In preparing these pro forma statements, no
    adjustments have been made to reflect transactions which have occurred since
    the dates indicated or to reflect the operating benefits and general and
    administrative cost savings expected to result from combining the operations
    of Med-Emerg and YFMC.

    The pro forma statements should be read in conjunction with the description
    of the transaction in this Prospectus, the unaudited and audited
    consolidated financial statements of Med-Emerg as at and for the six months
    ended June 30, 1999 and for the year ended December 31, 1998, respectively,
    and notes thereto, incorporated by reference in this Prospectus, and the
    unaudited and audited consolidated financial statements for YFMC as at and
    for the six months ending June 30, 1999 and as at and for the year ended
    December 31, 1998, respectively, and notes thereto, also incorporated by
    reference in this Prospectus.

2.  PRO FORMA ASSUMPTIONS AND ADJUSTMENTS

    The pro forma statements incorporate the following assumptions:

    - Completion of the transactions contemplated by the Business Combination
      Agreement, as more fully described elsewhere herein, resulting in the
      combination of the business of Med-Emerg and YFMC.

    - Absence of any material transactions by, or changes in operations of,
      Med-Emerg and YFMC subsequent to June 30, 1999 other than as described
      elsewhere in this Prospectus.

                                       30
<PAGE>
                         MED-EMERG INTERNATIONAL, INC.

        NOTES TO PRO FORMA CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                                  (UNAUDITED)

    In respect of YFMC, certain adjustments described in 2.5 below are required
    to achieve conformity with the accounting methods used by Med-Emerg, and
    ultimately will be used following completion of the transaction.

    These pro forma statements give effect to the following assumptions and
    adjustments (as if they had occurred on June 30, 1999 in respect of the pro
    forma consolidated balance sheet for the six months ended June 30, 1999, and
    on January 1, 1998 in respect of the pro forma consolidated statements of
    operations):

    TRANSACTIONS GIVING EFFECT TO THE BUSINESS COMBINATION AND AGREEMENTS
    RELATED THERETO

    2.1 The issuance by Med-Emerg of 1,610,426 Common Shares at US$1.50 per
       share in exchange for 11,071,679 outstanding shares of YFMC Common
       Shares, as of August 1, 1999, on the basis of an exchange ratio of one
       share of Med-Emerg Common Shares for every 6 7/8 shares of YFMC Common
       Shares and to record the issuance by Med-Emerg of 100,000 Common Shares
       at US$1.50 per share in exchange for 1,000,000 outstanding Convertible
       Preferred Shares of YFMC. The 100,000 Common Shares of Med-Emerg issued
       in exchange for the YFMC Convertible Preferred Shares are to be held in
       escrow until Med-Emerg shares trade at a minimum price of US$3.40 for 20
       consecutive days.

    2.2 YFMC STOCK OPTIONS AND WARRANTS

       To record $89,621 as contributed surplus to reflect the cost to Med-Emerg
       of assuming YFMC stock options and warrants. A total of 150,375 Med-Emerg
       stock options, 44,585 Med-Emerg Warrants at US$2.70, and 44,585 Med-Emerg
       Warrants at US$3.40 were issued to replace 1,203,000 YFMC stock options,
       356,680 YFMC Warrants A at Cdn$0.40, and 356,680 YFMC Warrants B at
       Cdn$0.50, respectively.

       The fair values attributed to the above-mentioned Med-Emerg instruments
       were estimated using the Black-Scholes option pricing model with the
       following assumptions: risk-free interest rate of 3.0%, expected life
       based on the expiry date of each instrument, and expected volatility of
       50.0%.

    2.3 To record the estimated costs of $250,000 associated with the
       transaction, which will be capitalized as goodwill.

    2.4 To eliminate YFMC's goodwill prior to allocation of the purchase price
       by Med-Emerg.

    CONFORMING ADJUSTMENTS

    2.5 To capitalize costs directly associated with acquisitions, previously
       expensed by YFMC. Med-Emerg's policy is to defer all direct costs
       associated with an acquisition and include the costs in the allocation of
       the purchase price for that acquisition. The amount was subsequently
       eliminated during the allocation of the purchase price.

    ADJUSTMENTS TO RECORD THE PURCHASE

    2.6 To eliminate on consolidation the shareholders' equity attributable to
       YFMC Common Shares after taking into consideration the adjustment
       described in 2.4.

                                       31
<PAGE>
                         MED-EMERG INTERNATIONAL, INC.

        NOTES TO PRO FORMA CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                                  (UNAUDITED)

    2.7 To allocate the aggregate purchase price to YFMC's net assets, in
       accordance with the purchase method of accounting as follows:

<TABLE>
<CAPTION>
                                                                                  JUNE 30, 1999
                                                                                  -------------
<S>                                                                               <C>
Common shareholders' equity acquired before adjustment described in 2.4.........   $ 1,001,214
Deduct effect of adjustment described in 2.4....................................      (652,946)
                                                                                  -------------
Pro forma book value of net tangible assets acquired............................   $   348,268

Fair value of the shares to be issued...........................................   $ 3,771,489
Cost of warrants and options....................................................        89,621
Estimated acquisition costs.....................................................       250,000
                                                                                  -------------
Total purchase price............................................................     4,111,110
                                                                                  -------------
Excess of purchase price over book value of net tangible
  assets acquired...............................................................   $ 3,762,842

Allocation of purchase price in excess of book value of net tangible assets acquired:

Capital assets..................................................................   $ 1,474,955
Deferred tax credit.............................................................      (764,532)
Goodwill........................................................................     3,052,420
                                                                                  -------------
                                                                                   $ 3,762,842
</TABLE>

    2.8 To record amortization of capital assets (June 30, 1999 -- $179,020,
       December 31, 1998 -- $295,688), and goodwill (June 30, 1999 -- $65,138,
       December 31, 1998 -- $130,275) as a result of the purchase price
       allocation as reflected in 2.7 above.

       The above amortization adjustments are preliminary and could vary
       significantly based upon the final allocation of the total purchase price
       (including any purchase price adjustment).

       The impact on the pro forma net loss of these amortizations was a charge
       of $318,534 ($0.07 per share) for the year ended December 31, and
       $190,443 ($0.04 per share) 1998 for the six months ended June 30, 1999.
       The actual amortization of goodwill and capital assets will take place
       subsequent to the effective date of the transaction.

    2.9 To record the deferred tax effect resulting from the difference between
       the tax value and fair value of the capital assets acquired (June 30,
       1999 -- $54,636, December 31, 1998 -- $109,272).

3.  CAPITAL STOCK AND COMMON SHARES

    The components of the pro forma capital stock as at June 30, 1999 are:

<TABLE>
<CAPTION>
                                                                                           PRO FORMA      PRO FORMA
                                                       NOTES     MED-EMERG       YFMC     ADJUSTMENTS   CONSOLIDATED
                                                     ---------  ------------  ----------  ------------  -------------
<S>                                                  <C>        <C>           <C>         <C>           <C>
Preferred shares...................................     2.7     $    594,586  $    7,832  $     (7,832) $     594,586
Common shares......................................     2.7        7,680,484     687,789      (687,789)    11,351,973
                                                        2.8                                  3,771,489
Common stock purchase Warrants.....................                   50,741      --           --              50,741
                                                                ------------  ----------  ------------  -------------
Total..............................................             $  8,325,811  $  695,621  $  3,075,868  $  11,997,300
                                                                ------------  ----------  ------------  -------------
                                                                ------------  ----------  ------------  -------------
</TABLE>

                                       32
<PAGE>
                         MED-EMERG INTERNATIONAL, INC.

        NOTES TO PRO FORMA CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                                  (UNAUDITED)

    The number of pro forma common shares outstanding after giving effect to the
transaction are:

<TABLE>
<S>                                                                                 <C>
Med-Emerg shares outstanding at August 10, 1999...................................  3,095,544
YFMC shares outstanding at August 10, 1999 converted to equivalent Med-Emerg
  shares (11,071,679 X 0.14545)...................................................  1,610,426
YFMC preferred shares converted to Med-Emerg common shares (1,000,000 X 0.1)......    100,000
                                                                                    ---------
Pro forma common shares outstanding...............................................  4,805,970
                                                                                    ---------
                                                                                    ---------
</TABLE>

4.  ITEMS NOT ADJUSTED

    The pro forma statements do not reflect any operating efficiencies, cost
    savings and other benefits or expenses related to the Business Combination
    anticipated by Med-Emerg's management. Those benefits include potential
    opportunities for increased revenue that arise from an increased number of
    clinic facilities forming the foundation for Med-Emerg's internet-based
    network.

5.  PER SHARE INFORMATION

    The pro forma net loss per common share, basic and diluted, was calculated
    after deducting dividends on preferred shares from the net loss and was
    based on the weighted average number of common shares outstanding during the
    period as calculated below:

<TABLE>
<CAPTION>
                                                                                                       FOR THE SIX
                                                                                                      MONTHS ENDED
                                                                                                      JUNE 30, 1999
                                                                                                      -------------
<S>                                                                                                   <C>
Med-Emerg average shares outstanding................................................................     3,095,544
Med-Emerg shares issued in exchange for YFMC shares.................................................     1,610,426
Med-Emerg shares issued in exchange for YFMC convertible preferred shares...........................       100,000
                                                                                                      -------------
Total...............................................................................................     4,805,970
                                                                                                      -------------
                                                                                                      -------------
</TABLE>

6.  RECONCILIATION OF PRO FORMA RESULTS REPORTED UNDER CANADIAN GAAP WITH U.S.
    GAAP

    Med-Emerg's accounting policies are consistent in all material respects with
    U.S. GAAP with the following exceptions:

    NET PRO FORMA LOSS RECONCILIATION

    If United States GAAP were employed, net pro forma loss would be adjusted as
    follows:

<TABLE>
<CAPTION>
                                                                                                      DECEMBER 31,
                                                                                       JUNE 30, 1999      1998
                                                                                       -------------  ------------
<S>                                                                                    <C>            <C>
Net pro forma loss based on Canadian GAAP............................................  $    (358,464)  $ (425,332)
Deferred start-up costs amortized/(deferred)(a)......................................        (39,377)    (262,045)
                                                                                       -------------  ------------
Net pro forma loss based on United States GAAP.......................................  $    (319,087)  $ (641,153)
                                                                                       -------------  ------------
Primary loss per share...............................................................  $       (0.07)  $    (0.14)
                                                                                       -------------  ------------
                                                                                       -------------  ------------
</TABLE>

                                       33
<PAGE>
                         MED-EMERG INTERNATIONAL, INC.

        NOTES TO PRO FORMA CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                                  (UNAUDITED)

    If United States GAAP were employed, certain pro forma balance sheet items
    would be adjusted as follows:

<TABLE>
<CAPTION>
                                                                                         JUNE 30,
                                                                                           1999
                                                                                       -------------
<S>                                                                                    <C>            <C>
Pro forma deficit based on Canadian GAAP.............................................  $  (4,895,416)
Deferred start-up costs(a)...........................................................       (490,063)
                                                                                       -------------
Pro forma deficit based on US GAAP...................................................  $  (5,385,479)
                                                                                       -------------
                                                                                       -------------

Pro forma other assets based on Canadian GAAP........................................  $   4,822,169
Deferred start-up costs(a)...........................................................       (490,063)
                                                                                       -------------
Pro forma other assets based on US GAAP..............................................  $   4,332,106
                                                                                       -------------
                                                                                       -------------

Total pro forma liabilities based on Canadian GAAP...................................  $   5,190,605
Convertible debenture(b).............................................................        690,625
                                                                                       -------------
Total pro forma liabilities based on US GAAP.........................................  $   5,881,230
                                                                                       -------------
                                                                                       -------------

Pro forma capital stock based on Canadian GAAP.......................................  $  11,997,300
Ascribed fair value of share purchase warrants issued(c).............................        (50,000)
                                                                                       -------------
Pro forma capital stock -- U.S. GAAP.................................................     11,947,300
Share purchase loan to officer(c)....................................................        (60,000)
                                                                                       -------------
Net pro forma capital stock -- U.S. GAAP.............................................  $  11,887,300
                                                                                       -------------
                                                                                       -------------

Pro forma convertible debenture based on Canadian GAAP...............................  $     690,625
Convertible debenture included in long-term debt(b)..................................       (690,625)
                                                                                       -------------
Pro forma convertible debenture -- U.S. GAAP.........................................  $    --
                                                                                       -------------

Pro forma contributed surplus based on Canadian GAAP.................................  $   1,406,601
Share purchase warrants(c)...........................................................         50,000
                                                                                       -------------
Pro forma contributed surplus -- U.S. GAAP...........................................  $   1,456,601
                                                                                       -------------
Pro forma deficit -- U.S. GAAP.......................................................  $  (5,385,479)
                                                                                       -------------
Pro forma shareholders' equity -- U.S. GAAP..........................................  $   7,958,422
                                                                                       -------------
                                                                                       -------------
</TABLE>

- ------------------------

(a) Deferred Start-up Costs

    Under Canadian GAAP, development and start-up costs, which meet certain
    criteria, are deferred and amortized. Under United States GAAP, development
    and start-up costs are expensed as incurred.

(b) Convertible Debenture

    Under U.S. GAAP, convertible debentures are presented as liabilities,
    regardless of the attributes of the convertible debenture, and transferred
    to equity upon conversion, whereas, under Canadian GAAP, the likelihood of
    conversion to equity is considered in determining the classification between
    liability or equity.

(c) Shareholders' Equity

    Under U.S. GAAP, loans issued to officers to acquire stock are presented as
    a deduction from shareholders' equity (deficit).

                                       34
<PAGE>
                         MED-EMERG INTERNATIONAL, INC.

        NOTES TO PRO FORMA CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                                  (UNAUDITED)

    Under Canadian GAAP, the detachable stock purchase warrants issued as in
    conjunction with the private stock offering on January 22, 1996 and
    subsequently surrendered have been given no recognition in the financial
    statements.

    Under U.S. GAAP, detachable stock purchase warrants are given separate
    recognition from the primary security issued. Upon initial recognition, the
    carrying amount of the two securities is allocated based on the relative
    fair values at the date of issuance. Under U.S. GAAP, based on an ascribed
    fair value of $0.05 for each of the 1,000,000 share warrants issued, share
    capital would be lower by $50,000 and, given that the stock purchase
    warrants were cancelled during the year, the carrying amount of contributed
    surplus would be increased by $50,000.

                                       35
<PAGE>
          MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                     AND RESULTS OF OPERATIONS OF MED-EMERG

    OVERVIEW

    Med-Emerg International, Inc. ("Med-Emerg" or the "Company"), 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, Med-Emerg has expanded to offer a wide variety of medical
services including recruitment, nurse staffing, physician management services
and an internet-based healthcare network.

    Med-Emerg is positioned to establish industry leadership by providing
integrated professional management services in the delivery of healthcare to the
healthcare consumer. The Company's operations are divided into three divisions:
Physician and Nurse Recruitment Services, Physician Management Services and an
internet based healthcare network called HealthyConnect.com. Med-Emerg's
strategy is to remain focussed on these three divisions while continuing to
broaden its consolidation of physicians over a wider geographic base. Med-Emerg
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 to integrate opportunities available through internet
technology. Specifically, the Company's strategy is to leverage its 15 years of
physician recruitment experience in becoming a dominant player in Physician
Management Services and to develop an internet-based healthcare network that
connects physicians, patients, third party payors and consumers to a "virtual
world" of healthcare products, services and health information.

    The Company continues to promote its medical manpower staffing services
throughout Canada. Demand for emergency care has grown significantly over the
past ten years, notwithstanding the small proportion of physicians focusing on
emergency medicine. Moreover, recruitment of experienced emergency medicine
practitioners by hospitals in other countries is intense and such demand is
expected to continue for some time. Given the uncertainties associated with
patient volumes in several Ontario hospital emergency departments, the pool of
available physicians willing to practice emergency medicine has been declining.

    The Company's ability to provide solutions and source physicians and highly
skilled nurses will be enhanced by its success in developing its dominant status
in the Physician Management Services Organization (PMSO) sector. The Company's
business strategy is to integrate and through its physicians program offer the
family physician a comprehensive practice opportunity. Management believes that
the creation of a dominant PMSO status will significantly contribute to the
Company's efforts in growing its emergency services recruitment division. It is
management's intention to continue to market its PMSO services to the Canadian
physician community, which totals approximately 55,000 members strong and
collects annual billings of approximately $11.0 billion.

    In July 1999, Med-Emerg formed a strategic alliance with Laser Rejuvenation
Clinics Ltd. (LRC), a publicly listed company on the Alberta Stock Exchange
offering a full range of laser cosmetic procedures in its clinic operations
located in Ontario, Alberta, Manitoba and British Columbia, Canada. The
co-management agreement calls for the cross-marketing of LRC's full range of
laser and cosmetic procedures to Med-Emerg's patient base throughout both
Med-Emerg and LRC's clinic network. The co-management agreement includes the use
of LRC's fully trained staff and portable laser equipment in certain Med-Emerg
clinics with no capital equipment investment required by Med-Emerg, which will
result in increasing the revenue per square foot generated by Med-Emerg's
physician management services group.

    In June 1999, Med-Emerg entered into a letter of intent to purchase YFMC
Healthcare Inc., a publicly listed company on the Alberta Stock Exchange, to be
acquired by Med-Emerg through a stock swap. A Business Combination Agreement was
entered into on August 10, 1999 in connection therewith. YFMC Healthcare Inc. is
a leading Canadian physician management services organization that owns and
manages 20 medical clinics with annual gross revenues of approximately $11.2
million. The transaction is expected to close at the end of the third quarter of
1999.

    In March 1999, the Company purchased 51% of the outstanding capital of
Caremedics (Elmvale) Inc., a multi-physician primary healthcare clinic located
in Ottawa, Canada. The Company entered into a five-year

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management services agreement to manage the clinic for a monthly fee based on
revenues generated by the clinic.

    In February 1999, the Company became party to a lease for the clinic located
within York University in Toronto, Canada. The Company has entered into a
five-year management services agreement to manage the clinic for a monthly fee
based on revenues generated by the clinic. The Company has a 51% interest in the
company that owns the clinic.

    In January 1999, the Company acquired a 45% interest in an Urgent Care
Centre, Medical Urgent Care Inc. The Company developed and opened its first
Urgent Care Centre in September 1997. The Urgent Care Centre concept consists of
a group of emergency trained physicians, a medical laboratory, a diagnostic
radiology service, and a pharmacy, each of which must be present for the others
to co-exist, and each of which is provided by a separately owned company. The
Company manages the clinic component of the Urgent Care Centre and provides the
support staff for this component. Ownership of Medical Urgent Care Inc. is
shared with the group of emergency trained physicians that provides the medical
service in the clinic component.

    In the first quarter of 1999, the company launched an internet-based
healthcare network, called HealthyConnect.com, that will provide a secured
virtual private internet-based healthcare network connecting physicians,
hospitals, third party payers, and consumers. HealthyConnect.com's network will
allow its customers and strategic partners to access and exchange healthcare
related information, purchase healthcare products and services, and communicate
more efficiently with one another. Through its electronic platform,
HealthyConnect.com will facilitate the business of healthcare through advanced
internet and voice telecommunication technology. HealthyConnect.com will link
healthcare product and service suppliers with the clinical network patient
family. Convenient and secure access and at home/at office browsing and
purchasing capabilities will facilitate direct sales opportunities for member
suppliers.

    HealthyConnect.com will empower the consumer by providing them with improved
access to validated healthcare information. Physicians and other healthcare
providers will have access to reliable information and additional support in
delivering cost effective, high quality healthcare services using all available
technologies. Med-Emerg anticipates that HealthyConnect.com will generate
revenue from three sources; provider subscription, advertising, and e-commerce
commissions. Through Med-Emerg's existing medical clinics, HealthyConnect.com
has an immediately accessible potential customer base of physician practices and
patients who have at one time or another been patients of those practices. These
physicians and patients will comprise the initial customer base from which
HealthyConnect.com will derive provider subscription fees and transaction or
commission fees from e-commerce sales. Advertising sponsorship is anticipated
from pharmaceutical companies, community pharmacies and companies with services
and products interested in accessing HealthyConnect.com's network of patients
and physicians.

    Management of Med-Emerg sees HealthyConnect.com as a significant opportunity
to create a profitable business line while providing healthcare organizations
with new web-based technologies to increase practice efficiency, achieve
measurable cost savings and improve the quality of care.

RESULTS OF OPERATIONS

SIX MONTHS ENDED JUNE 30, 1999 COMPARED TO SIX MONTHS ENDED JUNE 30, 1998

    REVENUES.  Revenues increased by $972,912 or 27.3% from $3,566,201 in the
second quarter of 1998 to $4,539,113 in the second quarter of 1999. Year-to-date
revenue increased by $1,596,998 or 22.3% to $8,768,298 for the six months ended
June 30, 1999 compared to $7,171,300 for the same period in 1998. The revenue
growth is attributable to the clinic acquisitions, growth in existing clinic
business and growth in nurse staffing. In addition, during the second quarter of
1999, Med-Emerg realized revenues of approximately $282,000 from a one-time
contract with Citizenship and Immigration Canada (the "CIC contract") to provide
medical services to Kosovo refugees.

    Revenues generated by Physician Management Services increased by $861,447 or
110% from $782,269 in the second quarter of 1998 to $1,643,716 during the second
quarter of 1999. For the six months ended June 30, 1999, Physician Management
Services revenue was $3,197,038, which represents an increase of $1,694,122 over

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the six months ended June 30, 1998. The three acquisitions that were completed
in the second and third quarters of 1998 contributed $435,134 additional revenue
to the second quarter of 1999 and $885,715 additional revenue to the six months
ended June 30, 1999. The three acquisitions that were completed during the first
quarter of 1999 contributed $179,712 to second quarter revenue and $310,744 to
revenue for the six months ended June 30, 1999. The Dundas Urgent Care Centre
was a start-up operation in 1998. In 1999, this Centre contributed $163,443 to
second quarter revenues and $343,717 for the six months ended June 30, 1999. The
remaining increase in Physician Management Services revenue is a result of
increased patient volumes and additional physicians working in the family
practice and walk-in clinics.

    Revenues from Physician and Nurse Recruiting increased by $111,465 or 4.0%
to $2,895,397 during the second quarter of 1999 from $2,783,932 during the same
period for 1998. Revenues for the six months ended June 30, 1999 were
$5,571,260, a $97,124 decrease from the same period in 1998. The decrease in
revenue for the six months occurred in the physician staffing component of this
division. Two new contracts entered into in the latter part of fiscal 1998 and
the one-time CIC contract contributed to revenue in the first six months of
1999, but five contracts in place during the first six months of 1998 were not
renewed. The CIC contract contributed to the increase in revenue during the
second quarter of 1999 compared to 1998. The nurse staffing component
contributed an additional $188,403 to revenue in the first six months of 1999 as
compared to the same period last year. This increase came from a significant
increase in the provision of services to one hospital under an existing contract
plus the net addition of three contracts.

    PHYSICIAN FEES AND OTHER DIRECT COSTS.  Physician fees and direct costs,
which primarily represents fees to contract physicians, increased $434,338 or
15.4% from $2,823,072 in the second quarter of 1998 to $3,257,410 in the second
quarter of 1999. For the six months ended June 30, 1999, physician fees and
direct costs increased $627,934 11.0% to $6,332,448 from $5,704,514 for the six
months ended June 30, 1998. Physician fees and other direct costs decreased as a
percent of revenue, representing 72.2% of revenues for the six months ended June
30, 1999 and 79.5% of revenues for the six months ended June 30, 1998. The
decrease as a percent of revenue is largely due to the mix of revenue between
Physician & Nurse Recruiting and Physician Management Services. As the Physician
Management Services revenues increase, the larger gross margin related to
Physician Management Services results in a decrease in physician fees and other
direct costs as a percent of revenue.

    OPERATING EXPENSES.  Operating expenses have increased by $1,210,600 or
85.4% to $2,628,278 in the first six months of 1999 from $1,417,678 in the first
six months of 1998. For the second quarter ended June 30, 1999, operating
expenses were $1,403,375, which represents an increase of $657,382 or 88.1%
increase over operating expenses for the second quarter ended June 30, 1998.
There are several factors contributing to the increase in operating expenses,
including the development of the HealthyConnect.com division, the clinic
acquisitions in 1998 and 1999, and the operations of the Dundas Urgent Care
Centre.

    The company recently launched an integrated health services delivery network
called HealthyConnect.com. This internet-based healthcare network will connect
physicians, hospitals, third party payors and consumers and allow all
participants to access and exchange healthcare related information, purchase
products and services, and communicate more cost-effectively with one another.
During the second quarter of 1999, the company expensed $152,252 on the
development of this concept, for a total year-to-date HealthyConnect.com
development expense of $307,400.

    During the second and third quarters of 1998, the company completed the
acquisitions of two companies, JC Medical Management Inc. and Doctors On Call
Ltd., and acquired the remaining two-thirds of the Glenderry Medical Walk-in
Clinic. These acquisitions added $144,294 to operating expenses in the second
quarter of 1999 and $274,111 for the six months ended June 30, 1999. During the
first quarter of 1999, the company completed the acquisition of a controlling
interest in three other companies, all of which operate medical clinics. These
acquisitions added $237,856 to operating expenses in the second quarter of 1999
and $349,212 to operating expenses for the six months ended June 30, 1999.

    During the first quarter of 1998, the Dundas Urgent Care Centre was
considered a start-up operation. During the first six months of 1999, this
Urgent Care Centre added $142,787 to operating expenses and $63,844 to the
second quarter of 1999 compared to the second quarter of 1998. The remaining
increase in operating

                                       38
<PAGE>
expenses of $137,743 for the six months ended June 30, 1999 compared to the same
period in 1998 and $59,790 from first quarter of 1998 to first quarter of 1999
relates to an increase in general overhead costs.

    NET LOSS.  As a result of the above items, the Company reported a net loss
of $135,780 for the three months ended June 30, 1999 as compared to net loss of
$8,056 for the three months ended June 30, 1998. Net loss for the six months
ended June 30, 1999 was $230,413 as compared to net income of $2,973 for the six
months ended June 30, 1998. The company's effective tax rate increased to
approximately 44% in 1999 from approximately 26% in 1998 due to the change in
status under Canadian taxation rules from a privately-held company to a company
with shares that are publicly traded.

FOR THE YEAR ENDED DECEMBER 31, 1998 COMPARED TO DECEMBER 31, 1997

    NET SERVICE REVENUES.  Revenues increased by $3,709,917 or 32.1% from
$11,572,667 for the year ended December 31, 1997 to $15,282,584 for the
comparable period in 1998. The increase is due to: (i) revenue generated from
the acquisitions of JC Medical Management Inc. and Doctors on Call Ltd., (ii)
additional revenue recorded on the increase in ownership of Glenderry Walk-in
Clinic from 33 1/3% to 100%, (iii) revenue generated from the emergency nurse
staffing service launched in 1998, and (iv) general increase in patient volumes
in both the physician staffing service and clinic operations.

    For the year ended December 31, 1998, revenues of Physician and Nurse
Recruitment division increased by $2,484,439 or 27.3% to $11,576,670 from
$9,092,231 for the year ended December 31, 1997. The launch of the nurse
staffing service in April 1998 contributed $444,439 to the increase in revenue
during 1998. Revenue from the physician staffing service increased as a result
of: (i) a significant increase in the amount of physician coverage provided
under two hospital contracts, (ii) two new hospital contracts during 1998 and
two contracts that commenced during the fourth quarter of 1997 and continued
throughout 1998, (iii) three new hospital contracts under which the Company
provided coverage for the summer months only. The increase in revenue was offset
by the termination of one large and four smaller hospital contracts, the
one-time consulting fee that was received in 1997 and a one-time overseas
physician placement for the Canadian government during the fourth quarter of
1997.

    For the year ended December 31, 1998, operating income from the Physician
and Nurse Recruiting division decreased by $45,484 to $1,045,811 from income of
$1,091,295 for the year ended December 31, 1997. During 1997, operating income
of $317,296 was earned on a one-time consulting fee. This decrease in income was
offset in 1998 by the operating income of $78,228 earned from the nurse staffing
service launched in April 1998 and the gross margin realized on the increased
revenue from physician staffing contracts.

    For the year ended December 31, 1998, revenues of the Physician Management
Services division increased by $1,225,478 or 49.4% to $3,705,914 from $2,480,436
for the year ended December 31, 1997. The acquisitions of JC Medical Management
Inc. in June 1998 and Doctors on Call Ltd. in September 1998 contributed
$450,058 and 57,060, respectively, to the increase in revenue. In addition, the
consolidation of Glenderry Medical Walk-in Clinic at 100% since August 1998
versus 33 1/3% in 1997, resulted in an increase in revenue of $258,202. In
September 1997, the Company opened its first Urgent Care Centre. During the
start-up period, no revenue was recognized from the operations of this Urgent
Care Centre. Upon completion of the start-up period, the Company recognized
$110,306 in revenue in 1998 from the Urgent Care Centre. In addition, the
services provided to the two clinics at the Lester B. Pearson International
Airport were increased in April 1998, resulting in additional revenue of
$140,925. The remaining increase in revenue is attributable to increased patient
volumes in 1998 compared to 1997 at the Pond Mills and Central clinics.

    For the year ended December 31, 1998, operating income for the Physician
Management Services division increased by $43,436 to $431,324 from $387,888 for
the year ended December 31, 1997. The increase was due to the operating income
from the acquisitions of JC Medical Management Inc., Doctors on Call Ltd. and
Glenderry Medical Walk-in Clinic, which was offset by increased head office
costs for salaries and general overhead related to the overall management of the
clinics.

    PHYSICIAN FEES AND OTHER DIRECT COSTS.  Physician fees, which represent fees
to contract physicians, represent the largest single variable expense. These
fees are earned primarily through the Company's Physician and Nurse Recruiting
services to the hospital emergency department contracts. Physician fees and
other direct

                                       39
<PAGE>
costs for the year ended December 31 increased by $3,087,353 or 35.3% from
$8,749,735 in 1997 to $11,837,088 in 1998. Physician fees and other direct costs
represented 75.6% of net revenues for the year ended December 31, 1997 and 77.5%
of net revenues for the year ended December 31, 1998. In 1997 other direct costs
include travel, marketing and consulting costs related to international
projects, representing 2.4% of net revenues for the year. The 1997 costs relate
to the undertaking of a consulting project in the Northwest Territories, Canada.

    OPERATING EXPENSES.  In 1997, operating expenses increased by $748,976 or
25.9% from $2,890,748 for the year ended December 31, 1997 to $3,639,724 for the
year ended December 31, 1998. Operating costs include general operating expenses
and stock compensation expense. The general operating expenses, excluding stock
compensation expense, represents 23.9% of net revenues for the year ended
December 31, 1998 and 23.8% of net revenues for the year ended December 31,
1997. The stock compensation expense of $139,000 in 1997 represents shares
issued to a director.

    Under U.S. GAAP, operating expenses for the period ending December 31, 1998
includes additional charges of $215,821 for development and start-up costs as
compared to $146,777 at December 31, 1997. For U.S. GAAP, the start-up costs of
$215,821 at December 31, 1998 and $146,777 at December 31, 1997 are expensed as
incurred whereas under Canadian GAAP these costs are deferred and amortized over
a prescribed benefit period.

    OTHER EXPENSE.  Other expense decreased by $426,221 or 95.8% from $444,878
to $18,657 for the year ended December 31, 1997 and 1998 respectively. In 1998,
other expense includes interest expense for less than two months on the bridge
promissory notes. In 1997, other expense is due primarily to interest on
increased bank borrowings, interest charged on the bridge promissory notes,
foreign exchange loss on the U.S. dollar promissory notes and the amortization
of deferred financing charges relating to the bridge shares issued in January
1997.

    NET LOSS.  As a result of the above items, the Company had a net loss of
$157,536 for the year ended December 31, 1998 as compared to a net loss of
$472,085 for the year ended December 31, 1997.

    Under U.S. GAAP, the Company reported net loss of $419,581 for the year
ended December 31, 1998 as compared to a net loss of $618,862 for the year ended
December 31, 1997.

FOR THE YEAR ENDED DECEMBER 31, 1997 COMPARED TO DECEMBER 31, 1996

    NET SERVICE REVENUES.  Revenues increased by $755,619 or 7.0% from
$10,817,048 for the year ended December 31, 1996 to $11,572,667 for the
comparable period in 1997. The increase is due to: (i) revenue generated from
the St. George acquisition completed in August 1996, and (ii) revenue earned on
a one-time consulting project. For the year ended December 31, 1997, revenue
from the St. George clinic totaled $686,529 compared to $286,272 in 1996.
Revenue for the year ended December 31, 1997 includes $591,177 consulting fees
earned from a one-time consulting project performed by Med-Emerg in the first
and second quarters of 1997. The increase in revenue from the St. George clinic
and the consulting project was offset by a small reduction in revenue generated
from hospital contracts.

    For the year ended December 31, 1997, revenues of the Physician and Nurse
Recruiting division increased by $308,922 or 3.5% to $9,092,231 from $8,783,309
for the year ended December 31, 1996. The increase in revenue is due to the
one-time consulting project that earned $591,177 in fees. This increase in
revenue was offset by the reduction of revenues due to: (i) the termination of
eight fixed fee hospital contracts that were replaced by three new fixed fee
contracts, and one fee-for-service contract, (ii) the termination of two fixed
fee contracts for correctional institutions, (iii) a marginal decline in
fee-for-service contracts from two hospitals.

    For the year ended December 31, 1997, operating income before stock
compensation from the Physician and Nurse Recruiting division increased by
$193,780 to $1,091,295 from $897,515 for the year ended December 31, 1996. This
increase was due to the profit earned on the one-time consulting project that
was offset by additional salaries and overhead in anticipation of Med-Emerg's
requirements upon completion of the initial public offering, and the write-off
of a loan receivable in the amount of $48,895.

                                       40
<PAGE>
    For the year ended December 31, 1997, revenues of the Physician Management
Services division increased by $446,697 or 22.0% to $2,480,436 from $2,033,739
for the year ended December 31, 1996. The increase in revenues was due to the
acquisition of a new clinic during the third quarter of the 1996 fiscal period.

    For the year ended December 31, 1997, operating income before stock
compensation for the Physician Management Services division increased by
$798,861 to $387,888 from a loss of $410,973 for the year ended December 31,
1996. The increase was due to greater revenues from the newly acquired clinic,
as well as reductions in operating costs as a result of the amalgamation of the
new clinic with one of Med-Emerg's other medical clinics. At December 31, 1996,
the operating loss included the write-off of deferred start-up project costs of
$466,462. There was no write-off of deferred start-up costs at December 31,
1997.

    PHYSICIAN FEES AND OTHER DIRECT COSTS.  Physician fees, which represent fees
to contract physicians, represent the largest single variable expense. These
fees are earned primarily through Med-Emerg's Physician and Nurse Recruiting
services to the hospital emergency department contracts. Physician fees and
other direct costs for the year ended December 31 increased by $195,339 or 2.3%
from $8,554,396 in 1996 to $8,749,735 in 1997. Physician fees and other direct
costs represented 79.0% of net revenues for the year ended December 31, 1996 and
75.6% of net revenues the year ended December 31, 1997. Included in physician
fees is clawback expense, which is a recovery of billings due to
over-utilization of medical services. The clawback rate for 1997 was 0% compared
to the rate of 6.5% set by the Ontario Ministry of Health for the 1996 period.
The clawback charge for the year ended December 31, 1996 totaled $143,261. Other
direct costs include travel, marketing and consulting costs related to
international projects. These costs represent 2.4% of net revenues for the year
ended December 31, 1997 and 2.4% of net revenues for the year ended December 31,
1996. The 1997 costs relate to the undertaking of a consulting project in the
Northwest Territories, Canada and the 1996 costs relate to the undertaking of
consulting projects in Hungary, India and Malaysia.

    OPERATING EXPENSES.  Operating expenses decreased by $3,057,321 or 51.4%
from $5,948,069 for the year ended December 31, 1996 to $2,890,748 for the year
ended December 31, 1997. Operating costs include general operating expenses, the
write-off of deferred start-up costs and stock compensation expense. The general
operating expenses excluding the write-off of deferred start-up costs and stock
compensation expenses represents 23.1% of net revenues for the year ended
December 31, 1996 and 23.8% of net revenues for the year ended December 31,
1997. The 1996 write-off of deferred start-up costs in the amount of $466,462
relate to an investment in a clinic in Prague, Czech Republic. The 1996
write-down was due to an unanticipated difficulty in penetrating the market and
generating a sufficient return on capital invested from that clinic. Given the
domestic opportunities available, Med-Emerg had decided to focus its efforts on
domestic operations. The remaining 1996 write-down of $42,875 relates to
start-up project costs for a healthcare consulting project in Malaysia.

    Under U.S. GAAP, operating expenses for the period ending December 31, 1997
includes additional charges of $146,777 for development and start-up costs as
compared to $58,574 at December 31, 1996. For U.S. GAAP, the start-up costs of
$146,777 at December 31, 1997 and $58,574 at December 31, 1996 are expensed as
incurred whereas under Canadian GAAP these costs are deferred and amortized over
a prescribed benefit period.

    OTHER EXPENSE.  Other expense increased by $389,417 or 702% from $55,461 to
$444,878 for the year ended December 31, 1996 and 1997 respectively. The
increase in other expense is due primarily to interest on increased bank
borrowings, interest charged on the bridge promissory notes, foreign exchange
loss on the U.S. dollar promissory notes and the amortization of deferred
financing charges relating to the bridge shares issued in January 1997. For the
year ended December 31, 1997, interest expense on bank borrowings was $68,029,
$66,683 was charged as interest on the promissory notes, foreign exchange loss
was $37,518, and $272,647 was amortized as financing costs.

    NET LOSS.  As a result of the above items, Med-Emerg had a net loss of
$472,085 for the year ended December 31, 1997 as compared to a net loss of
$3,594,324 for the year ended December 31, 1996.

    Under U.S. GAAP, Med-Emerg reported net loss of $618,862 for the year ended
December 31, 1997 as compared to a net loss of $3,652,898 for the year ended
December 31, 1996.

                                       41
<PAGE>
LIQUIDITY AND CAPITAL RESOURCES

    Med-Emerg operates in three areas of healthcare, Physician and Nurse
Recruitment Services, Physician Management Services and an internet-based
healthcare network called HealthyConnect.com.

    The Physician and Nurse Recruitment Services operations involve providing
physician and nurse staffing and administrative support to emergency departments
and physician recruitment services to hospitals and physician groups. The assets
employed by Med-Emerg to support the Physician and Nurse Recruiting operations
are primarily working capital to finance accounts receivable which are generated
by individual physicians but collected by Med-Emerg pursuant to contractual
agreements between Med-Emerg and the independent contracted physicians. The
average age of collection of the accounts receivable balances averages
approximately 56 days; however, the physicians are paid after approximately 27
days. Thus, the liquidity of Med-Emerg is significantly affected by the volume
of billings generated by the Physician and Nurse Recruiting operations which
fluctuates from month to month.

    The Physician Management Services operations include family practices,
walk-in services and chiropractic and massage therapy to patients. In addition
to a similar requirement to finance the accounts receivable which are generated
by individual physicians but collected by Med-Emerg pursuant to contractual
agreements between Med-Emerg and the independent contracted physicians,
Med-Emerg must also finance assets utilized in the operations of the clinics.
These assets include leasehold improvements and fixtures, medical equipment,
information systems and office furniture and supplies. Thus the average amount
of assets employed by Med-Emerg to support the Physician Management Services
operations is generally greater than Physician and Nurse Recruiting operations
calculated on a per physician basis.

    Med-Emerg is launching its third division, an internet-based healthcare
network called HealthyConnect.com. The assets currently employed by this
division are primarily working capital to finance the development costs of
HealthyConnect.com.

    The capital requirements of Med-Emerg arise in four major areas. These are
(i) the development of an internet-based healthcare network (ii) the need for
additional capital to increase business through new service contracts for
hospital emergency departments, (iii) the commencement of new specialty
healthcare clinics, and (iv) the need for capital to increase administrative
capabilities, including centralized billing and collection services and
management information systems.

    In January, 1996, Med-Emerg completed a private offering of 1,000,000 shares
of Common Stock for net proceeds of approximately $845,000 together with
warrants to purchase 1,000,000 shares at an exercise price of $2.00 per share.
Med-Emerg consummated this private offering because it needed working capital
funds, including funds to partially repay its bank credit facility. As part of
Med-Emerg's November 1996 Recapitalization (as such term is hereinafter
defined), all holders of the warrants surrendered their outstanding warrants.

    In September, 1996, Med-Emerg acquired all of the assets and physician
contracts of the St. George Health Services Organization (HSO) for a $193,732
promissory note, 75,000 shares of Med-Emerg's Common Stock, and the assumption
of $270,868 of liabilities. This HSO was a contractual agreement with the
Ministry of Health to provide primary care at a clinic for a specified number of
registered patients.

    In January, 1997, Med-Emerg completed a private placement of its securities
("Bridge Financing"), in which it sold 8% promissory notes in the aggregate
principal amount of US$500,000 and 125,000 shares of its Common Stock and raised
aggregate gross proceeds of US$500,000. The net proceeds of US$425,000 were
initially applied to reduce Med-Emerg's bank borrowings. The principal and
accrued interest on the notes were repaid from the net proceeds of Med-Emerg's
Initial Public Offering, which was completed on February 20, 1998.

    In February, 1998, Med-Emerg completed its Initial Public Offering of
1,250,000 Med-Emerg Common Shares and 1,437,500 Med-Emerg Purchase Warrants for
an aggregate public offering of US$5,456,250. Each Med-Emerg Purchase Warrant
entitles the holder to purchase one share of common stock at a price of US$4.50
for a four year period commencing one year from the date of completion of the
offering.

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<PAGE>
    Med-Emerg established a new credit facility in 1998 with the Hongkong Bank
of Canada. The new facility provides an available demand, revolving, operating
line of credit amounting to $2,000,000, bearing interest at the bank's prime
lending rate plus 0.5% per annum with interest payable monthly, and an available
demand, non-revolving, capital line of credit amounting to $1,000,000, primarily
intended for the acquisition of fixed assets relating to the development of
Urgent Care Centres. The capital line of credit bears interest at the bank's
prime lending rate plus 0.75% per annum with interest payable monthly. As
security, Med-Emerg will provide a first-ranking general assignment of accounts
receivable, a general security agreement constituting a first charge over all
present and future personal property of Med-Emerg, a chattel mortgage over all
equipment financed by the capital loan, an assignment of all risk insurance
policies and an assignment of key man life insurance of a director in the amount
of $1,000,000.

    In October, 1998, Med-Emerg's Board of Directors approved the repurchase of
up to 5% of its outstanding common stock over a three-month period. Med-Emerg
repurchased and cancelled 44,500 common shares for total cash consideration of
$115,367 from October 1998 to January 1999.

    Through its acquisitions completed in the first quarter of 1999, the Company
assumed bank term loans with current balances totaling $337,773. Approximately
$236,390 was loaned to subsidiaries of the Company under the Small Business
Investment Loans program in which the Canadian government guarantees 75% to 90%
of the principal balance of the loan. The remaining balance consists of capital
loans for asset purchases.

    The Company's cash position at June 30, 1999 was $284,453. Approximately
$265,000 of the Company's cash is currently tied up in the CIC contract. The
Company has paid physicians and nurses working for the Company relating to the
contract, but has not yet received payment from CIC. Installment payments have
been received to date and the remaining balance is expected to be received in
mid-August of 1999. The collection risk for this cash is very low.

    As at June 30, 1999, the company's working capital totaled $1,461,307. In
addition, the company has available credit facilities for up to approximately
$3,000,000. The Company established credit facilities in June 1998 that provide
an available demand, revolving, operating line of credit amounting to
$2,000,000, bearing interest at the bank's prime lending rate plus 0.5% per
annum with interest payable monthly, and an available demand, non-revolving,
capital line of credit amounting to $1,000,000. The capital line of credit bears
interest at the bank's prime lending rate plus 0.75% per annum with interest
payable monthly. The company believes that the combination of funds available
under the company's bank credit facility, together with its current cash
position, should be sufficient to meet the company's operating requirements
through 1999.

    In addition, in order to provide the funds necessary for the further
development of HealthyConnect.com and the continued pursuit of the company's
long-term acquisition strategy, the company expects to issue equity and debt
securities, the availability and terms of which will depend upon market and
other conditions. There can be no assurance that such additional financing will
be available on terms acceptable to the company.

    Inflation has not had, nor is it expected to have, a material impact on the
operations and financial condition of Med-Emerg.

YEAR 2000

    Med-Emerg has developed a program designed to identify, assess, and
remediate potential malfunctions and failures that may result from the inability
of computers and embedded computer chips within Med-Emerg's information systems
and equipment to appropriately identify and utilize date-sensitive information
relating to periods subsequent to December 31, 1999. This issue is commonly
referred to as the "Year 2000 issue" and affects not only Med-Emerg, but
virtually all companies and organizations with which Med-Emerg does business.

    To address the Year 2000 issue, Med-Emerg has formed a Year 2000 committee
comprised of representatives from a cross-section of Med-Emerg's operations. The
committee developed a plan to address the Year 2000 issue within all facets of
Med-Emerg's operations. The plan includes processes to inventory, assess,
remediate or replace as necessary Med-Emerg's information systems and equipment.
In addition, the committee is assessing the compliance of all companies and
organizations with which Med-Emerg does business.

                                       43
<PAGE>
    Med-Emerg has completed the inventory phase of its plan and is in the
process of assessing the identified systems and equipment. Based on the
assessments completed to date, Med-Emerg estimates that expenditures to remedy
or replace potential Year 2000 problems will not exceed $50,000. This includes
amounts in connection with standardizing certain of the information systems at
the clinic level that would have been spent regardless of the Year 2000 issue.

    The foregoing estimates and conclusions regarding Med-Emerg's Year 2000 plan
contain forward looking statements and are based on management's best estimates
of future events. Risks to completing the Year 2000 plan include availability of
resources, Med-Emerg's ability to discover and correct potential Year 2000
problems that could have a serious impact on specific systems, equipment or
facilities, the ability of material suppliers and businesses to achieve Year
2000 compliance, the proper functioning of new systems and the integration of
those systems and related software into Med-Emerg's operations. Some of these
risks are beyond Med-Emerg's control.

                                       44
<PAGE>
          MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION
                       AND RESULTS OF OPERATIONS OF YFMC

    This discussion and analysis of the financial condition of YFMC Healthcare
Inc. and the results of operations should be read in conjunction with the
financial statements and the related notes.

OVERVIEW

    YFMC Healthcare Inc. (the "Company") became a listed company on The Alberta
Stock Exchange in June 1998, following the purchase of all outstanding shares of
1189543 Ontario Inc. by Transpacific Minerals Inc. The Company's strategy is to
become a national provider of primary care health services through the
acquisition of established medical facilities and allied health service
providers across Canada.

RESULTS OF OPERATIONS

FOR THE SIX MONTHS ENDED JUNE 30, 1999

    During the six month period ending June 30, 1999 revenues increased from
$1,415,913 in 1998 to $1,911,537 in 1999, an increase of 35%. This increase is
attributable to clinic acquisitions, and growth from existing clinic locations.
The company's earnings from operations before the costs of new business
development decreased from $215,939 for the comparable period in 1998 to
$138,890 during the period under review. Earnings before interest, depreciation,
amortization, and taxes decreased from $215,939 in the 6 months ending June
30(th), 1998, to $65,024 for the 6 month period ending June 30(th), 1999.

    Operating expenses have increased from $ 1,199,974 in the first 6 months of
1998 to $1,772,646 in the current year. Several factors contributed to the
increase in operating expenses including ramp up costs at the Whitby clinic,
integration costs relating to the new clinics in Alberta, and additional
administrative costs relating to the development of policies and processes to
efficiently manage the Company's expanded operational base.

    During the 2(nd) quarter the Company acquired the McKnight Medical Centre
and the Martindale Medical Centre both in Calgary Alberta, the Pringle Creek
Medical Centre in Whitby, Ontario, and the West Edmonton Medical Centre in
Edmonton Alberta. It is expected that these acquisitions will begin contributing
to net revenue in the 3(rd) quarter. Subsequent to June 30, 1999, the Company
announced it had entered into a Business Combination Agreement with Med-Emerg
International, Inc. to exchange shares on a ratio of 6.875 YFMC shares for 1
Med-Emerg share. Med-Emerg, which is listed on NASDAQ (MDER) operates medical
centres in central Ontario, and is also under contract to provide emergency
physician and nursing services to 14 hospitals. Med-Emerg is currently
developing an Internet based health network that uses enabling technology to
link patients, physicians and service providers. It is anticipated that the
combined entity will have revenues of approximately $28,000,000 annually with
operations in Canada's three largest provinces. Management strongly believes
that joining forces with Med-Emerg will create a larger platform for growth,
achieve synergies, cost savings and generate positive earnings.

FOR THE YEAR ENDED DECEMBER 31, 1998

    Net income for the year decreased from $117,914 in 1997 to $86,076 in 1998,
a change of 27%. The decrease in net revenue was due in part to one time costs
associated with becoming a public company and expenses related to acquisition
activities.

                                       45
<PAGE>
REVENUES

    During 1998, revenues from operations rose to $3,037,000 from $2,140,000 an
increase of 41%. EBITDA increased to $260,000 from $214,000 in 1997, an increase
of 21%. Included are the results from the following operations (revenue recorded
from date of acquisition):

<TABLE>
<CAPTION>
                                                                                  NUMBER OF MONTHS
LOCATION                                                                           REVENUE IN 1998      % OWNERSHIP
- -------------------------------------------------------------------------------  -------------------  ---------------
<S>                                                                              <C>                  <C>
PSA & Associates...............................................................              10                100
Spirotech Health Services......................................................               5                 70
Orleans Medical Centre.........................................................               4                100
CareSource Physiotherapy.......................................................               3                 85
CareSource Physiotherapy.......................................................               1                100
Jasper Medical Centre                                                                         1                100
</TABLE>

    For the most part, the increase in revenue can be attributed to increased
patient flow at existing locations. Management expects that the full impact of
the acquisitions made in 1998 will be realized in 1999.

EXPENSES

    Total operating expenses increased 43% from $1,925,568 to 2,779,372 in
fiscal 1998. The increase is due in part to an increase in administration costs
resulting from the integration of the companies acquired during the year. Also
the Company incurred the costs of establishing a regional office in Calgary,
Alberta, to manage the acquisition process. As the Company establishes a
critical mass in each market, it is expected that expenses, as a percent of
revenue, will decrease.

LIQUIDITY AND CAPITAL RESOURCES

    The Company earned $86,076 from operating activities compared with $117,914
in the previous year and accounts receivable increased from $336,658 to
$652,400. In addition, the Company obtained $264,000 in cash as a result of the
reverse takeover of Transpacific Minerals Inc. These funds were used primarily
to finance business acquisitions and the expansion of existing facilities.
Subsequent to the year end, the Company has obtained credit facilities from a
chartered bank in the amount of $750,000. These funds are available for future
acquisitions and ongoing obligations.

COMPETITIVE RISKS

    To managements' knowledge, there is at present no national provider of
primary health care services in Canada, and management estimates there to be
less than 12 large scale PPM (Physician Practice Management) organizations
nationwide. The PPM market is expected to grow as more physicians move away from
solo practices to enjoy the benefits of participating in a group setting. As an
early stage innovator in Canada, management believes that, as competition
increases so will the Company's ability to attract future acquisition
candidates. The Company's established systems, training methods, and strong
commitment to patient satisfaction, are key components in the operating model.

YEAR 2000

    The Company has established a committee chaired by a senior member of the
executive team to coordinate and assess the Company's readiness relating to deal
with the fact that date-sensitive functions in computer based systems may fail
to accurately process dates after January 1, 2000. 'Mission Critical' systems,
both hardware and software have been reviewed, and the Company is confident that
these systems will be Y2K compliant. The Company does not anticipate the costs
of compliance to be material.

                                       46
<PAGE>
OUTLOOK

    This outlook may contain certain forward-looking statements with respect to
the Company. These forward-looking statements, by their nature, necessarily
involve risks and uncertainty that could cause actual results to differ
materially from those contemplated by the forward-looking statement.

    The Company expects patient volumes from existing locations to continue to
grow as the convenience and availability of our medical clinics becomes an
increasingly attractive choice for patients. Our acquisition strategies should
allow us to expand into other geographical areas, and the resulting economies of
scale will improve our operational efficiencies.

    YFMC's Corporate Health Program is expected to be operational in 1999, and
become a contributor to the revenue stream.

               INFORMATION REGARDING MED-EMERG INTERNATIONAL INC.
                              HISTORY AND BUSINESS

    Med-Emerg was incorporated under the OBCA. Med-Emerg, directly or indirectly
through its subsidiaries, owns all of the outstanding shares of Med-Emerg Urgent
Care Centres Inc., Med-Emerg Family Health Centre Inc., JC Medical Management
Inc., 927563 Ontario Inc., 927564 Ontario Inc., Med-Emerg, Inc. and Med-Plus
Health Centres Ltd. Med-Emerg, directly or indirectly, also has an ownership
interest in the following:

    (i) a 75% interest in Doctors on Call Ltd.;

    (ii) a 45% interest in Medical Urgent Care Inc.;

   (iii) a 51% interest in Caremedics (Elmvale) Inc.; and

    (iv) a 51% interest in York Lanes Health Centres Inc.

    As used herein, unless otherwise indicated or the context otherwise
requires, Med-Emerg refers to Med-Emerg International Inc. its wholly-owned
subsidiaries as listed above and its ownership interests as listed above.

    Med-Emerg's head office is located at 2550 Argentia Road, Suite 205,
Mississauga, Ontario L5N 5R1.

                                    BUSINESS

    Med-Emerg is a provider of a broad range of quality healthcare management
services and specializes in the coordination and contract staffing of emergency
physicians for hospitals and clinics in Canada. The healthcare services provided
by Med-Emerg include physician and nurse staffing, physician management services
and the maintenance of an internet-based healthcare network. Med-Emerg's
operations are divided into three divisions:

    (i) the Physician and Nurse Recruitment Services division;

    (ii) the Physician Management Services division; and

   (iii) the internet-based healthcare network HealthyConnect.com division.

PHYSICIAN AND NURSE RECRUITMENT SERVICES DIVISION

    The Physician and Nurse Recruitment Services division was established in
1983 as a medical staffing and recruitment operation. Med-Emerg provides
physician staffing, nurse staffing and administrative support services to
hospital emergency departments and provides physician recruitment services to
Canadian hospitals and physician groups. Pursuant to contracts entered into
between Med-Emerg and various hospitals, Med-Emerg also coordinates schedules
for staff physicians that provide emergency department coverage and assists the
hospitals' administrative and medical staff in such areas as quality assurance,
risk management, department accreditation and marketing. The administrative
services provided by Med-Emerg include maintaining records, billing and
coordinating with third party payors.

    As of June 30, 1999, Med-Emerg had 15 contracts with hospitals to provide
physician staffing services. Med-Emerg identifies, recruits and screens
potential candidates to serve emergency department physicians in hospitals that
have contracted with Med-Emerg to provide physician staffing services. Med-Emerg
enters into contracts with those physicians who meet its qualifications and
offers such physicians as candidates for admission to the hospital's medical
staff. As of June 30, 1999, Med-Emerg was providing physician staffing coverage
for a

                                       47
<PAGE>
total of approximately 562 shifts per month, representing over 6,445 hours per
month. Med-Emerg is compensated for it physician staffing services to hospitals
on a month fee or per shift basis. Depending on the hospital patient volume,
Med-Emerg may also receive a subsidy from the hospital. Pursuant to the
contracts Med-Emerg has entered into with the hospitals for its physician
staffing services, Med-Emerg assumes responsibility for billing and collecting
and assumes the risks of administrative error and subsequent non-payment.
Generally, such contracts with the hospitals are for terms of one year and may
be terminated by either party upon two months written notice and are
automatically renewed if not terminated.

    As of June 30, 1999, Med-Emerg had contracts with seven hospitals to provide
nurse staffing services. Med-Emerg identifies, recruits and screen potential
candidates to serve as emergency department nurses to those hospitals that have
entered into contracts with Med-Emerg for nurse staffing services. Under such
contracts, Med-Emerg provides nurse staffing coverage to hospital emergency
departments on a shift-by-shift basis. Med-Emerg charges a fixed hourly rate for
each hour of nurse staffing coverage provided. The contracts with respect to
providing nurse staffing coverage to hospitals are generally for terms of one
year, may be terminated by either party upon three months written notice and are
automatically renewed for subsequent one years terms if not terminated.

    Med-Emerg also maintains a Quality Assurance program designed to ensure
consistency in clinical practice performance. As part of Med-Emerg's Quality
Assurance Program, all physicians are required to have Advanced Cardiac Life
Support and Advanced Trauma Life Support certification, have and maintain
adequate malpractice insurance coverage and maintain continuing medical
education credits. The effectiveness of Med-Emerg's Quality Assurance program
and the performance of Med-Emerg's contract physicians are critical to
maintaining a good relationship with the hospitals as well as minimizing the
exposure of Med-Emerg to liability claims.

PHYSICIAN MANAGEMENT SERVICES DIVISION

    As of June 30, 1999, Med-Emerg had an ownership interest in and managed ten
clinics in Ontario. The locations of and services provided at Med-Emerg's
clinics are as follows:

    LESTER B. PEARSON INTERNATIONAL AIRPORT (MISSISSAUGA, ONTARIO).  Med-Emerg
has a contract with the Greater Toronto Airport Authority to provide emergency
services for both the Terminal 1 and 2 Medical Clinics at Toronto's Lester B.
Pearson International Airport. The Airport clinics are available to provide
emergency services in the airport to the approximately twenty-eight million
travellers using the airport each year and walk-in services to the approximately
35,000 airport employees. The staff consists of highly qualified critical care
nurses on-site and emergency physicians on call. Other services, generally
provided to employees of the airport, include chiropractic, massage therapy and
audio testing services.

    GLENDERRY (MISSISSAUGA, ONTARIO), POND MILLS (LONDON, ONTARIO), ST. CLAIR
MEDICAL CENTRE (TORONTO, ONTARIO), ELMVALE (OTTAWA, ONTARIO), YORK LANES
(TORONTO, ONTARIO), CENTRAL CLINIC (LONDON, ONTARIO). Med-Emerg operates six
clinics that offer both family practice and walk-in services for patients. Other
services that may be provided at the clinics are travel medicine, chiropractic,
massage therapy, weight loss program, internal medicine, paediatrics,
haematology and professional family counselling services. Med-Emerg manages the
clinics by providing scheduling, staffing, recruiting, billing, collections and
accounting services to the clinic. With respect to the Elmvale and York Lanes
clinics where Med-Emerg does not own 100% of the outstanding capital stock,
Med-Emerg has entered into a 5-year management services contract whereby
Med-Emerg receives a monthly management fee to provide the clinics with
management services.

    The Central Clinic is funded under a contractual agreement with the Ontario
Ministry of Health to provide primary care for a specified number of registered
patients. The Ontario Ministry of Health allocates a specific payment for each
registered patient on a monthly basis, whether the clinic's services are used or
not. The monthly fee is determined by the age and gender of the patient and is
referred to as the capitation rate. As at June 30, 1999, the average monthly
capitation rate was $12.43 per patient with approximately 5,786 patients
enrolled under the HSO program. The Central Clinic also provides medical
services on a fee-for-service basis.

    DUNDAS URGENT CARE CENTRE (MISSISSAUGA, ONTARIO), BRITANNIA URGENT CARE
CENTRE (MISSISSAUGA, ONTARIO). Med-Emerg plans to continue to develop a chain of
Urgent Care Centres, initially in Ontario and then in other Canadian provinces,
that will gain public recognition and government support as a quality provider
of urgent healthcare services.

                                       48
<PAGE>
    Med-Emerg's plan is to develop its Urgent Care Centre services, through
which it intends to offer on-site, one-stop medical care comparable to the
services provided in a traditional emergency department. The Urgent Care Centre
concept consists of a medical clinic staffed by a group of emergency trained
physicians, a medical laboratory, a diagnostic radiology service and a pharmacy.
Med-Emerg will operate the medical clinic component of the Urgent Care Centre
and the support staff will be employed by Med-Emerg. Med-Emerg also intends to
provide emergency medical services, including emergency physician staffing,
emergency nurse staffing, receptionist staffing, physician billing services, all
financial services, inventory control and other operational and/or management
services to the Urgent Care Centre. Each emergency-trained physician working at
an Urgent Care Centre will have critical care expertise to treat most clinical
problems.

    Med-Emerg opened its first Urgent Care Centre, the Dundas Urgent Care
Centre, on September 19, 1997. In January, 1999, Med-Emerg acquired a 45%
interest in Medical Urgent Care Inc., a company that operates the Britannia
Urgent Care Centre. Med-Emerg has a 5-year agreement to provide management
services to the Britannia Urgent Care Centre and receives a percentage of the
revenues generated by the medical clinic component of this Urgent Care Centre.

HEALTHYCONNECT.COM DIVISION

    HealthyConnect.com is an internet-based healthcare network currently under
development that will connect physicians, hospitals, third party payors and
consumers. This network will allow all participants to access and exchange
healthcare related information, purchase healthcare products and services, and
communicate more cost-effectively with one another. HealthyConnect.com will
deliver healthcare services and products and provide timely access to reliable
healthcare information through the utilization of advanced telecommunication
technology. Targeted users of HealthyConnect.com are consumers, physicians and
other healthcare providers and healthcare product suppliers.

    Consumers will benefit from 24-hour, 7-day a week access, via the internet
and telephone, to Med-Emerg's healthcare service provider network. In addition,
consumers will have multiple site secure access to their own and their family
members' electronic medical record, access to a physician management health and
wellness centre and convenient at-home shopping for healthcare products and
services.

    HealthyConnect.com will enable physicians and other healthcare providers to
access reliable information and provide them with additional support in
delivering cost effective, high quality healthcare services. Benefits include
24-hour coverage for patients, access to a comprehensive physician medical
reference database, online continuing medical education courses, tools for
chronic disease management, and participation in clinical trials.

    HealthyConnect.com will link healthcare product and service suppliers with
Med-Emerg's clinical network family. Convenient and secure access and at
home/office browsing and purchasing capabilities will facilitate direct sales
opportunities for member suppliers. Healthcare product and service suppliers
that may benefit from using HealthyConnect.com include pharmaceutical companies,
insurance companies, employers, government, managed care organizations,
physicians and hospitals.

GOVERNMENT REGULATION

    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. In 1993, the Ontario government placed an
overall hard cap of approximately $3.8 billion on the amount physicians could
collectively bill OHIP for insured services. As physicians' billings exceeded
this hard cap in successive years, the government reduced the fees received
under OHIP by prescribed percentages ("clawbacks"). This clawback is subject to
constant revision and review. In addition to the hard cap, individual
physicians' billings under 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
Med-Emerg, absent, or prior to, satisfactory renegotiations of contracts with
clients and arrangements with contracted physicians.

                                       49
<PAGE>
    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 OHIP 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. Med-Emerg's independent
contracted physicians as well as Med-Emerg 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 Med-Emerg
will seek to structure its operations to comply with the corporate practice of
the laws of each province in which it operates, there can be no assurance that,
given varying and uncertain interpretations of such laws, Med-Emerg would be
found in compliance with legislation on the corporate practice of medicine in
all provinces. A determination that Med-Emerg is in violation of applicable
restrictions on the practice of medicine in any province in which it operates or
may operate could have a material adverse effect on Med-Emerg if Med-Emerg were
unable to restructure its operations to comply with the requirements of such
province.

    Due to increasing government fiscal restraint, Ontario's health care system
is currently undergoing a significant restructuring by the provincial
government. Based on a determination that the Ontario public healthcare system
was not fiscally efficient, in 1997 the Province of Ontario enacted the Savings
and Restructuring Act. Such Act gives the provincial government the ability to
implement a health care system restructuring plan. The new legislation
established the Health Services Restructuring Commission, which has broad
decision making authority over every aspect of a public hospital's operations,
including all aspects of operations, fiscal policy, public funding and even the
continuance or cessation of a public hospital's existence. The objective of the
legislation is to induce public hospitals' care delivery systems in the Ontario
health care area to improve the quality of health care and particularly to
install efficiencies of cost in the delivery of medical services to the 11
million person population of the Province of Ontario (37% of all of Canada).
Inefficient hospitals run the risk of the loss of public funding if they fail to
meet the objectives of the Commission. Accordingly, the incentives are in place
to induce public hospitals to find solutions to achieve the desired
efficiencies, including outsourcing available from and through private sector
organizations, such as Med-Emerg.

HEALTHCARE LEGISLATION

    The Health Services Restructuring Commission (HSRC), established under Bill
26, has the mandate and authority to facilitate and accelerate hospital
restructuring in Ontario. This legislation contains measures intended to control
public and private spending on healthcare as well as to provide universal public
access to the healthcare system. Med-Emerg cannot predict what effect, if any,
this and other healthcare legislation will have on its operations. Significant
changes in Canada's healthcare system are likely to have a gradual but
substantial impact on the manner in which Med-Emerg conducts its business and
could have a material effect on its results of operations.

    Despite pronouncements by the Ontario Minister of Health that managed care
options, such as in the United States, are being considered, it is not evident
that American style managed care will play a significant role in the
fee-for-service sector of the publicly funded healthcare system. Management
believes that government actions in the area of legislation to date indicate a
present intent to let the healthcare system proceed without intervening directly
in the management of patient care, although there can be no assurance thereof.
In the future, greater emphasis may be placed on such managed care tools as
utilization review, practice guidelines, and outcome measurement. The current
move away from traditional fee-for-service mechanisms may have a similar effect
as physicians attempt to minimize the risk they face and as the government
strives for accountability and value-for-dollar assurances.

                                       50
<PAGE>
COMPETITION

    Competition in the industry is based on the scope, quality and cost of
services provided. Certain of Med-Emerg's current and potential competitors have
substantially greater financial resources than Med-Emerg. 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
Med-Emerg (e.g., in the areas of malpractice insurance, cost savings from
internal billing and collection and a broader scope of services). The clinics
operated by the Physician Management Services division compete with hospitals
and other clinics. The Urgent Care Centre competes with hospital emergency
rooms. Med-Emerg believes that the varied physician practice alternatives
coupled with competitive remuneration plans create a significant incentive for
physicians to provide patient services through Med-Emerg.

EMPLOYEES

    As of June 30, 1999, Med-Emerg had 42 full-time employees, of whom 3 were
employed in general executive positions, 15 were employed in administration and
24 were employed in Med-Emerg's clinics. In addition, as of such date,
approximately 221 physicians and 33 nurses were actively working as independent
contractors of Med-Emerg. These physicians and nurses are not employees of
Med-Emerg. Approximately 19 nurses working at the Airport clinic are represented
by the Ontario Nurses Association Med-Emerg considers its employee relations to
be satisfactory.

REAL PROPERTY LOCATIONS

    Med-Emerg's head office is located at 2550 Argentia Road, Suite 205,
Mississauga, Ontario. The head office occupies approximately 5,560 square feet
of space under a lease that expires in February, 2001 at an average annual
rental rate of approximately $105,700.

    The Central Clinic is located at 458 Central Avenue, London, Ontario. The
Clinic occupies approximately 6,400 square feet of space under a lease that
expires December 31, 2002 at an average annual rental rate of approximately
$94,900. The Pond Mills clinic is located at 1166 Commissioners Road East,
London, Ontario, N5Z 4R3. This lease is currently on a month-to-month basis for
approximately $4,470 per month. The Glenderry Clinic is located at 2760 Derry
Road West, Mississauga, Ontario, L5N 3N5. The Clinic occupies approximately
2,600 square feet at an annual rental rate of approximately $69,200.

    The St. Clair Medical Centre is located at 50 St. Clair Avenue East,
Toronto, Ontario. The Clinic occupies approximately 2,000 square feet at an
annual rental rate of approximately $29,200. The lease expires in December,
2005.

    The Dundas Urgent Care Centre is located at 801 Dundas Street East,
Mississauga, Ontario. Med-Emerg occupies approximate 2,700 square feet of the
Urgent Care Centre and pays an annual rental rate of approximately $41,775. The
lease expires in September, 2002.

    The Britannia Urgent Care Centre is located at 1201 Britannia Road West,
Mississauga, Ontario. The Urgent Care Centre occupies approximately 11,000
square feet at an annual rental rate of approximately $78,500. The lease expires
February 28, 2008. A total of 3,000 square feet is subleased by Med-Emerg to
service providers, such as pharmacy, radiology, laboratory and physiotherapy and
rehabilitation services. The service providers contribute approximately $80,000
in annual rent and the subleases expire in March and May, 2003.

    The Elmvale Clinic is located at 1910 St. Laurent Boulevard, Ottawa,
Ontario. Annual rent totals approximately $46,000 for 2,936 square feet. The
lease expires in June, 2003.

    The York Lanes Clinic is located within York University at Unit #28, 4700
Keele Street, Toronto, Ontario. The annual rent is approximately $142,000 for
4,693 square feet. The lease expires in February, 2004.

LEGAL PROCEEDINGS

    Med-Emerg is presently party to one legal proceeding that was commenced on
July 4, 1997 in the General Division of the Ontario Court. This proceeding
relates to the recapitalization of Med-Emerg, which occurred in November, 1996,
in which the Estate of Dr. Donald Munro ("Estate") contributed 75,000 of its
150,000

                                       51
<PAGE>
Med-Emerg Common Shares to the capital of Med-Emerg. The Estate, the applicant
in the proceeding, has taken the position that it continues to be the beneficial
owner of 150,000 shares of Med-Emerg Common Shares. Med-Emerg disagrees with the
Estate's position and intends to defend this action vigorously. However, in the
event that Med-Emerg is unsuccessful in its action, Med-Emerg may be required to
return to the Estate the 75,000 Med-Emerg Common Shares which were previously
surrendered. There has been no further correspondence or action with respect to
this claim since 1997.

    In addition, in the future, Med-Emerg could be subject to claims arising
from its contracts with hospitals or other institutions or professional
associations to which it provides services.

RECENT EVENTS

    In June, 1998, Med-Emerg acquired all of the outstanding capital stock in JC
Medical Management Inc. JC Medical Management Inc. operates the St. Clair
Medical Centre, a family practice clinic in Toronto, Ontario. In September,
1998, Med-Emerg acquired 75% of the outstanding capital of Doctors on Call Ltd.,
a company that provides a 24-hour on-call physician service.

    During the first quarter of 1999, Med-Emerg acquired a 45% interest in
Medical Urgent Care Inc., a 51% interest in Caremedics (Elmvale) Inc. and a 51%
interest in York Lanes Health Centres Inc., and also entered into management
service agreements with these three companies. Medical Urgent Care Inc. operates
the Britannia Urgent Care Centre in Mississauga, Ontario. Caremedics (Elmvale)
Inc. operates the Elmvale Clinic in Ottawa, Ontario. York Lanes Health Centres
Inc. operates the York Lanes Clinic in Toronto, Ontario.

                                 SHARE CAPITAL

    Med-Emerg's authorized share capital consists of an unlimited number of the
following classes of shares and warrants with the following features:

    MED-EMERG PREFERENCE SHARES.  Voting, non-redeemable, non-retractable,
having a cumulative dividend of US$0.27 per share, convertible into one and
one-half Med-Emerg Common Shares at the option of the holder for a 10 year
period from the date of issuance. At the end of the 10 year period, the
Med-Emerg Preference Shares are convertible at the option of the holder into
such number of Med-Emerg Common Shares as is equal to the ascribed value of
US$4,500,000 divided by the then current market price of the Med-Emerg Common
Shares.

    CLASS "A" PREFERRED SHARES.  Redeemable, retractable, non-cumulative.

    CLASS "B" PREFERRED SHARES.  Redeemable, retractable, non-cumulative.

    SPECIAL SHARES.  Issuable in Series, with rights, privileges and
restrictions to be fixed by the directors.

    MED-EMERG COMMON SHARES.  Shares, no par value, in the common stock of
Med-Emerg.

    MED-EMERG PURCHASE WARRANTS.  Redeemable, entitling the holder to purchase
one Med-Emerg Common Share at US$4.50 per share at any time commencing February
12, 1999 and expiring February 11, 2003. The Med-Emerg Purchase Warrants are
subject to redemption by Med-Emerg at US$0.10 per warrant at any time commencing
February 12, 2000 on not less than 30 days prior written notice to the holders
of such warrants, provided that the closing bid price of the Med-Emerg has been
at least US$8.00 for 20 consecutive trading days ending on the third day prior
to the date on which Med-Emerg gives notice of such redemption. The Med-Emerg
Purchase Warrants will be exercisable until the close of business on the day
immediately proceeding the date dated fixed for such redemption.

    MED-EMERG SERIES A WARRANTS.  Warrants entitling the holder to purchase one
Med-Emerg Common Share at US$2.70 per share, expiring June 12, 2000.

    MED-EMERG SERIES B WARRANTS.  Warrants entitling the holder to purchase one
Med-Emerg Common Share at US$3.40 per share, expiring June 12, 2000.

                                       52
<PAGE>
                           DIVIDEND RECORD AND POLICY

    Med-Emerg has not paid any dividends on the Med-Emerg Common Shares and has
no present intention of paying dividends on such shares. Currently, Med-Emerg
intends to retain any earnings to finance its operations. The future payment of
dividends will be dependent upon the financial requirements of Med-Emerg to fund
future operations and growth, Med-Emerg's financial condition and other factors
the Med-Emerg Board of Directors may consider appropriate in the circumstances.
In addition, Med-Emerg Preference Shares prohibits the payment of any dividends
on Med-Emerg Common Shares until all accrued dividends on Med-Emerg Preferred
Shares have been paid. Dividends on Med-Emerg Preference Shares will accrue at a
rate of US$135,000 per year.

                 INTEREST OF MANAGEMENT IN CERTAIN TRANSACTIONS

    Between 1994 and 1996, Med-Emerg loaned an aggregate of $137,719 to Dr.
Ramesh Zacharias, Med-Emerg's Chief Executive Officer, and his spouse Victoria
Zacharias. In February, 1998, Med-Emerg repurchased 37,456 Med-Emerg Common
Shares from Dr. Ramesh Zacharias and Victoria Zacharias at a purchase price of
US$2.75 per share. The aggregate consideration payable by Med-Emerg was used to
repay all outstanding amounts owed by Dr. Ramesh Zacharias and Victoria
Zacharias and their affiliated companies.

    In June, 1996, Med-Emerg loaned $60,000 to Carl Pahapill, Med-Emerg's
President, to purchase 100,000 Med-Emerg Common Shares. The loan is non-interest
bearing, unsecured and repayable over a five year period with principal payments
commencing in February 2000.

    On November 1, 1996, Med-Emerg effected a recapitalization whereby Dr.
Ramesh Zacharias and Victoria Zacharias converted an aggregate of 2,203,333
Med-Emerg Common Shares into an aggregate of 500,000 shares of preferred stock.
In 1997, the shares were transferred to 1245841 Ontario Inc., a company owned by
them.

    On November 1, 1996, Med-Emerg granted Robert Rubin, a director, an option
to purchase 700,000 Med-Emerg Common Shares at US$.75 per share and approved the
issuance of 50,000 Med-Emerg Common Shares, all of which shares were issued in
1997 in consideration of services he rendered to Med-Emerg as director. Under a
US$800,000 line of credit previously established between Mr. Rubin and
Med-Emerg, Mr. Rubin advanced an aggregate of US$250,000 to Med-Emerg from July,
1997 to January, 1998. The full amount plus interest was repaid in February 1998
from the proceeds of the initial public offering.

    In connection with a bridge financing carried out by Med-Emerg in January,
1997, Med-Emerg issued 8% promissory notes in the principal amount of US$500,000
and an aggregate of 125,000 Med-Emerg Common Shares to four investors for gross
proceeds of US$500,000. Robert Rubin purchased a promissory note in the
principal amount of US$150,000 and 37,500 shares of Med-Emerg. To comply with
the requirements of the National Association of Securities Dealers, Inc., Mr.
Rubin and the another investor agreed to surrender to Med-Emerg for cancellation
without consideration an aggregate of 62,500 Med-Emerg Common Shares obtained in
connection with such bridge financing. Med-Emerg remained obligated to repay the
promissory notes issued to the two investors in the aggregate principal amount
of $250,000 upon the closing of Med-Emerg's Initial Public Offering in February,
1998. The full amount of US$500,000 was repaid in February 1998 from the
proceeds from the initial public offering.

    Except with respect to the non-interest bearing loans made to Dr. Ramesh
Zacharias and Victoria Zacharias and Mr. Pahapill, Med-Emerg believes all
previous transactions between Med-Emerg and its officers, directors or 5%
shareholders, and their affiliates were made on terms no less favorable to
Med-Emerg than those available from unaffiliated parties. In the future,
Med-Emerg will present all proposed transactions with affiliated parties to the
Board of Directors for its consideration and approval. Any such transaction will
be approved by a majority of the disinterested directors.

                           INFORMATION REGARDING YFMC

    YFMC Healthcare Inc. ("YFMC") was continued under the OBCA on November 4,
1998. YFMC's principal and registered office is located at Suite 250, 441
Maclaren Street, Ottawa, Ontario K2P 2H3.

                                       53
<PAGE>
    YFMC was originally formed under the laws of Alberta as TransPacific
Minerals Inc. In June, 1998, TransPacific Minerals Inc. acquired all of the
issued and outstanding securities of 1189543 Ontario Inc. in a reverse take-over
bid transaction. 1189543 Ontario Inc. managed and operated several medial
clinics under the banner "Your Family Medical Centre". By articles of amendment,
TransPacific Minerals Inc. changed its name to YFMC Healthcare Inc.

GENERAL OVERVIEW

    YFMC was formed in response to the growing need to provide healthcare
professionals with quality practice management support services, and to furnish
communities with accessible, extended-hours medical care within a family
practice setting. YFMC's operations have grown to become a network of family
medical clinics staffed by over 80 family physicians, physiotherapists,
psychotherapists, dieticians and podiatrists. At present YFMC operates a group
of 20 "primary care" medical facilities in Ontario, Alberta and Quebec.

    YFMC is a medical management company that offers physicians a professional
clinic environment and an established patient base, without the prohibitive
financial burden associated with start-up costs and the time consuming
administrative tasks dictated by day-to-day office management. In return, YFMC
generates revenue from management fees charged to its affiliated physicians.

    In management's view, many physicians prefer to work as independent
practitioners within a group practice setting. As a result, YFMC's strategy to
provide a turn-key clinic/management operation empowers each staff physician to
preserve that entrepreneurial perspective by being free to focus on the practice
of medicine unencumbered by administrative responsibility.

    YFMC clinics function as a blended operation of "immediate care" and
"appointment based" patient centres. Each clinic provides the local community
with a primary care mix comprised of family medical care, psychological care,
and other paramedical services such as nutrition, foot care and massage therapy.

    YFMC clinics are generally located in visible, high traffic areas, such as
shopping malls, and strategically positioned as "patient friendly locations"
with free parking and easy access, as well as convenient 9:00 a.m. to 9:00 p.m.
weekday operating hours, 9:00 a.m. to 5:00 p.m. on weekends.

                        BUSINESS AND OPERATIONS OF YFMC

MARKET OVERVIEW: THE CANADIAN HEALTH CARE SYSTEM

    Canada's health care system is comprised of many components. Facilities
include hospitals, community health centres, clinics and nursing homes. The
spectrum of health care workers ranges from physicians, dentists, optometrists
and nurses, to physical and occupational therapists, chiropractors, podiatrists
and midwives. A wide variety of care is provided including prevention, cure,
rehabilitation and palliation.

    With the passage of the Canada Health Act (the "Health Act") in 1984, health
care became, in part, a federal as well as provincial responsibility. The Health
Act indexed the increase in the federal contribution to each province in Gross
Domestic Product and federal responsibility was defined as determining which
services would be paid for, the population to be covered, formulas for cost
sharing and enforcement of the Health Act's principles. Provincial
responsibilities entailed negotiation of physicians fees, hospital operating
budgets, control of capital acquisitions and the distribution of expensive high
technology.

    Today, health care costs have grown to represent about 10% of the Gross
National Product of Canada and about one-third of provincial budgets. In the
view of management, these rising costs coupled with reduced provincial transfer
payments have left the provinces straining to maintain their health care
delivery systems. To illustrate the severity of the situation, transfer payments
for the 1996 to 1997/8 period alone are projected to be reduced by $6.6 billion.

    The Health Act strengthened and reaffirmed the principles of universality,
portability, comprehensiveness and public administration. Of significance, it
added accessibility which prohibited extra billing by doctors and user fees by
hospitals. Having entrenched these principles, management believes the challenge
is how to sustain them in the face of economic adversity.

                                       54
<PAGE>
    An initial consolidation phase is taking place throughout much of Canada
whereby hospitals, diagnostic services and health care professionals are being
eliminated in order to meet provincial budgets. As more and more hospitals
close, the private sector is playing an increasingly pivotal role in providing
ambulatory care or home care once provided by hospitals or by government
agencies. New opportunities are emerging.

CORE BUSINESS

    YFMC's core business includes primary medical care, in-clinic paramedical
services (podiatry, nutrition, massage therapy), clinical psychology therapy in
addition to physician practice management services. YFMC's short-term expansion
strategy is to increase its sectors of operation to encompass corporate medical
programs, in which private or government groups are provided with turnkey health
packages, rehabilitative services, nursing and home health care services, and
extended practice management services with specific emphasis on medical billing.

    Each clinic provides health care services for a broad range of patient
needs. Patients, however, can be effectively categorized into four distinct
groups:

1.  Family health care -- primary care for adults and children.

2.  Geriatric care -- patients 70+ years of age.

3.  Specialty care -- paramedical services.

4.  Corporate health care -- specialty services for employees and management.

    YFMC also provides administrative expertise to various health care groups.

COMPETITION

    YFMC's competition, in its current sphere of operation, is fragmented and
made up of many simple walk-in clinic operations representing a limited number
of Ottawa locations. They do not provide the broad range of family and specialty
health care services that YFMC furnishes, nor are they able to offer the
corporate and psychological services from a network as extensive as YFMC.
Currently, YFMC owns and operates three times as many family practice medical
clinics as its nearest competitor. In management's view, no competitor to date
has assembled the critical mass necessary to expand into the corporate or
home-care sectors. These potentially profitable target markets provide an
opportunity for YFMC to establish a position in advance of its competition.
Nevertheless, as a result of YFMC's growing success, it is anticipated
competition will develop in the months and years ahead.

CORPORATE NICHE

    YFMC's corporate strategy is to leverage its clinic network and patient base
to effect a reduction in administrative costs and supply services through the
provision of primary care medical services. Ancillary strategies include the
establishment of ambulatory services including podiatry, massage therapy,
physiotherapy and psychological counseling and initiating and coordinating
progressive programs such as corporate health care and rehabilitative services.

YFMC FACILITIES

<TABLE>
<CAPTION>
CLINIC                                                                               LOCATION
- ----------------------------------------------------------------------------  ----------------------
<S>                                                                           <C>
Beacon Hill Family Medical Centre                                             Gloucester, Ontario

Clinique Medicale Place du Centre                                             Hull, Quebec

Elgin Family Medical Centre                                                   Ottawa, Ontario

Fisher Family Medical Centre                                                  Ottawa, Ontario

Greenbank Family Medical Centre                                               Nepean, Ontario

Herongate Family Medical Centre                                               Ottawa, Ontario
</TABLE>

                                       55
<PAGE>
<TABLE>
<CAPTION>
CLINIC                                                                               LOCATION
- ----------------------------------------------------------------------------  ----------------------
<S>                                                                           <C>
Kanata Family Medical Centre                                                  Kanata, Ontario

Minto Place Family Medical Centre                                             Ottawa, Ontario

Rosemount Family Medical Centre                                               Ottawa, Ontario

Vanier Family Medical Centre                                                  Vanier, Ontario

Westgate Family Medical Centre                                                Ottawa, Ontario

PSA & Associates                                                              Ottawa, Ontario

Care Source Physiotherapy & Rehabilitation Centre                             Ottawa, Ontario

Spiro Tech Health Services Inc.                                               Ottawa, Ontario

Pringle Creek Medical Centre                                                  Whitby, Ontario

Jasper Avenue Medical Clinic                                                  Edmonton, Alberta

McKnight Village Medical Centre                                               Calgary, Alberta

Medical Centre West Edmonton Mall                                             Edmonton, Alberta

Martindale Medical Centre                                                     Calgary, Alberta

Orleans Gardens Family Medical Centre                                         Gloucester, Ontario
</TABLE>

    As of June 30, 1999, YFMC's clinics average 7,000 patients per week of which
approximately 2,000 are appointment-based. Eighty staff physicians handle the
patient load assisted by 125 support staff.

    The clinics range in size from about 1,000 to 2,200 sq. ft. and each clinic
includes a reception area, treatment room, laboratory and anywhere from three to
six examination rooms. Operations are standardized and each practice facility is
staffed by a medical secretary and registered nurse (in the case of a
psychological practice, a practice coordinator) and can support three to four
doctors working concurrently at any given time. Each facility is fully automated
and equipped according to the practice needs of the health professional.

BILLING PROCEDURES

    Patients are generally billed under their respective health plans. If they
are not covered, payment is on a cash basis at the time of the visit. Insured
billings are transmitted by computer (in some cases, by mail) to the insurance
authority where, upon review, claims are paid to the physician or therapist
within a mean period of 45 days after the service was provided. Upon
confirmation of payment, YFMC healthcare providers are billed for their overhead
costs at a predetermined rate which averages 35% of billings for physicians and
40% for therapists.

POLICIES AND QUALITY CONTROL PROCEDURES

    Accounting, marketing, purchasing, finance and administration services are
managed, coordinated and controlled from YFMC's central office. Management
personnel from the central administrative office regularly conduct facility
inspections, meeting with clinic staff to review operations, identify and help
resolve problem areas, and address the ongoing needs of the individual clinic.
Centralized control enables the senior management team to manage more
effectively by identifying and addressing problem areas more expeditiously.

    In addition, each clinic is assigned a "captain" who is responsible for the
efficient day-to-day operations by adhering to guidelines set out in YFMC's
Operations Manual. Medical policies are observed as stipulated by the College of
Physicians & Surgeons.

HUMAN RESOURCES

    As of June 30, 1999 YFMC had 125 employees, 80 physicians, and 6
administrative personnel managing accounting, marketing and administrative
services. YFMC plans to retain additional physicians and clinical support staff
as well as hire select marketing and administrative people as required to keep
pace with company expansion.

                                       56
<PAGE>
MARKETING

    Management of YFMC believes that physician organizations will play a growing
role in Canada's health care scheme to reduce deficit spending at federal and
provincial levels by providing cost-effective primary care services in support
of new government initiatives. It is also believed that YFMC has the potential
to be a central force in this reform while building a significant health care
company.

    Immediate care clinics have grown in popularity since their introduction in
the late 1980s. This has been chiefly due to their convenience: specifically,
easy access locations, extended hours of operation, and the fact that no
appointment is needed to see a doctor.

    To date, YFMC has generated the bulk of its business primarily as a result
of conveniently located clinics situated in high pedestrian traffic areas. This
fact is supported by an in-house patient survey which revealed that
approximately 50% of the patient base was created due to high visibility clinic
signage. Almost 25% was as a result of either a friend or family referral. The
remaining percentage was generated from a combination of direct mail, yellow
pages advertising and referrals.

    YFMC's market is broad and plans call for a more proactive strategy to
increase existing business as well as to expand into new markets. Unlike
standard business marketing practices, however, there are certain anomalies
unique to health care service providers which define what can and cannot be
leveraged as strategies in the overall marketing mix. Though in some instances
this can be a limiting factor, anticipated changes to Canada's health care
system are expected to provide new opportunities.

                          DESCRIPTION OF SHARE CAPITAL

    The authorized share capital of YFMC consists of an unlimited number of YFMC
Common Shares without nominal or par value, of which 10,710,143 YFMC Common
Shares are issued and outstanding as fully paid and non-assessable as at the
date hereof 1,003,000 YFMC Common Shares are reserved for issuance under a stock
option. YFMC is also authorized to issue an unlimited number of First Preferred
Shares and Second Preferred Shares, both issuable in series without nominal or
par value. To date, YFMC has issued 1,000,000 First Preferred Shares, Series A
("YFMC Preferred Shares"). No other preferred shares have been issued.

YFMC COMMON SHARES

    The holders of YFMC Common Shares are entitled to dividends as and when
declared by the board of directors of YFMC, to one vote per share at meetings of
shareholders of YFMC and, upon liquidation, to receive such assets of YFMC as
are distributable to the holders of the YFMC Common Shares.

FIRST PREFERRED SHARES

    The First Preferred Shares may be issued from time to time in one or more
series, each series consisting of the number of shares and having the
designation, rights, privileges, restrictions and conditions which the board of
directors of YFMC determines prior to the issue thereof. The First Preferred
Shares rank prior to the Second Preferred Shares and the YFMC Common Shares with
respect to the payment of dividends and distribution in the event of
liquidation, dissolution or winding-up of YFMC.

FIRST PREFERRED SHARES, SERIES A

    YFMC has created a Series A First Preferred Share ("YFMC Series A Preferred
Shares") which is non-redeemable and has a cumulative dividend of 2% per annum,
payable annually. Each YFMC Preferred Share is convertible at the election of
the holder into one YFMC Common Share for no additional consideration, at any
date on which the current market price of the YFMC Common Shares exceeds $0.50
per YFMC Common Share. The YFMC Preferred Share terms specifically provide that
the same are not convertible into YFMC Common Shares if, at the date of such
conversion, the aggregate number of YFMC Common Shares held by directors and
officers of YFMC, and related parties to such individuals, would exceed 80% of
the issued and outstanding YFMC Common Shares.

                                       57
<PAGE>
SECOND PREFERRED SHARES

    The Second Preferred Shares may be issued from time to time in one or more
series, each series consisting of the number of shares and having the
designation, rights, privileges, restrictions and conditions which the board of
directors of YFMC determines prior to the issue thereof. The Second Preferred
Shares rank prior to the YFMC Common Shares and subordinate to the First
Preferred Shares with respect to the payment of dividends and distribution in
the event of liquidation, dissolution or winding-up of YFMC.

YFMC WARRANTS

    YFMC has also issued 356,680 YFMC Series A Warrants and 356,680 YFMC Series
B Warrants (collectively, the "YFMC Warrants"). Each YFMC Series A Warrant
entitles the holders thereof to purchase one YFMC Common Share at a price of
$0.40 per share until June 12, 2000. Each YFMC Series B Warrant entitles the
holders thereof to purchase one YFMC Common Share at a price of $0.50 per share
until June 12, 2000.

    The warrants contain provisions to the effect that in the event of any
subdivision, consolidation, change, reclassification or alteration of the YFMC
Common Shares or in the event of the consolidation, amalgamation or a merger of
YFMC with any other corporation, a proportionate adjustment or change will be
made to the number and kind of securities issuable on exercise of the YFMC
Warrants and in the exercise price per YFMC Common Share. No adjustment in the
exercise price of the YFMC Warrants is required to be made unless the cumulative
effect of such adjustment or adjustments would change the exercise price of the
YFMC Warrants by at least 1%.

    To the extent that the holder of a YFMC Warrants would otherwise be entitled
to purchase a fraction of a YFMC Common Share, such right may be exercised only
in conjunction with other rights which, in the aggregate, entitle the holder to
purchase a whole number of YFMC Common Shares. No adjustment as to dividends
will be made upon any exercise of YFMC Warrants. Holders of YFMC Warrants do not
have any voting or pre-emptive rights or any other rights as shareholders of
YFMC.

                        PRINCIPAL HOLDERS OF SECURITIES

    As at the date hereof, no person or company owns of record, or is known by
YFMC's directors and senior officers to own beneficially, directly or
indirectly, or to exercise control or direction, over 10% or more of the YFMC
Common Shares except as set forth below.

<TABLE>
<CAPTION>
                                                                                   TYPE OF       NUMBER OF   PERCENTAGE
NAME AND MUNICIPALITY OF RESIDENCE                                                OWNERSHIP        SHARES     OF CLASS
- -----------------------------------------------------------------------------  ----------------  ----------  -----------
<S>                                                                            <C>               <C>         <C>
977675 Ontario Inc.(1).......................................................  Beneficial and     3,641,331       34.1%
Ottawa, Ontario                                                                of Record

Page Raymond & Associates Ltd.(2)............................................  Beneficial and     3,360,165       31.4%
Ottawa, Ontario                                                                of Record

CDS & Co.....................................................................  Of Record          1,784,000       16.7%
</TABLE>

- ------------------------

Notes:

(1) The beneficial owner of such securities is Dr. Donald Wilson. 977675 Ontario
    Inc. also holds 506,359 YFMC Preferred Shares, each of which is convertible
    into one (1) YFMC Common Share in certain events. See "THE DESCRIPTION OF
    SHARE CAPITAL".

(2) The beneficial owner of such securities is Mr. Martin Scullion. Page Raymond
    & Associates Ltd. also holds 493,641 YFMC Preferred Shares, each of which is
    convertible into one (1) YFMC Common Share in certain events. See "THE
    DESCRIPTION OF SHARE CAPITAL".

                                       58
<PAGE>
                             DIRECTORS AND OFFICERS

    The following are names and municipalities of residence of the directors and
officers of YFMC, their positions and offices with YFMC and their principal
occupations during the last 5 years:

<TABLE>
<CAPTION>
NAME AND MUNICIPALITY
OF RESIDENCE                  OFFICE HELD                                  PRINCIPAL OCCUPATION
- ---------------------  --------------------------  --------------------------------------------------------------------
<S>                    <C>                         <C>

Donald Wilson          President                   President of YFMC since 1996 and Physician
Ottawa, Ontario

Martin Scullion        Chief Executive Officer     Chief Executive officer of YFMC since 1996; Vice-President,
Ottawa, Ontario                                    marketing -- FCA International Limited from 1978 to 1988; Owner,
                                                   Plastiques P.E.I. Canada Limited from 1988 to 1994.

Marc E. Smith          Vice President              Corporate Counsel of YFMC since October 1998; Barrister and
Ottawa, Ontario                                    Solicitor with Doucet McBride from 1996 to 1998.

Ed Belanger            Vice President              President of International Health Consultants Inc. since 1998;
Ottawa, Ontario                                    President and Chief Executive Officer of Gamble Vision International
                                                   Inc. and Vice President; Corporate Development of Gamble Eye Center
                                                   from 1995-1998.

James Raymond          Director                    Investment Banker
Montreal, Quebec

Tim Tycholis           Director                    President of TransPacific Minerals from October, 1996 to June, 1998;
Calgary, Alberta                                   Vice-President, Corporate Development and Director of Blue Range
                                                   Resources Corporation, a public company from July, 1995 to July,
                                                   1997; President, Pipestone Petroleum Inc., a junior natural resource
                                                   company from August, 1993 to July, 1995; Vice-President, PowerWest
                                                   Financial Ltd. from August, 1990 to August, 1993.

Peter McKeown          Director                    Vice-President, Finance, Axia Multimedia Corporation, a public
Calgary, Alberta                                   multimedia software company, and its predecessor from June, 1995 to
                                                   present; President, Player Securities Inc., a private investment
                                                   company, since March, 1993. President of Senex Petroleum
                                                   Corporation, a public natural resource company, from January, 1988
                                                   to March, 1993.

Geoffrey Smith         Director                    President, Panache Investments Ltd. since January, 1997;
Calgary, Alberta                                   Vice-President Corporate Development, Canadian 88 Energy Corp. from
                                                   May, 1990 to January, 1997.
</TABLE>

    As of the date hereof, the directors and senior officers of YFMC and, to the
knowledge of the directors and senior officers of YFMC, after reasonable
inquiry, their respective associates, as a group beneficially owned, director or
indirectly, or exercise control or direction over 8,079,696 YFMC Common Shares
representing approximately 75.4% of the issued and outstanding YFMC Common
Shares, 969,460 YFMC Preferred Shares, representing 96.9% of the issued and
outstanding YFMC Preferred Shares, 222,000 YFMC Series A Warrants, representing
approximately 62.2% of the issued and outstanding YFMC Series A Warrants, and
222,000 YFMC Series B Warrants, representing approximately 62.2% of the issued
and outstanding YFMC Series B Warrants, all of which are expected to be tendered
pursuant to the Offer.

                                       59
<PAGE>
                             EXECUTIVE COMPENSATION

SUMMARY OF EXECUTIVE COMPENSATION

    The following table sets forth the annual and long term compensation paid to
each of the President and Chief Executive Officer of YFMC (the "Named Executive
Officers") during the most recently completed fiscal year end completed December
31, 1998.
<TABLE>
<CAPTION>
                                                ANNUAL COMPENSATION                   LONG-TERM COMPENSATION

                                                                                        AWARDS              PAYOUTS
<S>                   <C>              <C>          <C>        <C>            <C>          <C>            <C>

<CAPTION>

                                                                              SECURITIES    RESTRICTED
                                                                              UNDER STOCK    SHARES OR
                        FISCAL YEAR                            OTHER ANNUAL     OPTIONS     RESTRICTED       LTIP
NAME AND              ENDED DECEMBER     SALARY       BONUS    COMPENSATION     GRANTED     SHARE UNITS     PAYOUTS
PRINCIPAL POSITION          31             ($)         ($)          ($)           (#)           ($)           ($)
<S>                   <C>              <C>          <C>        <C>            <C>          <C>            <C>
Donald Wilson,                1998            N/A      60,000          N/A       100,000         -               N/A
President
Martin Scullion,              1998            N/A      15,000       39,996       100,000         -               N/A
Chief Executive
Officer

<CAPTION>
<S>                   <C>
                         ALL OTHER
NAME AND               COMPENSATION
PRINCIPAL POSITION          ($)
<S>                   <C>
Donald Wilson,                 N/A
President
Martin Scullion,               N/A
Chief Executive
Officer
</TABLE>

REMUNERATION

    To date, other than as described herein, no compensation has been paid to
the officers of YFMC in their capacities as officers, aside from the annual
salary paid to each of Marc E. Smith and Ed Belanger of $43,000 and $60,000,
respectively. Mr. Smith's salary commenced being paid on October 1, 1998. Mr.
Belanger's consulting fee commenced being paid on September 15, 1998.

DIRECTORS

    Directors are not remunerated in their capacities as such, aside from the
payment of an attendance fee of $300 to each director who is not also an officer
of YFMC for attendance at meetings of directors. Out-of-pocket expenses of
directors incurred in connection with the performance of their duties as
directors pursuant to their attendance at meetings of the board of directors of
YFMC are also paid by YFMC. Directors of YFMC have received options to purchase,
in the aggregate, 475,000 YFMC Common Shares.

       INDEBTEDNESS OF DIRECTORS, EXECUTIVE OFFICERS AND SENIOR OFFICERS

    Management of YFMC is not aware of any indebtedness outstanding by, or any
guarantees, support agreements, letters of credit or other similar arrangements
provided by YFMC or any of its subsidiaries to, any of the directors, executive
officers or senior officers of YFMC or any of their associates at any time,
other than in the regular course of business of YFMC.

          INTERESTS OF MANAGEMENT AND OTHERS IN MATERIAL TRANSACTIONS

    The directors, officers and principal shareholders of YFMC (and the known
associates and affiliates of such persons) have no direct or indirect interest
in any material transaction involving YFMC.

                                   PROMOTERS

    Dr. Donald Wilson and Martin Scullion may be considered to be promoters of
YFMC under applicable securities laws by reason of having taken the initiative
in founding and organizing the business and enterprise of YFMC. Dr. Wilson and
Mr. Scullion have had no direct or indirect interest in any material transaction
involving YFMC.

                                       60
<PAGE>
                           DIVIDEND RECORD AND POLICY

    YFMC has not paid any dividends on the YFMC Common Shares and has no present
intention of paying dividends on such shares. The future payment of dividends
will be dependent upon the financial requirements of YFMC to fund future growth,
the financial condition of YFMC and other factors the board of directors of YFMC
may consider appropriate in the circumstances.

                               THE ANNUAL MEETING

GENERAL

    MED-EMERG.  This Joint Prospectus/Proxy Statement is being furnished to
holders of Med-Emerg Common Stock in connection with the solicitation of proxies
by the Med-Emerg Board for use at the Med-Emerg Annual Meeting to consider and
vote, upon: (i) the election of the Board of Directors for the ensuing year;
(ii) the appointment of Schwartz Levitsky Feldman, Chartered Accountants, as the
Company's independent auditors for the ensuing year; (iii) the Business
Combination Agreement and the approval of the issuance of Med-Emerg shares and
warrants in the aggregate number of 1,710,332 shares and 89,170 warrants
pursuant thereto; and (iv) to transact such other business as may properly come
before the Med-Emerg Annual Meeting.

    The Med-Emerg board has unanimously approved each of the above proposals and
unanimously recommends that the holders of Med-Emerg common stock vote for the
approval of each of the above proposals. Except for the Nasdaq rules,
shareholder approval of the Business Combination Agreement and the stock
issuance related thereto would not be required. Accordingly, Med-Emerg
shareholders have no appraisal rights.

RECORD DATE

    MED-EMERG.  The Med-Emerg Board has fixed the close of business on October
15, 1999 as the Med-Emerg Record Date for the determination of the holders of
Med-Emerg Common Stock entitled to receive notice of, and to vote at, the
Med-Emerg Annual Meeting.

TIMES AND PLACES; PURPOSES

    MED-EMERG.  The Med-Emerg Annual Meeting will be held at Hotel
Intercontinental, 111 East 48(th) Street, New York, New York, 10017 on November
19, 1999, starting at 10:00 a.m. local time. At the Med-Emerg Annual Meeting,
the holders of Med-Emerg Common Stock will be asked to consider and vote upon
(i) the election of the Board of Directors of Med-Emerg for the ensuing year;
(ii) the appointment of Schwartz Levitsky Feldman, Chartered Accountants, as the
Company's independent auditors for the ensuing year; (iii) the Business
Combination Agreement and the stock issuance related thereto and (iv) such other
matters as may properly come before the Med-Emerg Annual Meeting, including
adjournment of the Med-Emerg Annual Meeting to solicit additional proxies.

VOTING RIGHTS; VOTES REQUIRED FOR APPROVAL

    MED-EMERG.  Only holders of record of shares of Med-Emerg Voting Stock on
the Med-Emerg Record Date are entitled to notice of and to vote at the Med-Emerg
Annual Meeting. On the Med-Emerg Record Date, there were 3,095,544 shares of
Med-Emerg Common Stock outstanding and entitled to vote at the Med-Emerg Annual
Meeting.

    Each holder of record of Med-Emerg Common Stock, as of the Med-Emerg Record
Date, is entitled to cast one vote per share. The presence, in person or by
proxy, of the holders of a majority of the outstanding shares of Med-Emerg
Common Stock entitled to vote is necessary to constitute a quorum at the
Med-Emerg Annual Meeting. The affirmative vote, in person or by proxy, of the
holders of a majority of the outstanding shares of Med-Emerg Common Stock
present in person or by proxy, at the meeting entitled to vote thereon is
required to approve each of the proposals to be voted on. The affirmative vote
of the holders of a majority of the Med-Emerg Common Stock represented in person
or by proxy at the Med-Emerg Annual Meeting, at which a quorum is not present,
is required to approve an adjournment of the Annual Meeting. Proxies may be
revoked by notice of revocation or a later signed and dated proxy or by
attending the Med-Emerg Annual Meeting and

                                       61
<PAGE>
voting in person. Attendance at the Med-Emerg Annual Meeting will not in itself
constitute the revocation of a proxy.

PROXIES

    All shares of Med-Emerg Common Stock represented by properly executed
proxies received prior to or at the Med-Emerg Annual Meeting and not
subsequently revoked will be voted in accordance with the instructions indicated
on such proxies. If no instructions are indicated on a properly executed and
returned proxy, such proxy will be voted FOR each of the proposals to be voted
on. A properly executed proxy marked "ABSTAIN," although counted for purposes of
determining whether there is a quorum and for purposes of determining the
aggregate voting power and number of shares represented and entitled to vote at
the applicable Annual Meeting, will not be voted.

    Holders of Med-Emerg Common Stock will not be entitled to present any matter
for consideration at the Annual Meeting. A holder of Med-Emerg Common Stock may
revoke his or her proxy at any time prior to the voting of the proxy by
delivering to the Secretary of Med-Emerg a signed notice of revocation or a
later dated signed proxy or by attending the applicable Annual Meeting and
voting in person. Attendance at the Med-Emerg Annual Meeting will not itself
constitute the revocation of a proxy. The cost of solicitation of proxies will
be paid by Med-Emerg. In addition to solicitation by mail, arrangements may be
made with brokerage houses and other custodians, nominees and fiduciaries to
send proxy material to beneficial owners, and Med-Emerg will, upon request,
reimburse them for their reasonable expenses in so doing.

                       THE BUSINESS COMBINATION AGREEMENT

    Pursuant to the Business Combination Agreement entered into between
Med-Emerg and YFMC, Med-Emerg agreed to make an offer on the terms set out
therein to purchase all of the issued and outstanding YFMC Securities on the
basis of one share of Med-Emerg common stock for every 6.875 YFMC common shares.

    Each outstanding YFMC Series A Warrant will be entitled to 0.125 Med-Emerg
Series A Warrant.

    Each outstanding YFMC Series B Warrant will be entitled to 0.125 Med-Emerg
Series B Warrant.

    In addition to the foregoing, Med-Emerg has agreed to offer to holders of
the YFMC Preferred Shares, for every ten (10) YFMC Preferred Shares, one
Med-Emerg Common Share, subject to certain escrow conditions.

    As well, for each of the outstanding options to acquire YFMC Common shares
under the YFMC Stock Option Plan, there shall be substituted eight (8) YFMC
options one (1) replacement option to acquire one (1) Med-Emerg Common Share at
an exercise price of US$1.75 per share.

    The Business Combination Agreement also includes representations and
warranties of both Med-Emerg and YFMC.

                        COMPARISON OF SHAREHOLDER RIGHTS

    Upon completion of the Business Combination, YFMC Shareholders will receive
shares of Med-Emerg common stock, and the rights of such shareholders will be
governed by the laws of the Province of Ontario, the Certificate of
Incorporation of Med-Emerg and the By-laws of Med-Emerg. As Med-Emerg and YFMC
are both incorporated under the laws of the Province of Ontario, YFMC
shareholders will continue to be afforded the same shareholder rights after the
Business Combination upon the receipt of Med-Emerg common stock.

                           DESCRIPTION OF SECURITIES

    The following summary description of Med-Emerg's securities is qualified in
its entirety by reference to Med-Emerg's Certificate of Incorporation, as
amended, and its By-laws, copies of which have been filed as Exhibits to the
Registration Statement of which this Joint Proxy/Prospectus is a part.

    The total authorized capital stock of the Company consists of an unlimited
number of shares of Common Stock, with no par value, and unlimited number of
Preferred Stock, with no par value per share. The following

                                       62
<PAGE>
descriptions contain all material terms and features of the Securities of the
Company, are qualified in all respects by reference to the Certificate of
Incorporation and Bylaws of the Company.

COMMON SHARES

    The holders of outstanding shares of Common Shares are entitled to share
ratably on a share-for-share basis with respect to any dividends when, as an if
declared by the Board of Directors out of funds legally available therefor. Each
holder of Common Shares is entitled to one vote for each share held of record
and are not entitled to cumulative voting rights. The Common Shares is not
entitled to conversion or preemptive rights and is not subject to redemption.
There are no limitations on the right of nonresident or foreign owners to hold
or vote the Company's Common Shares. Upon liquidation, dissolution or winding up
of the Company, the holders of Common Shares are entitled to share ratably in
the net assets legally available for distribution to Sharesholders after payment
of all obligations of the Company and after provision has been made with respect
to each class of Shares, if any, having preference over the Common Shares.
Holders of shares of Common Shares do not have subscription rights. The shares
of Common Shares presently outstanding are, and the shares of Common Shares
offered hereby will be, upon issuance and payment therefor, validly issued,
fully paid and non-assessable. All outstanding shares of Common Shares are, and
the shares of Common Shares offered hereby will upon issuance be, fully paid and
non-assessable.

PURCHASE WARRANTS

    Each Warrant entitles its holder to purchase one share of Common Shares at
an exercise price of price of $4.50, subject to adjustment in certain
circumstances, for a period of four years commencing on February 4, 1999. The
Common Shares and Warrants may only be purchased as Units in the Offering, but
are separately tradeable immediately upon issuance.

    The exercise price of the Warrants and the number and kind of Common Shares
or other securities and property issuable upon the exercise of the Warrants are
subject to adjustment in certain circumstances, including a Shares split of,
Shares dividend on, or a subdivision, combination or capitalization of the
Common Shares and for any issuance of Common Shares for less than the lesser of
the market price of a share of Common Shares or the exercise price of the
Warrants. Additionally, an adjustment will be made upon the sale of all or
substantially all of the assets of the Company in order to enable holders of
Warrants to purchase the kind and number of shares or other securities or
property (including cash) receivable in such event by a holder of the number of
shares of Common Shares that might otherwise have been purchased upon exercise
of the Warrants.

    The Warrants do not confer upon the holder any voting or other rights of a
Sharesholder of the Company. Upon notice to the holders of the Warrants, the
Company has the right to reduce the exercise price or extend the expiration date
of the Warrants.

    Warrants may be exercised upon surrender of the warrant certificate
evidencing those Warrants on or prior to the respective expiration date (or
earlier redemption date) of the Warrants at the offices of the warrant agent,
with the form of "Election to Purchase" on the reverse side of the warrant
certificate completed and executed as indicated, accompanied by payment of the
full exercise price (by certified check payable to the order of the warrant
agent) for the number of the Warrants being exercised.

    No Warrant will be exercisable unless at the time of exercise the Company
has filed with the Commission a current prospectus covering the issuance of
Common Shares issuable upon the exercise of the Warrant and the issuance of
shares has been registered or qualified or is deemed to be exempt from
registration or qualification under the securities laws of the state of
residence of the holder of the Warrant. The Company has undertaken to use its
best efforts to maintain a current prospectus relating to the issuance of shares
of Common Shares upon the exercise of the Warrants until the expiration of the
Warrants, subject to the terms of the Warrant Agreement. While it is the
Company's intention to maintain a current prospectus, there is no assurance that
it will be able to do so.

    No fractional shares will be issued upon exercise of the Warrants. However,
if a holder of a Warrant exercises all Warrants then owned of record, the
Company will pay to that holder, in lieu of the issuance of any

                                       63
<PAGE>
fractional share which would be otherwise issuable, an amount in cash equal to
such fractional interest based on the market value of the Common Shares on the
last trading day prior to the exercise date.

    The Warrants are redeemable by the Company commencing February 4, 2000 (or
sooner with the consent of the Representative) at a redemption price of $0.10
per Warrant on not less that 30 days written notice, provided that the closing
bid price per share of Common Shares, if traded on NASDAQ, or the last sale
price, if listed on a national exchange, for 20 consecutive trading days ending
on the third business day prior to the date of redemption notice, is at least
$8.00 (subject to adjustment for certain events). The Warrants shall be
exercisable until the close of the business day preceding the date fixed for
redemption. In addition, subject to the rules of the NASD, the Company has
agreed to engage Network 1 Financial Securities, Inc. as its exclusive warrant
solicitation agent, in connection with which Network 1 would be entitled to a 5%
fee upon exercise of the Warrants.

PREFERRED SHARES

    The Company has 500,000 shares of Preferred Shares outstanding, all of which
are held in the name of 1245841 Ontario Inc., which is owned by Ramesh and
Victoria Zacharias. Each share of Preferred Shares entitles the holder to eight
votes per share until the Company engages in a public offering of its securities
at which time each share of Preferred Shares shall entitle the holder to one
vote per share. Each share of Preferred Shares entitles the holder to an annual
cumulative dividend of US$.27 per share commencing on the date the Company
consummates an initial public offering, payable quarterly at the Board of
Directors discretion in cash or Common Shares. Commencing November 1, 2006, the
holders of the Preferred Shares may convert the Preferred Shares for an amount
of shares of Common Shares as is equal to US$4,500,000 divided by the then
current market price of the Company's Common Shares. In addition, the holders of
the Preferred Shares have the immediate right to convert the Preferred Shares
into Common Shares on a basis of one share of Preferred Shares for one and one
half shares of Common Shares. The Preferred Shares contains a provision which
prohibits the payment of any Common Shares dividends until all cumulative
dividends on the Preferred Shares have been paid.

                                 LEGAL MATTERS

    The validity of the Med-Emerg Common Shares to be issued in connection with
the Transaction will be passed upon by Gersten, Savage & Kaplowitz, LLP. Matters
entered under the heading "The Transaction -- Certain United States Federal
Income Tax Consequences of the Merger -- YFMC" have been passed upon by Gersten,
Savage & Kaplowitz, LLP and are included herein in reliance upon the authority
of such firm as experts.

                                    EXPERTS

    The consolidated financial statements of YFMC at December 31, 1998 and 1997
included herein and made a part of the Registration Statement of which this
Joint Proxy Statement/Prospectus is a part, have been audited by BDO Dunwoody
independent chartered accountants, as set forth in their report thereon included
elsewhere herein. Such consolidated financial statements of YFMC are included
herein in reliance upon such reports given upon the authority of such firm as
experts in accounting and auditing.

    The consolidated financial statements of Med-Emerg at December 31, 1998 and
1997 included herein and made part of the Registration Statement of which this
Joint Prospectus/Proxy Statement is a part, have been audited by Schwartz
Levitsky Feldman, independent chartered accountants, as set forth in their
report therein included elsewhere herein. Such financial statements of Med-Emerg
are included herein in reliance upon such reports given upon the authority of
such firm as experts in accounting and auditing.

    It is expected that representatives of Schwartz Levitsky Feldman will be
present at the Annual Meetings to respond to appropriate questions of
shareholders and to make a statement if they desire.

                                       64
<PAGE>
                          FUTURE SHAREHOLDER PROPOSALS

    The next annual meeting of the public Shareholders of Med-Emerg will be held
simultaneously with the Annual Meeting. Commission rules set forth standards as
to what Shareholder proposals are required to be included in a proxy statement.

                             AVAILABLE INFORMATION

    THIS JOINT PROSPECTUS/PROXY STATEMENT INCORPORATES IMPORTANT BUSINESS AND
FINANCIAL INFORMATION ABOUT YFMC AND MED-EMERG THAT IS NOT INCLUDED IN OR
DELIVERED WITH THIS DOCUMENT. THIS INFORMATION IS AVAILABLE WITHOUT CHARGE UPON
WRITTEN OR ORAL REQUEST TO MS. KATHRYN GAMBLE, CHIEF FINANCIAL OFFICER,
MED-EMERG INTERNATIONAL INC., 2550 ARGENTIA ROAD, SUITE 205, MISSISSAUGA,
ONTARIO, L5N 5R1.

    TO OBTAIN TIMELY DELIVERY OF SUCH INFORMATION, SECURITY HOLDERS MUST REQUEST
THIS INFORMATION NO LATER THAN NOVEMBER 5, 1999.

    Med-Emerg is subject to the information reporting requirements of the
Securities Exchange Act of 1934, as amended (the "Exchange Act") files reports,
proxy and information statements and other information with the Securities and
Exchange Commission (the "Commission"). Upon consummation of the Transaction,
Med-Emerg will remain subject to the information reporting requirements of the
Exchange Act and will be required to file reports, proxy and information
statements and other information with the Commission. Such reports, proxy and
information statements and other information filed with the Commission can be
inspected and copied at the public reference facilities maintained by the
Commission at Judiciary Plaza, 450 Fifth Street, Room 1024, N.W., Washington,
D.C. 20549 and at the Regional Offices of the Commission at Seven World Trade
Center, 13th Floor, New York, New York 10048 and Citicorp Center, 500 West
Madison Street, Suite 1400, Chicago, Illinois 60661-2511. Copies of such
material can also be obtained at prescribed rates from the Public Reference
Section of the Commission at 450 Fifth Street, N.W., Judiciary Plaza,
Washington, D.C. 20549. The Commission maintains a Web site on the Internet that
contains reports, proxy and information statements and other information
regarding registrants that file electronically with the Commission including
YFMC and Med-Emerg (http://www.sec.gov).

    Med-Emerg has filed a registration statement on Form F-4 (together with all
amendments thereto and all schedules and exhibits filed or incorporated by
reference as a part thereof, the "Registration Statement") under the Securities
Act of 1933, as amended (the "Securities Act"), with respect to up to 1,799,502
shares of Med-Emerg Common Shares that are proposed to be issued in connection
with the Transactions to holders of outstanding shares of YFMC Common Shares and
shares underlying warrants to be issued to in connection with the
Transactions.This Joint Prospectus/Proxy Statement also constitutes the
Prospectus of Med-Emerg filed as part of the Registration Statement.

    This Joint Prospectus/Proxy Statement does not include all of the
information set forth in the Registration Statement filed by Med-Emerg with the
Commission under the Securities Act, as permitted by the rules and regulations
of the Commission. The Registration Statement is available for inspection and
copying as set forth above. Statements contained in this Joint Prospectus/Proxy
Statement or in any document incorporated herein by reference or included herein
concerning the contents of any contract or other document referred to herein or
therein are not necessarily complete and in each instance reference is made to
the copy of such contract or other document filed as an exhibit to the
Registration Statement or such other document, and each statement shall be
deemed qualified in its entirety by such reference.

    No person has been authorized to give any information or make any
representation other than those contained or incorporated by reference in this
Joint Prospectus/Proxy Statement, and, if given or made, such information or
representation must not be relied upon as having been authorized. This Joint
Prospectus/Proxy Statement does not constitute an offer to sell or a
solicitation of an offer to buy the securities covered by this Joint
Prospectus/Proxy Statement or a solicitation of a Proxy in any jurisdiction
where, or to or from any person to whom, it is unlawful to make such offer or
solicitation. Neither the delivery of this Joint Prospectus/Proxy Statement nor
any distribution of securities made hereunder shall, under any circumstances,
create any implication that there has been no change in the affairs of YFMC,
Med-Emerg or Med-Emerg since the date hereof or that the information contained
or incorporated herein by reference is correct as of any time subsequent to its
date.

                                       65
<PAGE>
                         INDEX TO FINANCIAL STATEMENTS

<TABLE>
<CAPTION>
<S>                                                                                                                <C>
MED-EMERG INTERNATIONAL INC.
Consolidated Balance Sheets at June 30, 1999 (unaudited) and December 31, 1998...................................        F-2
Consolidated Statements of Operations for the three months and six months ended June 30, 1999 (unaudited) and
  1998 (unaudited)...............................................................................................        F-3
Consolidated Statements of Changes in Financial Position for the six months ended June 30, 1999 (unaudited) and
  1998 (unaudited)...............................................................................................        F-4
Report of Schwartz Levitsky Feldman, Chartered Accountants.......................................................        F-5
Consolidated Balance Sheet as at December 31, 1998...............................................................        F-6
Consolidated Statement of Operations for the year ended December 31, 1998........................................        F-7
Consolidated Statement of Deficit for the year ended December 31, 1998...........................................        F-8
Consolidated Statement of Changes in Financial Position for the year ended December 31, 1998.....................        F-9
Notes to Consolidated Financial Statements.......................................................................       F-10

YFMC HEALTHCARE INC.
Consolidated Balance Sheet (unaudited as at June 30, 1999 and 1998)..............................................       F-25
Consolidated Statement of Earnings (unaudited for the 6 months ended June 30, 1999 and 1998).....................       F-26
Consolidated Statement of Changes in Financial Position (unaudited for the 6 months ended June 20, 1999 and
  1998)..........................................................................................................       F-27
Report of BDO Dunwoody, Chartered Accountants....................................................................       F-28
Consolidated Balance Sheets as at December 31, 1998 and 1997.....................................................       F-29
Consolidated Statement of Operations and Retained Earnings for the years ended December 31, 1998 and 1997........       F-30
Consolidated Statements of Cash Flows for the years ended December 31, 1998 and 1997.............................       F-31
Summary of Significant Accounting Policies.......................................................................       F-32
Notes to Consolidated Financial Statements.......................................................................       F-34
</TABLE>

                                      F-1
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

                          CONSOLIDATED BALANCE SHEETS

                JUNE 30, 1999 (UNAUDITED) AND DECEMBER 31, 1998
                        (EXPRESSED IN CANADIAN DOLLARS)

<TABLE>
<CAPTION>
                                                                                                            DECEMBER 31
                                                                                                               1998
                                                                                               JUNE 30     -------------
                                                                                                 1999          CDN$
                                                                                             ------------
                                                                                                 CDN$
<S>                                                                                          <C>           <C>
                                                         ASSETS
CURRENT ASSETS
  Cash.....................................................................................  $    284,453  $   1,669,899
  Accounts receivable......................................................................     3,071,253      2,765,491
  Prepaid expenses and other...............................................................       724,558        439,310
                                                                                             ------------  -------------
                                                                                                4,080,264      4,874,700

LOANS AND ADVANCES.........................................................................       130,975        135,175
CAPITAL ASSETS.............................................................................     1,392,946        883,463
OTHER ASSETS...............................................................................     2,017,662      1,763,330
DEFERRED INCOME TAXES......................................................................       898,961        695,800
                                                                                             ------------  -------------
                                                                                             $  8,520,808  $   8,352,468
                                                                                             ------------  -------------
                                                                                             ------------  -------------

                                          LIABILITIES AND SHAREHOLDERS' EQUITY
CURRENT LIABILITIES
  Bank indebtedness........................................................................  $    142,558  $     209,281
  Accounts payable and accrued liabilities.................................................     2,383,329      2,282,658
  Lease obligation -- current portion......................................................        93,070         87,401
                                                                                             ------------  -------------
                                                                                                2,618,957      2,579,340

BANK TERM LOAN.............................................................................       337,773       --
OBLIGATION UNDER CAPITAL LEASE.............................................................        54,356        102,322
DUE TO MINORITY SHAREHOLDERS...............................................................        30,137       --
                                                                                             ------------  -------------
                                                                                                3,041,223      2,681,662
                                                                                             ------------  -------------

MINORITY INTEREST..........................................................................       141,585       --

SHAREHOLDERS' EQUITY
  Capital Stock............................................................................     8,325,811      8,328,164
  Convertible debenture....................................................................       590,625        590,625
  Contributed surplus......................................................................     1,316,980      1,316,980
  Deficit..................................................................................    (4,895,416)    (4,564,963)
                                                                                             ------------  -------------
                                                                                                5,338,000      5,670,806
                                                                                             ------------  -------------
                                                                                             $  8,520,808  $   8,352,468
                                                                                             ------------  -------------
                                                                                             ------------  -------------
</TABLE>

                                      F-2
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

                     CONSOLIDATED STATEMENTS OF OPERATIONS

THREE MONTHS AND SIX MONTHS ENDED JUNE 30, 1999 (UNAUDITED) AND 1998 (UNAUDITED)
                        (EXPRESSED IN CANADIAN DOLLARS)

<TABLE>
<CAPTION>
                                                                     THREE MONTHS ENDED           SIX MONTHS ENDED
                                                                 --------------------------  --------------------------
                                                                                 JUNE 30       JUNE 30       JUNE 30
                                                                                   1998          1999          1998
                                                                               ------------  ------------  ------------
                                                                   JUNE 30         CDN$          CDN$          CDN$
                                                                     1999
                                                                 ------------
                                                                     CDN$
<S>                                                              <C>           <C>           <C>           <C>
REVENUE........................................................  $  4,539,113  $  3,566,201  $  8,768,298  $  7,171,000
PHYSICIAN FEES AND OTHER DIRECT COSTS..........................     3,257,410     2,823,072     6,332,448     5,704,000
                                                                 ------------  ------------  ------------  ------------
                                                                    1,281,703       743,129     2,435,850     1,466,000
                                                                 ------------  ------------  ------------  ------------
EXPENSES
  Salaries and benefits........................................       596,736       423,104     1,116,253       838,000
  General and administrative...................................       223,883       117,363       385,305       212,000
  Occupancy costs and supplies.................................       267,047       113,084       479,494       201,000
  HealthyConnect.com development...............................       151,598       --            306,747       --
  Public company costs.........................................       110,053        32,728       228,656        67,000
  Travel and marketing.........................................        54,058        59,714       111,823        97,000
                                                                 ------------  ------------  ------------  ------------
                                                                    1,403,375       745,993     2,628,278     1,417,000
                                                                 ------------  ------------  ------------  ------------
EARNINGS (LOSS) FROM OPERATIONS................................      (121,672)       (2,864)     (192,428)       49,000
  Interest and financing expense...............................         8,510       (30,133)       11,175       (24,000)
  Amortization.................................................       112,282        38,101       207,849        69,000
                                                                 ------------  ------------  ------------  ------------
NET INCOME (LOSS) BEFORE TAXES.................................      (242,464)      (10,832)     (411,452)    4,000,000
  Income tax recovery..........................................       106,684         2,776       181,039     1,000,000
                                                                 ------------  ------------  ------------  ------------
NET INCOME (LOSS)..............................................  $   (135,780) $     (8,056) $   (230,413) $  2,000,000
PREFERRED SHARE DIVIDENDS......................................       (49,116)      (49,632)     (100,035)      (70,000)
                                                                 ------------  ------------  ------------  ------------
NET INCOME (LOSS) APPLICABLE TO COMMON SHARES..................  $   (184,896) $    (57,688) $   (330,448) $    (67,000)
                                                                 ------------  ------------  ------------  ------------
                                                                 ------------  ------------  ------------  ------------
NET INCOME (LOSS) BEFORE PREFERRED SHARE DIVIDEND, PER COMMON
  SHARE........................................................  $      (0.04) $      (0.00) $      (0.07) $      (0.00)
PREFERRED SHARE DIVIDEND, PER COMMON SHARE.....................  $      (0.02) $      (0.02) $      (0.03) $      (0.00)
                                                                 ------------  ------------  ------------  ------------
BASIC & FULLY DILUTED INCOME (LOSS), PER COMMON SHARE..........  $      (0.06) $      (0.02) $      (0.10) $      (0.00)
                                                                 ------------  ------------  ------------  ------------
                                                                 ------------  ------------  ------------  ------------
WEIGHTED AVERAGE NUMBER OF COMMON SHARES.......................     3,095,544     3,140,044     3,095,544     3,140,000
                                                                 ------------  ------------  ------------  ------------
                                                                 ------------  ------------  ------------  ------------
</TABLE>

                                      F-3
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

            CONSOLIDATED STATEMENTS OF CHANGES IN FINANCIAL POSITION

        SIX MONTHS ENDED JUNE 30, 1999 (UNAUDITED) AND 1998 (UNAUDITED)
                        (EXPRESSED IN CANADIAN DOLLARS)

<TABLE>
<CAPTION>
                                                                                                              JUNE 30
                                                                                                                1998
                                                                                                JUNE 30     ------------
                                                                                                 1999           CDN$
                                                                                             -------------
                                                                                                 CDN$
<S>                                                                                          <C>            <C>
OPERATING ACTIVITIES
  Net income (loss) for the period.........................................................  $    (230,413) $      2,973
  Items not affecting cash
    Amortization...........................................................................        207,849        69,922
    Deferred income taxes..................................................................       (203,161)       (8,478)
                                                                                             -------------  ------------
                                                                                                  (225,725)       64,417
  Changes in non-cash working capital
    Accounts receivable....................................................................       (265,762)     (192,281)
    Prepaid and other......................................................................       (285,259)       26,667
    Accounts payable and accrued liabilities...............................................        100,672      (238,431)
                                                                                             -------------  ------------
  Cash provided by (used in) operating activities..........................................       (676,074)     (339,628)
                                                                                             -------------  ------------
INVESTING ACTIVITIES
  Acquisitions.............................................................................       (194,520)     (787,500)
  Additions of capital assets..............................................................       (639,829)     (230,935)
  Loans and advances.......................................................................        (20,123)        8,387
  Other assets.............................................................................       (152,987)      405,249
  Minority interest........................................................................        141,585       --
                                                                                             -------------  ------------
                                                                                                  (865,874)     (604,799)
                                                                                             -------------  ------------
FINANCING ACTIVITIES
  Bank term loan...........................................................................        337,773       --
  Issuance of common shares and warrants...................................................       --           4,976,605
  Issuance of convertible debenture........................................................       --             590,625
  Repurchase of common shares..............................................................         (2,353)      --
  Obligation under capital lease...........................................................        (42,297)      102,388
  Repayment of promissory note.............................................................       --            (941,074)
  Due to minority shareholders.............................................................         30,137       --
  Preferred share dividends................................................................       (100,035)      (70,619)
                                                                                             -------------  ------------
                                                                                                   223,225     4,657,925
                                                                                             -------------  ------------
Increase (decrease) in cash during in the period...........................................     (1,318,723)    3,713,498
Cash position, beginning of period.........................................................      1,460,618      (851,834)
                                                                                             -------------  ------------
Cash position, end of period...............................................................  $     141,895  $  2,861,664
                                                                                             -------------  ------------
                                                                                             -------------  ------------
Cash position is comprised of:
  Cash.....................................................................................  $     284,453  $  3,001,084
  Bank indebtedness........................................................................       (142,558)     (139,420)
                                                                                             -------------  ------------
                                                                                             $     141,895  $  2,861,664
                                                                                             -------------  ------------
                                                                                             -------------  ------------
</TABLE>

                                      F-4
<PAGE>
                 MED-EMERG INTERNATIONAL INC. AND SUBSIDIARIES
                       CONSOLIDATED FINANCIAL STATEMENTS

                                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, 1998 and 1997 and the consolidated statements of
operations and deficit and changes in financial position 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 audit.

    We conducted our audits in accordance with 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,
1998 and 1997 and the results of its operations and the changes in its financial
position for each of the years then ended in accordance with generally accepted
accounting principles.

    Canadian generally accepted accounting principles differ in some respects
from those applicable in the United States of America (note 16).

                                          /s/ SCHWARTZ LEVITSKY FELDMAN
                                          Chartered Accountants

Toronto, Ontario
February 5, 1999, except for Note 15
for which the date is March 2, 1999

                                      F-5
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

                           CONSOLIDATED BALANCE SHEET

                            AS AT DECEMBER 31, 1998

<TABLE>
<CAPTION>
                                                                                                  1998         1997
                                                                                                    $            $
                                                                                               -----------  -----------
<S>                                                                                            <C>          <C>
                                                        ASSETS

CURRENT ASSETS
  Cash.......................................................................................    1,669,899      554,432
  Accounts receivable (note 4)...............................................................    2,765,491    2,164,883
  Prepaid and other..........................................................................      439,310      357,308
                                                                                               -----------  -----------
                                                                                                 4,874,700    3,076,623
LOANS AND ADVANCES (NOTE 5)..................................................................      135,175      204,531
CAPITAL ASSETS (NOTE 6)......................................................................      883,463      551,019
OTHER ASSETS (NOTE 7)........................................................................    1,763,330    1,182,518
DEFERRED INCOME TAXES........................................................................      695,800      186,880
                                                                                               -----------  -----------
                                                                                                 8,352,468    5,201,571
                                                                                               -----------  -----------
                                                                                               -----------  -----------
                                                      LIABILITIES

CURRENT LIABILITIES
  Bank indebtedness (note 8).................................................................      209,281    1,464,085
  Accounts payable and accrued liabilities...................................................    2,282,658    2,553,796
  Lease obligations -- current portion.......................................................       87,401       48,050
  Promissory notes payable (note 9)..........................................................      --           941,074
                                                                                               -----------  -----------
                                                                                                 2,579,340    5,007,005
OBLIGATIONS UNDER CAPITAL LEASES (NOTE 14)...................................................      102,322       79,352
                                                                                               -----------  -----------
                                                                                                 2,681,662    5,086,357
                                                                                               -----------  -----------
COMMITMENTS AND CONTINGENCIES (NOTES 8, 14 AND 17)

                                           SHAREHOLDERS' EQUITY

CAPITAL STOCK (NOTE 10)......................................................................    8,328,164    8,627,479
CONVERTIBLE DEBENTURE (NOTE 11)..............................................................      590,625      --
CONTRIBUTED SURPLUS (NOTE 12)................................................................    1,316,980    1,246,000
DEFICIT......................................................................................   (4,564,963)  (9,758,265)
                                                                                               -----------  -----------
                                                                                                 5,670,806      115,214
                                                                                               -----------  -----------
                                                                                                 8,352,468    5,201,571
                                                                                               -----------  -----------
                                                                                               -----------  -----------
</TABLE>

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

                                      F-6
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

                      CONSOLIDATED STATEMENT OF OPERATIONS

                      FOR THE YEAR ENDED DECEMBER 31, 1998

<TABLE>
<CAPTION>
                                                                                    1998          1997
                                                                                     $             $
                                                                                ------------  ------------      1996
                                                                                                                 $
                                                                                                            ------------
                                                                                                             (NOTE 21)
<S>                                                                             <C>           <C>           <C>
REVENUE.......................................................................    15,282,584    11,572,667    10,817,048
  Physician fees and other direct costs.......................................    11,837,088     8,749,735     8,554,396
                                                                                ------------  ------------  ------------
                                                                                   3,445,496     2,822,932     2,262,652
                                                                                ------------  ------------  ------------

EXPENSES
  Salaries and benefits.......................................................     1,886,679     1,570,452     1,450,320
  General and administration..................................................       753,345       514,808       469,721
  Occupancy costs and supplies................................................       554,040       374,679       355,603
  Travel and marketing........................................................       261,466       163,679       142,909
  Stock compensation..........................................................       --            139,000     2,941,800
  Depreciation and amortization...............................................       184,194       128,130        78,379
  Write-off of deferred start-up costs........................................       --            --            509,337
                                                                                ------------  ------------  ------------
                                                                                   3,639,724     2,890,748     5,948,069
                                                                                ------------  ------------  ------------
LOSS BEFORE INTEREST AND BRIDGE FINANCING COSTS...............................       194,228        67,816     3,685,417
INTEREST AND BRIDGE FINANCING COSTS...........................................        18,657       444,878        55,461
                                                                                ------------  ------------  ------------
LOSS BEFORE INCOME TAXES......................................................       212,885       512,694     3,740,878
  Income tax recovery -- deferred.............................................       (55,349)      (40,609)     (146,554)
                                                                                ------------  ------------  ------------
NET LOSS......................................................................       157,536       472,085     3,594,324
PREFERRED SHARE DIVIDENDS.....................................................       175,576       --            --
                                                                                ------------  ------------  ------------
NET LOSS APPLICABLE TO COMMON SHARES..........................................       333,112       472,085     3,594,324
                                                                                ------------  ------------  ------------
                                                                                ------------  ------------  ------------
NET LOSS BEFORE PREFERRED SHARE DIVIDEND, PER COMMON SHARE....................          0.05          0.24          1.18
PREFERRED SHARE DIVIDENDS, PER SHARE..........................................          0.06       --            --
                                                                                ------------  ------------  ------------
BASIC AND FULLY DILUTED LOSS, PER COMMON SHARE................................          0.11          0.24          1.18
                                                                                ------------  ------------  ------------
                                                                                ------------  ------------  ------------
WEIGHTED AVERAGE NUMBER OF COMMON SHARES......................................     2,975,853     1,941,510     3,038,214
                                                                                ------------  ------------  ------------
                                                                                ------------  ------------  ------------
</TABLE>

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

                                      F-7
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

                       CONSOLIDATED STATEMENT OF DEFICIT

                      FOR THE YEAR ENDED DECEMBER 31, 1998

<TABLE>
<CAPTION>
                                                                                    1998         1997
                                                                                      $            $
                                                                                 -----------  -----------     1996
                                                                                                                $
                                                                                                           -----------
                                                                                                            (NOTE 21)
<S>                                                                              <C>          <C>          <C>
DEFICIT, BEGINNING OF YEAR.....................................................   (9,758,265)  (9,286,180)    (166,442)
  Net loss.....................................................................     (157,536)    (472,085)  (3,594,324)
  Restatement of excess of redemption price over issuance price of preference
    shares (note 10b)..........................................................    5,525,414      --        (5,525,414)
  Dividends on preference shares...............................................     (174,576)     --           --
                                                                                 -----------  -----------  -----------
DEFICIT, END OF YEAR...........................................................   (4,564,963)  (9,758,265)  (9,286,180)
                                                                                 -----------  -----------  -----------
                                                                                 -----------  -----------  -----------
</TABLE>

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

                                      F-8
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

            CONSOLIDATED STATEMENT OF CHANGES IN FINANCIAL POSITION

                      FOR THE YEAR ENDED DECEMBER 31, 1998

<TABLE>
<CAPTION>
                                                                                       1998        1997        1996
                                                                                    ----------  ----------  ----------
                                                                                        $           $           $
                                                                                                            (NOTE 21)
<S>                                                                                 <C>         <C>         <C>
OPERATING ACTIVITIES
  Net loss........................................................................    (157,536)   (472,085) (3,594,324)
  Items not affecting cash
    Depreciation and amortization.................................................     184,194     128,130      78,379
    Amortization of bridge financing costs........................................      --          --         272,648
    Deferred income taxes recovery................................................    (508,920)    (40,326)   (146,554)
    Stock compensation............................................................      --         139,000   2,941,800
                                                                                    ----------  ----------  ----------
                                                                                      (482,262)     27,367    (720,699)
  Changes in non-cash operating items
    Accounts receivable...........................................................    (600,608)    (56,744)    235,367
    Prepaid and other.............................................................     (82,002)   (566,847)     98,340
    Accounts payable and accrued liabilities......................................    (271,138)    567,444      65,824
    Income taxes payable..........................................................      --          --         (27,319)
                                                                                    ----------  ----------  ----------
  Cash provided by (used in) operating activities.................................  (1,436,010)    (28,780)   (348,487)
                                                                                    ----------  ----------  ----------
INVESTING ACTIVITIES
  Business acquisitions (note 3)..................................................    (904,875)     --        (324,863)
  Additions to capital assets.....................................................    (438,505)   (389,874)    (94,794)
  Loans to (repayments from) shareholders and directors...........................      87,471      --         (37,203)
  Note receivable.................................................................     (75,175)     --          --
  Other assets....................................................................     245,930    (524,605)   (196,534)
  Loan to officer.................................................................      --          --         (60,000)
                                                                                    ----------  ----------  ----------
  Cash used in investing activities...............................................  (1,085,154)   (914,479)   (713,394)
                                                                                    ----------  ----------  ----------
FINANCING ACTIVITIES
  Issuance of common shares (note 10a)............................................   5,570,832     347,500     919,576
  Issuance of warrants (note 10c).................................................     150,741      --          --
  Repurchase and cancellation of common shares (note 10a).........................    (113,025)     --          --
  Cancellation of surrendered common shares (note 10a)............................    (173,750)     --          --
  Repurchase and cancellation of common shares from directors.....................    (137,719)     --          --
  Issuance of convertible debenture (notes 3 & 11)................................     590,625      --          --
  Issuance of promissory note payable.............................................      --         929,825     193,732
  Repayment of promissory note payable............................................    (941,074)   (132,483)    (50,000)
  Obligation under capital lease..................................................      62,321     127,402      --
  Due from affiliates.............................................................      57,060      (4,833)    (14,972)
  Dividends paid on preference shares.............................................    (174,576)     --          --
                                                                                    ----------  ----------  ----------
  Cash provided by financing activities...........................................   4,891,435   1,267,411   1,048,336
                                                                                    ----------  ----------  ----------
INCREASE (DECREASE) IN CASH.......................................................   2,370,271     324,152     (13,545)
  Bank indebtedness, beginning of year............................................    (909,653) (1,233,805) (1,220,260)
                                                                                    ----------  ----------  ----------
CASH (BANK INDEBTEDNESS), END OF YEAR.............................................   1,460,618    (909,653) (1,233,805)
                                                                                    ----------  ----------  ----------
                                                                                    ----------  ----------  ----------
REPRESENTED BY
  Cash............................................................................   1,669,899     554,432      75,135
  Bank indebtedness...............................................................    (209,281) (1,464,085) (1,308,940)
                                                                                    ----------  ----------  ----------
                                                                                     1,460,618    (909,653) (1,233,805)
                                                                                    ----------  ----------  ----------
                                                                                    ----------  ----------  ----------
</TABLE>

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

                                      F-9
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

                               DECEMBER 31, 1998

1.  ORGANIZATION AND DESCRIPTION OF BUSINESS

    Med-Emerg International Inc. is a publicly traded company listed on the
    NASDAQ Exchange. The Company completed its initial public offering in
    February, 1998.

    Med-Emerg International Inc. is a physician management services organization
    specializing in the delivery of emergency and primary healthcare related
    services. The Company is committed through information technology and its
    platform as a management services organization to delivering an
    internet-based healthcare network with the objective of delivering quality,
    timely and access to healthcare products and services.

    The Company's operations are divided into three divisions, Physician and
    Nurse Recruitment, Physician Management Services and Integrated Health
    Services Delivery Network.

    On a contractual basis, the Company provides emergency department physician
    and nurse recruitment, staffing and administrative support services to
    hospitals. At December 31, 1998, the Company had 18 contracts under its
    management.

    Under physician management services, the Company owns and manages medical
    clinic facilities providing physicians with the ability to practice within a
    professional managed network enabling the physician to concentrate on the
    clinical aspects of their practices. All the clinic assets including medical
    equipment are owned by the company. At December 31, 1998, the Company owned
    and managed 7 clinics and subsequently purchased an ownership interest in an
    additional 3 clinics.

    The Company has newly created a division called Integrated Health Service
    Delivery Network (IHSDN). IHSDN is an internet-based network that connects
    physicians, patients, third party payors and consumers to a "virtual world"
    of healthcare products and services. The Company is electronically
    connecting its clinical facilities and establishing strategic partnerships
    in delivering a comprehensive healthcare program.

2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

    The consolidated financial statements are expressed in Canadian dollars and
    are prepared in accordance with Canadian generally accepted accounting
    principles. Differences between Canadian and United States accounting
    principles are described in Note 16.

    (a) BASIS OF CONSOLIDATION

       The financial statements consolidate the accounts of Med-Emerg
       International Inc. and its subsidiaries (collectively called the
       "Company").

       Investments in jointly controlled partnerships were accounted for using
       the proportionate consolidation method whereby the Company's
       proportionate share of revenues, expenses, assets and liabilities are
       recorded in the accounts.

       Significant intercompany accounts and transactions have been eliminated.

    (b) DEVELOPMENT AND START-UP COSTS

       Direct costs incurred, net of any revenue, during the development and
       start-up period for a new clinic are deferred until the clinic reaches a
       commercial level of activity and is then amortized on a straight-line
       basis over five years.

                                      F-10
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
    (c) USE OF ESTIMATES

       Management of the Company has made a number of estimates and assumptions
       relating to the reporting assets and liabilities and the disclosure of
       contingent assets and liabilities to prepare these financial statements
       in conformity with generally accepted accounting principles. Actual
       results could differ from those estimates.

    (d) CAPITAL ASSETS

       Capital assets are recorded at cost and are amortized over their
       estimated useful lives at the undernoted rates and methods:

<TABLE>
<S>                                 <C>        <C>
Furniture and fixtures                 20%                      Declining balance
Medical Equipment                      10%                      Declining balance
Computer software                     100%                      Declining balance
Computer hardware                      30%                      Declining balance
                                      5-10
Leasehold improvements                years                         Straight-line
</TABLE>

    (e) GOODWILL

       Goodwill is recorded at cost and is being amortized over a period of 10
       to 20 years. The Company assesses the recoverability of goodwill by
       determining whether the amortization of the goodwill balance over its
       remaining life can be recovered through projected future operating
       results. Impairment, if any, is measured based on discounted future
       operating cash flows using a discount rate reflecting the Company's
       average cost of funds or based on the fair value of the related business
       unit or activity. The assessment of the recoverability of intangible
       assets will be impacted if estimated future operating cash flows are not
       achieved.

    (f) REVENUE RECOGNITION

       The Company recognizes revenues in its physician and Nurse Recruiting
       division under its contracts with hospitals as its services are rendered,
       based on an accrual of the monthly fee or actual shifts worked, in
       accordance with the terms of the contracts. In addition, the Company
       recognizes revenues as medical services are rendered by physicians under
       contract with the Company, in accordance with the Ontario Health
       Insurance Plan (OHIP). The Company bills and collects from OHIP all fees
       relating to medical services rendered by the physician.

       The Company recognizes revenues in its Physician Management Services
       division as medical services are rendered and billed in accordance with
       the Ontario Health Insurance Plan. The Company bills and collects from
       OHIP all fees relating to medical services rendered by the physician.

    (g) DEFERRED INCOME TAXES

       The Company follows the "asset and liability method" of accounting for
       deferred income taxes under Canadian GAAP pursuant to which recognition
       is given to deferred taxes on all "temporary differences" (differences
       between accounting basis and tax basis of the Company's assets and
       liabilities) using current enacted tax rates. The Company records
       deferred tax assets for the future tax benefits of capital losses carried
       forward, less a provision for any deferred tax assets where it is more
       likely than not that the asset will not be realized.

                                      F-11
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

2.  SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)
       The Company did not recognize future tax benefits in connection with
       capital losses carried forward because it is not currently likely that
       the company would realize these tax benefits.

3.  BUSINESS ACQUISITIONS

    Effective June 1, 1998, the Company purchased all of the issued and
    outstanding shares of J C Medical Management Inc. for cash of $196,875 and a
    convertible debenture in the amount of $590,625 (note 11), plus legal costs.
    J C Medical Management Inc. is a company that owns the assets of a medical
    clinic located in Toronto, Canada and manages a group of primary care
    physicians.

    Effective September 15, 1998, the Company purchased 75% of the issued and
    outstanding shares of Doctors on Call Ltd. for consideration of $117,375,
    plus legal costs. Doctors on Call Ltd. is an after-hours on-call service
    that provides patients with 24-hour access to primary care services.

    Effective August 1, 1998, the Company acquired all of the assets and assumed
    all of the liabilities of Glenderry Medical Clinic. The Company previously
    had a 33 1/3% interest in Glenderry Medical Clinic Partnership. Glenderry
    Medical Clinic provides walk-in and family practice health care services to
    the local community.

    The following is a summary of assets purchased and liabilities assumed:

<TABLE>
<CAPTION>
                                                                                      DOCTORS ON
                                                             GLENDERRY   J C MEDICAL     CALL        TOTAL
                                                            -----------  -----------  ----------  -----------
<S>                                                         <C>          <C>          <C>         <C>
Total assets..............................................  $   182,177   $ 151,441   $   14,549  $   348,167
Goodwill..................................................       13,272     744,656      133,321      891,249
Less liabilities assumed..................................     (195,449)   (108,597)     (30,495)    (334,541)
                                                            -----------  -----------  ----------  -----------
                                                            $   --        $ 787,500   $  117,375  $   904,875
                                                            -----------  -----------  ----------  -----------
                                                            -----------  -----------  ----------  -----------
</TABLE>

4.  ACCOUNTS RECEIVABLE

<TABLE>
<CAPTION>
                                                                                        1998          1997
                                                                                    ------------  ------------
<S>                                                                                 <C>           <C>
Trade receivables.................................................................  $  2,824,971  $  2,202,299
Allowance for doubtful accounts...................................................       (59,480)      (37,416)
                                                                                    ------------  ------------
                                                                                    $  2,765,491  $  2,164,883
                                                                                    ------------  ------------
                                                                                    ------------  ------------
</TABLE>

5.  LOANS AND ADVANCES

<TABLE>
<CAPTION>
                                                                                                1998        1997
                                                                                             ----------  ----------
<S>                                                                                          <C>         <C>
Note receivable............................................................................  $   75,175  $   --
Loans to shareholders and directors, unsecured, non-interest bearing, with no specific
  terms of repayment.......................................................................      --          87,471
Due from affiliates........................................................................      --          57,060
Loan to officer, unsecured, non-interest bearing, repayable over a five-year period with
  principal repayments commencing February, 2000...........................................      60,000      60,000
                                                                                             ----------  ----------
                                                                                             $  135,175  $  204,531
                                                                                             ----------  ----------
                                                                                             ----------  ----------
</TABLE>

                                      F-12
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

5.  LOANS AND ADVANCES (CONTINUED)
    NOTE RECEIVABLE

    On June 29, 1998, the company purchased a note receivable, payable by the
    Estate of Dr. Donald Munro ("Estate"). The security for the note includes
    the 150,000 shares of common Shares of the company described in Note 17 and
    any proceeds from the sale of the common Shares by the Estate must be
    applied to repay the note. The company may demand repayment of the note on
    or after April 1, 1999.

    LOANS TO SHAREHOLDERS AND DIRECTORS

    Concurrent with the initial public offering disclosed in note 10a, the
    Company repurchased 37,456 common shares held by directors, as consideration
    for the repayment of loans to directors and shareholders totalling $87,471,
    as well as amounts due from affiliates totalling $50,248.

6.  CAPITAL ASSETS

<TABLE>
<CAPTION>
                                                             1998                   1997
                                               ---------------------------------  ---------
                                                          ACCUMULATED
                                                 COST     AMORTIZATION    NET        NET
                                               ---------  -----------  ---------  ---------
<S>                                            <C>        <C>          <C>        <C>
Furniture and fixtures.......................  $ 182,896   $ 102,010   $  80,886  $  69,127
Medical equipment............................    225,999      65,698     160,301    114,341
Computer software............................    102,276      85,899      16,377      1,706
Computer hardware............................    539,325     257,369     281,956    107,500
Leasehold improvements.......................    501,396     157,453     343,943    258,345
                                               ---------  -----------  ---------  ---------
                                               $1,551,892  $ 668,429   $ 883,463  $ 551,019
                                               ---------  -----------  ---------  ---------
                                               ---------  -----------  ---------  ---------
</TABLE>

7.  OTHER ASSETS

<TABLE>
<CAPTION>
                                                                                        1998          1997
                                                                                    ------------  ------------
<S>                                                                                 <C>           <C>
Goodwill (net of accumulated amortization of $127,021; $60,569 at December 31,
  1997)...........................................................................  $  1,213,834  $    389,037
Deferred start-up costs...........................................................       434,957       219,136
Deferred charges relating to proposed financing...................................       104,539       564,345
Other.............................................................................        10,000        10,000
                                                                                    ------------  ------------
                                                                                    $  1,763,330  $  1,182,518
                                                                                    ------------  ------------
                                                                                    ------------  ------------
</TABLE>

8.  BANK INDEBTEDNESS

    The Company used a portion of the proceeds from the initial public offering
    to fully repay the bank line of credit. The bank line of credit was repaid
    on February 25, 1998. On March 23, 1998, the Company signed a letter of
    agreement with another bank to establish a $2,000,000 demand revolving
    operating facility and a $1,000,000 demand non-revolving capital facility.

    The Company established a new credit facility with its bankers. The new
    facility provides an available demand, revolving, operating line of credit
    amounting to $2,000,000, bearing interest at the bank's prime lending rate
    plus 0.5% per annum with interest payable monthly, and an available demand,
    non-revolving, capital line of credit amounting to $1,000,000, for use in
    the acquisition of unspecified fixed assets, bearing interest at the bank's
    prime lending rate plus 0.75% per annum with interest payable monthly. As
    security,

                                      F-13
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

8.  BANK INDEBTEDNESS (CONTINUED)
    the Company has provided a first-ranking general assignment of accounts
    receivable, a general security agreement constituting a first charge over
    all present and future personal property of the Company, a chattel mortgage
    over all equipment financed by the capital loan, an assignment of all risk
    insurance policies and an assignment of key man life insurance of a director
    in the amount of $1,000,000.

    As at December 31, 1998, the Company has drawn $96,750 against the capital
    line of credit. The Company has not drawn against the operating line of
    credit.

    The Company established a capital credit facility and an operating line with
    the Royal Bank of Canada in September 1997 to fund the opening of its first
    Urgent Care Centre. The capital credit facility bears interest at the bank's
    prime lending rate plus 1.75% per annum with interest payable monthly. The
    principal is being repaid in equal monthly installments over a 4-year period
    ending August, 2002. The operating line is due on demand and bears interest
    at the bank's prime lending rate plus 1.5% per annum.

    At December 31, 1998, the Company had $50,944 outstanding on the capital
    credit facility and had drawn $61,587 against the operating line of credit.

9.  PROMISSORY NOTES PAYABLE

    Promissory notes payable are represented by the following:

<TABLE>
<CAPTION>
                                                                                           1998        1997
                                                                                        ----------  ----------
<S>                                                                                     <C>         <C>
(a) Bridge financing repayable from the proceeds of the initial public offering.......  $   --      $  715,250
(b) Promissory notes with interest at prime plus 2% repayable from the proceeds of the
    initial public offering...........................................................      --         214,575
                                                                                        ----------  ----------
                                                                                            --         929,825
(c) Note payable on acquisition.......................................................      --          11,249
                                                                                        ----------  ----------
                                                                                        $   --      $  941,074
                                                                                        ----------  ----------
                                                                                        ----------  ----------
</TABLE>

10. CAPITAL STOCK

    AUTHORIZED

    Unlimited number of the following classes of shares and warrants:

    Preference shares, voting, non-redeemable, non-retractable, having a
    cumulative dividend of US$0.27 per share, convertible to common shares

    Class "A", redeemable, retractable, non-cumulative preferred shares,

    Class "B", redeemable, retractable, non-cumulative preferred shares,

    Special Shares, issuable in series, with rights, privileges and restrictions
    to be fixed by the directors

    Common shares

       Common Share purchase warrants, redeemable, entitling holder to purchase
       one share of common stock at a price of US$4.50 per share up to February
       11, 2003

                                      F-14
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

10. CAPITAL STOCK (CONTINUED)

    ISSUED

<TABLE>
<CAPTION>
                                                                                             1998          1997
                                                                                         ------------  ------------
<S>                                                                                      <C>           <C>
500,000 Preference shares..............................................................  $    594,586  $  6,120,000
3,096,544 Common shares (1,990,000 in 1997)............................................     7,582,837     2,507,479
1,437,500 Common stock purchase warrants...............................................       150,741       --
                                                                                         ------------  ------------
                                                                                         $  8,328,164  $  8,627,479
                                                                                         ------------  ------------
                                                                                         ------------  ------------
</TABLE>

<TABLE>
<CAPTION>
                                                                                               COMMON SHARES
                                                                                          ------------------------
                                                                                            NUMBER       AMOUNT
                                                                                          ----------  ------------
<S>                                                                                       <C>         <C>
Balance, December 31, 1996..............................................................   1,815,000  $  2,020,979
  Shares issued related to bridge financing in January 1997.............................     125,000       347,500
  Shares issued to director as compensation.............................................      50,000       139,000
                                                                                          ----------  ------------
Balance, December 31, 1997..............................................................   1,990,000  $  2,507,479

  Shares surrendered for cancellation...................................................     (62,500)     (173,750)
  Shares repurchased for directors and cancelled........................................     (37,456)     (137,719)
  Shares issued in connection with initial public offering..............................   1,250,000     5,570,832
  Shares repurchased and cancelled......................................................     (43,500)     (184,005)
                                                                                          ----------  ------------
Balance, December 31, 1998..............................................................   3,096,544  $  7,582,837
                                                                                          ----------  ------------
                                                                                          ----------  ------------
</TABLE>

<TABLE>
<CAPTION>
                                                                                                   WARRANTS
                                                                                            ----------------------
                                                                                              NUMBER      AMOUNT
                                                                                            ----------  ----------
<S>                                                                                         <C>         <C>
Balance, December 31, 1997................................................................      --      $   --
  Warrants issued in connection with initial public offering..............................   1,437,500     150,741
                                                                                            ----------  ----------
Balance, December 31, 1998................................................................   1,437,500  $  150,741
                                                                                            ----------  ----------
                                                                                            ----------  ----------
</TABLE>

    (a) COMMON SHARES

       On February 20, 1998 the Company completed an Initial Public Offering
       (the "Offering") of 1,250,000 shares of Common Stock and 1,437,500 Class
       A Redeemable Common Stock Purchase Warrants for net initial public
       offering proceeds of $5,570,832. The Company's stock is listed in NASDAQ
       under the symbol MDERF and the warrants are listed under MDEWF.

       Concurrent with the closing of the Offering, the Company repurchased
       37,456 Common Shares held by a director to repay loans as described in
       note 5.

       In January 1997, the Company completed a private offering and sale of
       promissory notes ("Bridge Notes") with a principal amount of US$500,000.
       The Bridge Note holders also received 125,000 common shares having an
       ascribed value of $2.78 per common share. The value ascribed to the
       common shares was accounted for as a financing. Upon closing of the
       Offering, the Company repaid the principal balance of US$500,000 plus
       interest on the promissory notes. In addition, the Company repaid
       US$150,000 due to a director of the Company. Immediately preceding the
       closing of the Offering, certain investors in the Company's January 1997
       private offering surrendered for cancellation

                                      F-15
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

10. CAPITAL STOCK (CONTINUED)
       an aggregate of 62,500 common shares. The effect of this event is a
       reduction in shareholders' equity of $173,750 and an equal reduction of
       other assets.

       At December 31, 1997, the Company had issued 50,000 common shares to a
       director of the Company. The issuance of these shares was accounted for
       as compensation expense as the related services were rendered by the
       director.

       In October 1998, the Board of Directors approved the repurchase over a
       three-month period of up to 5% of the outstanding common Shares of the
       Company. The Company repurchased and cancelled 43,500 common shares for
       an aggregate cost of $113,025. Share capital was reduced by $184,005
       based on the assigned value per share and contributed surplus was
       increased by $70,980.

    (b) PREFERENCE SHARES

       Each preferred share is convertible into one and one-half shares of
       common stock of the Company at the option of the holder for a ten year
       period from the date of issuance. At the end of the ten year period, the
       Preferred Shares are convertible at the option of the holder into such
       number of shares of the Company's Common Shares as is equal to the
       ascribed value of US$4,500,000 divided by the then current market value
       of the Common Shares. The preferred shares are entitled to receive a
       cumulative dividend of US$0.27 per share payable in cash or equivalent
       common shares based on their then quoted market value from the date of
       closing of the initial public offering. The preference shares were, at
       the time of their issue, redeemable and retractable by the holder. On
       October 24, 1997, the attributes of the shares were changed and the
       shares ceased to be redeemable and retractable.

       On August 21, 1998, the shareholders approved a reduction in the stated
       capital of the preferred shares. The issuance of the preferred shares was
       originally recorded in the amount of $6,120,000, based on the value
       ascribed to the shares translated at the exchange rate in effect at the
       date of issuance, and resulted in a charge of $5,525,414 to retained
       earnings, which represents the excess of the value ascribed to the
       preferred shares issued over the carrying value of the common shares
       cancelled. In 1998, the Company reduced the value of the preferred shares
       by $5,525,414 and reduced the deficit by the same amount.

    (c) WARRANTS AND STOCK OPTION PLANS

       In April 1997, the Board of Directors obtained shareholder approval of
       the Company's Stock Option Plan (The "Plan"). Pursuant to the Plan,
       options to acquire an aggregate of 638,000 shares of common stock may be
       granted. The Plan is to provide for grants to employees, consultants and
       directors of the Company to enable them to purchase shares. The Company
       has granted options to purchase an aggregate of 226,500 shares of common
       stock at an exercise price of US$2.50 per share and 19,400 shares of
       common stock at an exercise price of US$4.25 per share.

       Under a stock option plan, a director was granted an option on November
       1, 1996 to purchase 700,000 common shares of the Company at an exercise
       price of US$0.75 per share. The difference of $1,246,000 between the fair
       market value of $2.78 (US$2.05) per share and the exercise price of $1.00
       (US$0.75) per share has been charged to earnings and contributed surplus
       in 1996.

       In connection with the Initial Public Offering, the Company issued
       1,437,500 Class A Redeemable Common Stock Purchase Warrants for gross
       proceeds of US$0.10 per warrant. Each warrant entitles the holder to
       purchase one share of common stock at a price of US$4.50 for a four year
       period commencing one year from the date of completion of the offering.
       In addition, the Underwriters were

                                      F-16
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

10. CAPITAL STOCK (CONTINUED)
       granted warrants entitling the Underwriters to purchase up to 125,000
       shares of Common Stock and 125,000 warrants at a price per share of
       Common Stock or warrant equal to 150% of the Initial Public Offering
       price.

       During 1998, the Company granted warrants to purchase 125,000 shares of
       common stock to a private investor. Each warrant entitles the holder to
       purchase one share of common stock at a price of US$4.65 for a one-year
       period following the effective date of a registration statement to be
       filed with the Securities and Exchange Commission to register the warrant
       stock.

11. CONVERTIBLE DEBENTURE

    As part of the consideration for the purchase of JC Medical Management Inc.
    described in Note 3, the company issued a convertible debenture in the
    amount of $590,625. The debenture is convertible into 132,000 shares of
    common stock of the company if the company's stock meets a certain trading
    threshold within two years. Until the trading threshold is met, the company
    must pay a fixed monthly fee of $5,000. It is management's expectation that
    the trading threshold will be met within the two-year period.

12. CONTRIBUTED SURPLUS

<TABLE>
<CAPTION>
                                                                                             1998          1997
                                                                                         ------------  ------------
<S>                                                                                      <C>           <C>
Stock compensation -- difference between fair market value and exercise price (note
  10c).................................................................................  $  1,246,000  $  1,246,000
Share repurchase -- difference between cost per share and assigned value (note 10a)....        70,980       --
                                                                                         ------------  ------------
                                                                                         $  1,316,980  $  1,246,000
                                                                                         ------------  ------------
                                                                                         ------------  ------------
</TABLE>

13. INCOME TAXES

    In fiscal 1998, the Company implemented the recommendations of CICA Handbook
    Section 3465, Accounting for Income Taxes. Under the new recommendations,
    the "asset and liability method" of accounting for deferred income taxes is
    used, which gives recognition to deferred taxes on all "temporary
    differences" (differences between accounting basis and tax basis of the
    Company's assets and liabilities) using current enacted tax rates. In
    addition, the new recommendations requires the Company to record all
    deferred tax assets, including future tax benefits of capital losses carried
    forward, and to record a "valuation allowance" for any deferred tax assets
    where it is more likely than not that the asset will not be realized. Prior
    to the adoption of the new recommendations, income tax expense was
    determined using the deferral method of tax allocation. There is no material
    impact on the financial statements resulting from this change.

    The components of the future tax benefit classified by source of temporary
    differences that gave rise to the benefit are as follows:

<TABLE>
<CAPTION>
                                                                                              1998          1997
                                                                                          -------------  ----------
<S>                                                                                       <C>            <C>
Accounting depreciation in excess of tax depreciation...................................  $      15,307  $   50,565
Losses available to offset future income taxes..........................................        817,539     181,201
Share issue costs.......................................................................        894,352      24,246
Valuation allowance.....................................................................     (1,031,398)    (69,132)
                                                                                          -------------  ----------
Deferred income taxes...................................................................  $     695,800  $  186,880
                                                                                          -------------  ----------
                                                                                          -------------  ----------
</TABLE>

                                      F-17
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

13. INCOME TAXES (CONTINUED)
    At December 31, 1998, the Company has non-capital losses available for
    carry-forward of $1,858,000. These losses expire between 2003 and 2005. In
    addition, the Company has capital loss carry-forwards of approximately
    $368,000, which may be applied against future taxable capital gains. No
    accounting recognition has been given to the capital loss carry-forwards.

14. COMMITMENTS

    The Company is committed to payments under operating leases of its premises
    and equipment totaling $889,000. Annual payments under operating leases are
    as follows:

<TABLE>
<S>                                                                          <C>
1999.......................................................................  $ 267,000
2000.......................................................................    236,000
2001.......................................................................    143,000
2002.......................................................................    124,000
2003.......................................................................     40,000
Thereafter.................................................................     79,000
                                                                             ---------
                                                                             $ 889,000
                                                                             ---------
                                                                             ---------
</TABLE>

    Obligations under capital lease of total $195,000. Annual payments under
    capital leases are as follows:

<TABLE>
<S>                                                                          <C>
1999.......................................................................  $ 102,000
2000.......................................................................     64,000
2001.......................................................................     21,000
2002.......................................................................      7,000
2003.......................................................................      1,000
                                                                             ---------
                                                                             $ 195,000
                                                                             ---------
                                                                             ---------
</TABLE>

    Rent and leasing expenses charged to operations for the year ended December
    31, 1998 was $285,902 (December 31, 1997 -- $205,463).

15. SUBSEQUENT EVENTS

    On January 29, 1999, the Company purchased 45% of the issued and outstanding
    shares of Medical Urgent Care Inc., an urgent care centre, for consideration
    of $142,050. The Company entered into a Management Services Agreement with
    Medical Urgent Care Inc. to manage the urgent care centre for an annual fee
    based on gross revenues.

    On February 26, 1999, the Company, through a 51% owned subsidiary, became
    party to a lease for the premises known as York Lanes Health Centres Inc., a
    primary care health centre located at York University, Toronto, Canada. The
    Company has entered into a Management Services Agreement with York Lanes
    Health Centres Inc. to manage the clinic for an annual fee based on gross
    revenues.

    On March 2, 1999, the Company purchased 51% of the issued and outstanding
    shares of Caremedics (Elmvale) Inc., a walk-in and family practice health
    care clinic, for total consideration of $84,000. The Company entered into a
    Management Services Agreement with Caremedics (Elmvale) Inc. to manage the
    clinic for an annual fee based on gross revenues.

                                      F-18
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

16. CANADIAN AND UNITED STATES ACCOUNTING POLICY DIFFERENCES

    These consolidated financial statements have been prepared in accordance
    with Canadian generally accepted accounting principles ("Canadian GAAP"),
    which conform in all material respects applicable to the Company, with those
    in the United States ("U.S. GAAP") during the periods presented except with
    respect to the following:

    CONSOLIDATED STATEMENTS OF OPERATIONS

    If United States GAAP were employed, net loss for the period would be
    adjusted as follows:

<TABLE>
<CAPTION>
                                                                          1998         1997          1996
                                                                       -----------  -----------  -------------
<S>                                                                    <C>          <C>          <C>
                                                                                                   (NOTE 21)
Net loss based on Canadian GAAP......................................  $  (157,536) $  (472,085) $  (3,594,324)
Deferred start-up costs..............................................     (215,821)    (146,777)       (58,574)
Deferred acquisition costs...........................................      (46,224)     --            --
                                                                       -----------  -----------  -------------
Net loss based on United States GAAP.................................  $  (419,581) $  (618,862) $  (3,652,898)
                                                                       -----------  -----------  -------------
Primary loss per share...............................................  $     (0.20) $     (0.31) $       (1.51)
                                                                       -----------  -----------  -------------
                                                                       -----------  -----------  -------------
</TABLE>

    If United States GAAP were employed, deficit, other assets, prepaid and
    other assets, and total liabilities would be adjusted as follows:

<TABLE>
<CAPTION>
                                                                       1998           1997           1996
                                                                   -------------  -------------  -------------
<S>                                                                <C>            <C>            <C>
                                                                                                   (NOTE 21)
Deficit based on Canadian GAAP...................................  $  (4,564,963) $  (9,758,265) $  (9,286,180)
Deferred start-up costs..........................................       (421,172)      (205,351)       (58,574)
Deferred acquisition costs.......................................        (46,224)      --             --
                                                                   -------------  -------------  -------------
                                                                   $  (5,032,359) $  (9,963,616) $  (9,344,754)
                                                                   -------------  -------------  -------------
                                                                   -------------  -------------  -------------

Other assets based on Canadian GAAP..............................  $   1,763,330  $   1,182,518  $     700,668
Deferred start-up costs..........................................       (421,172)      (205,351)       (58,574)
                                                                   -------------  -------------  -------------
                                                                   $   1,342,158  $     977,167  $     642,094
                                                                   -------------  -------------  -------------
                                                                   -------------  -------------  -------------

Prepaid and other assets based on Canadian GAAP..................  $     439,310  $     357,308  $      63,109
Deferred acquisition costs.......................................        (46,224)      --             --
                                                                   -------------  -------------  -------------
                                                                   -------------  -------------  -------------
                                                                   $     393,086  $     357,308  $      63,109
                                                                   -------------  -------------  -------------
                                                                   -------------  -------------  -------------
Total liabilities based on Canadian GAAP.........................  $   2,681,662  $   5,086,357  $   3,439,024
Convertible debenture............................................        590,625       --             --
                                                                   -------------  -------------  -------------
                                                                   $   3,272,287  $   5,086,357  $   3,439,024
                                                                   -------------  -------------  -------------
                                                                   -------------  -------------  -------------
</TABLE>

    (a) DEFERRED INCOME TAXES

       Under U.S. GAAP, the Company is required to follow Statement of Financial
       Accounting Standards (SFAS No. 109) "Accounting for Income Taxes", which
       requires the use of the "asset and liability method" of accounting for
       deferred income taxes, which gives recognition to deferred taxes on all
       "temporary differences" (differences between accounting basis and tax
       basis of the Company's assets and liabilities, such as the non-deductible
       values attributed to assets in a business combination) using

                                      F-19
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

16. CANADIAN AND UNITED STATES ACCOUNTING POLICY DIFFERENCES (CONTINUED)
       current enacted tax rates. In addition, SFAS No. 109 requires the Company
       to record all deferred tax assets, including future tax benefits of
       capital losses carried forward, and to record a "valuation allowance" for
       any deferred tax assets where it is more likely than not that the asset
       will not be realized. The Company has followed this method under Canadian
       GAAP.

    (b) DEFERRED START-UP COSTS

       Under Canadian GAAP, development and start-up costs, which meet certain
       criteria, are deferred and amortized. Under United States GAAP,
       development and start-up costs are expensed as incurred.

    (c) DEFERRED ACQUISITION COSTS

       Under Canadian GAAP, pre-acquisition costs, which meet certain criteria,
       are deferred and amortized. Under United States GAAP, development and
       start-up costs are expensed as incurred.

    (d) CONVERTIBLE DEBENTURE

       Under U.S. GAAP, convertible debentures are presented as liabilities,
       regardless of the attributes of the convertible debenture, and
       transferred to equity upon conversion, whereas, under Canadian GAAP, the
       likelihood of conversion to equity is considered in determining the
       classification between liability or equity.

    (e) EARNINGS PER SHARE

       U.S. GAAP requires common shares and warrants to purchase common shares,
       issued or exercisable at prices below the initial public offering
       ("I.P.O.") price and which were issued within one year prior to the
       initial filing of the registration statement relating to the I.P.O., to
       be treated as if the common shares were outstanding from the beginning of
       the period in the calculation of weighted average number of common shares
       outstanding and loss per share, even where such inclusion is
       anti-dilutive. Primary earnings per common share is determined using the
       weighted average number of shares outstanding during the year, adjusted
       to reflect the application of the treasury stock method for outstanding
       options and warrants in accordance with U.S. GAAP.

    (f) STOCK COMPENSATION

       Statement of Financial Accounting Standards No. 123, "Accounting for
       Stock-Based Compensation" (SFAS 123), was issued by the Financial
       Accounting Standards Board in October 1995. SFAS 123 establishes
       financial accounting and reporting standards for transactions in which an
       entity issues its equity instruments to acquire goods or services from
       non-employees, as well as stock-based employee compensation plans. All
       transactions in which goods or services are the consideration received
       for the issuance of equity instruments are to be accounted for based on
       the fair value of the consideration received or the fair value of the
       equity instrument issued, whichever is more reliably measurable.

       For those transactions described in note 10 and under SFAS 123:

       - the issuance of 125,000 common shares to promissory note holders
         resulted in a charge to income (finance expense) over the term of the
         related promissory note payable, at $2.78 (US$2.05) per share equal to
         $347,500 of which $272,648 has been charged to earnings in the year
         ended December 31, 1997 and $74,852 has been charged to earnings in the
         year ended December 31, 1998.

                                      F-20
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

16. CANADIAN AND UNITED STATES ACCOUNTING POLICY DIFFERENCES (CONTINUED)
       - the issuance of 50,000 shares to a director for services rendered
         resulted in a charge to income at $2.78 (US$2.05) per share equal to
         $139,000 in the year ended December 31, 1997.

       - the issuance of an option on November 1, 1996 to a director to acquire
         700,000 shares (note 13) has resulted in a charge to income equal to
         $1,246,000 in 1996 based on $2.78 (US$2.05) per share, and the "minimum
         value" method of calculation permitted under SFAS 123 for non-public
         entities.

       As allowed by SFAS 123, the Company has decided to continue to use
       Accounting Principles Board Opinion No. 25 "Accounting for Stock Issued
       to Employees" in accounting for the Company's Stock Option Plan (the
       "Plan") for U.S. GAAP purposes, pursuant to which there is no significant
       difference between U.S. and Canadian GAAP in the accounting for the
       granting of options under the Plan.

    (g) SHAREHOLDERS' EQUITY

       Under U.S. GAAP, loans issued to officers to acquire stock are presented
       as a deduction from shareholders' equity (deficit).

       Under Canadian GAAP, the detachable stock purchase warrants issued as in
       conjunction with the private stock offering on January 22, 1996 and
       subsequently surrendered, all as described in note 13, have been given no
       recognition in the financial statements.

       Under U.S. GAAP, detachable stock purchase warrants are given separate
       recognition from the primary security issued. Upon initial recognition,
       the carrying amount of the two securities is allocated based on the
       relative fair values at the date of issuance. Under U.S. GAAP, based on
       an ascribed fair value of $0.50 for each of the 1,000,000 share warrants
       issued, share capital would be lower by $50,000 and, given that the stock
       purchase warrants were cancelled during the year, the carrying amount of
       contributed surplus would be increased by $50,000.

       The effect on shareholders' equity would be as follows:

<TABLE>
<CAPTION>
                                                             1998           1997           1996
                                                         -------------  -------------  -------------
<S>                                                      <C>            <C>            <C>
                                                                                         (NOTE 21)
Capital stock (as previously shown)....................  $   8,328,164  $   8,627,479  $   8,140,979
Ascribed fair value of share purchase warrants
  issued...............................................        (50,000)       (50,000)       (50,000)
                                                         -------------  -------------  -------------
Capital stock -- U.S. GAAP.............................      8,278,164      8,577,479      8,090,979
Share purchase loan to officer.........................        (60,000)       (60,000)       (60,000)
                                                         -------------  -------------  -------------
Net capital stock -- U.S. GAAP.........................      8,218,164      8,517,479      8,030,979
                                                         -------------  -------------  -------------
Convertible debenture (as previously shown)............        590,625       --             --
Convertible debenture included in
  long-term debt.......................................       (590,625)      --             --
                                                         -------------  -------------  -------------
Convertible debenture -- U.S. GAAP.....................       --             --             --
                                                         -------------  -------------  -------------
Contributed surplus (as previously shown)..............      1,316,980      1,246,000      1,246,000
Share purchase warrants................................         50,000         50,000         50,000
                                                         -------------  -------------  -------------
Contributed surplus -- U.S. GAAP.......................      1,366,980      1,296,000      1,296,000
                                                         -------------  -------------  -------------
Deficit -- U.S. GAAP...................................     (5,032,359)    (9,963,616)    (9,344,754)
                                                         -------------  -------------  -------------
Shareholders' equity (deficit) -- U.S. GAAP............  $   4,552,785  $    (150,137) $     (17,775)
                                                         -------------  -------------  -------------
                                                         -------------  -------------  -------------
</TABLE>

                                      F-21
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

16. CANADIAN AND UNITED STATES ACCOUNTING POLICY DIFFERENCES (CONTINUED)
    (h) CONSOLIDATED STATEMENT OF CHANGES IN FINANCIAL POSITION

       Operating activities reflect interest paid of $69,248 during the year
       ended December 31, 1998 (December 31, 1997 -- $121,640; December 31,
       1996 -- $55,461) and income taxes paid of nil during the year ended
       December 31, 1998 (December 31, 1997 -- nil; December 31,
       1996 -- $27,319).

       Under U.S. GAAP, bank indebtedness would not be included as a component
       of cash position in the consolidated statement of changes in financial
       position. Accordingly, the $1,254,804 decrease at December 31, 1998
       (December 31, 1997 -- $155,145 increase) would be presented as a
       financing activity for each year.

    (i) COMPREHENSIVE INCOME

       Statement of Financial Accounting Standards No. 130, "Reporting
       Comprehensive Income" (SFAS 130), was issued by the Financial Accounting
       Standards Board in June 1997. SFAS 123 establishes standards for
       reporting and display of comprehensive income and its components in the
       financial statements. SFAS 130 is effective for fiscal years beginning
       after December 15, 1997. Reclassification of financial statements for
       earlier period provided for comparative purposes is required. The
       adoption of SFAS 130 will have no impact on the Company's consolidated
       results of operations, financial position or cash flows.

17. CONTINGENCIES

    The Company is presently party to one legal proceeding, which was commenced
    on July 4, 1997. The applicant in the proceeding has taken the position that
    it continues to be the beneficial owner of the 75,000 shares of Common Stock
    that it contributed to the capital of the Company in November 1996. The
    Company disagrees with the Estate's position and intends to defend this
    action vigorously. No amount has been accrued in the accounts in respect of
    this matter.

    REVENUE

    Substantially all of the Company's operating revenue is derived from
    government funded and administered programs. In previous years, revenue was
    "clawed back" by the government in an effort to reduce government spending.

    Clawback adjustments for prior periods have been reflected as a liability
    and were charged to operations. Management's best estimates of clawback
    adjustments recoverable from physicians and hospitals are recorded in
    accounts receivable and offset the amount of clawback charged to operations.

<TABLE>
<CAPTION>
                                                                                           1998        1997
                                                                                        ----------  ----------
<S>                                                                                     <C>         <C>
Clawback liability....................................................................  $  447,008  $  501,170
Clawback receivable...................................................................     385,430     392,317
</TABLE>

18. SEGMENTED INFORMATION

    The Company operates under three divisions: Physician and Nurse Recruitment,
    Physician Management Services and Integrated Health Services Delivery
    network (IHSDN).

                                      F-22
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

18. SEGMENTED INFORMATION (CONTINUED)
    The Physician and Nurse Recruitment involves contracting with hospitals for
    the provision of physician staffing, nurse staffing and administrative
    support services. The Company also contracts with clinical facilities and
    local communities for the locum or permanent placement of a physician in a
    community.

    The Physician Management Services division owns and manages medical clinic
    facilities, which provide physicians with the ability to practice medicine
    in a professionally managed environment. The clinics include family
    practice, walk-in services, and other related services such as massage
    therapy and chiropractic services.

    The IHSDN division, launched in 1998, involves electronically linking
    clinical facilities and other healthcare service providers into a network.
    This internet-based network will provide healthcare professionals and
    consumers access to medical services, products, communications and
    information tools.

    Details are as follows:

<TABLE>
<CAPTION>
                                                                 1998
                                            ----------------------------------------------
                                            PHYSICIAN    PHYSICIAN
                                             & NURSE    MANAGEMENT
                                            RECRUITING   SERVICES      IHSDN    CONSOLIDATED
                                            ----------  -----------  ---------  ----------
Revenue...................................  $11,576,670  $3,705,914  $  --      $15,282,584
<S>                                         <C>         <C>          <C>        <C>
Gross margin..............................   1,933,571   1,511,925      --       3,445,496
Operating income before Corporate Overhead
  & Public Company-related costs..........   1,045,811     431,324    (125,360)  1,425,310
Corporate Overhead........................                                      (1,319,289)
Public Company-related costs..............                                        (300,249)
Operating loss............................                                        (194,228)
Assets employed at year end...............   5,917,022   2,284,683     150,763   8,352,468
Depreciation and amortization.............      63,163     121,031      --         184,194
Capital expenditures......................     229,514     208,991      --         438,505
</TABLE>

<TABLE>
<CAPTION>
                                                                      1997
                                                       ----------------------------------
                                                       PHYSICIAN   PHYSICIAN
                                                        & NURSE   MANAGEMENT
                                                       RECRUITING  SERVICES    CONSOLIDATED
                                                       ---------  -----------  ----------
Revenue..............................................  $9,092,231  $2,480,436  $11,572,667
<S>                                                    <C>        <C>          <C>
Gross margin.........................................  1,766,035   1,056,897    2,822,932
Operating income before Corporate Overhead & Stock
  Compensation.......................................  1,091,295     387,888    1,479,183
Corporate Overhead...................................                          (1,407,999)
Operating loss before Stock Compensation.............                              71,184
Stock Compensation...................................                            (139,000)
Operating loss.......................................                             (67,816)
Assets employed at year end..........................  3,447,169   1,754,402    5,201,571
Depreciation and amortization........................     65,041      63,089      128,130
Capital expenditures.................................     92,011     297,863      389,874
</TABLE>

                                      F-23
<PAGE>
                          MED-EMERG INTERNATIONAL INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                               DECEMBER 31, 1998

18. SEGMENTED INFORMATION (CONTINUED)

<TABLE>
<CAPTION>
                                                                 1996 (NOTE 21)
                                                       ----------------------------------
                                                       PHYSICIAN   PHYSICIAN
                                                        & NURSE   MANAGEMENT
                                                       RECRUITING  SERVICES    CONSOLIDATED
                                                       ---------  -----------  ----------
Revenue..............................................  $8,783,309  $2,033,739  $10,817,048
<S>                                                    <C>        <C>          <C>
Gross margin.........................................  1,508,027     754,625    2,262,652
Operating income (loss) before Corporate Overhead &
  Stock Compensation.................................    897,515    (410,973)     486,542
Corporate Overhead...................................                          (1,230,159)
Operating loss before Stock Compensation.............                            (743,617)
Stock Compensation...................................                          (2,941,800)
Operating loss.......................................                          (3,685,417)
Assets employed at year end..........................  2,621,707     918,116    3,539,823
Depreciation and amortization........................     40,679      37,700       78,379
Capital expenditures.................................     85,304       9,490       94,794
</TABLE>

    Operating loss of Physician Management Services for the year ended December
    31, 1996 includes the non-recurring write-off of start-up costs in the
    amount of $509,337.

    Total operating loss for the year ended December 31, 1996 includes a
    $2,941,800 general corporate charge for Stock Compensation costs paid to an
    investment advisor and stock options granted to a director below fair market
    value.

19. UNCERTAINTY DUE TO THE YEAR 2000 ISSUE

    The year 2000 issue arises because many computerized systems use two digits
    rather than four to identify a year. Date-sensitive systems may recognize
    the year 2000 as 1900 or some other date, resulting in errors when
    information using year 2000 dates is processed. In addition, similar
    problems may arise in some systems which use certain dates in 1999 to
    represent something other than a date. The effects of the Year 2000 issue
    may be experienced before, on, or after January 1, 2000, and, if not
    addressed, the impact on operations and financial reporting may range from
    minor errors to significant systems failure which could effect any entity's
    ability to conduct normal business operations. It is not possible to be
    certain that all aspects of the Year 2000 issue affecting the Company,
    including those related to the efforts of customers, suppliers, or other
    third parties, will be fully resolved.

20. COMPARATIVE FIGURES

    Certain figures in the 1997 financial statements have been reclassified to
    conform with the basis of presentation in 1998.

21. AUDIT BY ANOTHER FIRM

    The Company's 1996 figures were audited by another firm of chartered
    accountants.

                                      F-24
<PAGE>
                              YFMC HEALTHCARE INC.
                           CONSOLIDATED BALANCE SHEET

                           (UNAUDITED AS AT JUNE 30)

<TABLE>
<CAPTION>
                                                                                                   1999        1998
                                                                                                ----------  ----------
                                                                                                    $           $
<S>                                                                                             <C>         <C>
                                            ASSETS

CURRENT ASSETS

  Cash........................................................................................     158,311       6,939
  Accounts Receivables........................................................................     729,268     684,161
  Due To/From Related Parties.................................................................           0      24,658
  Inventory of Supplies.......................................................................      78,800      31,500
  Prepaid Expenses............................................................................      25,526      18,310
  Deferred Expenses...........................................................................           0      17,763
                                                                                                ----------  ----------
                                                                                                   991,905     783,331

CAPITAL ASSETS................................................................................     741,213     311,506

GOODWILL......................................................................................     652,946     165,463
                                                                                                ----------  ----------
                                                                                                 2,386,064   1,260,300
                                                                                                ----------  ----------
                                                                                                ----------  ----------
                             LIABILITIES AND SHAREHOLDERS EQUITY

CURRENT LIABILITIES

  Bank Indebtedness...........................................................................     436,332           0
  Accounts Payable and Accrued Liabilities....................................................     290,615     319,582
  Note Payable................................................................................           0       9,265
  Income Taxes Payable........................................................................       4,891      41,133
  Current Portion of Long-Term Debt...........................................................     146,847     109,490
                                                                                                ----------  ----------
                                                                                                   878,685     479,470

LONG-TERM DEBT................................................................................     454,575      19,589
DUE TO DIRECTORS..............................................................................      51,590      77,835
                                                                                                ----------  ----------
                                                                                                 1,384,850     576,894

SHAREHOLDERS' EQUITY

CAPITAL STOCK.................................................................................     795,621     506,808
RETAINED EARNINGS.............................................................................     205,593     176,598
                                                                                                ----------  ----------
                                                                                                 2,386,064   1,260,300
                                                                                                ----------  ----------
                                                                                                ----------  ----------
</TABLE>

                                      F-25
<PAGE>
                              YFMC HEALTHCARE INC.

                       CONSOLIDATED STATEMENT OF EARNINGS

                   (UNAUDITED FOR THE 6 MONTHS ENDED JUNE 30)

<TABLE>
<CAPTION>
                                                                                                   1999        1998
                                                                                                ----------  ----------
                                                                                                    $           $
<S>                                                                                             <C>         <C>
REVENUE.......................................................................................   1,911,537   1,415,913
OPERATING EXPENSES............................................................................   1,772,646   1,199,974
                                                                                                ----------  ----------

EARNINGS FROM OPERATIONS......................................................................     138,891     215,939
NEW BUSINESS DEVELOPMENT EXPENSES.............................................................      73,867           0
                                                                                                ----------  ----------

EARNINGS FROM OPERATIONS......................................................................      65,024     215,939
  Amortization of Goodwill....................................................................      10,333       6,500
  Depreciation of Capital Assets..............................................................      40,277      37,900
  Interest on Long-Term Debt..................................................................      11,510       5,023
                                                                                                ----------  ----------
                                                                                                    62,120      49,423

EARNINGS BEFORE OTHER EXPENSES................................................................       2,904     166,516
OTHER EXPENSES
  Income Taxes................................................................................       1,300      34,000
                                                                                                ----------  ----------

NET EARNINGS..................................................................................       1,604     132,516
RETAINED EARNINGS -- BEGINNING OF PERIOD......................................................     203,990     125,220
                                                                                                ----------  ----------
                                                                                                   205,594     257,736
  Non-Recurring Expenses Related to Major Transaction.........................................           0      81,138
                                                                                                ----------  ----------

RETAINED EARNINGS -- END OF PERIOD............................................................     205,594     176,598
                                                                                                ----------  ----------
                                                                                                ----------  ----------

NET EARNINGS PER COMMON SHARE.................................................................        0.00        0.01
                                                                                                ----------  ----------
                                                                                                ----------  ----------
</TABLE>

                                      F-26
<PAGE>
                              YFMC HEALTHCARE INC

            CONSOLIDATED STATEMENT OF CHANGES IN FINANCIAL POSITION

                   (UNAUDITED FOR THE 6 MONTHS ENDED JUNE 30)

<TABLE>
<CAPTION>
                                                                                                     1999        1998
                                                                                                  ----------  ----------
                                                                                                      $           $
<S>                                                                                               <C>         <C>
CASH PROVIDED BY (USED IN)

OPERATING ACTIVITIES
  Earnings Year to Date.........................................................................       1,603     132,516
  Items not Involving Cash Amortization of Capital Assets & Goodwill............................      50,610      44,400
                                                                                                  ----------  ----------
                                                                                                      52,213     176,916
CHANGES IN NON-CASH WORKING CAPITAL BALANCES
  Accounts Receivable...........................................................................     (76,868)   (325,570)
  Inventory of Supplies.........................................................................     (18,000)          0
  Prepaid Expenses..............................................................................      (6,462)     (9,763)
  Deferred Expenses.............................................................................           0     (17,763)
  Accounts Payable and Accrued Liabilities......................................................      (5,050)     17,974
  Note Payable..................................................................................           0      (5,735)
  Income Taxes Payable..........................................................................     (40,569)     (3,867)
                                                                                                  ----------  ----------
                                                                                                     (94,736)   (167,808)

INVESTING ACTIVITIES
  Purchase of Capital Assets....................................................................    (224,910)    (30,303)
  Purchase of Goodwill..........................................................................    (427,629)    (45,963)
  Note Receivable From a Shareholder............................................................      22,629        (338)
                                                                                                  ----------  ----------
                                                                                                    (629,910)    (76,604)

FINANCING ACTIVITIES
  Deferred Revenue..............................................................................           0     (30,031)
  Long-Term Debt Issued.........................................................................     491,032           0
  Long-Term Debt Repayment......................................................................     (58,958)    (20,713)
  Share Capital Issued..........................................................................     300,500     506,798
  Due to a Shareholder..........................................................................      30,595           0
  Due to Related Parties........................................................................     (57,934)          0
  Non-Recurring Expenses Related To Major Transaction...........................................           0     (81,138)
  Cash Assumed on Purchase of Business..........................................................           0       7,306
                                                                                                  ----------  ----------
                                                                                                     705,235     382,222
                                                                                                  ----------  ----------

INCREASE (DECREASE) IN CASH DURING THE PERIOD...................................................     (19,411)    137,810
CASH -- BEGINNING OF PERIOD.....................................................................    (258,610)   (130,871)
                                                                                                  ----------  ----------
CASH -- END OF PERIOD...........................................................................    (278,021)      6,939
                                                                                                  ----------  ----------
                                                                                                  ----------  ----------
</TABLE>

                                      F-27
<PAGE>
                              YFMC HEALTHCARE INC.

                       CONSOLIDATED FINANCIAL STATEMENTS

                 FOR THE YEARS ENDED DECEMBER 31, 1998 AND 1997

                                AUDITORS' REPORT

TO THE DIRECTORS OF
YFMC HEALTHCARE INC.

    We have audited the consolidated balance sheets of YFMC Healthcare Inc. as
at December 31, 1998 and 1997 and the consolidated statements of operations and
retained earnings and cash flows for the years then ended. These financial
statements are the responsibility of the company's management. Our
responsibility is to express an opinion on these financial statements based on
our audits.

    We conducted our audits in accordance with 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,
1998 and 1997 and the results of its operations and its cash flows for the years
then ended in accordance with Canadian generally accepted accounting principles.

/s/ BDO DUNWOODY

Chartered Accountants
Ottawa, Ontario, Canada
February 26, 1999
except for Note 16, dated August 16, 1999

                                      F-28
<PAGE>
                              YFMC HEALTHCARE INC.

                          CONSOLIDATED BALANCE SHEETS

<TABLE>
<CAPTION>
                                                                                                      DECEMBER 31,
                                                                                                ------------------------
                                                                                                    1998         1997
                                                                                                ------------  ----------
<S>                                                                                             <C>           <C>
                                            ASSETS
CURRENT
  Accounts receivable (Note 3)................................................................  $    652,400  $  336,658
  Due from related parties (Note 3)...........................................................        22,629      46,253
  Inventories.................................................................................        60,800      31,500
  Prepaid expenses............................................................................        19,064       8,547
                                                                                                ------------  ----------
                                                                                                     754,893     422,958
CAPITAL ASSETS (Note 4).......................................................................       556,581     319,103
GOODWILL AND INTANGIBLES (Note 5).............................................................       235,650     126,000
                                                                                                ------------  ----------
                                                                                                $  1,547,124  $  868,061
                                                                                                ------------  ----------
                                                                                                ------------  ----------

                             LIABILITIES AND SHAREHOLDERS' EQUITY
CURRENT
  Bank indebtedness (Note 6)..................................................................  $    258,610  $  130,871
  Accounts payable and accrued liabilities....................................................       295,665     301,109
  Income taxes payable........................................................................        45,460      45,000
  Due to related parties (Note 3).............................................................        57,934      78,334
  Current portion of long-term debt (Note 8)..................................................        71,027      56,825
                                                                                                ------------  ----------
                                                                                                     728,696     612,139
LONG-TERM DEBT (Note 8).......................................................................        98,321      34,360
DEFERRED CONTRACTUAL OBLIGATION...............................................................        20,996     103,638
                                                                                                ------------  ----------
                                                                                                     848,013     750,137
                                                                                                ------------  ----------
CONTINGENT LIABILITY (Note 2)
SHAREHOLDERS' EQUITY
  Share capital (Note 9)......................................................................       495,121          10
  Retained earnings...........................................................................       203,990     117,914
                                                                                                ------------  ----------
                                                                                                     699,111     117,924
                                                                                                ------------  ----------
                                                                                                $  1,547,124  $  868,061
                                                                                                ------------  ----------
                                                                                                ------------  ----------
</TABLE>

On behalf of the Board:

___________________________________________
              Director

___________________________________________
              Director

  The accompanying summary of significant accounting policies and notes are an
                                integral part of
                          these financial statements.

                                      F-29
<PAGE>
                              YFMC HEALTHCARE INC.

          CONSOLIDATED STATEMENTS OF OPERATIONS AND RETAINED EARNINGS

<TABLE>
<CAPTION>
                                                                                                 FOR THE YEARS ENDED
                                                                                                     DECEMBER 31,
                                                                                              --------------------------
                                                                                                  1998          1997
                                                                                              ------------  ------------
<S>                                                                                           <C>           <C>
REVENUE.....................................................................................  $  3,037,231  $  2,139,630
EXPENSES
  Amortization of capital assets and goodwill...............................................       117,912        77,756
  Interest on long-term debt................................................................        12,266         7,756
  Operating expenses........................................................................     2,779,372     1,891,204
                                                                                              ------------  ------------
                                                                                                 2,909,550     1,976,716
                                                                                              ------------  ------------
INCOME BEFORE INCOME TAXES..................................................................       127,681       162,914
INCOME TAXES (Note 7).......................................................................        43,805        45,000
                                                                                              ------------  ------------
INCOME BEFORE MINORITY INTEREST.............................................................        83,876       117,914
MINORITY INTEREST...........................................................................         2,200       --
                                                                                              ------------  ------------
NET INCOME FOR THE YEAR.....................................................................        86,076       117,914
RETAINED EARNINGS, beginning of year........................................................       117,914       --
RETAINED EARNINGS, end of year..............................................................  $    203,990  $    117,914
                                                                                              ------------  ------------
                                                                                              ------------  ------------
EARNINGS PER SHARE
  Basic and fully diluted...................................................................  $     0.0102  $     0.0165
                                                                                              ------------  ------------
                                                                                              ------------  ------------
</TABLE>

  The accompanying summary of significant accounting policies and notes are an
                                integral part of
                          these financial statements.

                                      F-30
<PAGE>
                              YFMC HEALTHCARE INC.

                     CONSOLIDATED STATEMENTS OF CASH FLOWS

<TABLE>
<CAPTION>
                                                                                                   FOR THE YEARS ENDED
                                                                                                      DECEMBER 31,
                                                                                                 -----------------------
                                                                                                    1998         1997
                                                                                                 -----------  ----------
<S>                                                                                              <C>          <C>
CASH PROVIDED BY (USED IN)

OPERATING ACTIVITIES
  Net Income for the year......................................................................  $    86,076  $  117,914
  Items not involving cash
    Amortization of capital assets and goodwill................................................      117,912      77,756
    Amortization of deferred contractual obligations...........................................      (82,642)    (54,456)
    Minority interest..........................................................................       (2,200)         --
  Net change in non-cash working capital balances (Note 12)....................................     (418,282)     30,624
                                                                                                 -----------  ----------
                                                                                                    (299,136)    171,838
                                                                                                 -----------  ----------

INVESTING ACTIVITIES
  Acquisition of Transpacific Minerals Inc. (Note 1(a))........................................      267,412      --
  Other acquisitions (Note 1(b))...............................................................      (45,596)   (328,658)
  Decrease in amounts due from related parties.................................................       23,624      56,972
  Purchase of capital assets...................................................................     (122,022)    (93,293)
  Purchase of intangibles......................................................................      (12,725)     --
                                                                                                 -----------  ----------
                                                                                                     110,693    (364,979)
                                                                                                 -----------  ----------
FINANCING ACTIVITIES
  Receipt of contractual inducements...........................................................      --           83,963
  Increase (decrease) in amounts due to related parties........................................      (20,400)     73,334
  Net increase (decrease) in demand loan.......................................................      (58,000)     58,000
  Principal repayment of long-term debt........................................................      (61,311)    (95,037)
  Proceeds from issue of share capital.........................................................      166,100          10
  Share issue costs............................................................................      (23,685)     --
                                                                                                 -----------  ----------
                                                                                                       2,704     120,270
                                                                                                 -----------  ----------
DECREASE IN CASH DURING THE YEAR...............................................................     (185,739)    (72,871)
BANK OVERDRAFT, beginning of year (Note 6).....................................................      (72,871)     --
                                                                                                 -----------  ----------
BANK OVERDRAFT, end of year (Note 6)...........................................................  $  (258,610) $  (72,871)
                                                                                                 -----------  ----------
                                                                                                 -----------  ----------
</TABLE>

  The accompanying summary of significant accounting policies and notes are an
                                integral part of
                          these financial statements.

                                      F-31
<PAGE>
                              YFMC HEALTHCARE INC.

                   SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES

                           DECEMBER 31, 1998 AND 1997

<TABLE>
<CAPTION>
<S>                                 <C>
NATURE OF BUSINESS                  The company was incorporated on August 22, 1996 under the
                                    laws of Ontario and commenced operations on January 1, 1997.
                                    The company was established to provide management and
                                    administrative services to medical practitioners working in
                                    various clinics throughout Eastern Ontario, Western Quebec
                                    and Alberta.

BASIS OF CONSOLIDATION              The consolidated financial statements include the accounts
                                    of the parent company YFMC Healthcare Inc., and of the
                                    following operating subsidiaries:

                                    1189543 Ontario Inc.                       100% owned
                                    YFMC Healthcare (Alberta) Inc.            100% owned
                                    1180668 Ontario Inc.                       100% owned
                                    1024528 Ontario Inc.                       100% owned
                                    1292363 Ontario Corp.                     100% owned
                                    Spirotech Health Services Ltd.               70% owned

FINANCIAL INSTRUMENTS               Unless otherwise noted, it is management's opinion that the
                                    company is not exposed to significant interest, currency or
                                    credit risks arising from its financial instruments.

                                    The fair values of the financial instruments with short term
                                    maturity approximate their carrying values. The fair value
                                    of the company's long-term debt is not materially different
                                    from the carrying value.

INVENTORIES                         Inventory is stated at the lower of cost and net realizable
                                    value. Cost is generally determined on a first-in, first out
                                    basis.

CAPITAL ASSETS                      Capital assets are stated at cost less accumulated
                                    amortization. Amortization based on the estimated useful
                                    life of the asset is calculated as follows:

                                    Medical equipment     -- 20% diminishing balance basis
                                    Furniture and fixtures   -- 20% diminishing balance basis
                                    Computer hardware     -- 30% diminishing balance basis
                                    Computer software      -- 100% diminishing balance basis
                                    Leasehold improvements -- straight line basis over term of
                                    lease

                                    In the year of acquisition, one half of the above rates is
                                    used.

GOODWILL                            Goodwill being the excess of cost over assigned values of
                                    net assets acquired for various medical practices is stated
                                    at cost less amortization. Amortization is provided on a
                                    straight-line basis over five to 10 years. The value of
                                    goodwill is regularly evaluated by reviewing the returns of
                                    the related business, taking into account the risk
                                    associated with the investment. Any impairment in the value
                                    of the goodwill is written off against earnings.

DEFERRED CONTRACTUAL INDUCEMENTS    Deferred contractual inducements consists of amounts
                                    received under an agreement with a laboratory service and
                                    are being amortized to revenue on a straight-line basis over
                                    the remaining term of the agreement.
</TABLE>

                                      F-32
<PAGE>
                              YFMC HEALTHCARE INC.

             SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (CONTINUED)

                           DECEMBER 31, 1998 AND 1997

<TABLE>
<CAPTION>
EARNINGS PER COMMON SHARE           Net income per common share has been computed by dividing
                                    income applicable to common shareholders by the weighted
                                    average number of shares of common stock outstanding during
                                    the respective years.
<S>                                 <C>

                                    The calculation of fully diluted earnings per share assumes
                                    that, if a dilutive effect is produced, all outstanding
                                    options and warrants had been exercised at the later of the
                                    beginning of the fiscal period and the option issue date and
                                    all first preferred shares were converted on the date of
                                    issue and the funds derived therefrom were invested at
                                    market rates.

REVENUE RECOGNITION                 Revenue from services is recognized in these financial
                                    statements as services are rendered to participating medical
                                    practitioners.

CASH AND CASH EQUIVALENTS           Cash and cash equivalents are defined as cash on hand and
                                    balances with banks, including bank overdrafts.
</TABLE>

                                      F-33
<PAGE>
                              YFMC HEALTHCARE INC.

                   NOTES TO CONSOLIDATED FINANCIAL STATEMENTS

                           DECEMBER 31, 1998 AND 1997

1.  BUSINESS COMBINATION AND BASIS OF PRESENTATION

    (a) REVERSE TAKEOVER

       On June 26, 1998, 1189543 Ontario Inc. ("YFMC") completed, by way of an
       exchange of shares a reverse takeover of Transpacific Minerals Inc.
       ("TRP"). The business combination was accounted for by the purchase
       method with YFMC being deemed the acquirer, because this exchange of
       shares left the former shareholders of YFMC with the majority of the
       shares of TRP. As a result, the balance sheet of YFMC is recorded at book
       value and the balance sheet of TRP is recorded at the fair value of
       $264,056. The consolidated financial statements are considered a
       continuation of YFMC. The net assets of TRP, at fair value, were as
       follows:

<TABLE>
<CAPTION>
<S>                                                                       <C>
Cash....................................................................  $  267,412
Other assets............................................................       2,638
Liabilities.............................................................      (5,994)
                                                                          ----------
Net assets acquired for shares..........................................  $  264,056
                                                                          ----------
                                                                          ----------
</TABLE>

       Upon the business combination, TRP became the legal parent and changed
       its name to YFMC Healthcare Inc. (the company) and 1189543 Ontario Inc.
       became its wholly-owned subsidiary.

    (b) BUSINESS COMBINATIONS

       During the years ended December 31, 1998 and 1997 the company made
       several acquisitions of businesses in the healthcare management business.
       The acquisitions have been accounted for by the purchase method and the
       results of operations have been reflected in the financial statements
       from the date of acquisition. The acquisitions are accounted for at their
       fair values except as noted below. The acquisitions made during 1998 and
       1997 are as follows:

        (i) Effective February 17, 1998 the corporation acquired 100% of the
            shares of 1180668 Ontario Inc., an entity which was 66 2/3%
            controlled by shareholders of the company. This portion of the
            transaction was recorded at the carrying amount of the net assets of
            $2,390. The other 33 1/3% of the assets were recorded at fair
            values.

        (ii) Effective August 1, 1998 the company acquired 70% of the
             outstanding shares of Spirotech Health Services Inc.

       (iii) Effective September 1, 1998 the company acquired 100% of the shares
             of 1292363 Ontario Inc.

        (iv) Effective September 1, 1998 the company acquired 85% of the shares
             of 1024528 Ontario Ltd. Effective December 13, 1998 the company
             acquired the remaining 15%.

        (v) Effective November 27, 1998 the company incorporated a new
            subsidiary in the province of Alberta called YFMC Healthcare
            (Alberta) Inc.

        (vi) Effective January 1, 1997 the company acquired the majority of
             assets and liabilities of Your Family Medical Centre, a partnership
             whose former partners are now shareholders of the company.

       (vii) Effective May 17, 1997 the company acquired the assets and
             liabilities of SRI Inc.

                                      F-34
<PAGE>
                              YFMC HEALTHCARE INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                           DECEMBER 31, 1998 AND 1997

1.  BUSINESS COMBINATION AND BASIS OF PRESENTATION (CONTINUED)
           The net assets acquired and the consideration given for the above
           acquisitions are summarized as follows. The excess of the purchase
           price over the net assets acquired has been allocated to goodwill.

<TABLE>
<CAPTION>
                                                                                    1998         1997
                                                                                 -----------  -----------
<S>                                                                              <C>          <C>
Cash...........................................................................  $    17,187  $   --
Other current assets...........................................................       67,350      388,638
Capital assets.................................................................      211,022      289,566
Goodwill.......................................................................      119,271      140,000
Bank indebtedness..............................................................      (10,526)    (253,658)
Other current liabilities......................................................     (121,733)    (298,324)
Minority interest..............................................................       (2,200)     --
Long-term liabilities..........................................................     (114,474)    (121,222)
                                                                                 -----------  -----------
                                                                                 $   165,897  $   145,000
                                                                                 -----------  -----------
                                                                                 -----------  -----------
</TABLE>

           The company issued common shares with a value of $88,640
           (1997 -- none) and a promissory note of $25,000 (1997 -- $70,000) as
           part of the consideration and the remainder in cash. The net cash
           outflow for the acquisition is as follows:

<TABLE>
<CAPTION>
<S>                                                                <C>        <C>
Cash.............................................................  $  52,257  $  75,000
Add: Bank indebtedness assumed...................................     10,526    253,658
Less: Cash acquired..............................................    (17,187)    --
                                                                   ---------  ---------
Net cash paid....................................................  $  45,596  $ 328,658
                                                                   ---------  ---------
                                                                   ---------  ---------
</TABLE>

2.  CONTINGENT LIABILITY

    The company purchased the majority of assets and liabilities of Your Family
    Medical Centres, a partnership on January 1, 1997. The purchase and sale
    agreement contained a deferred consideration clause that required the
    company to pay an additional $60,000 per year, to a maximum of $120,000,
    until December 31, 2000 to the extent that the pre-tax qualifying income
    derived from the pre-existing clinics exceeds $180,000 before management
    bonuses. For the year ended December 31, 1997 a provision for $60,000 was
    made and included in goodwill. For the period ended December 31, 1998 no
    such provision was applicable.

3.  RELATED PARTY TRANSACTIONS

    The following table summarizes the company's related party transactions for
    the year:

<TABLE>
<CAPTION>
                                                                                                 1998       1997
                                                                                              ----------  ---------
<S>                                                                                           <C>         <C>
REVENUE
  Management fees charged to a director.....................................................  $  117,501  $  83,088

EXPENSES
  Consulting fees paid to a director........................................................      --         36,667

OTHER
  Acquisition of 1180668 Ontario Inc........................................................       2,390     --
</TABLE>

                                      F-35
<PAGE>
                              YFMC HEALTHCARE INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                           DECEMBER 31, 1998 AND 1997

3.  RELATED PARTY TRANSACTIONS (CONTINUED)

    The revenue and expense transactions are in the normal course of operations
    and are measured at the exchange value (the amount of consideration
    established and agreed to by the related parties). The business acquisition
    has been measured at its carrying value as explained in note 1(b)(i).

    At the end of the year, the amounts due from (to) related parties are as
    follows:

<TABLE>
<CAPTION>
                                                                                                1998        1997
                                                                                             ----------  ----------
<S>                                                                                          <C>         <C>
Due from director (trade accounts receivable)..............................................  $   80,910  $   22,083
Due from related parties...................................................................      22,629      46,253
Due to related parties.....................................................................     (57,934)    (78,334)
</TABLE>

    These balances are interest-free, and have varying due dates. The amounts
    due from related parties arose as part of a purchase and sale agreement of
    assets from the former partnership as explained in note 1(b)(vi). The
    amounts due to related parties resulted from loans made to the company by
    related parties.

4.  CAPITAL ASSETS

<TABLE>
<CAPTION>
                                                       1998                                  1997
                                       ------------------------------------  ------------------------------------
                                                   ACCUMULATED    NET BOOK               ACCUMULATED    NET BOOK
                                          COST     AMORTIZATION    VALUE        COST     AMORTIZATION    VALUE
                                       ----------  ------------  ----------  ----------  ------------  ----------
<S>                                    <C>         <C>           <C>         <C>         <C>           <C>
Medical equipment....................  $  166,835   $   41,830   $  125,005  $  109,025   $   17,805   $   91,220
Furniture and fixtures...............     101,995       26,507       75,488      55,670       10,930       44,740
Computer hardware....................      59,992       18,968       41,024      37,868        5,639       32,229
Computer software....................      28,382       28,382       --          28,382       14,191       14,191
Leasehold improvements...............     358,699       43,635      315,064     151,914       15,191      136,723
                                       ----------  ------------  ----------  ----------  ------------  ----------
                                       $  715,903   $  159,322   $  556,581  $  382,859   $   63,756   $  319,103
                                       ----------  ------------  ----------  ----------  ------------  ----------
                                       ----------  ------------  ----------  ----------  ------------  ----------
</TABLE>

5.  GOODWILL AND INTANGIBLES

<TABLE>
<CAPTION>
                                                                                                1998        1997
                                                                                             ----------  ----------
<S>                                                                                          <C>         <C>
Cost.......................................................................................  $  272,831  $  140,000
Less: Accumulated amortization.............................................................      37,181      14,000
                                                                                             ----------  ----------
Net book value.............................................................................  $  235,650  $  126,000
                                                                                             ----------  ----------
                                                                                             ----------  ----------
</TABLE>

6.  BANK INDEBTEDNESS

<TABLE>
<CAPTION>
                                                                                                1998        1997
                                                                                             ----------  ----------
<S>                                                                                          <C>         <C>
Bank overdraft.............................................................................  $  258,610  $   72,871
Demand loan................................................................................      --          58,000
                                                                                             ----------  ----------
                                                                                             $  258,610  $  130,871
                                                                                             ----------  ----------
                                                                                             ----------  ----------
</TABLE>

    The bank overdraft and the operating loans are due on demand and bear
    interest at the bank's prime rate plus 1.25% and 2.00% respectively,
    calculated and payable monthly. The overdraft facility provides for a
    maximum $350,000 protection. Amounts are secured by a general security
    agreement covering all assets and a personal guarantees of some directors
    and officers.

                                      F-36
<PAGE>
                              YFMC HEALTHCARE INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                           DECEMBER 31, 1998 AND 1997

6.  BANK INDEBTEDNESS (CONTINUED)
    The agreement governing the operating loan facility contains certain
    covenants regarding       (i) restrictions on new borrowing by the company,
    (ii) interest coverage and net worth tests, and (iii) restrictions on the
    payment of common share dividends without the lender's consent.

7.  INCOME TAXES

    The company's effective income tax rate is made up as follows:

<TABLE>
<CAPTION>
                                                                                                        1998       1997
                                                                                                      ---------  ---------
<S>                                                                                                   <C>        <C>
Combined basic federal and provincial income tax rate and surtax....................................       44.6%      44.6%
  -- Small business deduction.......................................................................       (8.0)     (16.0)
  -- Other items....................................................................................       (2.3)      (1.0)
                                                                                                            ---  ---------
Effective income tax rate...........................................................................       34.3%      27.6%
                                                                                                            ---  ---------
                                                                                                            ---  ---------
</TABLE>

8.  LONG-TERM DEBT

<TABLE>
<CAPTION>
                                                                                                 1998       1997
                                                                                              ----------  ---------
<S>                                                                                           <C>         <C>
Loan payable, interest at 8.25%, repayable in equal monthly installments of $1,895 principal
  and interest, due April 2000..............................................................  $   27,118  $  48,243

Bank loan, interest at prime plus 1.75%, repayable in equal monthly instalments of $1,866
  principal plus interest, secured by a general security agreement and personal guarantee of
  a director, due March 1999................................................................       5,550     27,942

Promissory note payable, interest at 5.00% per annum commencing January 1, 1999, due April
  30, 1999..................................................................................      25,000     --

Bank loan, interest at 9.65%, repayable in equal monthly instalments of $2,431 principal
  plus interest, secured by personal guarantee of a shareholder, due August 2003............     111,680     --

Loan payable, interest free, due March 15, 1998.............................................      --         15,000
                                                                                              ----------  ---------
                                                                                                 169,348     91,185

Less amounts due within one year included in current liabilities............................      71,027     56,825
                                                                                              ----------  ---------
                                                                                              $   98,321  $  34,360
                                                                                              ----------  ---------
                                                                                              ----------  ---------
</TABLE>

    The agreement with respect to the bank loans payable contains certain
    covenants regarding       (i) restrictions on new borrowing by the company,
    (ii) interest coverage and net worth tests, and (iii) restrictions on the
    payment of common share dividends without the lender's consent.

    Principal repayments for the next five years are as follows:

<TABLE>
<S>                                          <C>
1999.......................................  $  71,027
2000.......................................     27,050
2001.......................................     23,212
2002.......................................     25,663
2003.......................................     22,396
                                             ---------
                                             $ 169,348
                                             ---------
                                             ---------
</TABLE>

                                      F-37
<PAGE>
                              YFMC HEALTHCARE INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                           DECEMBER 31, 1998 AND 1997

9.  SHARE CAPITAL

<TABLE>
<C>         <S>
Authorized
 1,000,000  First preferred shares, series A dividends at 2% of the stated value of $0.25,
            cumulative, convertible at $0.50 per share with restrictions, non-voting
 Unlimited  Number of second preferred shares, non-voting
 Unlimited  Number of common shares
</TABLE>

    ISSUED SHARES

    The issued share capital is as follows:

<TABLE>
<CAPTION>
                                                                                         NUMBER OF
                                                                                           SHARES     CONSIDERATION
                                                                                        ------------  -------------
<S>                                                                                     <C>           <C>
Share transactions
  Balance, December 31, 1997 and December 31, 1996....................................        10,000   $        10
  Issued during 1998 for cash and shares..............................................         1,159        58,740
  Issued pursuant to a private placement..............................................       664,000       166,000
                                                                                        ------------  -------------
                                                                                             675,159   $   224,750
                                                                                        ------------  -------------
                                                                                        ------------  -------------
  Reverse takeover share exchange (Note 1)
    Common shares.....................................................................     7,164,000   $   216,918
    Preferred shares..................................................................     1,000,000         7,832
                                                                                        ------------  -------------
                                                                                           8,164,000       224,750
  Common shares issued to the shareholders of Transpacific Minerals Inc. on reverse
    takeover (Note 1).................................................................     2,500,000       264,056
  Share issue costs...................................................................       --            (23,685)
  Common shares issued for assets acquired............................................        75,000        30,000
                                                                                        ------------  -------------
Balance, December 31, 1998............................................................    10,739,000   $   495,121
                                                                                        ------------  -------------
                                                                                        ------------  -------------
Comprised of:
  Common shares.......................................................................     9,739,000   $   487,289
  First preferred shares, series A....................................................     1,000,000         7,832
                                                                                        ------------  -------------
                                                                                          10,739,000   $   495,121
                                                                                        ------------  -------------
                                                                                        ------------  -------------
</TABLE>

    STOCK OPTIONS

    The company has 1,073,000 outstanding common stock options with expiry dates
    ranging from September 1, 1999 to June 12, 2003 and with exercise prices
    ranging from $0.20 to $0.36.

    WARRANTS

    The company has 356,680 Series "A" warrants and 356,680 Series "B" warrants
    issued pursuant to a private placement. Series "A" warrants and Series "B"
    warrants are exercisable at $0.40 and $0.50 each respectively, and expire on
    June 26, 2000.

    ESCROWED SHARES

    The company has 7,301,496 of its common shares and 1,000,000 of its First
    Preferred Shares, Series A held in escrow.

                                      F-38
<PAGE>
                              YFMC HEALTHCARE INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                           DECEMBER 31, 1998 AND 1997

10. COMMITMENTS

    The company is currently committed to rental leases for the various family
    clinics. The annual lease amounts using current rates for operating expenses
    total $799,918.

    The leases have various expiration dates from 1999 to 2003. Most leases
    contain a renewal option and/or it is management's intention to renew these
    leases.

11. UNCERTAINTY DUE TO THE YEAR 2000 ISSUE

    The Year 2000 Issue arises because many computerized systems use two digits
    rather than four to identify a year. Date-sensitive systems may recognize
    the year 2000 as 1900 or some other date, resulting in errors when
    information using year 2000 dates is processed. In addition, similar
    problems may arise in some systems which use certain dates in 1999 to
    represent something other than a date. The effects of the Year 2000 Issue
    may be experienced before, on, or after January 1, 2000.

    If the Year 2000 Issue is not addressed by the company and its major
    suppliers and other third party business associates, the impact on the
    company's operations and financial reporting may range from minor errors to
    significant systems failure which could affect the company's ability to
    conduct normal business operations. It is not possible to be certain that
    all aspects of the Year 2000 Issue affecting the company, including those
    related to the efforts of suppliers, or other third parties, will be fully
    resolved.

12. NET CHANGE IN NON-CASH WORKING CAPITAL BALANCES

    The net change in non-cash working capital balances consists of changes in
    the following accounts which represent a source (use) of cash from operating
    activities.

<TABLE>
<CAPTION>
                                                                                               1998         1997
                                                                                            -----------  ----------
<S>                                                                                         <C>          <C>
Accounts receivable.......................................................................  $  (256,054) $  (80,228)
Inventories...............................................................................      (19,300)    (12,400)
Prepaid expenses..........................................................................      (10,217)      1,336
Accounts payable and accrued liabilities..................................................     (133,171)     76,916
Income taxes payable......................................................................          460      45,000
                                                                                            -----------  ----------
                                                                                            $  (418,282) $   30,624
                                                                                            -----------  ----------
                                                                                            -----------  ----------
</TABLE>

    The net change above excludes the effects of working capital acquired in the
    business acquisitions throughout 1998 and 1997.

13. SUPPLEMENTAL CASH FLOW INFORMATION

<TABLE>
<CAPTION>
                                                                                                 1998       1997
                                                                                               ---------  ---------
<S>                                                                                            <C>        <C>
(a)  CASH FLOW INFORMATION

    Cash paid for interest...................................................................  $  12,266  $   7,756
    Cash paid for income taxes...............................................................     43,345     --

(b)  NON-CASH FINANCING AND INVESTING

    Shares issued for business acquisition...................................................     88,640     --

    Promissory note issued for business acquisition..........................................     25,000     70,000
</TABLE>

                                      F-39
<PAGE>
                              YFMC HEALTHCARE INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                           DECEMBER 31, 1998 AND 1997

14. STATEMENT OF CHANGE IN CASH FLOWS

    In accordance with the revised recommendations of the Canadian Institute of
    Chartered Accountants, the company has adopted financial statement
    presentation changes for its statement of cash flows for 1998. The 1997
    statement of cash flows has also been restated.

15. RECONCILIATION OF RESULTS REPORTED IN ACCORDANCE WITH GENERALLY ACCEPTED
    ACCOUNTING PRINCIPLES (GAAP) IN CANADA WITH UNITED STATES ("US") GAAP

    The company's accounting policies do not differ materially from accounting
    principles generally accepted in the United States ("US GAAP") except for
    the following:

    (a) CASH AND CASH EQUIVALENTS

       Under Canadian GAAP, cash and cash equivalents includes bank overdrafts
       when the balance fluctuates regularly between positive and negative but,
       under US GAAP the changes in bank overdrafts in the amount of $175,213
       (1997 -- $72,871) would be included as a decrease under financing
       activities.

    (b) RECENTLY ISSUED ACCOUNTING STANDARDS

       SFAS No. 133, "Accounting for Derivatives Instruments and Hedging
       Activities" requires companies to record derivatives on the balance sheet
       as assets or liabilities, measured at fair market value. Gains or losses
       resulting from changes in the values of those derivatives are accounted
       for depending on the use of the derivative and whether it qualifies for
       hedge accounting. The key criterion for hedge accounting is that the
       hedging relationship must be highly effective in achieving offsetting
       changes in fair value or cash flows. SFAS No. 133 is effective for fiscal
       years beginning after June 15, 2000. Management believes that the
       adoption of SFAS No. 133 will have no material effect on its financial
       statements.

       In March 1998 the American Institute of Certified Public Accountants
       issued Statement of Position ("SOP") 98-1, Accounting for the Costs of
       Computer Software Developed or Obtained for Internal Use, which requires
       that certain internal use software costs be capitalized once certain
       criteria are met. In April 1998 the American Institute of Certified
       Public Accountants issued SOP 98-5, Reporting the Cost of Startup
       Activities, which requires that the cost of startup activities including
       organization costs be expensed as incurred. Both SOP's are effective for
       fiscal years beginning after December 15, 1998. Management believes that
       the adoption of SOP 98-1 and 98-5 will have no material effect on its
       financial statements.

16. SUBSEQUENT EVENTS

    (a) PROPOSED SHARE EXCHANGE

       On June 16, 1999 Med-Emerg International Inc. filed a Letter of Intent to
       acquire all of the outstanding securities of YFMC Healthcare Inc on the
       following basis: YFMC shareholders will receive one share of Med-Emerg
       common stock for every 6.875 YFMC shares. The holder of each YFMC Series
       A Warrants will receive 0.125 Med-Emerg Series A Warrants while the
       holder of each YFMC Series B Warrant will receive 0.125 Med-Emerg Series
       B Warrant. The acquisition is pending approval of the shareholders.

    (b) BUSINESS COMBINATIONS

       Subsequent to the year end, the company made several acquisitions of
       businesses in the healthcare management business. The acquisitions will
       be accounted for by the purchase method and the results

                                      F-40
<PAGE>
                              YFMC HEALTHCARE INC.

             NOTES TO CONSOLIDATED FINANCIAL STATEMENTS (CONTINUED)

                           DECEMBER 31, 1998 AND 1997

16. SUBSEQUENT EVENTS (CONTINUED)
       of operations will be reflected in the 1999 financial statements from the
       date of acquisition. The acquisitions made subsequent to year end are as
       follows:

    (i) Effective April 1, 1999 the corporation acquired substantially all of
        the assets of Y. Seedat Professional Corporation and S.K. Rajpal
        Professional Corporation operating as McKnight Village Medical Clinic

    (ii) Effective June 1, 1999 the corporation acquired substantially all of
         the assets of 540074 Alberta Ltd operating as Martindale Medical Clinic
         and the assets of Dr. Alex J. Robson Professional Corporation operating
         as Medical Centre West Edmonton Mall.

   (iii) Effective August 16, 1999 the corporation acquired substantially all of
         the assets of Dr. George Schroeder operating as McLeod Medical Centre.

       The net assets acquired and the consideration given for the above
       acquisitions are summarized as follows. The excess of the purchase price
       over the net assets acquired has been allocated to goodwill.

<TABLE>
<S>                                                                                  <C>
    Other current assets...........................................................  $  23,000
    Capital assets.................................................................    292,000
    Goodwill.......................................................................    297,500
                                                                                     ---------
                                                                                     $ 612,500
                                                                                     ---------
                                                                                     ---------
</TABLE>

       The company issued common shares with a value of $187,500, a promissory
       note of $100,000, and convertible debentures of $30,000 as part of the
       consideration and the remainder in cash.

    (c) DEFERRED CONSIDERATION

       The deferred consideration clause referred to in Note 2 of the financial
       statements, will be paid in 1999 regardless of the 1999 pre-tax
       qualifying income as part of the Business Combination with Med-Emerg
       International Inc.

    (d) CONTINGENT LIABILITY

       On July 15, 1999 a statement of claim was filed against 1292363 Ontario
       Corporation (a subsidiary of YFMC Healthcare Inc.) seeking an injunction
       against the use of the name Orleans Gardens Family Medical Centre,
       $200,000 in general damages and other special damages and costs. The
       action is being defended by YFMC Healthcare Inc. The injunction has been
       granted to the claimants, however the likelihood and amount of damages
       being awarded is not determinable at this time.

                                      F-41
<PAGE>
                                    PART II

                     INFORMATION NOT REQUIRED IN PROSPECTUS

ITEM 20.  INDEMNIFICATION OF DIRECTORS AND OFFICERS

    Section 136(l) of the Business Corporations Act of Ontario (the "OBCA")
provides that, except in respect of an action by or on behalf of a corporation
or body corporate to procure a judgment in its favor, a corporation may
indemnify a director or officer of the corporation, a former director or officer
of the corporation or a person who acts or acted at the corporation's request as
director or officer of a body corporate of which the corporation is or was a
shareholder or creditor, and heirs and legal representatives, against all costs,
charges and expenses, including an amount paid to settle an action or satisfy a
judgment, reasonably incurred by him in respect of any civil, criminal or
administrative action or proceeding to which he is made a party by reason of
being or having been a director or officer of the corporation or body corporate,
if:

    (a) he acted honestly and in good faith with a view to the best interests of
       the corporations; and

    (b) in the case of a criminal or administrative proceeding that is enforced
       by a monetary penalty, he had reasonable grounds for believing that his
       conduct was lawful.

    Section 136(2) of the OBCA provides that a corporation may with the approval
of a court indemnify a person referred to in subsection (1) in respect of an
action by or on behalf of the corporation or body corporate to procure a
judgment in its favor, to which he is made a party by reason of being or having
been a director or officer of the corporation or body corporate, against all
costs, charges and expenses reasonably incurred by him in connection with such
action if he fulfills the conditions set out in paragraphs (1)(a) and (b) above.

    Part VII, Section 7.02 of Med-Emerg's by-laws provides that, subject to the
OBCA, Med-Emerg shall indemnify a director or officer of the company, a former
director or officer of the company or a person who acts or acted at the
comapny's requests as a director or officer of a body corporate of which the
company is or was a shareholder or creditor, and his heirs and legal
representatives, against all costs, charges and expenses, including an amount
paid to settle an action or satisfy a judgment reasonably incurred by him in
respect of any civil, criminal or administrative action or proceeding to which
he is made a party by reason of being or having been a director or officer of
the company or body corporate, if:

    (a) he acted honestly and in good faith with a view to the best interests of
       the company; and

    (b) in the case of a criminal or administrative proceeding that is enforced
       by a monetary penalty he had reasonable grounds for believing that his
       conduct was lawful.

    The company shall also indemnify such persons in such other circumstances as
the OBCA permits or requires. Nothing contained in said Section 7:02 shall limit
the right of any person entitled to indemnity to claim indemnity apart from the
provisions of said Section.

ITEM 21.  EXHIBITS AND FINANCIAL STATEMENTS AND SCHEDULES

    (a) Exhibits

<TABLE>
<CAPTION>
EXHIBIT
 NO.   DESCRIPTION
- ------ --------------------------------------------------------------------------
<C>    <S>
  2.1* Business Combination Agreement dated August 10, 1999

  2.2* Lock-up Agreement

  2.3* Working Agreement

  2.4* Escrow Agreement for Common Shares

  2.5* Escrow Agreement for Preferred Shares

  3.1** Certificate of Incorporation and Amendments thereto of the Company

  3.2** By-laws of the Company

  4.2** Form of Warrant Agreement
</TABLE>

                                      II-1
<PAGE>
<TABLE>
<CAPTION>
EXHIBIT
 NO.   DESCRIPTION
- ------ --------------------------------------------------------------------------
<C>    <S>
  4.3** Specimen Common Stock Certificate

  4.4** Specimen Warrant Certificate

  5.1* Opinion of Gersten, Savage & Kaplowitz, LLP, counsel to the Company.

 10.1** Employment Agreement between the Company and Ramesh Zacharias

 10.2** Employment agreement between the Company and Carl Pahapill

 10.3** Operating lease covering the Company's facilities

 10.4** 1997 Stock Option Plan

 10.5** Consulting Agreement with the Northwest Territories

 10.6** Loan Agreement between the Company and Carl Pahapill.

 10.7** Loan Agreement between the Company and Ramesh and Victoria Zacharias.

 10.8** Corporate Resolution Regarding November Recapitalization.

 10.9** Agreement between the Company and Toronto-Dominion Bank.

 10.10** Form of Hospital Contract

 10.11** Form of Physician Contract for Clinical Operations

 10.12** Form of Physician Contract for Emergency Services.

 10.13** Schedule of Contracts for Clinical Operations, Emergency Services and
         Hospitals.

 10.14** Letter of Credit Agreement dated April 17, 1997 between the Company and
         Robert Rubin.

 10.15** Amendment to April 17, 1997 Letter of Credit Agreement between the Company
         and Robert Rubin dated January 30, 1998.

 21.1** List of Subsidiaries

 23.1* Consent of Gersten, Savage & Kaplowitz, LLP (to be included in Exhibit 5.1
         to this Registration Statement)

 23.2  Deleted

 23.3  Deleted

 23.4* Consent of Schwartz Levitsky Feldman, Chartered Accountants

 23.5* Consent of BDO Dunwoody LLP Chartered Accountants
</TABLE>

- ------------------------

*   Filed herewith.

**  Incorporated by reference herein from the Company's registration statement
    on Form F-1 Registration Statement number 333-21899, filed with the U.S.
    Securities and Exchange Commission and declared effective on February 4,
    1998.

    (b) Financial Statement Schedules

    All schedules for which provision has been made in the applicable accounting
regulations of the Commission are either not required under the related
instructions, are not applicable (and therefore have been omitted), or the
required disclosures are contained in the financial statements included herein.

ITEM 22.  UNDERTAKINGS

    (a) The undersigned registrant hereby undertakes:

    Insofar as indemnification for liabilities arising under the Securities Act
of 1933 may be permitted to directors, officers and controlling persons of the
registrant pursuant to the foregoing provisions, or otherwise, the registrant
has been advised that in the opinion of the Securities and Exchange Commission
such indemnification is against public policy as expressed in the Act and is,
therefore, unenforceable. In the event that

                                      II-2
<PAGE>
a claim for indemnification against such liabilities (other than the payment by
the registrant of expenses incurred or paid by a director, officer or
controlling person of the registrant in the successful defense of any action,
suit or proceeding) is asserted by such director, officer or controlling person
in connection with the securities being registered, the registrant will, unless
in the opinion of its counsel the matter has been settled by controlling
precedent, submit to a court of appropriate jurisdiction the question whether
such indemnification by it is against public policy as expressed in the Act and
will be governed by the final adjudication of such issue.

    (b) The undersigned registrant hereby undertakes:

        (i) To respond to requests for information that is incorporated by
            reference into the Prospectus pursuant to Item 4, 10(b), 11 or 13 of
            Form F-4, within one business day of receipt of such request, and to
            send the incorporated documents by first class mail or other equally
            prompt means; and

        (ii) To arrange or provide for a facility in the U.S. for the purpose of
             responding to such requests.

                                      II-3
<PAGE>
                                   SIGNATURES

    Pursuant to the requirements of the Securities Act, the Registrant has duly
caused this registration statement to be signed on its behalf by the
undersigned, thereunto duly authorized in the City of Mississauga, Province of
Ontario on September 7, 1999.

<TABLE>
<S>                             <C>  <C>
                                MED-EMERG INTERNATIONAL INC.

                                By:              /s/ CARL PAHAPILL
                                     ------------------------------------------
                                                   Carl Pahapill
                                       PRESIDENT AND CHIEF OPERATING OFFICER
</TABLE>

    Pursuant to the requirements of the Securities Act of 1933, this
registration statement has been signed by the following persons in the
capacities and on the dates indicated.

<TABLE>
<CAPTION>
             NAME                         TITLE                    DATE
- ------------------------------  --------------------------  -------------------

<C>                             <S>                         <C>
     /s/ WILLIAM THOMSON
- ------------------------------  Chairman                     September 7, 1999
    William Thomson, C.A.

     /s/ RAMESH ZACHARIAS
- ------------------------------  Chief Executive Officer      September 7, 1999
    Ramesh Zacharias, M.D.        and Director

     /s/ CARL W. PAHAPILL
- ------------------------------  Chief Operating Officer,     September 7, 1999
    Carl W. Pahapill, C.A.        President and Director

      /s/ KATHRYN GAMBLE        Vice President of Finance,
- ------------------------------    Chief Financial Officer    September 7, 1999
     Kathryn Gamble, C.A.         and Secretary

- ------------------------------  Director
       Robert M. Rubin

- ------------------------------  Director
        Jeffrey Lyons
</TABLE>

<PAGE>

                                                                    EXHIBIT 2.1

                         BUSINESS COMBINATION AGREEMENT

THIS BUSINESS COMBINATION AGREEMENT dated as of the 10th day of August, 1999.

BETWEEN:

               MED-EMERG INTERNATIONAL INC., a corporation incorporated under
               the laws of Ontario

               (hereinafter referred to as "MEII")

                                  - and -

               YFMC HEALTHCARE INC., a corporation continued under the laws
               of Ontario

               (hereinafter referred to as "YFMC")

                                  - and -

               DONALD WILSON

               (hereinafter referred to as "Wilson")

                                  - and -

               MARTIN SCULLION

               (hereinafter referred to as "Scullion")

               (Wilson and Scullion are hereinafter referred to as the
               "Principals")

                                  - and -

               977675 ONTARIO INC., a corporation incorporated under the laws
               of Ontario

               (hereinafter referred to as "977675")

                                  - and -

<PAGE>
                                    - 2 -


               PAGE RAYMOND & ASSOCIATES LTD., a corporation incorporated
               under the laws of Ontario

               (hereinafter referred to as "PRAL")

               (977675 and PRAL are hereinafter referred to as the "Principal
               Shareholders")


WITNESSES THAT:

     WHEREAS MEII intends to make an offer to purchase all of the issued and
outstanding securities of YFMC in accordance with the provisions hereof;

     AND WHEREAS Wilson is an officer, director and principal shareholder of
977675;

     AND WHEREAS Scullion is an officer, director and principal shareholder
of PRAL;

     AND WHEREAS the Principal Shareholders have agreed, subject to
regulatory approval, to tender all of their securities of YFMC to MEII's
offer in accordance with the provisions hereof;

     NOW THEREFORE, in consideration of the premises and the respective
covenants and agreements herein contained, and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged
by each of the parties hereto, the parties hereto hereby covenant and agree
as follows:

                                  ARTICLE ONE
                         DEFINITIONS AND INTERPRETATION

SECTION 1.1  DEFINITIONS:  In this Agreement, unless there is something in
the subject matter or context inconsistent therewith, the following
capitalized words and terms shall have the following meanings:

"AGREEMENT" means this Business Combination Agreement, including the
schedules, annexes and exhibits hereto, as the same may be supplemented or
amended from time to time and the expressions "Article", "Section",
"subsection" and "Exhibit" followed by a number or letter means and refers to
the specified Article, Section, subsection or Exhibit of this Agreement;

"ASC" means the Alberta Securities Commission;

"ASE" means The Alberta Stock Exchange;

"BSE" means the Boston Stock Exchange;

<PAGE>
                                    - 3 -


"BUSINESS DAY" means a day which is not a Saturday, Sunday or statutory
holiday in the Province of Ontario;

"CHARTER DOCUMENTS" means articles and by-laws of a corporation;

"COMMISSIONS" means collectively, the securities commissions or similar
securities regulatory authorities of the Provinces of Ontario, Quebec and
Alberta;

"ITA" means the INCOME TAX ACT (Canada), as amended from time to time;

"INTERIM MEII FINANCIAL STATEMENTS" means the interim unaudited financial
statements of MEII, together with the notes thereto, for the three months
ended March 31, 1999;

"INTERIM YFMC FINANCIAL STATEMENTS" means the interim unaudited financial
statements of YFMC, together with the notes thereto, for the three months
ended March 31, 1999;

"LOCK-UP AGREEMENT" has the meaning ascribed thereto in Section 2.2;

"MATERIAL ADVERSE CHANGE" means any change (or any condition, event or
development involving a prospective change) in the business, operations,
affairs, assets, liabilities (including any contingent liability that may
arise through outstanding, pending or threatened litigation or otherwise),
capitalization, financial condition, licences, permits, rights or privileges
or prospects of a Person which could reasonably be expect to materially and
adversely affect a Person;

"MATERIAL FACT", "MATERIAL CHANGE" and "MISREPRESENTATION" are used as
defined under the SECURITIES ACT (Ontario);

"MEII ANNUAL REPORT" means the annual report of MEII for the financial year
ended December 31, 1998;

"MEII ASSETS" means the assets, property and undertakings of MEII and its
Subsidiaries;

"MEII FINANCIAL STATEMENTS" means the audited financial statements of MEII,
together with the notes thereto, for the financial years ended December 31,
1997 and December 31, 1998;

"MEII PRESS RELEASES" means press releases of MEII issued since December 31,
1997;

"MEII SECURITIES" means MEII Shares, Series A Warrants and Series B Warrants;

"MEII SHARES" means the common shares of MEII, as the same are constituted on
the date hereof;

"NASDAQ" means the National Association of Securities Dealers Automated
Quotation System Inc.;

<PAGE>
                                    - 4 -


"NON-ARM'S LENGTH TRANSACTIONS" means any contract or agreement by YFMC or
any Subsidiary and any officer, director, employee of YFMC and/or any
Subsidiary or any Person not dealing at arm's length (within the meaning of
the ITA) with any of them or any affiliate of any of them;

"OBCA" means the Business Corporations Act (Ontario), R.S.O. 1990, c.B.16, as
amended;

"OFFER" has the meaning ascribed thereto in Section 2.1;

"OSC" means the Ontario Securities Commission;

"PERSON" means and includes an individual, sole proprietorship, partnership,
unincorporated association, unincorporated syndicate, unincorporated
organization, trust, body corporate, a trustee, executor, administrator or
other legal representative and the Crown or any agency or instrumentality
thereof, and words importing "PERSONS" have a similar meaning;

"SEC" means the United States Securities and Exchange Commission;

"SERIES A WARRANTS" means Series A warrants of MEII, such that each Series A
warrant entitles the holder thereof to acquire one MEII Share at an exercise
price of US$2.70 per share expiring June 12, 2000;

"SERIES B WARRANTS" means Series B warrants of MEII, such that each Series B
warrant entitles the holder thereof to acquire one MEII Share at an exercise
price of US$3.40 per share expiring June 12, 2000;

"SUBSIDIARY" means, with respect to a specified body corporate, a body
corporate of which more than 50% of the outstanding shares ordinarily
entitled to elect a majority of the directors thereof, whether or not shares
of any other class or classes shall or might be entitled to vote upon the
happening of any event or contingency, are at the time owned, directly or
indirectly, by such specified body corporate, and includes a body corporate
in like relation to a Subsidiary;

"TAKE-OVER BID CIRCULAR" has the meaning ascribed thereto in Section 2.3;

"WORKING AGREEMENT" means an agreement dated as of the date hereof between
MEII and YFMC concerning the operation of their respective businesses pending
completion of the Offer;

"YFMC ASSETS" means the assets, property and undertaking of YFMC and its
Subsidiaries;

<PAGE>
                                    - 5 -


"YFMC FINANCIAL STATEMENTS" mean the audited consolidated financial
statements of YFMC, together with the notes thereto, for the financial years
ended December 31, 1997 and December 31, 1998;

"YFMC OPTIONS" means outstanding options to purchase an aggregate of
1,003,000 YFMC Shares at prices ranging from $0.20 to $0.36 per share;

"YFMC PREFERRED SHARES" means the 1,000,000 outstanding first preferred
shares, Series A, of YFMC, as the same are constituted on the date hereof;

"YFMC PRESS RELEASES" means press releases of YFMC issued since June 12, 1998;

"YFMC SHARES" means the common shares of YFMC, as the same are constituted on
the date hereof;

"YFMC SECURITIES" means YFMC Shares, YFMC Preferred Shares, YFMC Series A
Warrants, YFMC Series B Warrants and YFMC Options;

"YFMC SERIES A WARRANTS" means the 356,680 outstanding common share purchase
warrants of YFMC, each such warrant entitling the holder thereof to acquire
one YFMC Share at an exercise price of $0.40 per share for a period of two
years from the date of issuance; and

"YFMC SERIES B WARRANTS" means the 356,680 outstanding common share purchase
warrants of YFMC, each such warrant entitling the holder thereof to acquire
one YFMC Share at an exercise price of $0.50 per share for a period of two
years from the date of issuance.

SECTION 1.2  CURRENCY.  All amounts of money which are referred to in this
Agreement are expressed in lawful money of Canada, unless otherwise specified.

SECTION 1.3  INTERPRETATION NOT AFFECTED BY HEADINGS.  The division of this
Agreement into articles, sections, subsections, paragraphs and subparagraphs
and the insertion of headings are for convenience of reference only and shall
not affect the construction or interpretation of the provisions of this
Agreement. The terms "this Agreement", "hereof", "herein", "hereunder" and
similar expressions refer to this Agreement and the schedules hereto as a
whole and not to any particular article, section, subsection, paragraph or
subparagraph hereof and include any agreement or instrument supplementary or
ancillary hereto.

SECTION 1.4  NUMBER AND GENDER.  Unless the context otherwise requires, words
importing the singular number only shall include the plural and vice versa
and words importing the use of either gender shall include both genders and
the neuter and words importing persons shall include firms and corporations.

<PAGE>
                                    - 6 -


SECTION 1.5  DATE FOR ANY ACTION.  In the event that any date on which any
action is required to be taken hereunder by any of the parties hereto is not
a Business Day, such action shall be required to be taken on the next
succeeding day which is a Business Day.

SECTION 1.6  MEANING.  Words and phrases used herein and defined in the OBCA
shall have the same meaning herein as in the OBCA, unless the context
otherwise requires.

SECTION 1.7  EXHIBITS.  The following are the Exhibits attached and
incorporated in this Agreement by reference and are deemed to be a part
hereof:

Exhibit A - Form of Lock-Up Agreement

Exhibit B - Form of Series A Warrant Certificate

Exhibit C - Form of Series B Warrant Certificate

Exhibit D - Form of Working Agreement


                                  ARTICLE TWO
                              BUSINESS COMBINATION

SECTION 2.1  Offer.  (a) MEII agrees to make an offer (the "Offer") on
substantially the terms and conditions provided for in this Agreement to
purchase all of the issued and outstanding YFMC Securities (other than YFMC
Options) on the basis of:

             (i)    one MEII Share for every 6.875 YFMC Shares;

             (ii)   one Series A Warrant for every eight YFMC Series A
                    Warrants held;

             (iii)  one Series B Warrant for every eight YFMC Series B
                    Warrants held; and

             (iv)   one MEII Share for each ten YFMC Preferred Shares held.

In addition, in connection with, but not as part of the Offer, with respect
to the outstanding YFMC Options, YFMC and MEII agree to substitute, subject
to obtaining all necessary approvals or consents of any Person, the right to
acquire MEII Shares at a price of US$1.75 per share on a basis consistent
with the exchange ratio for the YFMC Series A and Series B Warrants set out
above. MEII and YFMC agree to use reasonable commercial efforts to accomplish
the foregoing, including obtaining all necessary regulatory approvals or
consents of any Person, in a form acceptable to MEII and YFMC, acting
reasonably.

<PAGE>
                                    - 7 -


     (b)  The Offer will be made as promptly as practicable after the date
hereof, but in any event not later than 21 days following the date that all
of the conditions set out in Section 2.2 and Article 5 have been satisfied.

SECTION 2.2  LOCK-UP AGREEMENT.  The Offer is subject to the conditions set
out in Article 5 including, without limitation, the execution by the
Principal Shareholders of a lock-up agreement (the "LOCK-UP AGREEMENT") which
will be substantially in the form of Exhibit A annexed hereto.

SECTION 2.3  MAILING OF TAKE-OVER BID CIRCULAR.  (a) Subject to the
conditions set out in Article 5 hereof, upon the Principal Shareholders
executing the Lock-Up Agreement and depositing their YFMC Shares pursuant
thereto, MEII shall mail, and file with the Commissions, a take-over bid
circular (the "TAKE-OVER BID CIRCULAR") in order to effect the Offer.

     (b)  YFMC agrees to provide such information with respect to itself as
MEII may require, acting reasonably, for insertion in the Take-Over Bid
Circular and take all such steps and do all such acts and things as are
necessary or desirable to give full effect to the Offer, including providing
MEII with a current list of YFMC's securityholders of all classes, including
names, addresses and number of securities held and advising YFMC's registrar
and transfer agent to assist MEII in completing the Offer and the
transactions contemplated thereby and permitting YFMC's registrar and
transfer agent to act as depositary under the Offer.

SECTION 2.4  DIRECTORS' CIRCULAR.  Forthwith after MEII mails the Take-Over
Bid Circular to YFMC's shareholders, YFMC agrees to cause its board of
directors to:

     (a)  support the Offer and recommend acceptance of the Offer by the
          securityholders of YFMC; and

     (b)  prepare, file and mail, as required by applicable law, a directors'
          circular recommending the Offer.

SECTION 2.5  COMPULSORY ACQUISITION.  Subject to completion of the Offer,
MEII may acquire all outstanding YFMC Shares which it did not acquire
pursuant to the terms of the Offer under the compulsory acquisition
provisions of applicable corporate legislation.

SECTION 2.6  INVESTIGATIONS.  (a) Until completion of the Offer, MEII and its
solicitors, accountants, appraisers and other advisers shall, during normal
business hours, have full and complete access to the premises, books, leases
and other records of YFMC for the purposes of investigating its affairs. In
addition, YFMC shall make available to MEII such documents and data as MEII
may request, acting reasonably, relating to YFMC. All information, records
and data furnished to MEII and its representatives pursuant to this Section
shall, to the best of YFMC's knowledge and belief, be accurate in all
material respects.

<PAGE>
                                    - 8 -


     (b)  Until completion of the Offer, YFMC and its solicitors,
accountants, appraisers and other advisers shall, during normal business
hours, have full and complete access to the premises, books, leases and other
records of MEII for the purpose of investigating its affairs. In addition,
MEII shall make available to YFMC such documents and data as YFMC may
request, acting reasonably, relating to MEII. All information, records and
data furnished to MEII and its representatives pursuant to this Section
shall, to the best of MEII's knowledge and belief, be accurate in all
material respects.

SECTION 2.7  RETURN OF DOCUMENTS.  If the Offer shall not be completed in
accordance with its provisions, YFMC shall return to MEII all books,
accounts, records and other data of MEII (including any copies thereof) that
are in YFMC's possession, and MEII shall return to YFMC all books, accounts,
records and other data of YFMC (including any copies thereof) that are in
MEII's possession.

SECTION 2.8  CONFIDENTIALITY.  Notwithstanding any other provision of this
Agreement, in the event of the termination of this Agreement, MEII shall keep
confidential any information obtained relating to YFMC, and YFMC shall keep
confidential any information obtained relating to MEII (unless, in each case,
the information is readily ascertainable from public or published information
or until the same become so ascertainable) and shall return to the
appropriate party all copies of any exhibits, statements or other written
information obtained in connection herewith.

SECTION 2.9  EFFECTIVE DATE.  The business combination contemplated hereby
shall become effective upon completion of the Offer.


                                 ARTICLE THREE
                         REPRESENTATIONS AND WARRANTIES

SECTION 3.1  REPRESENTATIONS AND WARRANTIES OF MEII.  Subject to the
disclosure set out in the Take-Over Bid Circular, the MEII Annual Report, the
MEII Financial Statements, the MEII Press Releases, the Interim MEII
Financial Statements and the schedules hereto, MEII hereby represents and
warrants to and in favour of YFMC and the Principal Shareholders that:

     (a)  MEII has been duly incorporated and is a valid and subsisting
          corporation under the provisions of the OBCA, has all requisite
          corporate power and authority to carry on its business as now being
          carried on by it and to own or lease and operate its properties and
          assets and is duly licenced or otherwise qualified to carry on
          business in each jurisdiction in which a material amount of its
          business is conducted or wherein the character of the properties
          and assets now owned by it makes such qualification necessary;

<PAGE>
                                    - 9 -


     (b)  as of the date hereof, the issued and outstanding share capital of
          MEII consists of 3,095,544 MEII Shares and 500,000 preferred
          shares, all of which are outstanding as fully paid and
          non-assessable shares;

     (c)  to the best of its knowledge, MEII is in compliance with the UNITED
          STATES SECURITIES AND EXCHANGE ACT OF 1933, the rules and
          regulations of the SEC and the rules and policies of NASDAQ, and no
          material change relating to MEII has occurred within the past 24
          months which has not been publicly disclosed;

     (d)  all press releases, material change reports and other documents
          required to be filed with NASDAQ within the past 24 months have
          been filed by or on behalf of MEII and were true and correct in all
          material respects, provided full, true and plain disclosure of the
          matters referred to therein and did not contain any
          misrepresentation, as at the respective dates of such filings;

     (e)  no order ceasing or suspending trading in securities of MEII or
          prohibiting the sale of securities by MEII has been issued and, to
          the knowledge of MEII, no proceedings for this purpose have been
          instituted or are pending, contemplated or threatened;

     (f)  the execution, delivery and performance of this Agreement, the
          consummation of the Offer and the agreements, documents and
          transactions contemplated herein are within the corporate power and
          authority of MEII and, subject to MEII obtaining the approval of
          the Offer by the holders of MEII Shares, have been duly authorized
          by all necessary corporate action and this Agreement constitutes a
          valid and binding obligation of MEII, enforceable in accordance
          with its terms, subject to the customary qualifications for a
          commercial transaction of this nature;

     (g)  none of MEII or any of its Subsidiaries has any outstanding
          agreements, subscriptions, warrants, options or commitments, nor
          has it granted any rights or privileges capable of becoming an
          agreement, subscription, warrant, option or commitment obligating
          MEII or its Subsidiaries, as the case may be, to issue any
          additional shares or other securities, except as disclosed in the
          MEII Financial Statements or the Take-Over Bid Circular or in
          connection with the transactions contemplated by Section 4.1;

     (h)  the MEII Financial Statements present fairly all of the assets and
          liabilities of MEII on a consolidated basis and the financial
          condition and results of operations of MEII as at the dates thereof
          and for the financial periods then ended and have been prepared in
          accordance with Canadian generally accepted accounting principles
          applied on a consistent basis with that of prior periods, except as
          otherwise stated in the notes to the MEII Financial Statements;

<PAGE>
                                    - 10 -


     (i)  since December 31, 1998, there has been no Material Adverse Change
          with respect to MEII, on a consolidated basis, from that shown in
          the MEII Financial Statements, except as disclosed in the Interim
          MEII Financial Statements, the MEII Annual Report or the Take-Over
          Bid Circular;

     (j)  except for security granted by MEII and certain of its Subsidiaries
          to HongKong Bank of Canada or security granted in the ordinary
          course of business or as disclosed in the Take-Over Bid Circular or
          in the Interim MEII Financial Statements, each of MEII and its
          Subsidiaries is the beneficial owner of the properties and assets
          described as being owned by it in the Take-Over Bid Circular with
          good and marketable title thereto free and clear of material
          encumbrances and, in particular, MEII is the beneficial owner of
          the shares of its Subsidiaries as described in the Take-Over Bid
          Circular with good and marketable title thereto free and clear of
          any material covenant, condition or restriction on sale or other
          disposition, lien, charge, security interest or encumbrance, and no
          person has any agreement, option, right or privilege (including,
          without limitation, by law, pre-emptive right, contract or
          otherwise) to purchase, convert into, exchange for or otherwise
          acquire, nor any agreement, option, right or privilege capable of
          becoming any such agreement, option, right or privilege, any of
          such shares or any interest therein;

     (k)  none of MEII or any of its Subsidiaries has any liability or
          obligation, whether accrued, absolute, contingent or otherwise,
          other than contingent liability for GST, not reflected in the MEII
          Financial Statements, the Interim MEII Financial Statements or the
          Take-Over Bid Circular, except liabilities and obligations incurred
          in the ordinary course of its business since December 31, 1998,
          which liabilities and obligations are not materially adverse in the
          aggregate or which are disclosed in the Take-Over Bid Circular.

     (l)  each of the Subsidiaries of MEII that carries on a material portion
          of the business of MEII or which owns a material portion of the
          MEII Assets on a consolidated basis (meaning any Subsidiary the
          total assets of which constitute more than 10% of the consolidated
          assets of MEII or the total revenues of which constitute more than
          10% of the consolidated revenues of MEII, in each case, for the
          period ended March 31, 1999) is duly incorporated and is a valid
          and subsisting corporation under the laws of its jurisdiction of
          incorporation and has all requisite corporate power and authority
          to carry on its business as now carried on by it and to own or
          lease and to operate its properties and assets and is duly licenced
          or otherwise qualified in each jurisdiction in which a material
          amount of its business is conducted or wherein the character of the
          properties and assets now owned by it makes such qualification
          necessary;
<PAGE>

                                    - 11 -


     (m)  except as described in the Take-Over Bid Circular or as disclosed
          in the MEII Financial Statements or in the Interim MEII Financial
          Statements, there are no actions, suits, proceedings,
          investigations or outstanding claims or demands, whether or not
          purportedly on behalf of MEII or any of its Subsidiaries,
          instituted, pending or, to the knowledge of MEII, threatened
          against or affecting MEII or any of its Subsidiaries, at law or in
          equity or before or by any governmental department, commission,
          board, bureau, agency or instrumentality, domestic or foreign, or
          before any arbitrator, nor is there any judgment, order, decree or
          award of any court or other governmental authority having
          jurisdiction, obtained, pending or, to the knowledge of MEII, or
          any of its Subsidiaries, threatened, against MEII, or any of its
          Subsidiaries, which would prevent or materially hinder the
          consummation of the Offer or the other transactions contemplated by
          this Agreement or which would involve the reasonable possibility of
          any material judgment or liability, whether or not covered by
          insurance, or which in the aggregate would have a material adverse
          effect on the business, operations, properties, assets or
          condition, financial or otherwise, of MEII and its Subsidiaries on
          a consolidated basis and, to the knowledge of MEII, there are no
          grounds upon which any such actions, suits, proceedings,
          investigations, claims or demands may be commenced or made with a
          reasonable likelihood of success;

     (n)  except as set out in the Interim MEII Financial Statements with
          respect to quarterly dividends payable on MEII's preferred shares,
          since December 31, 1998, MEII has not declared or paid any
          dividends or made any distribution of its properties or assets to
          its shareholders and none of MEII or any of its Subsidiaries has
          disposed of any of its material properties or assets or incurred
          any material indebtedness except in the ordinary course of business
          or among its wholly-owned subsidiaries, except as disclosed in the
          Take-Over Bid Circular, the MEII Annual Report, the MEII Financial
          Statements or the Interim MEII Financial Statements;

     (o)  the business of MEII and its Subsidiaries is being conducted in all
          material respects in compliance with all material applicable laws,
          regulations and ordinances of all authorities having jurisdiction;

     (p)  each contract or agreement between MEII or any of its Subsidiaries
          and any other Person which is material to the ownership, use or
          operation of a material portion of the business, properties or
          assets of MEII or its Subsidiaries on a consolidated basis, is in
          full force and effect and, to the knowledge of MEII, is valid,
          binding and enforceable against each of the parties thereto in
          accordance with its terms, subject to the customary qualifications
          for a commercial transaction of such nature, and no material breach
          or default exists in respect thereof on the part of any party
          thereto,

<PAGE>

                                    - 12 -


          and no event has occurred which, with the giving of notice or the
          lapse of time or both, would constitute such a material breach or
          default;

     (q)  With the exception of obtaining the consent of NASDAQ and related
          MEII shareholder approval, the BSE and the SEC, MEII is not a party
          to or bound by any outstanding contract or agreement which requires
          the prior approval of any third parties to the completion of the
          Offer or of any other transaction contemplated hereby and none of
          the execution and delivery of this Agreement, the consummation of
          the transactions contemplated hereby or the fulfillment of or
          compliance with the terms and provisions hereof do or will, nor
          will they with the giving of notice or the lapse of time or both:

          (i)    violate any provision of any material, law or administrative
                 regulation or any material judicial or administrative order,
                 award, judgment or decree applicable to MEII or any of its
                 Subsidiaries;

          (ii)   conflict with any of the terms, conditions or provisions of
                 the Charter Documents of MEII or any of its Subsidiaries;

          (iii)  conflict with, result in a breach of, constitute a default
                 under, or accelerate or permit the acceleration of the
                 performance required by, any material agreement, covenant,
                 undertaking, commitment, instrument, judgment, order, decree
                 or award to which MEII or any of its Subsidiaries is a party
                 or by which it is bound or to which its property is subject;
                 or

          (iv)   result in the cancellation, suspension or material alteration
                 in the terms of any material licence, permit or authority
                 held by MEII or any of its Subsidiaries or in the creation of
                 any lien, charge, security interest or encumbrance in a
                 material amount upon any of the material assets of MEII or
                 any of its Subsidiaries under any such material agreement,
                 covenant, undertaking, commitment, instrument, judgment,
                 order, decree or award or give to any other Person any
                 material interest or rights, including rights of purchase,
                 termination, cancellation or acceleration, under any such
                 material agreement, covenant, undertaking, commitment,
                 instrument, judgment, order, decree or award;

     (r)  except as described in the Take-Over Bid Circular, MEII has not
          incurred any liability for brokerage fees, finder's fees, agent's
          commissions or other similar forms of compensation in connection
          with this Agreement or the transactions contemplated hereby;

     (s)  the Take-Over Bid Circular contains full, true and plain disclosure
          of all material facts relating to MEII and does not contain an
          untrue statement of

<PAGE>

                                    - 13 -


          any material fact concerning MEII and does not omit to state a
          material fact concerning MEII that is required to be stated or that
          is necessary to make a statement contained therein not misleading
          in light of the circumstances in which it was made;

     (t)  other than as disclosed in writing to YFMC or as disclosed in the
          MEII Financial Statements or the Take-Over Bid Circular, MEII has
          no material Subsidiaries or agreements of any nature to acquire any
          Subsidiary or any interest in any other Person or to acquire or
          lease any other business operations out of the ordinary course (for
          purposes hereof, ordinary course includes the direct or indirect
          acquisition of businesses related to the business of MEII);

     (u)  since March 31, 1999, MEII has:

          (i)    not amended its articles, by-laws or other constating
                 documents;

          (ii)   conducted its business and that of each of its Subsidiaries
                 in all material respects in the ordinary course (for
                 purposes hereof, ordinary course includes the direct or
                 indirect acquisition of businesses related to the business
                 of MEII);

          (iii)  not suffered (on a consolidated basis) any Material Adverse
                 Change or any occurrences or circumstances which have
                 resulted or might reasonably be expected to result in a
                 Material Adverse Change;

          (iv)   not made any change in its accounting principles and
                 practices as theretofore applied, including, without
                 limitation, the basis upon which its assets and liabilities
                 are recorded on its books and its earnings and profits and
                 losses are ascertained; and

          (v)    other than as disclosed to YFMC and except for changes
                 resulting from negotiations currently ongoing with certain
                 senior officers, maintained in effect (on a consolidated
                 basis) salary and other compensation levels in accordance with
                 its then existing salary administration program;

     (v)  all filings made by MEII or any of its Subsidiaries under which it
          has received or is entitled to government incentives, have been
          made in accordance, in all material respects, with all applicable
          legislation and contain no misrepresentations of material fact or
          omit to state any material fact which could cause any amount
          previously paid to MEII or its Subsidiaries or previously accrued
          on the accounts thereof to be recovered or disallowed;

<PAGE>

                                    - 14 -


     (w)  MEII has not received any notices of material violation or alleged
          material violation of the provisions of any agreement in respect of
          the MEII Assets and, to the knowledge of MEII, the properties and
          assets comprising the MEII Assets have been used and operated, as
          the case may be, in accordance with all material agreements that
          relate to them;

     (x)  all ad valorem, property, production, severance and similar taxes and
          assessments based on or measured by the ownership of the MEII Assets
          or the receipt of proceeds therefrom payable in respect of or in
          relation to any MEII Assets have been properly and fully paid and
          discharged or have been properly accrued on the books of MEII and
          each of its Subsidiaries;

     (y)  all material documents and agreements of whatsoever nature and kind
          affecting title to the MEII Assets which are in the possession of
          MEII or of which MEII is otherwise aware have been made available for
          review by YFMC;

     (z)  to its knowledge, MEII has done no act or thing, nor has MEII
          suffered or permitted any act or omission, whereby its title to any
          of the MEII Assets may be cancelled or terminated, except as
          disclosed in the MEII Annual Report or the Take-Over Bid Circular;

     (aa) to MEII's knowledge, MEII has been and is in compliance in all
          material respects with all governmental laws, regulations, orders,
          decrees or ordinances with respect to environmental, health and
          safety matters (collectively, "Environmental Laws") and MEII has
          received no written notice of non-compliance, and for greater
          certainty and without limiting the foregoing, to MEII's knowledge:

          (i)    there have been no unrectified spills, releases, deposits or
                 discharges of hazardous or toxic substances, contaminants or
                 wastes on any of the real property owned or leased by MEII or
                 any of its Subsidiaries or under their respective control, nor
                 has any such real property been used at any time by any person
                 as a landfill or waste disposal site;

          (ii)   there have been no releases, deposits or discharges in
                 violation of Environmental Laws of any hazardous or toxic
                 substances, contaminants or wastes into the earth, air or into
                 any body of water or any municipal or other sewer or drain
                 water systems by any of MEII or its Subsidiaries;

          (iii)  no orders, directions or notices have been issued and remain
                 outstanding pursuant to any Environmental Laws relating to the
                 business or assets of MEII or any of its Subsidiaries; and
<PAGE>

                                     - 15 -


          (iv)   each of MEII and its Subsidiaries holds all material licences,
                 permits and approvals required under any Environmental Laws in
                 connection with the operation of its business and the
                 ownership and use of its assets, all such licences, permits
                 and approvals are in full force and effect and none of MEII
                 or its Subsidiaries has received any notification pursuant to
                 any Environmental Laws that any repairs, construction or
                 capital expenditures are required to be made by it as a
                 condition of continued compliance with any Environmental Laws,
                 or any licence, permit or approval issued pursuant thereto, or
                 that any licence, permit or approval referred to above is
                 about to be reviewed, made subject to limitations or
                 conditions, revoked, withdrawn or terminated;

     (bb) each of MEII and/or its Subsidiaries has all necessary governmental
          authorizations and permits required to enable them to carry on their
          respective businesses as conducted by them and all such licenses,
          permits and approvals are in full force and effect;

     (cc) MEII is not aware of any material Y2K issues relating to the business
          and operations of MEII and its Subsidiaries, other than those
          disclosed in the public record of MEII or disclosed to YFMC;

     (dd) the board of directors of MEII has reserved and allotted to the
          holders of YFMC Securities that accept the Offer a sufficient number
          of MEII Securities to give effect to the Offer, and upon acceptance
          of the Offer in accordance with the terms thereof, the MEII
          Securities issuable in connection therewith will be validly issued
          and, in the case of the MEII Shares, will be fully paid and
          non-assessable to previous holders of YFMC Securities who accept the
          Offer and MEII is not aware of any restrictions which would preclude
          it from effecting the grant of options to acquire MEII Shares
          contemplated by Section 2.1 hereof;

     (ee) the MEII Shares will, upon the closing of the Offer, be qualified
          investments for trusts governed by registered retirement savings
          plans and registered retirement income funds, in each case, within
          the meaning of the ITA; and

     (ff) MEII acknowledges that it has been advised of the claim of Wilson
          against Dr. Benoit, and notwithstanding anything to the contrary
          contained herein, MEII has no objection to, and agrees that no
          provision of this Agreement shall preclude, Wilson from pursuing
          such claim.

SECTION 3.2  REPRESENTATIONS AND WARRANTIES OF YFMC AND THE PRINCIPALS.
Subject to the disclosure set out in the Take-Over Bid Circular, the YFMC
Financial Statements, the YFMC Press Releases and the Interim YFMC Financial
Statements, each of YFMC
<PAGE>

                                     - 16 -


and, to the best of their knowledge, information and belief, the Principals
hereby represent and warrant to and in favour of MEII that:

     (a)  YFMC has been duly continued and is a valid and subsisting
          corporation under the provisions of the OBCA, has all requisite
          corporate power and authority to carry on its business as now being
          carried on by it and to own or lease and operate its properties and
          assets and is duly licenced or otherwise qualified to carry on
          business in each jurisdiction in which a material amount of its
          business is conducted or wherein the character of the properties and
          assets now owned by it makes such qualification necessary;

     (b)  as of the date hereof, the issued and outstanding share capital of
          YFMC consists of 10,710,143 YFMC Shares and 1,000,000 YFMC Preferred
          Shares, all of which are issued and outstanding as fully paid and
          non-assessable shares;

     (c)  YFMC is a reporting issuer "not in default" under the securities laws
          of Alberta and Ontario and, to the best of the knowledge of YFMC and
          the Principals, is in compliance with the by-laws, rules and
          regulations of the ASE and no material change relating to YFMC has
          occurred within the past 24 months which has not been publicly
          disclosed;

     (d)  all press releases, material change reports and other documents
          required to be filed with the OSC or the ASE within the past 24
          months have been filed by or on behalf of YFMC and were true in all
          material respects, provided full, true and plain disclosure of the
          matters referred to therein and did not contain any
          misrepresentation, as at the respective dates of such filings;

     (e)  no order ceasing or suspending trading in securities of YFMC or
          prohibiting the sale of securities by YFMC has been issued and, to
          the knowledge of YFMC and the Principals, no proceedings for this
          purpose have been instituted, or are pending, contemplated or
          threatened.

     (f)  the execution, delivery and performance of this Agreement, the
          consummation of the Offer and the agreements, documents and
          transactions contemplated herein are within the corporate power and
          authority of YFMC and have been duly authorized by all necessary
          corporate action and this Agreement constitutes a valid and binding
          obligation of YFMC, enforceable in accordance with its terms, subject
          to customary qualifications for a commercial transaction of this
          nature;

     (g)  none of YFMC or any of its Subsidiaries has any outstanding
          agreements, subscriptions, warrants, options or commitments, nor has
          it granted any rights or privileges capable of becoming an agreement,
          subscription,
<PAGE>

                                     - 17 -


          warrant, option or commitment obligating YFMC or its Subsidiaries as
          the case may be, to issue any additional shares or other securities,
          except for YFMC Preferred Shares, YFMC Series A Warrants, YFMC Series
          B Warrants, YFMC Options and up to an aggregate of 361,536 YFMC
          Shares which may be issued within the next 30 days;

     (h)  the YFMC Financial Statements present fairly all of the assets and
          liabilities of YFMC and the financial condition and results of
          operations of YFMC as at the dates thereof and for the financial
          periods then ended and have been prepared in accordance with Canadian
          generally accepted accounting principles applied on a consistent
          basis with that of prior periods, except as otherwise stated in the
          notes to the YFMC Financial Statements;

     (i)  with the exception of the lost contract with Dynacare Laboratories,
          which has been previously been disclosed to MEII in writing, since
          December 31, 1998, there has been no Material Adverse Change with
          respect to YFMC from that shown in the YFMC Financial Statements,
          except as disclosed in the Interim YFMC Financial Statements, the
          Take-Over Bid Circular;

     (j)  except for security granted by YFMC and certain of its subsidiaries
          to the Bank of Nova Scotia in respect of a $350,000 operating line
          and a lending facility in the aggregate principal amount of $350,000,
          of which approximately $58,000 has been drawn down, the
          Toronto-Dominion Bank with respect to a $250,000 operating line and a
          lending facility of $500,000, of which approximately $300,000 has
          been drawn down, in favour of YFMC Healthcare (Alberta) Inc., in each
          case, with such bank, S.K. Rajpal Professional Corporation and Y.
          Seedat Professional Corporation pursuant to a general security
          agreement (with respect to the McKnight principals) and 540074
          Alberta Ltd. with respect to a general security agreement granted by
          YFMC Healthcare (Alberta) Inc., which obligations are guaranteed by
          YFMC to the aggregate amount of $100,000 (with respect to the
          Martindale principal) or security granted in the ordinary course of
          business or as disclosed in the Take-Over Bid Circular or in the
          Interim YFMC Financial Statements, each of YFMC and its Subsidiaries
          is the beneficial owner of the properties and assets described as
          being owned by it in the Take-Over Bid Circular with good and
          marketable title thereto free and clear of material encumbrances,
          and, in particular, YFMC is the beneficial owner of the shares of its
          Subsidiaries as described in the Take-Over Bid Circular with good and
          marketable title thereto free and clear of any material covenant,
          condition or restriction on sale or other disposition, lien, charge,
          security interest or encumbrance, and no person has any agreement,
          option, right or privilege (including, without limitation, by law,
          pre-emptive right, contract or otherwise) to
<PAGE>

                                     - 18 -


          purchase, convert into, exchange for or otherwise acquire, nor any
          agreement, option, right or privilege capable of becoming any such
          agreement, right, option or privilege, any of such securities or any
          interest therein;

     (k)  none of YFMC or any of its Subsidiaries has any liability or
          obligation, whether accrued, absolute, contingent or otherwise, not
          reflected in the YFMC Financial Statements, the Interim YFMC
          Financial Statements or the Take-Over Bid Circular, except
          liabilities and obligations incurred in the ordinary course of
          business since December 31, 1998, which liabilities and obligations
          are not materially adverse in the aggregate or which are disclosed
          in the Take-Over Bid Circular;

     (l)  each of the Subsidiaries of YFMC that carries on a material portion
          of the business of YFMC or which owns a material portion of the YFMC
          Assets on a consolidated basis (meaning any Subsidiary the total
          assets of which constitute more than 10% of the consolidated assets
          of YFMC or the total revenues of which constitute more than 10% of
          the consolidated revenues of YFMC, in each case, for the period
          ended March 31, 1999) is duly incorporated and is a valid and
          subsisting corporation under the laws of its jurisdiction of
          incorporation and has all requisite corporate power and authority to
          carry on its business as now carried on by it and to own or lease and
          to operate its properties and assets and is duly licenced or
          otherwise qualified in each jurisdiction in which a material amount
          of its business is conducted or wherein the character of the
          properties and assets now owned by it makes such qualification
          necessary;

     (m)  except as described in the Take-Over Bid Circular, or as disclosed in
          the YFMC Financial Statements or in the Interim YFMC Financial
          Statements, there are no actions, suits, proceedings, investigations
          or outstanding claims or demands, whether or not purportedly on
          behalf of YFMC or any of its Subsidiaries, instituted, pending, or,
          to the knowledge of YFMC and the Principals, threatened against or
          affecting of YFMC or any of its Subsidiaries at law or in equity or
          before or by any governmental department, commission, board, bureau,
          agency or instrumentality, domestic or foreign, or before any
          arbitrator, nor is there any judgment, order, decree or award of any
          court or other governmental authority having jurisdiction, obtained,
          pending or, to the knowledge of YFMC and the Principals, threatened
          against YFMC or any of its Subsidiaries which would prevent or
          materially hinder the consummation of the Offer or the other
          transactions contemplated by this Agreement or which would involve
          the reasonable possibility of any material judgment or liability,
          whether or not covered by insurance, or which in the aggregate would
          have a material adverse effect on the business, operations,
          properties, assets or condition, financial or otherwise, of YFMC and
          its
<PAGE>

                                     - 19 -


          Subsidiaries, on a consolidated basis, and to the knowledge of YFMC
          and the Principals, there are no grounds upon which any such actions,
          suits, proceedings, investigations, claims or demands may be
          commenced or made with a reasonable likelihood of success;

     (n)  with the exception of an aggregate of approximately $5,000 in accrued
          dividends payable on the YFMC Preferred Shares which relate to a
          period prior to June 30, 1999, since December 31, 1998, YFMC has not
          declared or paid any dividends or made any distribution of its
          properties or assets to its shareholders and none of YFMC or any of
          its Subsidiaries has disposed of any of its material properties or
          assets or incurred any material indebtedness, with the exception of
          financial arrangements which YFMC has entered into with the
          Toronto-Dominion Bank, except in the ordinary course of business or
          among its wholly-owned subsidiaries, except as disclosed in the
          Take-Over Bid Circular, the YFMC Financial Statements or the Interim
          YFMC Financial Statements;

     (o)  the business of YFMC and its Subsidiaries is being conducted in all
          material respects in compliance with all material applicable laws,
          regulations and ordinances of all authorities having jurisdiction;

     (p)  each contract or agreement between YFMC or any of its Subsidiaries
          and any other Person which is material to the ownership, use or
          operation of a material portion of the business, properties or assets
          of YFMC or its Subsidiaries on a consolidated basis, is in full force
          and effect and, to the knowledge of YFMC and the Principals, is
          valid, binding and enforceable against each of the parties thereto in
          accordance with its terms, subject to the customary qualifications
          for a commercial transaction of this nature, and no material breach
          or default exists in respect thereof on the part of any party thereto
          and no event has occurred which, with the giving of notice or the
          lapse of time or both, would constitute such a material breach or
          default;

     (q)  with the exception of obtaining the consent of the ASE and the ASC
          for the release from escrow of the YFMC Shares of the Principal
          Shareholders and certain other shareholders and consents required
          pursuant to change of control clauses in leases with landlords and
          the financial institutions set forth in a list dated July 29, 1999
          provided to MEII, none of the execution and delivery of this
          Agreement, the consummation of the transactions contemplated hereby
          or the fulfillment of or compliance with the terms and provisions
          hereof do or will, nor will they with the giving of notice or the
          lapse of time or both:
<PAGE>

                                     - 20 -


          (i)    violate any provision of any material law or administrative
                 regulation or any material judicial or administrative order,
                 award, judgment or decree applicable to YFMC or any of its
                 Subsidiaries;

          (ii)   conflict with any of the terms, conditions or provisions of
                 the Charter Documents of YFMC or any of its Subsidiaries;

          (iii)  conflict with, result in a breach of, constitute a default
                 under, or accelerate or permit the acceleration of the
                 performance required by, any material agreement, covenant,
                 undertaking, commitment, instrument, judgment, order, decree
                 or award to which YFMC or any of its Subsidiaries is a party
                 or by which any of them is bound or to which the property of
                 any of them is subject; or

          (iv)   result in the cancellation, suspension or material alteration
                 in the terms of any material licence, permit or authority held
                 by YFMC or any of its Subsidiaries or in the creation of any
                 lien, charge, security interest or encumbrance in a material
                 amount upon any material assets of YFMC or any of its
                 Subsidiaries under any such material agreement, covenant,
                 undertaking, commitment, instrument, judgment, order, decree
                 or award or give to any other Person any material interest or
                 rights, including rights of purchase, termination,
                 cancellation or acceleration, under any such material
                 agreement, covenant, undertaking, commitment, instrument,
                 judgment, order, decree or award;

     (r)  except as described in the Take-Over Bid Circular, YFMC has not
          incurred any liability for brokerage fees, finder's fees, agent's
          commissions or other similar forms of compensation in connection with
          this Agreement or the transactions contemplated hereby;

     (s)  the Take-Over Bid Circular contains full, true and plain disclosure
          of all material facts relating to YFMC and does not contain an untrue
          statement of a material fact concerning YFMC and does not omit to
          state a material fact concerning YFMC that is required to be stated
          or that is necessary to make a statement contained therein not
          misleading in the light of the circumstances in which it was made;

     (t)  other than as disclosed in writing to MEII or as disclosed in the
          YFMC Financial Statements or the Take-Over Bid Circular, YFMC has no
          material Subsidiaries or agreements of any nature to acquire any
          Subsidiary or any interest in any other Person, or to acquire or
          lease any other business operations out of the ordinary course;
<PAGE>

                                     - 21 -


     (u)  the respective minute books of YFMC and its Subsidiaries are complete
          and correct in all material respects and contain the minutes of all
          meetings and all resolutions of the directors and shareholders
          thereof;

     (v)  since December 31, 1998, YFMC has:

          (i)    not amended its articles, by-laws or other constating
                 documents;

          (ii)   conducted its business and that of each of its Subsidiaries in
                 all material respects in the ordinary course;

          (iii)  not suffered (on a consolidated basis) any Material Adverse
                 Change or any occurrences or circumstances which have resulted
                 or might reasonably be expected to result in a Material
                 Adverse Change;

          (iv)   not made any change in its accounting principles and practices
                 as theretofore applied including, without limitation, the
                 basis upon which its assets and liabilities are recorded on
                 its books and its earnings and profits and losses are
                 ascertained; and

          (v)    maintained in effect (on a consolidated basis) salary and
                 other compensation levels in accordance with its then existing
                 salary administration program;

     (w)  each of YFMC and its Subsidiaries:

          (i)    has duly and in a timely manner filed all returns, elections,
                 filings and reports required pursuant to any income, sales or
                 value added tax legislation of any jurisdictions having
                 jurisdiction over the affairs of YFMC or any of its
                 Subsidiaries for all prior periods in respect of which such
                 filings have heretofore been required, and such filings are
                 substantially true, complete and correct, the tax liability of
                 YFMC and each of its Subsidiaries is as indicated by the above
                 returns and filings, and YFMC and each of its Subsidiaries has
                 made timely payment of or has duly and properly accrued on the
                 books thereof, the taxes (including interest and penalties
                 thereon) shown in these returns and filings, with respect to
                 periods ending on or prior to the date hereof, and any
                 subsequent assessments, reassessments or determinations
                 thereof;

          (ii)   has made adequate provision for taxes or other amounts payable
                 pursuant to any legislation referred to in (i) above for the
                 current period for which returns, reports, elections or other
                 filings are not yet required to be filed, and has paid all
                 required installments of
<PAGE>

                                     - 22 -


                 income, capital, property and business taxes payable on
                 account of the current period;

          (iii)  is not aware of any contingent tax liability or any grounds
                 that could prompt an assessment or reassessment, other than a
                 potential PST liability in the Province of Quebec estimated at
                 approximately $10,000, and has not received any indication
                 from any taxation authorities that an assessment or
                 reassessment, regardless of its merits, is proposed or is
                 under consideration, other than as disclosed in the YFMC
                 Financial Statements or the Take-Over Bid Circular;

          (iv)   is not a party to any agreements or waivers extending the
                 statutory period of limitations applicable to any federal,
                 provincial or other tax return for any period;

          (v)    has withheld, and will continue to withhold until the date of
                 closing of the Offer, from each payment made to any of its
                 officers, directors and employees, former officers, directors
                 and employees and to all non-residents of Canada and other
                 persons with respect to whom it is required by law to withhold
                 any amounts, the amount of all taxes (including, without
                 limitation, income tax) and other deductions required to be
                 withheld therefrom and has paid the same to the proper tax or
                 other authority within the time required under any applicable
                 legislation; and

          (vi)   has not undergone an acquisition of control, for the purposes
                 of the ITA or any relevant provincial statute, that would
                 affect any taxation years of such corporations ending before
                 the date hereof, except as a result of transactions
                 contemplated by this Agreement;

     (x)  all filings made by YFMC or any of its Subsidiaries under which it
          has received or is entitled to government incentives, have been made
          in accordance, in all material respects, with all applicable
          legislation and contain no misrepresentations of material fact or
          omit to state any material fact which could cause any amount
          previously paid to YFMC or its Subsidiaries or previously accrued on
          the accounts thereof to be recovered or disallowed;

     (y)  neither YFMC nor any of its Subsidiaries is a party to any written
          contracts of employment, management services contracts or collective
          bargaining agreements, other than as disclosed in the Take-Over Bid
          Circular or entered into in the ordinary course of business;
<PAGE>

                                     - 23 -


     (z)  YFMC has not received any notices of material violation or alleged
          material violation of the provisions of any agreement in respect of
          the YFMC Assets and to the knowledge of YFMC and the Principals, the
          properties and assets comprising the YFMC Assets have been used and
          operated in accordance with all material agreements that relate to
          them;

     (aa) all ad valorem, property, production, severance and similar taxes and
          assessments based on or measured by the ownership of the YFMC Assets
          or the receipt of proceeds therefrom payable in respect of or in
          relation to any YFMC Assets have been properly and fully paid and
          discharged or have been properly accrued on the books of YFMC and
          each of its Subsidiaries;

     (bb) all material documents and agreements of whatsoever nature and kind
          affecting title to the YFMC Assets which are in the possession of
          YFMC or of which YFMC is otherwise aware have been made available
          for review by MEII;

     (cc) to the knowledge of YFMC and the Principals, YFMC has done no act or
          thing, nor has YFMC suffered or permitted any act or omission,
          whereby its title to any material YFMC Assets may be cancelled or
          terminated, except as disclosed in the Take-Over Bid Circular;

     (dd) to the knowledge of YFMC and the Principal Shareholders, YFMC has
          been and is in compliance in all material respects with all
          Environmental Laws and YFMC has received no written notice of
          non-compliance, and does not know, and does not have reasonable
          grounds to know, of any facts which could give rise to a notice of
          non-compliance, and for greater certainty and without limiting the
          foregoing, to the knowledge of YFMC and the Principals:

          (i)    there have been no unrectified spills, releases, deposits or
                 discharges of hazardous or toxic substances, contaminants or
                 wastes on any of the real property owned or leased by YFMC or
                 any of its Subsidiaries or under their respective control,
                 nor has any such real property been used at any time by any
                 person as a landfill or waste disposal site;

          (ii)   there have been no releases, deposits or discharges in
                 violation of Environmental Laws of any hazardous or toxic
                 substances, contaminants or wastes into the earth, air or into
                 any body of water or any municipal or other sewer or drain
                 water systems by YFMC or its Subsidiaries;
<PAGE>

                                     - 24 -


          (iii)  no orders, directions or notices have been issued and remain
                 outstanding pursuant to any Environmental Laws relating to the
                 business or assets of YFMC or any of its Subsidiaries; and

          (iv)   each of YFMC and its Subsidiaries holds all material licences,
                 permits and approvals required under any Environmental Laws in
                 connection with the operation of its business and the
                 ownership and use of its assets, all such licences, permits
                 and approvals are in full force and effect, and none of YFMC
                 or its Subsidiaries has received any notification pursuant to
                 any Environmental Laws that any work, repairs, construction or
                 capital expenditures are required to be made by it as a
                 condition of continued compliance with any Environmental Laws
                 or any licence, permit or approval issued pursuant thereto, or
                 that any licence, permit or approval referred to above is
                 about to be reviewed, made subject to limitations or
                 conditions, revoked, withdrawn or terminated;

     (ee) there is no fact which YFMC has not disclosed to MEII in writing with
          reasonable specificity and detail of which any of its directors,
          officers or members of senior management is aware and which has or
          would reasonably be expected to have a material adverse effect on
          YFMC or materially impede the completion of the Offer or the other
          transactions contemplated in this Agreement;

     (ff) each of YFMC and/or its Subsidiaries has all necessary governmental
          authorizations and permits required to enable them to carry on their
          respective businesses as conducted by them and all such licenses,
          permits and approvals are in full force and effect and neither YFMC
          or its Subsidiaries has received any notification pursuant to
          applicable laws that any matters must be undertaken by them as a
          condition of the continued compliance of any such licenses, permits
          and approvals or any license, permit or approval issued to them is
          about to be reviewed, made subject to limitations or conditions,
          revoked, withdrawn or terminated;

     (gg) YFMC is not aware of any material Y2K issues relating to the business
          and operations of YFMC and its Subsidiaries, other than those
          disclosed in the public record of YFMC; and

     (hh) to the knowledge of YFMC, based solely on a review of its
          shareholders' list of recent date, all of the registered and
          beneficial owners of YFMC securities are residents of Ontario,
          Alberta and Quebec.
<PAGE>

                                     - 25 -


SECTION 3.3 SURVIVAL OF REPRESENTATIONS AND WARRANTIES OF THE PRINCIPALS AND
MEII.

     The representations and warranties contained herein and given by the
Principals to MEII and given by MEII to the Principals shall, in each case,
survive the completion of the transaction contemplated by the Offer for a
period of 18 months thereafter.


                                  ARTICLE FOUR
                                    COVENANTS

SECTION 4.1  COVENANTS OF MEII.  Until the transaction contemplated by the
Offer is completed or this Agreement is terminated, MEII hereby covenants and
agrees with YFMC and the Principals as follows:

     (a)  MEII and its Subsidiaries will carry on business in the ordinary
          course consistent with past practice (for purposes hereof, carrying
          on business in the ordinary course includes the direct or indirect
          acquisition of businesses related to the business of MEII), except as
          contemplated in the Working Agreement, this Agreement, the Interim
          MEII Financial Statements, the MEII Annual Report or the Take-Over
          Bid Circular, or as disclosed in writing to YFMC or as otherwise
          agreed in writing by YFMC, acting reasonably and MEII shall keep
          YFMC apprised of all material developments relating thereto;

     (b)  MEII will not, and will not permit any of its Subsidiaries to, alter
          or amend its Charter Documents as the same exist at the date of this
          Agreement;

     (c)  MEII will not, and will not permit any of its Subsidiaries to,
          subdivide, consolidate, redeem, purchase, offer to purchase or
          otherwise acquire or reclassify any of its outstanding shares of any
          class, declare any dividends (with the exception of dividends paid on
          MEII's preferred shares in the ordinary course) or make other
          distributions (whether in cash, shares or property, or any
          combination thereof) or reduce the stated capital in respect of its
          shares of any class;

     (d)  MEII will:

          (i)    make all required filings pursuant to the SECURITIES EXCHANGE
                 ACT OF 1934, as amended; and

          (ii)   use its reasonable best efforts to maintain the NASDAQ
                 SmallCap Market listing of the MEII Shares;
<PAGE>

                                     - 26 -


     (e)  MEII will use its reasonable best efforts to obtain listing on NASDAQ
          and the BSE of the MEII Shares to be issued pursuant to the Offer and
          the MEII Shares issuable upon exercise of MEII Securities issued
          pursuant to or in connection with the Offer which contain rights to
          receive MEII Shares;

     (f)  subject to Section 2.1 hereof, MEII will, in a timely and expeditious
          manner, file the Take-Over Bid Circular in all jurisdictions where it
          is required to be filed and mail the same to YFMC's shareholders in
          accordance with applicable law;

     (g)  MEII will use its reasonable best efforts to do all such other acts
          and things as may be necessary or required in order to give effect to
          the Offer and, without limiting the generality of the foregoing, MEII
          will use its reasonable best efforts to apply for and/or obtain such
          other consents, orders and approvals as counsel may advise are
          necessary or desirable for the implementation of the Offer, including
          those referred to in Sections 5.1 and 5.2 hereof;

     (h)  MEII will use its reasonable best efforts to cause each of the
          conditions precedent set forth in Article Five hereof to be complied
          with on or before the date of closing of the Offer and will not take
          or fail to take any action reasonably within its control which would
          result in a condition precedent to the Offer not being satisfied;

     (i)  except as may be required to complete the Offer, MEII nor any other
          party acting jointly or in concert with MEII shall acquire or dispose
          of securities of YFMC, directly or indirectly, except pursuant to
          existing rights and obligations, during the period commencing on the
          date hereof and ending on the date of termination of this Agreement;

     (j)  at the meeting of MEII shareholders held to approve the transaction,
          MEII shall include a proposal to reconstitute its board of directors
          such that the same will include one (1) nominee of YFMC, who will be
          either Martin Scullion or Donald Wilson, with the understanding that
          the resignation of such individual(s) shall be held by Blake, Cassels
          & Graydon, in trust and shall be released to MEII if the Offer does
          not proceed or is not consummated and shall be of no force and effect
          if MEII takes up and pays for the YFMC Securities of PRAL or 977675,
          as applicable, under the Offer; and

     (k)  MEII shall not withdraw the Offer prior to the time of expiry of the
          Offer and will take up and pay for the YFMC Securities tendered
          pursuant to the Offer if all of the conditions to the Offer are
          satisfied or waived.
<PAGE>

                                     - 27 -


SECTION 4.2  COVENANTS OF YFMC AND THE PRINCIPALS.  Until the transaction
contemplated by the Offer is completed or this Agreement is terminated, YFMC
hereby covenants and agrees with MEII, and the Principals covenant and agree
with MEII to use their reasonable best efforts to cause YFMC, to do the
following:

     (a)  YFMC and its Subsidiaries will carry on business in the ordinary
          course consistent with past practice and will not enter into any
          transaction or incur any material obligation or liability out of
          the ordinary course of business, except as contemplated in the
          Working Agreement, this Agreement, the Interim YFMC Financial
          Statements, the Take-Over Bid Circular or as otherwise agreed in
          writing by MEII, acting reasonably and YFMC shall keep MEII
          apprised of material developments relating thereto;

     (b)  with the exception of matters previously disclosed in writing to
          MEII prior to the date hereof, without the prior written consent of
          MEII, which consent will not be unreasonably withheld, YFMC will not,
          and will not permit any of its Subsidiaries to, merge into or with,
          or amalgamate or consolidate with, or enter into any other corporate
          reorganization with, any other corporation or person or perform any
          act or enter into any transaction or negotiation which interferes or
          is inconsistent with the completion of the transactions contemplated
          hereby or would render inaccurate in any material respect any of the
          representations and warranties set forth in Section 3.2 hereof if
          such representations and warranties were made at a date subsequent to
          such act, negotiation or transaction and all references to the date
          of this Agreement were deemed to be such later date, as contemplated
          in this Agreement, the Take-Over Bid Circular, the Interim YFMC
          Financial Statements, and, without limiting the generality of the
          foregoing, YFMC will not, and will not permit any of its
          Subsidiaries to:

          (i)    make any distribution by way of dividend, return of capital or
                 otherwise to or for the benefit of its shareholders;

          (ii)   issue any shares, except upon the due exercise of outstanding
                 options, warrants or other rights to purchase YFMC Shares, or
                 other securities convertible into or exchangeable for shares
                 or enter into any commitment or agreement therefor except as
                 contemplated in the Take-Over Bid Circular;

          (iii)  increase or decrease its paid-up capital; or

          (iv)   enter into any Non-Arm's Length Transactions;
<PAGE>

                                     - 28 -


     (c)  YFMC will not, and will not permit any of its Subsidiaries to,
          alter or amend its Charter Documents as the same exist at the date of
          this Agreement;

     (d)  YFMC will not, and will not permit any of its Subsidiaries to,
          subdivide, consolidate, redeem, purchase, offer to purchase or
          otherwise acquire or reclassify any of its outstanding shares,
          declare any dividends or make other distributions (whether in cash,
          shares or property, or any combination thereof) or reduce the stated
          capital in respect of its shares;

     (e)  YFMC will use its reasonable best efforts to maintain its status as a
          reporting issuer "not in default" under the securities laws of
          Alberta and Ontario and will use its reasonable best efforts to
          remain in compliance with the by-laws, rules and regulations of the
          ASE such that no order ceasing or suspending trading in securities of
          YFMC or prohibiting the sale of securities by YFMC will be
          instituted, contemplated or threatened;

     (f)  YFMC will use it reasonable best efforts to assist MEII in obtaining
          listing on NASDAQ and the BSE of the MEII Shares to be issued
          pursuant to or in connection with the Offer and the MEII Shares
          issuable upon the exercise of MEII Securities issued pursuant to the
          Offer which contain rights to receive MEII Shares;

     (g)  YFMC will not, and will not permit any of its Subsidiaries to, engage
          in any business, enterprise or activity materially different from
          that carried on by it at the date of this Agreement or enter into any
          transaction or incur any obligation if the same would have a material
          adverse effect on YFMC or the Offer, other than in the ordinary
          course of business;

     (h)  YFMC will use its reasonable best efforts to do all such other acts
          and things as may be necessary or required in order to give effect to
          the Offer and, without limiting the generality of the foregoing, YFMC
          will use its reasonable best efforts to apply for and/or obtain such
          other consents, orders and approvals as counsel may advise are
          necessary or desirable for the implementation of the Offer, including
          those referred to in Section 5.1 hereof;

     (i)  YFMC will use its reasonable best efforts to cause each of the
          conditions precedent set forth in Article Five hereof to be complied
          with on or before the date of closing of the Offer and will not take
          or fail to take any action reasonably within its control which would
          result in a condition precedent to the Offer not being satisfied;

     (j)  YFMC agrees that it shall not solicit any offers to purchase any of
          its shares or any of its material assets and will not initiate,
          encourage or participate, directly or indirectly, in any discussions
          or negotiations with
<PAGE>

                                     - 29 -


          any third party with respect to such a transaction or similar
          business combination during the period commencing on the date hereof
          and ending on the date of termination of this Agreement;

     (k)  YFMC nor any other party acting jointly or in concert with YFMC shall
          acquire or dispose of securities of MEII, directly or indirectly,
          except pursuant to existing rights and obligations, during the period
          commencing on the date hereof and ending on the date of termination
          of this Agreement;

     (l)  YFMC agrees to use its best reasonable efforts to assist MEII to
          successfully complete the Offer, including co-operating in making all
          requisite regulatory filings and mailings to shareholders;

     (m)  YFMC will not take any action of any kind which may reduce the
          likelihood of success of or delay the take up and payment of YFMC
          Shares deposited under the Offer or the completion of the Offer,
          including but not limited to any action to continue, solicit,
          initiate, assist or encourage inquiries, submissions, proposals or
          offers from any other Person, entity or group relating to, and will
          not continue or participate in any discussions or negotiations
          regarding or furnish to any other Person, entity or group any
          information with respect to, or otherwise cooperate in any way with
          or assist or participate in, or encourage any effort or attempt with
          respect to:

          (i)   the direct or indirect acquisition or disposition of all or any
                shares or any other securities of YFMC; or

          (ii)  any amalgamation, merger, sale (other than a sale in the
                ordinary course of business consistent with past practice) of
                any part of YFMC's assets, take-over bid, plan of arrangement,
                reorganization, recapitalization, liquidation or winding-up or
                reverse take-over or other business combination or similar
                transaction involving YFMC or any of its assets;

     (n)  YFMC will use its reasonable best efforts to obtain the consents
          required as a result of the transactions provided for herein pursuant
          to any contract to which YFMC is a party or by which it is bound;

     (o)  YFMC will use its reasonable best efforts to do all such other acts
          and things as may be necessary or required in order to give effect to
          the Offer and, without limiting the generality of the foregoing, will
          use its best efforts to apply for and obtain such consents, orders
          and approvals as its solicitors may advise are necessary or desirable
          for the implementation of the Offer;
<PAGE>

                                     - 30 -


     (p)  YFMC will use its reasonable best efforts to obtain the execution of
          the Lock-Up Agreement by the Principal Shareholders and the deposit
          of YFMC Shares pursuant to the terms thereof;

     (q)  YFMC will use all reasonable efforts to cause each of the conditions
          precedent set forth in Article 5 hereof to be complied with on or
          before the commencement of the Offer; and

     (r)  other than the right to convert YFMC Options into options of MEII
          neither YFMC nor any of its Subsidiaries shall adopt or amend or make
          any contribution to any bonus, profit sharing, option, pension,
          retirement, deferred compensation, insurance, incentive compensation,
          other compensation or other similar plan, agreement, trust, fund or
          arrangements for the benefit of employees, except as is necessary to
          comply with law or with respect to existing provisions of any such
          plans, programs, arrangements or agreements.

Notwithstanding anything to the contrary contained herein, the board of
directors of YFMC may withdraw, modify or change any recommendation regarding
the Offer if, in the opinion of the board of directors of YFMC, acting
reasonably, and upon the written advice of counsel, such withdrawal,
modification or change is required in the discharge of the fiduciary duties
of the board of directors of YFMC. Notwithstanding any termination of this
Agreement, if the board of directors of YFMC withdraws, modifies or changes
its recommendation regarding the Offer, other than by mutual agreement of the
parties or if MEII is in default of its material obligations, or there has
been a material breach by it of its material representations, warranties and
covenants under this Agreement, in each case which constitute a Material
Adverse Change in respect of MEII, YFMC shall forthwith pay MEII a break-up
fee of $500,000.


                                  ARTICLE FIVE
                                   CONDITIONS

SECTION 5.1  MEII CONDITIONS PRECEDENT.  Notwithstanding Section 2.1, MEII
shall not be required to make the Offer (and MEII may, without prejudice to
any other rights, by notice to YFMC, terminate this Agreement) if:

     (a)  YFMC shall not have taken all steps requested by MEII, acting
          reasonably (other than steps which would have a material adverse
          effect on YFMC's business if the Offer was not completed) in
          connection with the Offer, including, without limitation, any steps
          required up to the date of the Offer to satisfy the regulatory
          requirements or approvals (domestic or foreign) in order for MEII to
          purchase the YFMC Shares;
<PAGE>

                                     - 31 -


     (b)  any representation or warranty of YFMC in this Agreement shall not
          have been, as of the date made and as of the date that the Offer is
          required to be made pursuant to Section 2.1, true and correct;

     (c)  YFMC shall not have performed or complied in all material respects
          with any of its covenants or agreements and such non-performance or
          non-compliance gives rise to a Material Adverse Change; or

     (d)  the YFMC Shares and YFMC Preferred Shares currently being held in
          escrow pursuant to certain escrow agreements between certain YFMC
          shareholders and Montreal Trust Company of Canada pursuant to
          requirements of the ASE and the ASC, as applicable, have not been
          released from escrow.

The foregoing conditions are for the sole benefit of MEII, may be waived by
MEII at any time and shall be deemed to have been waived by the making of the
Offer.

SECTION 5.2  YFMC CONDITIONS PRECEDENT.  (a) Notwithstanding Sections 2.3 and
2.4 or any provision to the contrary contained herein, YFMC shall not be
required to recommend acceptance of the Offer by its shareholders until YFMC
shall have received confirmation to its satisfaction that the MEII Shares to
be issued to YFMC shareholders have been registered pursuant to the
SECURITIES ACT OF 1933, as amended, and, provided such shares are traded on
NASDAQ or the BSE, contain no resale restrictions as to such shares, with the
exception of any restrictions applicable to Persons deemed to be affiliates.

     (b)  Notwithstanding Sections 2.3 and 2.4 or any provision to the
contrary herein contained, YFMC shall not be required to recommend acceptance
of the Offer by its shareholders if the representations and warranties of
MEII contained in this Agreement shall be untrue or incorrect on and as of
the date of the Offer as if made on and as of such date (except as affected
by transactions contemplated or permitted by this Agreement) or if MEII is in
default of its material obligations or covenants under this Agreement on or
before the date the Offer is made, where the facts which are the subject of
such untrue or incorrect representation or warranty or such breach of
obligation or covenant constitute a Material Adverse Change in respect of
MEII.

     The foregoing are for the sole benefit of YFMC and may be waived by YFMC
at any time and shall be deemed to have been waived by the mailing of the
directors' circular referred to in Section 2.4.

SECTION 5.3  MUTUAL CONDITIONS PRECEDENT.  The respective obligations of the
parties hereto to give effect to the making of the Offer shall be subject to
the satisfaction of the following conditions:

     (a)  prior to the making of the Offer (i) no act, action, suit or
          proceeding shall have been taken before or by any domestic or foreign
          arbitrator, court or
<PAGE>
                                    - 32 -


          tribunal or governmental agency or other regulatory authority or
          administrative agency or commission or by any elected or appointed
          public official or private person (including, without limitation,
          any individual, corporation, firm, group or other entity) in Canada
          or elsewhere, whether or not having the force of law; or (ii) no
          law, regulation, rule or policy shall have been proposed, enacted,
          promulgated or applied, in the case of (i) or (ii) above:

          (i)    to cease trade, enjoin, prohibit or impose material
                 limitations or conditions on the purchase by or the sale to
                 MEII of the YFMC Securities or the rights of MEII to own or
                 exercise full rights or ownership of the YFMC Securities; or

          (ii)   which has resulted in, or if the Offer was consummated would
                 result in, a Material Adverse Change,

          provided that in the judgment of MEII or YFMC, acting reasonably,
          there is a reasonable risk that the circumstances referred to above
          would result in the occurrence of any of the consequences referred
          to above and further provided, however, MEII shall not be required
          to make the Offer and YFMC shall not be obligated to fulfill its
          obligations hereunder as a result of any action, suit or proceeding
          taken by a private Person only if such act, action, suit or
          proceeding shall be been resolved in favour of such private Person
          as evidenced by an order, ruling or decision by any domestic or
          foreign arbitrator, court or tribunal or governmental agency or
          other regulatory authority or administrative agency or commission
          in Canada or elsewhere having jurisdiction in respect of MEII, YFMC
          or the Offer, or if, in the opinion of MEII's or YFMC's solicitors,
          respectively, acting reasonably, there is a reasonable risk that
          such act, action, suit or proceeding will be so resolved in favour
          of such private person;

     (b)  at the time MEII proposes to make the Offer, there shall exist no
          prohibition at law against MEII making the Offer or taking up and
          paying for the YFMC Securities under the Offer;

     (c)  all regulatory approvals, orders and consents required or necessary

          (i)    for making the Offer; and

          (ii)   to ensure no resale restrictions attach, other than those
                 applicable to "control persons" or as contemplated by the
                 Lock-Up Agreement, to the first trade of MEII Securities on
                 NASDAQ issued to YFMC Shareholders pursuant to the Offer

          shall have been obtained or received from the persons, authorities
          or bodies having jurisdiction in the circumstances, including, for
          greater

<PAGE>
                                    - 33 -


          certainty, approval of such related matters by the OSC or the SEC,
          as applicable;

     (d)  there shall be no action taken under any existing applicable law or
          regulation, nor any statute, rule, regulation or order which is
          enacted, enforced, promulgated or issued by any court, department,
          commission, board, regulatory body, government or governmental
          authority or similar agency, domestic or foreign, that:

          (i)    makes it illegal or otherwise directly or indirectly
                 restrains, enjoins or prohibits the Offer or any other
                 transactions contemplated herein;

          (ii)   results in a judgment or assessment of material damages
                 directly or indirectly relating to the transactions
                 contemplated herein; or

          (iii)  prohibits MEII's or YFMC's ownership or operation of all or
                 any material portion of their respective business or assets
                 or compels MEII to dispose of or hold separately all or any
                 portion of the business or assets of YFMC or MEII;

     (e)  prior to the making of the Offer, there shall have been no Material
          Adverse Change since the date hereof with respect to MEII or its
          Subsidiaries on a consolidated basis or YFMC or its Subsidiaries on
          a consolidated basis or any occurrences or circumstances which have
          resulted or might reasonably be expected to result in a Material
          Adverse Change thereto;

     (f)  none of the consents, orders or approvals contemplated herein
          pursuant to subsection 5.3(c) shall contain terms or conditions or
          require undertakings or security deemed unsatisfactory or
          unacceptable by any of the parties hereto, acting reasonably; and

     (g)  this Agreement shall not have been terminated pursuant to the
          provisions of Article Six.

SECTION 5.4  CONDITIONS TO OBLIGATIONS OF EACH PARTY.  The obligation of each
of the YFMC and MEII and to complete the transactions contemplated by this
Agreement is further subject to the condition, which may be waived by each of
YFMC or MEII, without prejudice to its right to rely on any other condition
in favour of YFMC or MEII, that the covenants of the other party hereto to be
performed on or before the commencement of the Offer pursuant to the
provisions of this Agreement shall have been duly performed by such other
party and that, except as affected by the transactions contemplated by this
Agreement, the representations and warranties of such other party shall be
true and correct as at the commencement of the Offer, with the same effect as
if such representations and warranties had been made at, and as of, such time
and each of

<PAGE>
                                    - 34 -


YFMC and MEII shall receive a certificate, dated the commencement of the
Offer, of a senior officer of YFMC or MEII, as the case may be, to such
effect.


                                  ARTICLE SIX
                                  TERMINATION

SECTION 6.1  RIGHTS OF TERMINATION.  (1)  If any of the conditions contained
in Sections 5.1, 5.2 or 5.3 shall not be fulfilled or performed on or before
November 30, 1999, either of YFMC or MEII, as applicable, may terminate this
Agreement by notice to the other party hereto, and in such event YFMC and
MEII shall be released from all obligations under this Agreement (with the
exception of the obligations contained in Section 2.8), all rights of
specific performance by any such party shall terminate and, unless such party
can show that the condition or conditions the non-performance of which has
caused such party to terminate this Agreement where reasonably capable of
being performed by the other party, then the other party shall also be
released from all obligations hereunder; provided that such party can show
that the other party could reasonably have performed such condition or
conditions, then that party shall not be released from its obligations
hereunder, and further provided that any of such conditions may be waived in
full or in part by any of the parties without prejudice to its rights of
termination in the event of the non-fulfillment or non-performance of any
other condition.

(2)  In addition, and notwithstanding anything to the contrary contained
herein, this Agreement shall terminate without further notice or agreement if
the Offer is not completed by January 31, 2000. Upon such termination, the
parties hereto shall be released from all further obligations under this
Agreement (with the exception of the obligations contained in Section 2.8)
and all rights of specific performance by any of the parties hereto shall
terminate.

(3)  In addition, this Agreement may be terminated:

     (a)  at any time with the mutual consent of all of the parties hereto;

     (b)  by either MEII or YFMC, if MEII shall not have taken up and paid
          for the YFMC Securities tendered under the Offer on or before the
          required time period following the Expiry Time (as defined in the
          Take-Over Bid Circular) (as such time may be extended) of the Offer
          unless the absence of such occurrence shall be due to the failure
          of the party seeking to terminate this Agreement to perform the
          obligations under this Agreement required to be performed by it;

     (c)  by either MEII or YFMC, if a court of competent jurisdiction or a
          governmental, regulatory or administrative agency or commission
          shall have issued an order, decree or ruling or taken any other
          action permanently restraining, enjoining or otherwise prohibiting
          any of the

<PAGE>
                                    - 35 -


          transactions contemplated by this Agreement and such order, decree,
          ruling or other action shall have become final and non-appealable,
          provided that the party seeking to terminate this Agreement
          pursuant to this section shall have used all commercially
          reasonable efforts to remove such order, decree, ruling or
          injunction; or

     (d)  by MEII, if YFMC does not consent to any matter for which YFMC's
          consent is required pursuant to subsection 4.1(a) hereof.

SECTION 6.2  NOTICE OF UNFULFILLED CONDITIONS.  If any party shall determine
at any time prior to the closing of the transactions contemplated by the Offer
that it intends to refuse to consummate any of the transactions contemplated
hereby because of any unfulfilled or unperformed condition precedent contained
in this Agreement on the part of another party to be fulfilled or performed,
such party shall so notify the other party forthwith upon making such
determination in order that any one or more of the other parties shall have the
right and opportunity to take such steps, at their own expense, as may be
necessary for the purpose of fulfilling or performing such condition precedent
within a reasonable period of time, but in no event later than January 31, 2000.


                                 ARTICLE SEVEN
                                    GENERAL

SECTION 7.1  NOTICES.  All notices which may or are required to be given
pursuant to any provision of this Agreement shall be given or made in writing
and shall be served personally or by telecopy, in each case addressed to the
attention of the following persons at:

     (a)  in the case of MEII:

          Med-Emerg International, Inc.
          2550 Argentia Road
          Suite 205
          Mississauga, Ontario
          L5N 5R1

          Attention: President
          Telecopy number: (905) 858-1299

<PAGE>
                                    - 36 -


          with a copy to:

          Blake, Cassels & Graydon
          Suite 2800
          199 Bay Street
          Commerce Court West
          Toronto, Ontario
          M5L 1A9

          Attention: John Tuzyk
          Telecopy number: (416) 863-2653

     (b)  in the case of YFMC:

          YFMC Health Care Inc.
          Suite 250-441 MacLaren Street
          Ottawa, Ontario
          K2P 2H3

          Attention: President
          Telecopy number: (613) 230-1379

          with a copy to:

          Burnet, Duckworth & Palmer
          1400, 350-7th Avenue S.W.
          Calgary, Alberta
          T2P 3N9

          Attention: Jeff Lawson
          Telecopy number: (403) 260-0337

     (c)  in the case of Wilson and 977675:

          977675 Ontario Inc.
          c/o Suite 250-441 MacLaren Street
          Ottawa, Ontario
          K2P 2H3

          Attention: Donald Wilson
          Telecopy number: (613) 230-1379

<PAGE>
                                    - 37 -


          with a copy to:

          Burnet, Duckworth & Palmer
          1400, 350 - 7th Avenue S.W.
          Calgary, Alberta
          T2P 3N9

          Attention: Jeff Lawson
          Telecopy number: (403) 260-0337

     (d)  in the case of Scullion and PRAL:

          Page Raymond & Associates Ltd.
          c/o Suite 250-441 MacLaren Street
          Ottawa, Ontario
          K2P 2H3

          Attention: Martin Scullion
          Telecopy No.: (613) 230-1379

          with a copy to:

          Burnet, Duckworth & Palmer
          1400, 350-7th Avenue S.W.
          Calgary, Alberta
          T2P 3N9

          Attention: Jeff Lawson
          Telecopy number: (403) 260-0337


SECTION 7.2  ASSIGNMENT.  A party may not assign its rights or obligations
under this Agreement without the prior written consent of the other parties
hereto.

SECTION 7.3  BINDING EFFECT.  This Agreement shall be binding upon and shall
enure to the benefit of the parties hereto and their respective successors
and permitted assigns.

SECTION 7.4  WAIVER.  Any waiver or release of any of the provisions of this
Agreement, to be effective, must be in writing and executed by the party
granting such waiver or release.

SECTION 7.5  GOVERNING LAW.  This Agreement shall be governed by and be
construed in accordance with the laws of the Province of Ontario and the laws
of Canada applicable therein and shall be treated in all respects as an
Ontario contract.

<PAGE>
                                    - 38 -


SECTION 7.6  COUNTERPARTS.  This Agreement may be executed in one or more
counterparts, each of which shall be deemed to be an original, but all of
which together shall constitute one and the same instrument.

SECTION 7.7  ENTIRE AGREEMENT.  This Agreement and all agreements and other
documents herein referred to, constitute the entire agreement between the
parties hereto pertaining to the subject matter hereof and supersede all
prior agreements, understandings, negotiations and discussions, whether oral
or written, between the parties hereto with respect to the subject matter
hereof.

SECTION 7.8  EXPENSES.  All expenses incurred in connection with this
Agreement and the transactions contemplated hereby and thereby shall be paid
by the party incurring such expense. The provisions of this Section 7.8 shall
survive the termination of this Agreement.

SECTION 7.9  TIME OF ESSENCE.  Time is of the essence of this Agreement.

SECTION 7.10  CONFIDENTIALITY.  The parties to this Agreement agree to hold
in confidence all confidential information disclosed to them by the other
party or parties or as a result of these negotiations, except with respect to
the individuals and entities listed in the immediately following sentence,
and except for any information that (a) was or is in the public domain, (b)
was previously known to the other party, as the case may be, (c) becomes
generally available to the public other than through the breach of any
obligation of confidentiality by any party hereto, (d) is obtained in good
faith from a third party, (e) is independently developed by the other party,
or (f) the disclosure of which is required by operation of law. The parties
to this Agreement also agree that, without the express written consent of the
other party, they shall not disclose to any third party (other than to their
respective advisors, officers, directors and subsidiaries) the confidential
information of the other party. The parties to this Agreement further agree
(y) that the confidentiality provisions of this Agreement shall apply to its
employees and advisors and (z) to advise such employees and advisors of the
confidential nature of such information. If the transaction is not
consummated, the parties to this Agreement agree that they will not, directly
or indirectly, use such confidential information for their own benefit, and
the parties shall, upon written request of the other party, return, and shall
cause their advisors to return, to the other party all such confidential
information in their possession and shall destroy, and shall cause their
advisors to destroy, portions of any notes, projections and other
internally-created documents to be the extent they contain such confidential
information.

SECTION 7.11  PRESS RELEASES.  MEII and YFMC agree that, other than as may be
required by applicable law or the requirements of the ASE or NASDAQ, all
press releases issued in connection with the Offer shall be joint press
releases of such companies.

SECTION 7.12  NO THIRD PARTY BENEFICIARIES.  Nothing contained herein shall
confer any rights or benefits on any third party.

<PAGE>
                                    - 39 -


IN WITNESS WHEREOF the parties hereto have executed this Agreement as of the
date first written above.

SIGNED, SEALED AND DELIVERED           )
  In the presence of:                  )
                                       )       MED-EMERG INTERNATIONAL INC.
                                       )
                                       )       /s/Ramesh Zacharias
                                       )  Per: --------------------------------
                                       )       Authorized Signing Officer
                                       )
                                       )       /s/Kathryn Gamble
                                       )  Per: --------------------------------
                                       )       Authorized Signing Officer
                                       )
                                       )
                                       )       YFMC HEALTHCARE INC.
                                       )
                                       )       /s/Donald Wilson
                                       )  Per: --------------------------------
                                       )       Authorized Signing Officer
                                       )
                                       )       /s/Martin Scullion
                                       )  Per: --------------------------------
                                       )       Authorized Signing Officer
                                       )
/s/Marc Smith                          )       /s/Donald Wilson
- -------------------------------------  )       --------------------------------
Witness                                )       Donald Wilson
                                       )
/s/Marc Smith                          )       /s/Martin Scullion
- -------------------------------------  )       --------------------------------
Witness                                )       Martin Scullion


                                               977675 ONTARIO INC.

                                          Per: /s/Donald Wilson
                                               --------------------------------
                                               Authorized Signing Officer

<PAGE>
                                   - 40 -


                                                PAGE RAYMOND & ASSOCIATES LTD.

                                           Per: /s/Martin Scullion
                                                -------------------------------
                                                Authorized Signing Officer
<PAGE>

                                    EXHIBIT A

                            FORM OF LOCK-UP AGREEMENT
<PAGE>

                                    EXHIBIT B

                      FORM OF SERIES A WARRANT CERTIFICATE
<PAGE>

                                                          DRAFT: AUGUST 5, 1999

                          SERIES A WARRANT CERTIFICATE

       Void after 5:00 p.m. Toronto time on the 12th day of June, 2000.

Number of Warrants:  [-]                            Warrant Certificate No. [-]


                          MED-EMERG INTERNATIONAL INC.
                    (Incorporated under the laws of Ontario)

This is to certify that, for value received, the bearer of this Warrant (the
"Holder") shall have the right to purchase from Med-Emerg International Inc.
(hereinafter the "Corporation"), at any time on or after [-], 1999 (the
"Issue Date") and up to 5:00 p.m. (Toronto time) on June 12, 2000 (the
"Expiry Time"), one fully paid and non-assessable Common Share in the capital
stock of the Corporation for each warrant (collectively, the "Warrants" and
individually, a "Warrant") represented hereby at the price of US$2.70 per
share (the "Exercise Price"), upon and subject to the following terms and
conditions:

1.   For the purpose of this Warrant, the term "Common Shares" means common
shares without nominal or par value in the capital of the Corporation as
constituted on the date hereof; provided that in the event of a Common Share
Reorganization (as hereinafter defined), or successive such Common Share
Reorganizations, then subject to the adjustments, if any, having been made in
accordance with the provisions of this Warrant Certificate, "Common Shares"
shall thereafter mean the shares, other securities or other property
resulting from such Common Share Reorganization(s).

2.   All Warrant Certificates shall be signed by an officer of the
Corporation holding office at the time of signing, and notwithstanding any
change in any of the persons holding said offices between the time of actual
signing and the delivery of the Warrant Certificate and notwithstanding that
such officer signing may not have held office at the date of the delivery of
the Warrant Certificate, the Warrant Certificate so signed shall be valid and
binding upon the Corporation. Warrant Certificates shall be dated as of the
Issue Date regardless of their date of issue.

3.   All rights under any of the Warrants in respect of which the right of
subscription and purchase herein provided for shall not theretofore have been
exercised shall wholly cease and terminate and such Warrants shall be wholly
void and of no valid or binding effect after the Expiry Time.

4.   The right to purchase Common Shares of the Corporation pursuant to the
Warrants may only be exercised by the Holder on or after the Issue Date and
at or before the Expiry Time by:
<PAGE>

                                     - 2 -


     (a)  duly completing and executing a subscription substantially in the
          form attached hereto, in the manner therein indicated; and

     (b)  surrendering this Warrant Certificate and the duly completed and
          executed subscription form to the Corporation at its principal office
          (which address is currently 2550 Argentia Road, Suite 205,
          Mississauga, Ontario, L5N 5R1) [OR TO THE REGISTERED TRANSFER AGENT
          FOR THE WARRANTS], together with payment of the purchase price for
          the Common Shares subscribed for in the form of cash or a certified
          cheque payable to the Corporation or other manner acceptable to the
          Corporation in an amount equal to the then applicable Exercise Price
          multiplied by the number of Common Shares subscribed for.

5.   Upon such delivery and payment as aforesaid, the Corporation shall cause
to be issued to the Holder the number of Common Shares to be issued and the
Holder shall become a shareholder of the Corporation in respect of such
Common Shares with effect from the date of such delivery and payment and
shall be entitled to delivery of a certificate or certificates evidencing
such Common Shares. The Corporation shall cause such certificate or
certificates to be mailed to the Holder at the address or addresses specified
in such subscription form within five (5) business days of such delivery and
payment as herein provided or, if so instructed by the Holder, held for
pick-up by the Holder at the principal office of the transfer agent of the
Corporation.

6.   The holding of a Warrant shall not constitute the Holder a shareholder
of the Corporation nor entitle him, her or it to any right or interest in
respect thereof except as herein expressly provided.

7.   The Corporation covenants and agrees that until the Expiry Time, while
any of the Warrants shall be outstanding, it shall reserve and there shall
remain unissued out of its authorized capital a sufficient number of Common
Shares to satisfy the right of purchase herein provided, as such right of
purchase may be adjusted pursuant to section 8 hereof and shall use its
reasonable best efforts to: (i) maintain its status as a reporting issuer in
the Province of Ontario and Alberta; and (ii) preserve and maintain its
corporate existence. All Common Shares which shall be issued upon the
exercise of the right to purchase herein provided for, upon payment therefor
of the amount at which such Common Shares may at the time be purchased
pursuant to the provisions hereof, shall be issued as fully paid and
non-assessable shares and the holders thereof shall not be liable to the
Corporation or its creditors in respect thereof.

8.   If and whenever at any time after the date hereof and prior to the
Expiry Time the Corporation shall:

     (i)    issue Common Shares or securities exchangeable for or convertible
            into Common Shares without the receipt of any consideration
            therefor to all or substantially all of the holders of the Common
            Shares by way of stock dividend or other distribution;

     (ii)   subdivide its outstanding Common Shares into a greater number of
            Common Shares;
<PAGE>

                                     - 3 -


     (iii)  consolidate its outstanding Common Shares into a lesser number
            of Common Shares;

     (iv)   issue rights, options or warrants to all or substantially all of
            the holders of Common Shares under which such holders are entitled
            to subscribe for or purchase Common Shares or securities
            exchangeable for or convertible into Common Shares;

     (v)    reclassify its Common Shares at any time outstanding or change the
            Common Shares into other shares or other securities; or

     (vi)   consolidate, amalgamate, arrange or merge the Corporation with or
            into any other corporation or other entity,

     which event in the opinion of the directors of the Corporation would
     materially affect the rights of Holders (such an event herein called a
     "Common Share Reorganization"), then, subject to regulatory approval, the
     Exercise Price and/or the number or kind of Common Shares or securities
     purchasable upon exercise shall be adjusted in such manner, if any, and at
     such time, by action by the directors, in their sole discretion as they
     may determine to be equitable in the circumstances, but subject in all
     cases to any necessary regulatory approval. Failure of the taking of
     action by the directors so as to provide for an adjustment on or prior to
     the effective date of any action by the Corporation affecting the Common
     Shares shall be conclusive evidence that the board of directors of the
     Corporation has determined that it is equitable to make no adjustment in
     the circumstances. In the event that any questions arise with respect to
     the adjustments provided herein, subject to regulatory approval, such
     questions shall be conclusively determined by the auditors of the
     Corporation. Such auditors shall have access to all necessary records of
     the Corporation and such determination by the auditors shall be binding on
     the Corporation and the Holder.

9.   The Corporation shall, promptly after such adjustment is determinable,
give notice to Holders specifying the particulars of such event and, if
determinable, the required adjustment and the computation of such adjustment.

10.  The Corporation shall not be required to deliver certificates for Common
Shares while the share transfer books of the Corporation are properly closed,
having regard to the provisions of section 8 hereof, prior to any meeting of
shareholders or for the payment of dividends or for any other purpose and in
the event of the surrender of any Warrant in accordance with the provisions
hereof and the making of any subscription and payment for the Common Shares
called for thereby during any such period, delivery of certificates for
Common Shares may be postponed for not more than five (5) days after the date
of the re-opening of said share transfer books. Provided, however, that any
such postponement of delivery of certificates shall be without prejudice to
the right of the Holder so surrendering the same and making payment during
such period to receive after the share transfer books shall have been
re-opened such certificates for the Common Shares called for, as the same may
be adjusted pursuant to section 8 hereof as a result of the completion of the
event in respect of which the transfer books were closed.
<PAGE>

                                     - 4 -


11.  Subject as hereinafter provided, all or any of the rights conferred upon
the Holder by the terms hereof may be enforced by the Holder by appropriate
legal proceedings. No recourse under or upon any obligation, covenant or
agreement contained herein shall be had against any past, present or future
shareholder, director or officer of the Corporation either directly or
through the Corporation, it being expressly agreed and declared that the
obligations under the Warrants are solely corporate obligations and that no
personal liability whatever shall attach to or be incurred by the past,
present or future shareholders, directors or officers of the Corporation or
any of them in respect thereof, any and all rights and claims against every
such past, present or future shareholder, officer or director being hereby
expressly waived as a condition of and as a consideration for the issue of
the Warrants.

12.  The Holder may subscribe for and purchase any lesser whole number of
Common Shares than the number of shares expressed in the Warrant Certificate.
In the case of any subscription for a lesser number of Common Shares than
expressed in any Warrant Certificate, the Holder hereof shall be entitled to
receive at no cost to the Holder a new Warrant Certificate in respect of the
balance of the Warrants not then exercised. Such new Warrant Certificate
shall be mailed to the Holder by the Corporation or, at its direction, the
transfer agent, contemporaneously with the mailing of the certificate or
certificates representing the Common Shares issued pursuant to section 5.

13.  The Corporation shall not be required to issue fractional Common Shares
in satisfaction of its obligations hereunder nor make any payment to a Holder
in lieu of delivering any fractional Common Shares.

14.  If any Warrant Certificate becomes stolen, lost, mutilated or destroyed,
the Corporation shall, on such terms as it may in its discretion acting
reasonably impose, issue and sign a new Warrant Certificate of like
denomination, tenor and date as the Warrant Certificate so stolen, lost,
mutilated or destroyed for delivery to the Holder.

15.  The Corporation shall cause to be kept (a) a register of holders in
which shall be entered the names and addresses of the holders of the Warrants
and of the number of Warrants held by them and (b) a register of transfers in
which shall be entered the date and other particulars of each transfer of
Warrants.

16.  The transferee of a Warrant Certificate shall, after the transfer form
attached to the Warrant Certificate or any other form of transfer acceptable
to the Corporation, acting reasonably, is duly completed and the Warrant
Certificate is lodged with the Corporation and upon compliance with all other
conditions in that regard required by this Warrant or by law, be entitled to
have his name entered on the register of holders as the owner of the Warrants
represented thereby free from all equities or rights of set-off or
counterclaim between the Corporation and the transferor or any previous
holder of such Warrant, save in respect of equities of which the Corporation
or the transferee is required to take notice by statute or by order of a
court of competent jurisdiction. No transfer shall be entered in the register
for a period of 40 days from the Issue Date.

17.  The registers hereinbefore referred to shall be open at all reasonable
times for inspection by any Holder or any other person so entitled at law.
<PAGE>

                                     - 5 -


18.  (a)  Warrant Certificates may, upon compliance with the reasonable
          requirements of the Corporation, be exchanged for Warrant
          Certificates in any other denomination representing in the aggregate
          the same number of Warrants. The Corporation shall sign, in
          accordance with section 2 hereof, all Warrant Certificates necessary
          to carry out the exchanges contemplated herein.

     (b)  Warrant Certificates may be exchanged only at the principal office
          of the Corporation [OR OF THE REGISTERED TRANSFER AGENT FOR THE
          WARRANTS] in the City of Mississauga, Ontario. Any Warrant
          Certificates tendered for exchange shall be surrendered to the
          Corporation and cancelled.

     (c)  Except as otherwise herein provided, the Corporation may charge
          Holders requesting an exchange a reasonable sum for each new Warrant
          Certificate issued; and payment of such charges and reimbursement of
          the Corporation for any and all stamp taxes or governmental or other
          charges required to be paid shall be made by the party requesting
          such exchange as a condition precedent to such exchange.

19.  The Corporation may deem and treat the registered holder of any Warrant
Certificate as the absolute owner of the Warrants represented thereby for all
purposes. In addition, the Corporation shall not be affected by any notice or
knowledge to the contrary except where the Corporation is required to take
notice by statute or by order of a court of competent jurisdiction. A Holder
shall be entitled to the rights evidenced by such Warrant free from all
equities or rights of set-off or counterclaim between the Corporation and the
original or any intermediate holder thereof and all persons may act
accordingly and the receipt by any such Holder of the Common Shares
purchasable pursuant to such Warrant shall be a good discharge to the
Corporation for the same and the Corporation shall not be bound to inquire
into the title of any such Holder except where the Corporation is required to
take notice by statute or by order of a court of competent jurisdiction.

20.  Holders shall have the power from time to time by an extraordinary
resolution (as hereinafter defined):

     (a)  to agree to any modification, abrogation, alteration or compromise of
          the rights of Holders against the Corporation, whether such rights
          arise under this Warrant Certificate, or otherwise, which shall be
          agreed to by the Corporation;

     (b)  to amend, alter or appeal any extraordinary resolution previously
          passed or sanctioned by Holders;

     (c)  to assent to any modification of or change in or omission from the
          provisions contained herein or in any instrument ancillary or
          supplemental hereto which shall be agreed to by the Corporation;

     (d)  to restrain any Holder from taking or instituting any suit or
          proceedings against the Corporation for the enforcement of any of the
          covenants on the part of the Corporation conferred upon the Holders
          by the terms of the Warrants; and/or
<PAGE>

                                     - 6 -


     (e)  to direct any Holder who, as such, has brought any suit, action or
          proceeding, to stay or to discontinue or otherwise to deal with the
          same upon such terms as Holders may determine.

     Any such extraordinary resolution as aforesaid shall be binding upon all
the Holders of Warrants whether or not assenting in writing or otherwise to
any such extraordinary resolution, and each Holder of any of the Warrants
shall be bound to give effect thereto accordingly. Such extraordinary
resolution shall, where applicable, be binding on the Corporation which shall
give effect thereto accordingly.

     The Corporation shall forthwith upon receipt of an extraordinary
resolution provide notice to all Holders of the date and text of such
resolution. The Holders of Warrants assenting to an extraordinary resolution
agree to provide the Corporation forthwith with a copy of any extraordinary
resolution passed.

     Any one or more of the powers or any combination of the powers in this
Warrant Certificate stated to be exercisable by the Holders of Warrants by
extraordinary resolution or otherwise may be exercised from time to time and
the exercise of any one or more of such powers or any combination of powers
from time to time shall not be deemed to exhaust the right of the Holders of
Warrants to exercise such power or powers or combination of powers then or
thereafter from time to time.

     The term "extraordinary resolution" when used herein shall mean a
resolution assented to in writing, in one or more counterparts, by the
Holders of Warrants entitled to purchase not less than sixty-six and
two-thirds per cent (66 2/3%) of the aggregate number of Common Shares which
can be purchased pursuant to all of the Warrants which are, at the applicable
time, outstanding.

21.  From time to time, the Corporation (when authorized by action by the
directors) may, subject to the provisions hereof, execute and deliver by its
proper officers, certificates, or instruments supplemental hereto, which
thereafter shall form part hereof, for any one or more or all of the
following purposes:

     (a)  setting forth any adjustments resulting from the application of a
          Common Share Reorganization in accordance with the provisions of
          section 8;

     (b)  adding to the provisions hereof such additional covenants and
          enforcement provisions as, in the opinion of counsel, are necessary
          or advisable in the premises;

     (c)  giving effect to any extraordinary resolution passed as provided in
          section 20;

     (d)  making such provisions not inconsistent with this Warrant
          Certificate, and which are not detrimental to the Holder, as may be
          necessary or desirable with respect to matters or questions arising
          hereunder;
<PAGE>

                                     - 7 -


     (e)  adding to or altering the provisions hereof in respect of the
          transfer of Warrants, making provision for the exchange of Warrant
          Certificates, and making any modification in the form of the Warrant
          Certificates which does not affect the substance thereof and which is
          not detrimental to the Holder;

     (f)  modifying any of the provisions of this Warrant Certificate, by
          providing for the creation and the authority to issue additional
          Warrants, or relieving the Corporation from any of the obligations,
          conditions or restrictions herein contained; and

     (g)  for any other purpose not inconsistent with the terms of this Warrant
          Certificate, including the correction or rectification of any
          ambiguities, defective or inconsistent provisions, errors, mistakes
          or omissions herein.

22.  All notices to be sent hereunder shall be deemed to be validly given to
the Holders if delivered or if sent by mail, postage prepaid by letter
addressed to such Holders at their respective addresses appearing in the
register of Warrant holders caused to be maintained by the Corporation
pursuant to section 15 hereof, and such notice shall be deemed to have been
given, if delivered personally when so delivered, and if sent by post on the
third business day next following the posting thereof.

23.  (a)  The Corporation may not enter into any transaction whereby all or
          substantially all of its undertaking, property and assets become the
          property of any other corporation (herein called a "Successor
          Corporation") whether by way of re-organization, restructuring,
          consolidation, amalgamation, merger, transfer, sale, disposition or
          otherwise, unless prior to or contemporaneously with the consummation
          of such transaction the Corporation and the Successor Corporation
          shall have executed such instruments and done such things, as, in the
          opinion of counsel to the Holder, acting reasonably, are necessary or
          advisable to establish that upon the consummation of such transaction:

          (i)   the Successor Corporation will have assumed all of the
                covenants and obligations of the Corporation under this
                Warrant; and

          (ii)  the Warrant will be a valid and binding obligation of the
                Successor Corporation entitling the Holder, as against the
                Successor Corporation, to all of the rights of the Holder under
                this Warrant.

     (b)  Whenever the conditions of the foregoing subsection shall have been
          duly observed and performed, the Successor Corporation shall possess,
          and from time to time may exercise, each and every right and power of
          the Corporation under this Warrant in the name of the Corporation or
          otherwise and any act or proceeding by any provision hereof required
          to be done or performed by any director or officer of the Corporation
          may be done and performed with like force and effect by the directors
          or officers of the Successor Corporation.
<PAGE>

                                     - 8 -


24.  This Warrant shall be governed by the laws of the Province of Ontario
and the federal laws of Canada applicable herein.

     IN WITNESS WHEREOF the Corporation has caused this Warrant Certificate
to be signed by its duly authorized officer.


                  DATED as of the_______ day of _____________________, 1999.


                                       MED-EMERG INTERNATIONAL INC.

                                       Per: _________________________________
                                            Carl Pahapill
                                            President
<PAGE>

                                SUBSCRIPTION FORM

TO BE COMPLETED IF WARRANTS ARE TO BE EXERCISED:

The undersigned hereby subscribes for ______________________ Common Shares of
Med-Emerg International Inc. according to the terms and conditions set forth
in the annexed Warrant Certificate (or such number of other securities or
property to which such warrant entitles the undersigned to acquire under the
terms and conditions set forth in the annexed Warrant Certificate).

     Address for Delivery of Shares: _________________________________________

                                     _________________________________________

                                     _________________________________________

                                     Attention: ______________________________


          Exercise Price
          Tendered (US$2.70 per share or
          as adjusted)                          $____________________


     Dated at ____________, this ______ day of _____________, _____________.


                 Witness:            )     ________________________________
                                     )     Holder's Name
                                     )
                                     )     ________________________________
                                     )     Authorized Signature
                                     )
                                     )     ________________________________
                                           Title (if applicable)


Signature guaranteed:


THE SIGNATURE MUST BE GUARANTEED BY A CANADIAN CHARTERED BANK OR A MEMBER OF
A RECOGNIZED STOCK EXCHANGE OR OTHER ENTITY ACCEPTABLE TO MED-EMERG
INTERNATIONAL INC.
<PAGE>

                                 ASSIGNMENT FORM

TO BE COMPLETED IF WARRANTS ARE TO BE ASSIGNED:

TO:  MED-EMERG INTERNATIONAL INC.
     2550 Argentia Road
     Suite 205
     Mississauga, Ontario
     L5N 5R1


FOR VALUE RECEIVED, ____________________ WARRANTS represented by this Warrant
Certificate are hereby transferred to ____________________________ residing
at ______________________________________.

You are hereby instructed to take the necessary steps to effect this transfer.


     Dated at ____________, this ______ day of _____________, _____________.

                 Witness:            )     ________________________________
                                     )     Holder's Name
                                     )
                                     )     ________________________________
                                     )     Authorized Signature
                                     )
                                     )     ________________________________
                                           Title (if applicable)


Signature guaranteed:


THE SIGNATURE MUST BE GUARANTEED BY A CANADIAN CHARTERED BANK OR A MEMBER OF
A RECOGNIZED STOCK EXCHANGE OR OTHER ENTITY ACCEPTABLE TO MED-EMERG
INTERNATIONAL INC.
<PAGE>

                                    EXHIBIT C

                      FORM OF SERIES B WARRANT CERTIFICATE
<PAGE>

                                                          DRAFT: AUGUST 5, 1999

                          SERIES B WARRANT CERTIFICATE

      Void after 5:00 p.m. Toronto time on the 12th day of June, 2000.

Number of Warrants: [-]                            Warrant Certificate No. [-]


                          MED-EMERG INTERNATIONAL INC.
                    (Incorporated under the laws of Ontario)

This is to certify that, for value received, the bearer of this Warrant (the
"Holder") shall have the right to purchase from Med-Emerg International Inc.
(hereinafter the "Corporation"), at any time on or after [-], 1999 (the
"Issue Date") and up to 5:00 p.m. (Toronto time) on June 12, 2000 (the
"Expiry Time"), one fully paid and non-assessable Common Share in the capital
stock of the Corporation for each warrant (collectively, the "Warrants" and
individually, a "Warrant") represented hereby at the price of US$3.40 per
share (the "Exercise Price"), upon and subject to the following terms and
conditions:

1.   For the purpose of this Warrant, the term "Common Shares" means common
shares without nominal or par value in the capital of the Corporation as
constituted on the date hereof; provided that in the event of a Common Share
Reorganization (as hereinafter defined), or successive such Common Share
Reorganizations, then subject to the adjustments, if any, having been made in
accordance with the provisions of this Warrant Certificate, "Common Shares"
shall thereafter mean the shares, other securities or other property
resulting from such Common Share Reorganization(s).

2.   All Warrant Certificates shall be signed by an officer of the
Corporation holding office at the time of signing, and notwithstanding any
change in any of the persons holding said offices between the time of actual
signing and the delivery of the Warrant Certificate and notwithstanding that
such officer signing may not have held office at the date of the delivery of
the Warrant Certificate, the Warrant Certificate so signed shall be valid and
binding upon the Corporation. Warrant Certificates shall be dated as of the
Issue Date regardless of their date of issue.

3.   All rights under any of the Warrants in respect of which the right of
subscription and purchase herein provided for shall not theretofore have been
exercised shall wholly cease and terminate and such Warrants shall be wholly
void and of no valid or binding effect after the Expiry Time.

4.   The right to purchase Common Shares of the Corporation pursuant to the
Warrants may only be exercised by the Holder on or after the Issue Date and
at or before the Expiry Time by:
<PAGE>

                                     - 2 -


     (a)  duly completing and executing a subscription substantially in the
          form attached hereto, in the manner therein indicated; and

     (b)  surrendering this Warrant Certificate and the duly completed and
          executed subscription form to the Corporation at its principal office
          (which address is currently 2550 Argentia Road, Suite 205,
          Mississauga, Ontario, L5N 5R1) [OR TO THE REGISTERED TRANSFER AGENT
          FOR THE WARRANTS], together with payment of the purchase price for
          the Common Shares subscribed for in the form of cash or a certified
          cheque payable to the Corporation or other manner acceptable to the
          Corporation in an amount equal to the then applicable Exercise Price
          multiplied by the number of Common Shares subscribed for.

5.   Upon such delivery and payment as aforesaid, the Corporation shall cause
to be issued to the Holder the number of Common Shares to be issued and the
Holder shall become a shareholder of the Corporation in respect of such
Common Shares with effect from the date of such delivery and payment and
shall be entitled to delivery of a certificate or certificates evidencing
such Common Shares. The Corporation shall cause such certificate or
certificates to be mailed to the Holder at the address or addresses specified
in such subscription form within five (5) business days of such delivery and
payment as herein provided or, if so instructed by the Holder, held for
pick-up by the Holder at the principal office of the transfer agent of the
Corporation.

6.   The holding of a Warrant shall not constitute the Holder a shareholder
of the Corporation nor entitle him, her or it to any right or interest in
respect thereof except as herein expressly provided.

7.   The Corporation covenants and agrees that until the Expiry Time, while
any of the Warrants shall be outstanding, it shall reserve and there shall
remain unissued out of its authorized capital a sufficient number of Common
Shares to satisfy the right of purchase herein provided, as such right of
purchase may be adjusted pursuant to section 8 hereof and shall use its
reasonable best efforts to: (i) maintain its status as a reporting issuer in
the Province of Ontario and Alberta; and (ii) preserve and maintain its
corporate existence. All Common Shares which shall be issued upon the
exercise of the right to purchase herein provided for, upon payment therefor
of the amount at which such Common Shares may at the time be purchased
pursuant to the provisions hereof, shall be issued as fully paid and
non-assessable shares and the holders thereof shall not be liable to the
Corporation or its creditors in respect thereof.

8.   If and whenever at any time after the date hereof and prior to the
Expiry Time the Corporation shall:

     (i)    issue Common Shares or securities exchangeable for or convertible
            into Common Shares without the receipt of any consideration
            therefor to all or substantially all of the holders of the Common
            Shares by way of stock dividend or other distribution;

     (ii)   subdivide its outstanding Common Shares into a greater number of
            Common Shares;
<PAGE>

                                     - 3 -


     (iii)  consolidate its outstanding Common Shares into a lesser number of
            Common Shares;

     (iv)   issue rights, options or warrants to all or substantially all of
            the holders of Common Shares under which such holders are entitled
            to subscribe for or purchase Common Shares or securities
            exchangeable for or convertible into Common Shares;

     (v)    reclassify its Common Shares at any time outstanding or change the
            Common Shares into other shares or other securities; or

     (vi)   consolidate, amalgamate, arrange or merge the Corporation with or
            into any other corporation or other entity,

     which event in the opinion of the directors of the Corporation would
     materially affect the rights of Holders (such an event herein called a
     "Common Share Reorganization"), then, subject to regulatory approval, the
     Exercise Price and/or the number or kind of Common Shares or securities
     purchasable upon exercise shall be adjusted in such manner, if any, and at
     such time, by action by the directors, in their sole discretion as they
     may determine to be equitable in the circumstances, but subject in all
     cases to any necessary regulatory approval. Failure of the taking of
     action by the directors so as to provide for an adjustment on or prior to
     the effective date of any action by the Corporation affecting the Common
     Shares shall be conclusive evidence that the board of directors of the
     Corporation has determined that it is equitable to make no adjustment in
     the circumstances. In the event that any questions arise with respect to
     the adjustments provided herein, subject to regulatory approval, such
     questions shall be conclusively determined by the auditors of the
     Corporation. Such auditors shall have access to all necessary records of
     the Corporation and such determination by the auditors shall be binding on
     the Corporation and the Holder.

9.   The Corporation shall, promptly after such adjustment is determinable,
give notice to Holders specifying the particulars of such event and, if
determinable, the required adjustment and the computation of such adjustment.

10.  The Corporation shall not be required to deliver certificates for Common
Shares while the share transfer books of the Corporation are properly closed,
having regard to the provisions of section 8 hereof, prior to any meeting of
shareholders or for the payment of dividends or for any other purpose and in
the event of the surrender of any Warrant in accordance with the provisions
hereof and the making of any subscription and payment for the Common Shares
called for thereby during any such period, delivery of certificates for
Common Shares may be postponed for not more than five (5) days after the date
of the re-opening of said share transfer books. Provided, however, that any
such postponement of delivery of certificates shall be without prejudice to
the right of the Holder so surrendering the same and making payment during
such period to receive after the share transfer books shall have been
re-opened such certificates for the Common Shares called for, as the same may
be adjusted pursuant to section 8 hereof as a result of the completion of the
event in respect of which the transfer books were closed.
<PAGE>

                                     - 4 -


11.  Subject as hereinafter provided, all or any of the rights conferred upon
the Holder by the terms hereof may be enforced by the Holder by appropriate
legal proceedings. No recourse under or upon any obligation, covenant or
agreement contained herein shall be had against any past, present or future
shareholder, director or officer of the Corporation either directly or
through the Corporation, it being expressly agreed and declared that the
obligations under the Warrants are solely corporate obligations and that no
personal liability whatever shall attach to or be incurred by the past,
present or future shareholders, directors or officers of the Corporation or
any of them in respect thereof, any and all rights and claims against every
such past, present or future shareholder, officer or director being hereby
expressly waived as a condition of and as a consideration for the issue of
the Warrants.

12.  The Holder may subscribe for and purchase any lesser whole number of
Common Shares than the number of shares expressed in the Warrant Certificate.
In the case of any subscription for a lesser number of Common Shares than
expressed in any Warrant Certificate, the Holder hereof shall be entitled to
receive at no cost to the Holder a new Warrant Certificate in respect of the
balance of the Warrants not then exercised. Such new Warrant Certificate
shall be mailed to the Holder by the Corporation or, at its direction, the
transfer agent, contemporaneously with the mailing of the certificate or
certificates representing the Common Shares issued pursuant to section 5.

13.  The Corporation shall not be required to issue fractional Common Shares
in satisfaction of its obligations hereunder nor make any payment to a Holder
in lieu of delivering any fractional Common Shares.

14.  If any Warrant Certificate becomes stolen, lost, mutilated or destroyed,
the Corporation shall, on such terms as it may in its discretion acting
reasonably impose, issue and sign a new Warrant Certificate of like
denomination, tenor and date as the Warrant Certificate so stolen, lost,
mutilated or destroyed for delivery to the Holder.

15.  The Corporation shall cause to be kept (a) a register of holders in
which shall be entered the names and addresses of the holders of the Warrants
and of the number of Warrants held by them and (b) a register of transfers in
which shall be entered the date and other particulars of each transfer of
Warrants.

16.  The transferee of a Warrant Certificate shall, after the transfer form
attached to the Warrant Certificate or any other form of transfer acceptable
to the Corporation, acting reasonably, is duly completed and the Warrant
Certificate is lodged with the Corporation and upon compliance with all other
conditions in that regard required by this Warrant or by law, be entitled to
have his name entered on the register of holders as the owner of the Warrants
represented thereby free from all equities or rights of set-off or
counterclaim between the Corporation and the transferor or any previous
holder of such Warrant, save in respect of equities of which the Corporation
or the transferee is required to take notice by statute or by order of a
court of competent jurisdiction. No transfer shall be entered in the register
for a period of 40 days from the Issue Date.

17.  The registers hereinbefore referred to shall be open at all reasonable
times for inspection by any Holder or any other person so entitled at law.
<PAGE>

                                     - 5 -


18.  (a)  Warrant Certificates may, upon compliance with the reasonable
          requirements of the Corporation, be exchanged for Warrant
          Certificates in any other denomination representing in the aggregate
          the same number of Warrants. The Corporation shall sign, in
          accordance with section 2 hereof, all Warrant Certificates necessary
          to carry out the exchanges contemplated herein.

     (b)  Warrant Certificates may be exchanged only at the principal office of
          the Corporation [OR OF THE REGISTERED TRANSFER AGENT FOR THE
          WARRANTS]. Any Warrant Certificates tendered for exchange shall be
          surrendered to the Corporation and cancelled.

     (c)  Except as otherwise herein provided, the Corporation may charge
          Holders requesting an exchange a reasonable sum for each new Warrant
          Certificate issued; and payment of such charges and reimbursement of
          the Corporation for any and all stamp taxes or governmental or other
          charges required to be paid shall be made by the party requesting
          such exchange as a condition precedent to such exchange.

19.  The Corporation may deem and treat the registered holder of any Warrant
Certificate as the absolute owner of the Warrants represented thereby for all
purposes. In addition, the Corporation shall not be affected by any notice or
knowledge to the contrary except where the Corporation is required to take
notice by statute or by order of a court of competent jurisdiction. A Holder
shall be entitled to the rights evidenced by such Warrant free from all
equities or rights of set-off or counterclaim between the Corporation and the
original or any intermediate holder thereof and all persons may act
accordingly and the receipt by any such Holder of the Common Shares
purchasable pursuant to such Warrant shall be a good discharge to the
Corporation for the same and the Corporation shall not be bound to inquire
into the title of any such Holder except where the Corporation is required to
take notice by statute or by order of a court of competent jurisdiction.

20.  Holders shall have the power from time to time by an extraordinary
resolution (as hereinafter defined):

     (a)  to agree to any modification, abrogation, alteration or compromise of
          the rights of Holders against the Corporation, whether such rights
          arise under this Warrant Certificate, or otherwise, which shall be
          agreed to by the Corporation;

     (b)  to amend, alter or appeal any extraordinary resolution previously
          passed or sanctioned by Holders;

     (c)  to assent to any modification of or change in or omission from the
          provisions contained herein or in any instrument ancillary or
          supplemental hereto which shall be agreed to by the Corporation;

     (d)  to restrain any Holder from taking or instituting any suit or
          proceedings against the Corporation for the enforcement of any of the
          covenants on the part of the Corporation conferred upon the Holders
          by the terms of the Warrants; and/or
<PAGE>

                                     - 6 -


     (e)  to direct any Holder who, as such, has brought any suit, action or
          proceeding, to stay or to discontinue or otherwise to deal with the
          same upon such terms as Holders may determine.

     Any such extraordinary resolution as aforesaid shall be binding upon all
the Holders of Warrants whether or not assenting in writing or otherwise to
any such extraordinary resolution, and each Holder of any of the Warrants
shall be bound to give effect thereto accordingly. Such extraordinary
resolution shall, where applicable, be binding on the Corporation which shall
give effect thereto accordingly.

     The Corporation shall forthwith upon receipt of an extraordinary
resolution provide notice to all Holders of the date and text of such
resolution. The Holders of Warrants assenting to an extraordinary resolution
agree to provide the Corporation forthwith with a copy of any extraordinary
resolution passed.

     Any one or more of the powers or any combination of the powers in this
Warrant Certificate stated to be exercisable by the Holders of Warrants by
extraordinary resolution or otherwise may be exercised from time to time and
the exercise of any one or more of such powers or any combination of powers
from time to time shall not be deemed to exhaust the right of the Holders of
Warrants to exercise such power or powers or combination of powers then or
thereafter from time to time.

     The term "extraordinary resolution" when used herein shall mean a
resolution assented to in writing, in one or more counterparts, by the
Holders of Warrants entitled to purchase not less than sixty-six and
two-thirds per cent (66 2/3%) of the aggregate number of Common Shares which
can be purchased pursuant to all of the Warrants which are, at the applicable
time, outstanding.

21.  From time to time the Corporation (when authorized by action by the
directors) may, subject to the provisions hereof, execute and deliver by its
proper officers, certificates, or instruments supplemental hereto, which
thereafter shall form part hereof, for any one or more or all of the
following purposes:

     (a)  setting forth any adjustments resulting from the application of a
          Common Share Reorganization in accordance with the provisions of
          section 8;

     (b)  adding to the provisions hereof such additional covenants and
          enforcement provisions as, in the opinion of counsel, are necessary
          or advisable in the premises;

     (c)  giving effect to any extraordinary resolution passed as provided in
          section 20;

     (d)  making such provisions not inconsistent with this Warrant
          Certificate, and which are not detrimental to the Holder, as may be
          necessary or desirable with respect to matters or questions arising
          hereunder;
<PAGE>

                                     - 7 -


     (e)  adding to or altering the provisions hereof in respect of the
          transfer of Warrants, making provision for the exchange of Warrant
          Certificates, and making any modification in the form of the Warrant
          Certificates which does not affect the substance thereof and which is
          not detrimental to the Holder;

     (f)  modifying any of the provisions of this Warrant Certificate, by
          providing for the creation and the authority to issue additional
          Warrants, or relieving the Corporation from any of the obligations,
          conditions or restrictions herein contained; and

     (g)  for any other purpose not inconsistent with the terms of this Warrant
          Certificate, including the correction or rectification of any
          ambiguities, defective or inconsistent provisions, errors, mistakes
          or omissions herein.

22.  All notices to be sent hereunder shall be deemed to be validly given to
the Holders if delivered or if sent by mail, postage prepaid by letter
addressed to such Holders at their respective addresses appearing in the
register of Warrant holders caused to be maintained by the Corporation
pursuant to section 15 hereof, and such notice shall be deemed to have been
given, if delivered personally when so delivered, and if sent by post on the
third business day next following the posting thereof.

23.  (a)  The Corporation may not enter into any transaction whereby all or
          substantially all of its undertaking, property and assets become the
          property of any other corporation (herein called a "Successor
          Corporation") whether by way of re-organization, restructuring,
          consolidation, amalgamation, merger, transfer, sale, disposition or
          otherwise, unless prior to or contemporaneously with the consummation
          of such transaction the Corporation and the Successor Corporation
          shall have executed such instruments and done such things, as, in the
          opinion of counsel to the Holder, acting reasonably, are necessary or
          advisable to establish that upon the consummation of such transaction:

          (i)   the Successor Corporation will have assumed all of the
                covenants and obligations of the Corporation under this
                Warrant; and

          (ii)  the Warrant will be a valid and binding obligation of the
                Successor Corporation entitling the Holder, as against the
                Successor Corporation, to all of the rights of the Holder under
                this Warrant.

     (b)  Whenever the conditions of the foregoing subsection shall have been
          duly observed and performed, the Successor Corporation shall possess,
          and from time to time may exercise, each and every right and power of
          the Corporation under this Warrant in the name of the Corporation or
          otherwise and any act or proceeding by any provision hereof required
          to be done or performed by any director or officer of the Corporation
          may be done and performed with like force and effect by the directors
          or officers of the Successor Corporation.
<PAGE>

                                     - 8 -


24.  This Warrant shall be governed by the laws of the Province of Ontario
and the federal laws of Canada applicable herein.

     IN WITNESS WHEREOF the Corporation has caused this Warrant Certificate
to be signed by its duly authorized officer.

     DATED as of the_______ day of _____________________, 1999.


                                       MED-EMERG INTERNATIONAL INC.

                                       Per: _______________________________
                                            Carl Pahapill
                                            President
<PAGE>

                                SUBSCRIPTION FORM

TO BE COMPLETED IF WARRANTS ARE TO BE EXERCISED:

The undersigned hereby subscribes for _________________ Common Shares of
Med-Emerg International Inc. according to the terms and conditions set forth
in the annexed Warrant Certificate (or such number of other securities or
property to which such warrant entitles the undersigned to acquire under the
terms and conditions set forth in the annexed Warrant Certificate).

     Address for Delivery of Shares: _________________________________________

                                     _________________________________________

                                     _________________________________________

                                     Attention: ______________________________


          Exercise Price
          Tendered (US$3.40 per share or
          as adjusted)                          $____________________


     Dated at ____________, this ______ day of _____________, _____________.


                 Witness:            )     ________________________________
                                     )     Holder's Name
                                     )
                                     )     ________________________________
                                     )     Authorized Signature
                                     )
                                     )     ________________________________
                                           Title (if applicable)


Signature guaranteed:


THE SIGNATURE MUST BE GUARANTEED BY A CANADIAN CHARTERED BANK OR A MEMBER OF
A RECOGNIZED STOCK EXCHANGE OR OTHER ENTITY ACCEPTABLE TO MED-EMERG
INTERNATIONAL INC.
<PAGE>

                                 ASSIGNMENT FORM

TO BE COMPLETED IF WARRANTS ARE TO BE ASSIGNED:

TO:  MED-EMERG INTERNATIONAL INC.
     2550 Argentia Road
     Suite 205
     Mississauga, Ontario
     L5N 5R1


FOR VALUE RECEIVED, ___________________ WARRANTS represented by this Warrant
Certificate are hereby transferred to ____________________________ residing
at ______________________________________.

You are hereby instructed to take the necessary steps to effect this transfer.

     Dated at ____________, this ______ day of _____________, _____________.


                 Witness:            )     ________________________________
                                     )     Holder's Name
                                     )
                                     )     ________________________________
                                     )     Authorized Signature
                                     )
                                     )     ________________________________
                                           Title (if applicable)


Signature guaranteed:


THE SIGNATURE MUST BE GUARANTEED BY A CANADIAN CHARTERED BANK OR A MEMBER OF
A RECOGNIZED STOCK EXCHANGE OR OTHER ENTITY ACCEPTABLE TO MED-EMERG
INTERNATIONAL INC.
<PAGE>

                                    EXHIBIT D

                            FORM OF WORKING AGREEMENT

<PAGE>
                                                                     EXHIBIT 2.2


                              LOCK-UP AGREEMENT


          THIS AGREEMENT made as of the 10th day of August, 1999.


BETWEEN:


          MED-EMERG INTERNATIONAL INC., a corporation incorporated under
          the laws of the Province of Ontario

          (hereinafter referred to as "MEII")


          - and -


          DONALD WILSON AND MARTIN SCULLION

          (collectively, the "PRINCIPALS" and individually, a
          "PRINCIPAL")


          - and -


          977675 ONTARIO INC. ("977675"), a corporation incorporated
          under the laws of Ontario and PAGE, RAYMOND & ASSOCIATES LTD.
          ("PRAL"), a corporation incorporated under the laws of Ontario

          (977675 and PRAL are hereinafter referred to as the "PRINCIPAL
          SHAREHOLDERS")


          - and -


          YFMC HEALTHCARE INC., a corporation continued under the laws
          of the Province of Ontario

          (hereinafter referred to as "YFMC")


          - and -
<PAGE>
                                     - 2 -


          MONTREAL TRUST COMPANY OF CANADA

          (hereinafter referred to as the "ESCROW AGENT")


          WHEREAS MEII, YFMC, the Principals and the Principal Shareholders
entered into the Business Combination Agreement pursuant to which MEII has
agreed, among other things, to make an offer to purchase all of the YFMC
Securities;

          AND WHEREAS Donald Wilson is an officer, director and principal
shareholder of 977675; and

          AND WHEREAS Martin Scullion is an officer, director and principal
shareholder of PRAL;

          AND WHEREAS the Principal Shareholders are at the present time the
holders of the number of YFMC Securities as set out in Schedule "A" hereto;

          AND WHEREAS the Principal Shareholders have mutually agreed with
each other and with MEII and YFMC to forthwith deposit all of their YFMC
Securities with the Escrow Agent pursuant to the terms hereof, such that such
securities will be deposited under the Offer;

          AND WHEREAS the YFMC Common Shares and the YFMC Preferred Shares
set out in Schedule "A" hereto are currently being held in escrow pursuant to
certain agreements, in each case, between the Principal Shareholders and the
Escrow Agent pursuant to the requirements of the Alberta Stock Exchange and
the Alberta Securities Commission, as applicable (the "ASC/ASE Escrow");

          NOW THEREFORE in consideration of the mutual covenants and
agreements contained in this Agreement and other good and valuable
consideration (the receipt and sufficiency of which are hereby acknowledged
by each of the parties), the parties hereto do hereby agree as follows:


                                   ARTICLE 1
                                 INTERPRETATIONS

1.1       DEFINITIONS.  In this Agreement the following capitalized terms
shall have the following respective meanings ascribed thereto:

          "AGREEMENT" means this agreement and all schedules attached hereto,
          in each case as they may be supplemented or amended from time to
          time and the expressions "HEREOF", "HEREIN", "HERETO", "HEREUNDER",
          "HEREBY" and similar expressions refer to this agreement and,
          unless otherwise indicated, references to Articles and Sections are
          to the specified Articles and Sections in this Agreement;

          "ASC/ASE ESCROW" has the meaning ascribed thereto in the recitals
          hereto;

<PAGE>
                                     - 3 -


          "BUSINESS COMBINATION AGREEMENT" means the agreement made as of
          even date among MEII, YFMC, the Principals and the Principal
          Shareholders relating to, among other things, the Offer;

          "BUSINESS DAY" means a day on which Canadian chartered banks are
          open for business in Toronto, Ontario;

          "DEPOSITED SECURITIES" means, prior to completion of the Offer, the
          YFMC Common Shares and the YFMC Preferred Shares deposited by the
          Principal Shareholders pursuant to Section 2.1;

          "MEII" means Med-Emerg International, Inc.;

          "MEII COMMON SHARES" means common shares of MEII, as constituted on
          the date hereof;

          "NON-ARM'S LENGTH TRANSACTION" means, except for contracts of
          employment, any contract or agreement between YFMC or any
          subsidiary and any officer, director, employee of YFMC and/or any
          subsidiary or any person not dealing at arm's length (within the
          meaning of the INCOME TAX ACT (Canada)) with any of them or any
          affiliate of any of them;

          "OFFER" means the offer to be made by MEII to purchase, among other
          things, all of the YFMC Common Shares in exchange for MEII Common
          Shares, as contemplated by the Business Combination Agreement;

          "YFMC COMMON SHARES" means common shares of YFMC, as constituted on
          the date hereof; and

          "YFMC PREFERRED SHARES" means the 1,000,000 outstanding first
          preferred shares, Series A of YFMC, as the same are constituted on
          the date hereof;

          "YFMC SECURITIES" means YFMC Common Shares, YFMC Preferred Shares
          and YFMC Warrants; and

          "YFMC SERIES A WARRANTS" means the 356,680 outstanding common share
          purchase warrants of YFMC, each such warrant entitling the holder
          thereof to acquire one YFMC Common Share at an exercise price of
          $0.40 per share for a period of two years from the date of issuance;

          "YFMC SERIES B WARRANTS" means the 356,680 outstanding common share
          purchase warrants of YFMC, each such warrant entitling the holder
          thereof to acquire one YFMC Common Share at an exercise price of
          $0.50 per share for a period of two years from the date of
          issuance; and

          "YFMC WARRANTS" means the YFMC Series A Warrants and the YFMC
          Series B Warrants, collectively.

<PAGE>
                                     - 4 -


Capitalized terms which are not otherwise defined herein shall have the meanings
ascribed to them in the Business Combination Agreement.

1.2       MUTATIS MUTANDIS.  The provisions of this Agreement relating to the
Deposited Securities shall apply MUTATIS MUTANDIS to any other securities
into which the Deposited Securities or any of them may be exchanged,
converted, changed, reclassified, subdivided or consolidated.

1.3       GENDER AND NUMBER.  In this Agreement, unless the context otherwise
requires, words importing the singular include the plural and vice versa and
words importing gender include all genders.

1.4       INVALIDITY OF PROVISIONS.  Each of the provisions of this Agreement
is distinct and severable and a declaration of invalidity or unenforceability
of any such provision by a court of competent jurisdiction shall not affect
the validity or enforceability of any other provision hereof.

1.5       ENTIRE AGREEMENT.  This Agreement constitutes the entire agreement
between the parties pertaining to the subject matter of this Agreement. There
are no warranties, representations or agreements among the parties in
connection with such subject matter, except as specifically set forth or
referred to in this Agreement. No reliance is placed on any representation,
opinion, advice or assertion of fact made by any party or its directors,
officers and agents, except to the extent that the same has been reduced to
writing and included as a term of this Agreement. Accordingly, there shall be
no liability, either in tort or in contract, assessed in relation to any such
representation, opinion, advice or assertion of fact, except to the extent
aforesaid.

1.6       AMENDMENT, WAIVER.  Except as expressly provided in this Agreement,
no amendment of this Agreement shall be binding unless executed in writing by
all of the parties hereto. No waiver of this Agreement shall be binding
unless executed in writing and no such waiver shall constitute a waiver of
any other provision, nor shall any waiver of any provision of this Agreement
constitute a continuing waiver, unless otherwise expressly provided.

1.7       GOVERNING LAW.  This Agreement shall be governed by and construed in
accordance with the laws of the Province of Ontario and the laws of Canada
applicable therein, and shall in all respects be treated as an Ontario
contract.

1.8       TERMINATION.  This Agreement and all obligations of MEII, YFMC, the
Principals and the Principal Shareholders hereunder shall terminate on the
earlier of: (a) January 31, 2000, if the Offer is not completed by MEII, (b)
the date upon which all of the Deposited Securities have been taken up and
paid for pursuant to the Offer or (c) at the option of MEII, YFMC or the
Principal Shareholders, if the Business Combination Agreement is terminated
in accordance with Article 6 thereof and written notice of the same is
provided by any party hereto to the Escrow Agent.

<PAGE>
                                     - 5 -


                                   ARTICLE 2
                           RELEASE FROM ASC/ASE ESCROW

2.1       APPLICATION.  The Principals will, and the Principals agree to cause
the Principal Shareholders to, forthwith after the execution of this
Agreement, make an application to the Alberta Securities Commission and the
Alberta Stock Exchange for the release of all of the YFMC Common Shares and
the YFMC Preferred Shares subject to the ASC/ASE Escrow.

2.2       PURSUE DILIGENTLY.  The Principals and the Principal Shareholders
agree to cause such application to be pursued diligently and expeditiously.

2.3       KEEP INFORMED.  The Principals and the Principal Shareholders agree
to keep MEII and its counsel fully informed as to the status of the
application for the release of the YFMC Common Shares and the YFMC Preferred
Shares from the ASC/ASE Escrow and to fully consult with MEII's counsel with
respect thereto.


                                   ARTICLE 3
                                    ESCROW

3.1       DEPOSITED SECURITIES.  Upon release of the YFMC Common Shares and
the YFMC Preferred Shares from the ASC/ASE Escrow, the Principal Shareholders
hereby agree to, and the Principals agree to cause the Principal Shareholders
to, place and deposit with the Escrow Agent the YFMC Common Shares and the
YFMC Preferred Shares held by the Principal Shareholders as set forth in
Schedule "A" to this Agreement. The Principal Shareholders hereby undertake
and agree forthwith to, and the Principals agree to cause the Principal
Shareholders to, deliver to the Escrow Agent duly completed and executed
powers of attorney permitting the transfer of such shares in blank (with
signatures guaranteed by a bank, trust company or investment dealer) to the
Escrow Agent for deposit.


                                 ARTICLE 4
                                 THE OFFER

4.1       AGREEMENT TO DEPOSIT UNDER THE OFFER

     (1)  Subject to the Deposited Securities being released from the ASC/ASE
          Escrow and subject to Section 1.8 hereof, each of the Principal
          Shareholders hereby irrevocably and unconditionally agrees to, and
          the applicable Principal agrees to cause such Principal Shareholder
          to, deposit all of the YFMC Common Shares and the YFMC Preferred
          Shares owned by such Principal Shareholder under the Offer.

     (2)  Subject to the Deposited Securities being released from the ASC/ASE
          Escrow and subject to Section 1.8 hereof, each of the Principal
          Shareholders hereby irrevocably authorizes and directs the Escrow
          Agent to, and the Principals agree to cause the Principal
          Shareholders to, deposit with the Escrow Agent in its capacity as
          depository with respect to the Offer all of the YFMC Common Shares

<PAGE>
                                     - 6 -


          and the YFMC Preferred Shares deposited hereunder under the Offer
          and to execute and deliver for and on behalf of such Principal
          Shareholder all instruments and documents as may be required to be
          executed or delivered by such Principal Shareholder in connection
          with the Offer and, notwithstanding the rights granted to each such
          Principal Shareholder pursuant to applicable securities legislation
          or the terms of the Offer, further irrevocably agrees that
          thereafter the Principal or the Principal Shareholder will not
          withdraw any of the Deposited Securities deposited by such
          shareholder under the Offer until the date on which the Offer
          expires or is terminated without MEII having taken up and paid for
          the Deposited Securities under the Offer.


                               ARTICLE 5
                  ESCROW TERMS AND RELEASES FROM ESCROW

5.1       TRANSFER OF DEPOSITED SECURITIES.  Upon completion of the Offer, any
Deposited Securities deposited under this Agreement shall be transferred to
MEII.

5.2       ESCROW AGENT.  Once the Deposited Securities are deposited
hereunder, the Principal Shareholders hereby direct the Escrow Agent to
retain their respective securities and the certificates or agreements
representing the same (including any replacement securities, agreements or
certificates) and not to do or cause anything to be done to release the same
from escrow or to allow any transfer, hypothecation or alienation thereof,
except with and as directed by a written consent, order or direction as
contemplated herein. The Escrow Agent hereby accepts the responsibilities
placed on it hereby and agrees to perform the same in accordance with the
terms hereof and the written consents, orders or directions as contemplated
herein.

5.3       TRANSFER OF SECURITIES.  The Escrow Agent shall at all times hold
the certificates and agreements representing the Deposited Securities held by
the Principal Shareholders and deposited hereunder on behalf of the Principal
Shareholders. The Principal Shareholders hereby irrevocably appoint MEII as
their attorney for the purpose of transferring their Deposited Securities
deposited hereunder in accordance with the terms of this Agreement. Any such
transfer shall be effected in accordance with the terms hereof.

5.4       RESTRICTIONS ON TRANSFER.  The Principal Shareholders hereby agree
that the Deposited Securities deposited hereunder and the beneficial
ownership of or any interest in them and the certificates and agreements
representing them (including any replacement securities, agreements or
certificates) shall not be sold, assigned, pledged, mortgaged, hypothecated,
alienated or otherwise in any manner dealt with except in accordance with
this Agreement or except as may be required by reason of the death or
bankruptcy of one of the Principal Shareholders, in which case, the Escrow
Agent shall hold the said certificates or agreements, subject to this
Agreement, for whatever persons, firms or corporations shall be legally
entitled to be or become the registered owner thereof. Notwithstanding the
foregoing, there shall be no restriction or prohibition on any transfer of
any Deposited Securities deposited hereunder for estate or tax planning or
other similar purposes, provided that MEII's prior written approval to such
transfer is obtained (which approval will not be unreasonably withheld), and
further

<PAGE>
                                     - 7 -


provided that the transferee agrees to be bound by the terms and conditions
of this Agreement and to execute such further documents or instruments as
MEII considers necessary or desirable.

5.5       RIGHTS OF SHAREHOLDERS.  If during the period in which any of the
Deposited Securities are retained in escrow pursuant hereto, any cash
dividend is received by the Escrow Agent in respect of the Deposited
Securities, any such dividend shall be forthwith paid or transferred to the
respective Principal Shareholders entitled thereto. All voting rights
attached to the Deposited Securities shall at all times be exercised by the
respective registered owners thereof.


                                   ARTICLE 6
                         REPRESENTATIONS AND WARRANTIES

6.1       REPRESENTATIONS AND WARRANTIES.  Each of the Principals severally
represents and warrants to MEII that:

     (a)  the Principal Shareholder owned by him is the registered and
     beneficial owner of the YFMC Common Shares and the YFMC Preferred Shares
     set forth opposite his name in Schedule "A" annexed hereto and the
     Principal Shareholder owns such shares free and clear of all
     encumbrances of any nature or kind and no person has any right to
     purchase any such shares, except pursuant to the terms hereof and the
     Offer;

     (b)  each of YFMC and its subsidiaries has not made any payment or loan
     to, or borrowed any monies from or is otherwise indebted to, any person
     pursuant to a Non-Arm's Length Transaction, except as disclosed in
     YFMC's audited financial statements for its fiscal year ended December
     31, 1998, the Business Combination Agreement or the take-over bid
     circular prepared in connection with the Offer and except for usual
     compensation paid in the ordinary course of business, consistent with
     past practice; and

     (c)  except for contracts of employment or as disclosed in the Business
     Combination Agreement or in the take-over bid circular prepared in
     connection with the Offer, each of YFMC and its subsidiaries is not
     party to any Non-Arm's Length Transaction.


                                   ARTICLE 7
                           GENERAL CONTRACT PROVISIONS

7.1       NOTICES.  Any notice herein required or permitted to be given by
any party to the others shall be in writing and shall be delivered or sent by
telex or facsimile transmission, personal delivery or pre-paid registered
mail to the applicable address set forth below:

     (1)  in the case of MEII, to the following:

          Med-Emerg International Inc.
          2550 Argentia Road,
          Suite 205
          Mississauga, Ontario

<PAGE>
                                     - 8 -


          L5N 5R1

          Attention: The President
          Facsimile: (905) 858-1399

     (2)  in the case of the Principals and the Principal Shareholders, to
          the address therefor shown in the registers maintained by YFMC from
          time to time or as otherwise shown in YFMC's records.

     (3)  in the case of YFMC, to:

          YFMC Healthcare Inc.
          Suite 250 - 441 MacLaren Street
          Ottawa, Ontario
          K2P 2H3

          Attention: The President
          Fax No.:   (613) 230-1379

     (4)  in the case of the Escrow Agent, to:

          Montreal Trust Company of Canada
          Suite 600
          530-8th Avenue S.W.
          Calgary, Alberta
          T2P 3S8

          Attention: Wes Takeuchi
          Fax No.:   (403) 267-6518

Any notice delivered shall be deemed to have been validly and effectively
given on the day of such delivery. If the day of delivery is not a Business
Day, notice shall be deemed to have been given and received on the next
Business Day following such date. Any notice sent by telex or facsimile
transmission or other means of prepaid recorded communication shall be deemed
to have been validly and effectively given on the Business Day next following
the day on which it was sent.

7.2       TIME OF THE ESSENCE.  Time shall be of the essence of this
Agreement.

7.3       FURTHER ACTS.  The parties hereto agree to sign such other papers,
cause such meetings to be held, resolutions (including special resolutions)
passed, by-laws enacted, exercise their vote and influence and do and perform
and cause to be done and performed such further and other acts and things as
may be necessary to give full effect and force to this Agreement.

7.4       COUNTERPARTS.  This Agreement may be executed in one or more
counterparts, each of which when so executed shall be deemed to be an
original and such counterparts together shall constitute one and the same
document.

<PAGE>
                                     - 9 -


7.5       SUCCESSORS AND ASSIGNS.  This Agreement shall enure to the benefit
of and be binding upon the parties hereto and their respective heirs,
executors, administrators, successors and assigns.

7.6       ESCROW AGREEMENT.  Upon completion of the Offer, MEII and the
Principal Shareholders agree to enter into an escrow agreement with the
Escrow Agent substantially in the form annexed hereto as Schedule "B".

7.7       PREFERRED SHARE ESCROW AGREEMENT.  Upon completion of the Offer,
MEII and the Principal Shareholders agree to enter into an escrow agreement
with the Escrow Agent substantially in the form annexed hereto as Schedule
"C".

          IN WITNESS WHEREOF the parties hereto have executed these presents
as of the day and year first above-written.

SIGNED, SEALED AND DELIVERED           )
     In the presence of:               )
                                       )  MED-EMERG INTERNATIONAL INC.
                                       )
                                       )          /s/ Kathryn Gamble
                                       )  By: ---------------------------------
                                       )  Name:
                                       )  Title:
                                       )
                                       )
                                       )  YFMC HEALTHCARE INC.
                                       )
                                       )          /s/ Martin Scullion
                                       )  By: ---------------------------------
                                       )  Name:
                                       )  Title:
                                       )
                                       )
                                       )  MONTREAL TRUST COMPANY OF CANADA
                                       )
                                       )  By: _________________________________
                                       )  Name:
                                       )  Title:
                                       )
                                       )
                                       )  By: _________________________________
                                       )  Name:
                                       )  Title:
                                       )
<PAGE>
                                     - 10 -


                                       )
/s/ Marc Smith                         )          /s/ Donald Wilson
- -------------------------------------  )  -------------------------------------
Witness                                )  DONALD WILSON
                                       )
/s/ Marc Smith                         )          /s/ Martin Scullion
- -------------------------------------  )  -------------------------------------
Witness                                )  MARTIN SCULLION
                                       )
                                       )  977675 ONTARIO INC.
                                       )
                                       )          /s/ Donald Wilson
                                       )  By: ---------------------------------
                                       )  Name:
                                       )  Title:
                                       )
                                       )
                                       )  PAGE, RAYMOND & ASSOCIATES LTD.
                                       )
                                       )          /s/ Martin Scullion
                                       )  By: ---------------------------------
                                       )  Name:
                                       )  Title:
<PAGE>


                                  SCHEDULE "A"

                             PRINCIPAL SHAREHOLDERS

<TABLE>
<CAPTION>
- -------------------------------   -----------------------   ------------------   -------------   ---------------------
NAME OF PRINCIPAL                                                                  NUMBER OF       SHARE CERTIFICATE
SHAREHOLDER                         ADDRESS                  CLASS OF SHARES        SHARES              NUMBERS
- -------------------------------   -----------------------   ------------------   -------------   ---------------------
<S>                                 <C>                      <C>                   <C>             <C>
977675 Ontario Inc.                 56 Tiffany Crescent           Common           3,641,331               -
(Donald Wilson)                     Kanata, Ontario             Preferred           506,354           1,2,3,7,8,9
                                    K2K 1W2
- -------------------------------   -----------------------   ------------------   -------------   ---------------------
Page Raymond & Associates Ltd.      34 Oakhurst Crescent          Common           3,360,165               -
(Martin Scullion)                   Gloucester, Ontario         Preferred           463,102         4,5,6,10,11,12
                                    K1B 4A6
- -------------------------------   -----------------------   ------------------   -------------   ---------------------
</TABLE>

<PAGE>

                                  SCHEDULE "B"

                                ESCROW AGREEMENT

                        (for MEII Common Shares exchanged
                             for YFMC Common Shares)


<PAGE>

                                  SCHEDULE "C"

                        PREFERRED SHARE ESCROW AGREEMENT

                        (for MEII Common Shares exchanged
                           for YFMC Preferred Shares)

<PAGE>

                                                                     EXHIBIT 2.3

                                WORKING AGREEMENT

THIS AGREEMENT MADE THIS 10TH DAY OF AUGUST, 1999

B E T W E E N:

                          MED-EMERG INTERNATIONAL INC.
                       (HEREINAFTER REFERRED TO AS "MEII")

                                                               OF THE FIRST PART
                                     - AND -

                              YFMC HEALTHCARE INC.
                       (HEREINAFTER REFERRED TO AS "YFMC")

                                                              OF THE SECOND PART


     WHEREAS MEII intends to make an offer to purchase all of the issued and
outstanding securities of YFMC (the "Transaction");

     AND WHEREAS the parties together with 997675 Ontario Inc. and Page
Raymond & Associates Ltd. (the "Principal Shareholders of YFMC") have entered
into the Business Combination Agreement;

     AND WHEREAS the parties must obtain their respective regulatory and
shareholder approvals to proceed with the Transaction (the "Approvals");

     AND WHEREAS the parties anticipate at least a ninety (90) day delay in
obtaining the appropriate Approvals and are desirous of establishing, pending
completion of the Transaction, a working agreement for the purposes of
carrying on business as a combined entity;

     NOW THEREFORE, in consideration of the premises and the respective
covenants and agreements herein contained, and for other good and valuable
consideration, the receipt and sufficiency of which are hereby acknowledged
by each of the parties hereto, the parties hereto hereby covenant and agree
as follows:

1.   TERM:

This Agreement shall come into force and effect as of the date of the
execution of the Business Combination Agreement (the "Effective Date") and
shall continue in force until the earlier of:


<PAGE>

                                       2


     1.   the successful closing of the Transaction; and

     2.   the termination of the Business Combination Agreement in accordance
          with the termination provisions therein.

2.       OBJECTIVES AND RELATIONSHIP OF THE PARTIES:

2.1  As of the Effective Date, MEII and YFMC agree to establish a working
     agreement for the purpose of continuing carrying on their respective
     businesses but as one combined entity ("MEII-YFMC").

2.2  During the term of this Agreement, MEII-YFMC will have the following
     objectives:

     1.   to operate and to continue with the development of the Physician
          Practice Management ("PPM") division, which includes, without
          limitation, the acquisition of medical centres and the creation of
          new health centres throughout Canada;

     2.   the development of the HealthyConnect.com (or other related name)
          division of MEII;

     3.   the creation of strategic alliances; and

     4.   engaging in any other business which is for the benefit of
          MEII-YFMC;

2.3  In conjunction with the Transaction, YFMC has offered employment or
     consulting packages to YFMC management with MEII's consent. In order to
     meet the mutual objectives of both parties of carrying on business as
     MEII-YFMC, the following persons have agreed that the commencement date
     of their term of employment or consulting arrangements will be the
     Effective Date:

     1.   DR. DONALD WILSON:  Dr. Wilson will act as an administrator and his
          responsibilities will include recruiting qualified physicians,
          organizing physician's shifts, developing an organization-wide
          quality assurance program, contributing to the combined business'
          strategy and plans for growth and developing health programs for
          the clinics managed or operated by MEII-YFMC;

     2.   MARTIN SCULLION:  Mr. Scullion will act as General Manager of
          medical clinic operations and his responsibilities will include
          overseeing the planning, coordination and execution of operations
          at present and future medical clinics managed or operated by
          MEII-YFMC;

     3.   MARC E. SMITH:  Mr. Smith will act as General Corporate Counsel of
          MEII-YFMC and his responsibilities will include managing all
          corporate legal and compliance matters, lease negotiations,
          contract development, acquisition related matters and be involved
          in the development of business growth strategies; and

<PAGE>

                                       3


     4.   ED BELANGER:  International Health Consultants Inc. will provide
          the services of Mr. Belanger to MEII-YFMC to serve as
          Vice-President Corporate Finance and Development and as President
          of YFMC Healthcare (Alberta) Inc.

3.   CARRYING ON BUSINESS:

3.1  YFMC and MEII shall each continue operating their respective businesses
     on the understanding that they shall consult one another in the same
     fashion as if they were operating as one combined entity.

3.2  Each of YFMC and MEII, unless otherwise agreed upon, will, subject to
     the Business Combination Agreement, continue to carry on business using
     their respective credit facilities to fund day to day operation and the
     acquisitions of new businesses. All new acquisitions and/or businesses
     will, subject to the Business Combination Agreement, be concluded under
     their respective banners, to be later converted into the combined new
     entity, provided the successful completion of the Transaction.

3.3  Neither YFMC or MEII shall have the authority to act for the other or to
     incur any obligation on behalf of the other.

4.   TERMINATION AND DISPUTE RESOLUTION:

4.1  In the event that the Transaction does not successfully close and that
     this Agreement is terminated, the parties agree to the following:

     1.   Without limitation thereon, all acquisitions, business development
          and/or creation of strategic alliances which were secured either
          prior to or during the term of this Agreement by YFMC or MEII,
          shall remain the property of either YFMC or MEII, as the case may
          be;

     2.   MEII will advance, from time to time, up to $50,000, as working
          capital for YFMC. For greater certainty, the advances will not be
          used by YFMC in respect of acquisitions. Such advances will be
          evidenced by a promissory grid note with such rate of interest and
          such other terms (including terms as to security) as may be
          mutually agreed. The amount evidenced by such promissory note will,
          in the event the Transaction is not completed, be repaid by January
          31, 2000.

     3.   In the event the Transaction is not completed, YFMC and MEII agree
          to reimburse one another for operational expenses incurred to
          facilitate the combination of the

<PAGE>

                                       4


          business operations, such as traveling and out-of-pocket expenses
          and which would not have been incurred but for the proposed
          business combination. For greater certainty, expenses relating to
          the negotiation and preparation of the Business Combination
          Agreement and related expenses are not reimbursable by either party.

     4.   Within sixty days of the termination of this agreement and in the
          event the Transaction has not been completed, both YFMC and MEII
          shall provide one another with a summary of all expenses incurred
          for which reimbursement is sought pursuant to this provision.
          Within forty-five days of receipt of the summary, the parties
          hereto shall consult and negotiate with one another in good faith
          to reach a just and equitable resolution of the reimbursement of
          such expenses.

     5.   To the extent amounts are reimbursable by one party to the other,
          such amounts may be set-off against amounts otherwise owing by such
          party to the other party.

4.2  If the aforementioned attempts referred to in paragraph 4.1(3) fail
     within the forty-five (45) days provided, then such disagreement shall
     be referred to arbitration pursuant to the Arbitration legislation of
     the province of Ontario and in accordance with the following:

     1.   any party may by written notice to the other party request that the
          disagreement be referred to arbitration with the reference being to
          a single arbitrator who is reasonably knowledgeable in the health
          related industry and mutually agreed to by the parties, provided
          that, if the parties are unable to agree on an arbitrator within
          twenty (20) days of receipt of the written notice, the arbitration
          shall be to three arbitrators each being reasonably knowledgeable
          in the aforementioned field, one of whom shall be appointed by YFMC
          and one of whom shall be appointed by MEII and each party shall
          provide notice to the other party of the arbitrator so appointed
          within thirty (30) days of the written notice requesting
          arbitration and the third arbitrator shall be appointed by the
          arbitrators appointed by YFMC and MEII and such third arbitrator
          shall be the chairperson; provided further that if either party
          fails to give notice of the appointment of an arbitrator herein
          provided the reference shall be to an arbitrator appointed in
          accordance with this clause and as such the arbitrator shall be
          considered to have been mutually agreed to by the parties;

     2.   where reference is to three arbitrators, decisions may be made by
          the majority of the arbitrators provided that matters susceptible
          to reduction to a number, such as a dollar amount, shall be decided
          by closed ballot by averaging the two nearest numerical decisions
          of the three arbitrators;

     3.   the arbitrator(s) may proceed to an award notwithstanding the
          failure of one party to participate in the arbitration proceedings;

<PAGE>

                                       5


     4.   the prevailing party shall be entitled to an award of reasonable
          legal fees incurred in connection with the arbitration in such
          amount as determined by the arbitrator(s); and

     5.   the award of the arbitrator(s) shall be enforceable in a court of
          competent jurisdiction.

5.   APPLICABLE LAW

5.1  This Agreement shall be governed by and construed in accordance with the
     laws of the Province of Ontario and the federal laws of Canada
     applicable in the Province of Ontario and shall be treated, in all
     respects, as an Ontario contract. Each Party to this Agreement
     irrevocably attorns to and submits to the jurisdiction of the Courts of
     Ontario with respect to any matter arising under to relating to this
     Agreement.

6.   ACCOUNTING TERMS

6.1  All calculations are to be made and all financial data to be submitted
     are to be prepared, in accordance with the generally accepted accounting
     principles approved from time to time by the Canadian Institute of
     Chartered Accountants, or any successor institute applied on a
     consistent basis.

7.   SEVERABILITY

7.1  Any provision of this Agreement which is prohibited or unenforceable in
     any jurisdiction shall, as to that jurisdiction, be ineffective to the
     extent of such prohibition or unenforceability and shall be severed from
     the balance of this Agreement, all without affecting the remaining
     provisions of this Agreement or affecting the validity or enforceability
     of such provision in any other jurisdiction.

8.   COUNTERPARTS

8.1  This Agreement may be executed in any number of counterparts, each of
     which shall be deemed to be an original and all of which taken together
     shall be deemed to constitute one and the same instrument. Counterparts
     may be executed either in original or faxed form and the parties adopt
     any signatures received by fax machine as original signatures of the
     parties; provided, however, that any party providing its signature in
     such manner shall promptly forward to the other party an original of the
     signed copy of this Agreement which was so faxed.

<PAGE>

                                       6


IN WITNESS WHEREOF this agreement has been executed by the parties hereto.

                                          )
                                          )
                                          )        YFMC HEALTHCARE INC.
                                          )        /s/ Martin Scullion
                                          ) PER:
                                                 -----------------------------

                                          )        I have authority to bind the
                                          )         corporation
                                          )
                                          )        MED-EMERG INTERNATIONAL
                                          )        INC.
                                          )        /s/ Kathryn Gamble
                                          ) PER:
                                                 -----------------------------

                                          )        I have authority to bind the
                                          )         corporation


With reference to paragraph 2.3 of this Agreement, Messrs. Donald Wilson, Martin
Scullion, Marc Smith and Ed Belanger and International Health Consultants Inc.
hereby agree to the terms thereof.

/s/ Donald Wilson                                /s/ Marc Smith
- -----------------------------                    ------------------------------
    Donald Wilson                                    Marc E. Smith


/s/ Martin Scullion                              /s/ Ed Belanger
- -----------------------------                    ------------------------------
    Martin Scullion                                  Ed Belanger


INTERNATIONAL HEALTH CONSULTANTS INC.

       /s/ Ed Belanger
Per:
     -----------------------------

       I have the authority to bind the corporation


<PAGE>

                                                                    EXHIBIT 2.4


                  THIS AGREEMENT made this ______ day of __________, 1999.

AMONG:

                  MED-EMERG INTERNATIONAL INC., a corporation incorporated
                  pursuant to the laws of the Province of Ontario

                                                   (herein called the "Issuer")

                                     - and -

                  MONTREAL TRUST COMPANY OF CANADA, a trust company authorized
                  to carry on business in each province of Canada

                                             (herein called the "Escrow Agent")

                                     - and -

                  THOSE PERSONS LISTED IN SCHEDULE "A" HERETO

                                          (herein called the "Securityholders")

     WHEREAS the Securityholders wish to deposit in escrow certain common
shares (the "Escrowed Shares") of the Issuer owned by them and have for that
purpose delivered to the Escrow Agent the security certificate(s) described
in SCHEDULE "A", the receipt of which certificates the Escrow Agent hereby
acknowledges;

     AND WHEREAS the Escrow Agent has agreed to undertake and perform its
duties according to the terms and conditions hereof;

     NOW THEREFORE this agreement witnesses that, in consideration of the sum
of one dollar ($1.00) paid by the parties to each other, receipt of this sum
being acknowledged by each of the parties, the Securityholders jointly and
severally, covenant and agree with the Issuer and with the Escrow Agent, and
the Issuer and the Escrow Agent covenant and agree each with the other and
with the Securityholders jointly and severally, as follows:

1.   In this Escrow Agreement, or in any amendment or agreement supplemental
     hereto, unless the context otherwise requires, the following terms shall
     have the following meanings:

     a.  "BOARD OF DIRECTORS" means the board of directors of the Issuer;

     b.  "CHANGE OF CONTROL" means any of the:

         i.    the sale by the Issuer of all the assets of the Issuer or
               substantially all the assets of the Issuer; or

         ii.   the amalgamation, arrangement, merger or other consolidation
               of the Issuer with or into any one or more other corporations,

               (1)  pursuant to which a Person or company or combination of
                    Persons and/or companies thereafter hold a greater number
                    of Voting Shares or other securities of the successor or
                    continuing corporation having rights of purchase,
                    conversion or exchange into Voting Shares of the
                    successor or continuing corporation (assuming the
                    purchase, conversion or exchange of other securities
                    whether then purchasable, convertible or exchangeable or
                    not into the highest number of Voting Shares of the
                    successor or continuing corporation such Persons and/or
                    companies would be entitled to) than the number of Voting
                    Shares of the successor or continuing corporation held
                    directly and indirectly by former shareholders of the
                    Issuer; or

               (2)  such other amalgamation, arrangement, merger or other
                    consolidation which, in the opinion of the Board of
                    Directors, should be subject to this

<PAGE>

                                      2


                    Change of Control definition in order to fairly protect
                    the rights of the Securityholders;

     c.  "DIRECTION" means a direction of the Issuer in the form attached as
         SCHEDULE "B" hereto;

     d.  "PERSON" has the meaning ascribed to it in the BUSINESS CORPORATIONS
         ACT (Ontario) and which, for the purposes of this Agreement, shall
         include the Issuer;

     e.  "VOTING SHARES" means the voting securities of the Corporation
         within the meaning of the SECURITIES ACT (Ontario).

2.   Each of the Securityholders hereby places and deposits in escrow with
     the Escrow Agent those of the Securityholder's securities of the Issuer
     described in SCHEDULE "A" and the Escrow Agent hereby acknowledges
     receipt of those certificates. Each of the Securityholders agrees to
     deposit in escrow any replacement securities or certificates which may
     at any time be issued for any escrowed securities.

3.   Each of the Securityholders shall be entitled to a letter or receipt
     from the Escrow Agent stating the number of securities represented by
     certificates held for the Securityholder by the Escrow Agent subject to
     the terms of this agreement. It is expressly understood and agreed by
     the parties to this Escrow Agreement that such letter or receipt shall
     not be assignable.

4.   Except as provided in Section 5, the securities deposited in escrow as
     described shall remain in escrow and shall not be sold, assigned,
     hypothecated, pledged, charged, alienated, released from escrow,
     transferred within escrow or otherwise in any manner dealt with, without
     the prior written consent of the Issuer to the Escrow Agent. The
     foregoing shall not prevent any transfer or assignment which may be
     required by reason of the death or bankruptcy of any Securityholder, in
     which case the Escrow Agent shall hold the said securities and
     certificates in escrow, subject to the provisions of this agreement, for
     whatever person or company shall be legally entitled to be or become the
     registered owner thereof.

5.   The Issuer agrees with the Securityholders that the Escrowed Shares
     shall be released to the Securityholders upon the earlier of:

     a.  February 9, 2001;

     b.  that date on which the prior twenty day weighted average share price
         of the Issuer's common shares exceeds U.S. $3.40, provided that, if
         the Direction is received:

         i.    on or prior to February 9, 2000, one-third (1/3) of the
               Escrowed Shares of each Securityholder shall be automatically
               released on each of February 9, 2000, August 9, 2000 and
               February 9, 2001;

         ii.   subsequent to February 9, 2000 but prior to August 9, 2000,
               one-third (1/3) of the Escrowed Shares of each Securityholder
               shall be released immediately, one-third (1/3) shall be
               automatically released on August 9, 2000, and the remaining
               one-third (1/3) shall be released on February 9, 2001;

         iii.  subsequent to August 9, 2000 but prior to February 9, 2001,
               two-thirds (2/3) of the escrowed shares will be released
               immediately with the balance of the escrowed shares released
               on February 9, 2001;

     c.  in the event of the liquidation, dissolution or winding-up of the
         Issuer, whether voluntary or involuntary, or any other distribution
         of assets of the Issuer among its shareholders for the purpose
         winding-up its affairs; and

     d.  in the event of a Change of Control of the Issuer.

     In the case of subsection 5.a. above, the Trustee shall automatically
     release the Escrowed Shares. In the case of subsections 5.b. through and
     including 5.d. above, the Issuer shall provide the Direction to the
     Trustee to
<PAGE>

                                      3


     effect such release and, subject to the release terms of Section 5.b.
     above, the Trustee shall immediately release the Escrowed Shares.

6.   If during the period in which any of the Escrowed Shares are retained in
     escrow pursuant hereto any cash dividend is received by the Issuer in
     respect of the Escrowed Shares, any such cash dividend shall be
     forthwith paid or transferred to the respective Securityholders entitled
     thereto. If during the period in which any of the Escrowed Shares are
     retained in escrow pursuant hereto, any share dividend or other
     distribution of securities is received by the Escrow Agent in respect of
     the Escrowed Shares, any certificates representing such share dividend
     or securities will be held by the Escrow Agent on and subject to the
     terms of this agreement. If during the period in which any of the
     Escrowed Shares are retained in escrow pursuant hereto, any share
     dividend or other distribution of securities is received by a
     Securityholder in respect of the Escrowed Shares, any certificates
     representing such share dividend or securities must be forthwith
     deposited by the securityholders with the Escrow Agent to be held by the
     Escrow Agent on and subject to the terms of this agreement.

7.   Any Securityholder may hypothecate, pledge or charge any or all
     securities owned by it and deposited in escrow hereunder to a financial
     institution, provided that prior to such hypothecation, pledge or
     charge, such financial institution enters into an agreement with the
     particular Securityholder and the Issuer whereby it agrees to be bound
     by the provisions of this agreement and acknowledges that the securities
     so hypothecated, pledged or charged may not be sold, transferred or
     otherwise dealt with except in accordance with the provisions of this
     agreement, and provided that the Securityholder provides to the Escrow
     Agent any and all documents that the Escrow Agent deems necessary or
     required in order to effect to such hypothecation, pledge or charge.

8.   All voting rights attached to the escrowed securities shall at all times
     be exercised by the respective registered owners thereof and the Issuer
     and the Escrow Agent shall take all necessary steps from time to time to
     permit the registered owners to exercise such rights.

9.   The Escrow Agent accepts the responsibilities placed on the Escrow Agent
     by this agreement and agrees to perform them in accordance with the
     terms hereof and with the applicable consent of the Issuer or the
     Direction of the parties hereto.

10.  The Issuer hereby acknowledges the terms and conditions of this
     agreement and agrees to take all reasonable steps to facilitate the
     Issuer's performance of this agreement and to pay the Escrow Agent's
     proper charges for the Escrow Agent's services as trustee of this escrow.

11.  The Securityholders and the Issuer hereby jointly and severally agree to
     and do hereby release and indemnify and save harmless the Escrow Agent
     and its employees, officers, directors and agents from and against all
     claims, suits, demands, costs, damages and expenses which may be
     occasioned by any of them by reason of the Escrow Agent's compliance in
     good faith with the terms hereof.

12.  If the Escrow Agent should wish to retire, the Escrow Agent shall
     provide ninety (90) days' notice to the Issuer, and the Issuer may by
     writing appoint another trustee in the Escrow Agent's place and such
     appointment shall be binding on the Securityholders, and the new trustee
     shall assume and be bound by the obligations of the Escrow Agent
     hereunder.

13.  This agreement may be amended upon agreement of the Issuer, the Escrow
     Agent and the Securityholders.

14.  This agreement may be executed in several counterparts in the same form
     and the counterparts as so executed shall together constitute one
     original agreement, and the parts, if more than one, shall be read
     together and shall be construed as if all the signing parties hereto had
     executed one copy of this agreement.

15.  This agreement constitutes the entire understanding between the parties
     to this agreement with respect to the subject matter of this agreement
     and supersedes all prior agreements, understandings, negotiations and
     discussions, whether oral or written, between the parties and there are
     no warranties, representations or other agreements between the parties
     in connection with this agreement, except as specifically set forth in
     this agreement.

16.  This agreement shall be interpreted in accordance with and governed in
     all respects by the laws of the Province of Ontario.

<PAGE>

                                      4


17.  Any provision or any portion of any provision or provisions of this
     agreement determined by a court of competent jurisdiction to be invalid,
     illegal or unenforceable shall be deemed stricken to the extent
     necessary to eliminate any invalidity, illegality or unenforceability
     and the rest of the agreement and all other provisions and parts of this
     agreement shall remain in full force and effect and be binding on the
     parties to this agreement as though the illegal or unenforceable
     provision or provisions or part or parts of the agreement had never been
     included in this agreement.

18.  In this agreement, the expression "the Securityholders" shall include
     the Securityholders' respective permitted transferees within escrow and
     any person to whom the interest of a Securityholder may be transmitted
     by operation of law as provided herein, and the expression "the Escrow
     Agent" shall include a new trustee appointed hereunder, and wherever the
     singular or masculine is used, the same shall be construed to include
     the plural or feminine or neuter where the context so requires.

<PAGE>

                                      5


19.  This agreement shall enure to the benefit of and be binding on the
     parties to this agreement and each of their heirs, executors,
     administrators, successors and permitted assigns.

     IN WITNESS WHEREOF the Issuer, the Escrow Agent and the Securityholders
     have executed this Escrow Agreement as of the date and year first above
     written.


                                       MED-EMERG INTERNATIONAL INC.


                                       Per: __________________________________


                                       Per: __________________________________


                                       MONTREAL TRUST COMPANY OF CANADA


                                       Per: __________________________________


                                       Per: __________________________________


     SIGNED, SEALED AND DELIVERED by the respective Securityholder set out
     below.


                                       977675 ONTARIO INC.



                                       Per: __________________________________
                                            Donald Wilson


                                       PAGE RAYMOND & ASSOCIATES LTD.



                                       Per: __________________________________
                                            Martin Scullion
<PAGE>


SCHEDULE "A" to the Escrow Agreement dated the _____ day of ________________,
1999 and made among Med-Emerg International Inc., Montreal Trust Company of
Canada and the parties listed on the execution page to the Escrow Agreement
(therein called the "Securityholders")

<TABLE>
<CAPTION>
- --------------------------------------------------------------------------
                                                               NUMBER OF
NAME OF SECURITYHOLDERS               TYPE OF SECURITIES       SECURITIES
- -----------------------               ------------------       -----------
<S>                                   <C>                      <C>
977675 ONTARIO INC.                   Common Shares              50,636
(Donald Wilson)

PAGE RAYMOND & ASSOCIATES LTD.        Common Shares              46,310
(Martin Scullion)
</TABLE>

<PAGE>

     SCHEDULE "B" to the Escrow Agreement dated the _____ day of
     ________________, 1999 and made among Med-Emerg International Inc.,
     Montreal Trust Company of Canada and the parties listed on the execution
     page to the Escrow Agreement (therein called the "Securityholders")


                                    DIRECTION

TO:  Montreal Trust Company of Canada

     Reference is made to the escrow agreement dated -, 1999 (the "Escrow
Agreement") among Med-Emerg International Inc., Montreal Trust Company of
Canada, 977675 Ontario Inc. and Page Raymond & Associates Ltd. Capitalized
terms which are not otherwise defined herein shall have the meaning ascribed
to such terms in the Escrow Agreement.

     Montreal Trust Company of Canada is hereby authorized and directed to
proceed with a release of the Escrowed Shares of each Securityholder held in
escrow under the Escrow Agreement pursuant to the terms of Section 5___ of
the Escrow Agreement.

     DATED this _______ day of _________________, 1999.


                                       MED-EMERG INTERNATIONAL INC.


                                       Per: __________________________________

<PAGE>

                                                                     EXHIBIT 2.5

                  THIS AGREEMENT made this ______ day of _________________,
                  1999.

AMONG:

                  MED-EMERG INTERNATIONAL INC., a corporation incorporated
                  pursuant to the laws of the Province of Ontario

                                                    (herein called the "Issuer")

                                     - and -

                  MONTREAL TRUST COMPANY OF CANADA, a trust company authorized
                  to carry on business in each province of Canada

                                              (herein called the "Escrow Agent")

                                     - and -

                  THOSE PERSONS LISTED IN SCHEDULE "A" HERETO

                                           (herein called the "Securityholders")

     WHEREAS the Securityholders wish to deposit in escrow certain common
shares (the "Escrowed Shares") of the Issuer owned by them and have for that
purpose delivered to the Escrow Agent the security certificate(s) described
in SCHEDULE "A", the receipt of which certificates the Escrow Agent hereby
acknowledges;

     AND WHEREAS the Escrow Agent has agreed to undertake and perform its
duties according to the terms and conditions hereof;

     NOW THEREFORE this agreement witnesses that, in consideration of the sum
of one dollar ($1.00) paid by the parties to each other, receipt of this sum
being acknowledged by each of the parties, the Securityholders jointly and
severally, covenant and agree with the Issuer and with the Escrow Agent, and
the Issuer and the Escrow Agent covenant and agree each with the other and
with the Securityholders jointly and severally, as follows:

1.   In this Escrow Agreement, or in any amendment or agreement supplemental
     hereto, unless the context otherwise requires, the term "Direction" means
     a direction of the Issuer in the form attached as SCHEDULE "B" hereto.

2.   Each of the Securityholders hereby places and deposits in escrow with the
     Escrow Agent those of the Securityholder's securities of the Issuer
     described in SCHEDULE "A" and the Escrow Agent hereby acknowledges receipt
     of those certificates. Each of the Securityholders agrees to deposit in
     escrow any replacement securities or certificates which may at any time be
     issued for any escrowed securities.

3.   Each of the Securityholders shall be entitled to a letter or receipt from
     the Escrow Agent stating the number of securities represented by
     certificates held for the Securityholder by the Escrow Agent subject to
     the terms of this agreement. It is expressly understood and agreed by the
     parties to this Escrow Agreement that such letter or receipt shall not be
     assignable.

4.   Except as provided in Sections 5 and 6, the securities deposited in escrow
     as described shall remain in escrow and shall not be sold, assigned,
     hypothecated, pledged, charged, alienated, released from escrow,
     transferred within escrow or otherwise in any manner dealt with, without
     the prior written consent of the Issuer to the Escrow Agent. Any release
     may be either total or partial; a partial release shall release from
     escrow only the securities specified in it, and this agreement shall
     continue in force with respect to those securities as may from time to
     time remain in escrow until all the escrowed securities have been either
     released pursuant to Sections 5 and 6, or on the written consent of the
     Issuer. The foregoing shall not prevent any transfer or assignment which
     may be required by reason of the death or bankruptcy of any
     Securityholder, in which case the Escrow Agent shall hold the said
     securities and certificates in escrow, subject to the provisions of this
     agreement, for whatever person or company shall be legally entitled to be
     or become the registered owner thereof.
<PAGE>

                                       2


5.   Subject to Section 6, the Escrowed Shares deposited with the Escrow Agent
     pursuant to this agreement shall be automatically released as to one-third
     (1/3) of the securities of each Securityholder subject to the escrow
     requirements under this agreement on each of February 9, 2000, August 9,
     2000 and February 9, 2001.

6.   Notwithstanding the provisions of Section 5, the Issuer has agreed with
     the Securityholders that, if at any time after the date of this agreement,
     the 20 day weighted average share price of the Issuer's common shares
     exceeds US $3.50, the Issuer shall release immediately 20% of the Escrowed
     Shares to the Securityholders. In such circumstance, the Issuer shall
     provide the Direction to the Escrow Agent, and the Escrow Agent shall
     immediately release to the Securityholders 20% of the number of Escrowed
     Shares of each Securityholder originally held in escrow such that, if the
     20% release occurs:

     a.  prior the date which is February 9, 1999, 13-1/3% of the Escrowed
         Shares will be released on February 9, 2000;

     b.  after the date which is February 9, 2000 and prior to August 9, 2000,
         13-1/3% of the Escrowed Shares will be released on August 9, 2000; and

     c.  after the date which is August 9, 2000 and prior to the date which is
         February 9, 2001, 13-1/3% of the Escrowed Shares will be released on
         February 9, 2001.

7.   If during the period in which any of the Escrowed Shares are retained in
     escrow pursuant hereto any cash dividend is received by the Issuer in
     respect of the Escrowed Shares, any such cash dividend shall be forthwith
     paid or transferred to the respective Securityholders entitled thereto. If
     during the period in which any of the Escrowed Shares are retained in
     escrow pursuant hereto, any share dividend or other distribution of
     securities is received by the Escrow Agent in respect of the Escrowed
     Shares, any certificates representing such share dividend or securities
     will be held by the Escrow Agent on and subject to the terms of this
     agreement. If during the period in which any of the Escrowed Shares are
     retained in escrow pursuant hereto, any share dividend or other
     distribution of securities is received by a Securityholder in respect of
     the Escrowed Shares, any certificates representing such share dividend or
     securities must be forthwith deposited by the securityholders with the
     Escrow Agent to be held by the Escrow Agent on and subject to the terms of
     this agreement.

8.   Any Securityholder may hypothecate, pledge or charge any or all securities
     owned by it and deposited in escrow hereunder to a financial institution,
     provided that prior to such hypothecation, pledge or charge, such
     financial institution enters into an agreement with the particular
     Securityholder and the Issuer whereby it agrees to be bound by the
     provisions of this agreement and acknowledges that the securities so
     hypothecated, pledged or charged may not be sold, transferred or otherwise
     dealt with except in accordance with the provisions of this agreement, and
     provided that the Securityholder provides to the Escrow Agent any and all
     documents that the Escrow Agent deems necessary or required in order to
     effect to such hypothecation, pledge or charge.

9.   All voting rights attached to the escrowed securities shall at all times
     be exercised by the respective registered owners thereof and the Issuer
     and the Escrow Agent shall take all necessary steps from time to time to
     permit the registered owners to exercise such rights.

10.  The Escrow Agent accepts the responsibilities placed on the Escrow Agent
     by this agreement and agrees to perform them in accordance with the terms
     hereof and with the applicable consent of the Issuer or the Direction of
     the parties hereto.

11.  The Issuer hereby acknowledges the terms and conditions of this agreement
     and agrees to take all reasonable steps to facilitate the Issuer's
     performance of this agreement and to pay the Escrow Agent's proper charges
     for the Escrow Agent's services as trustee of this escrow.

12.  The Securityholders and the Issuer hereby jointly and severally agree to
     and do hereby release and indemnify and save harmless the Escrow Agent and
     its employees, officers, directors and
<PAGE>

                                       3


     agents from and against all claims, suits, demands, costs, damages and
     expenses which may be occasioned by any of them by reason of the Escrow
     Agent's compliance in good faith with the terms hereof.

13.  If the Escrow Agent should wish to retire, the Escrow Agent shall provide
     ninety (90) days' notice to the Issuer, and the Issuer may by writing
     appoint another trustee in the Escrow Agent's place and such appointment
     shall be binding on the Securityholders, and the new trustee shall assume
     and be bound by the obligations of the Escrow Agent hereunder.

14.  This agreement may be amended upon agreement of the Issuer, the Escrow
     Agent and the Securityholders.

15.  This agreement may be executed in several counterparts in the same form
     and the counterparts as so executed shall together constitute one original
     agreement, and the parts, if more than one, shall be read together and
     shall be construed as if all the signing parties hereto had executed one
     copy of this agreement.

16.  This agreement constitutes the entire understanding between the parties to
     this agreement with respect to the subject matter of this agreement and
     supersedes all prior agreements, understandings, negotiations and
     discussions, whether oral or written, between the parties and there are no
     warranties, representations or other agreements between the parties in
     connection with this agreement, except as specifically set forth in this
     agreement.

17.  This agreement shall be interpreted in accordance with and governed in all
     respects by the laws of the Province of Ontario.

18.  Any provision or any portion of any provision or provisions of this
     agreement determined by a court of competent jurisdiction to be invalid,
     illegal or unenforceable shall be deemed stricken to the extent necessary
     to eliminate any invalidity, illegality or unenforceability and the rest
     of the agreement and all other provisions and parts of this agreement
     shall remain in full force and effect and be binding on the parties to
     this agreement as though the illegal or unenforceable provision or
     provisions or part or parts of the agreement had never been included in
     this agreement.

19.  In this agreement, the expression "the Securityholders" shall include the
     Securityholders' respective permitted transferees within escrow and any
     person to whom the interest of a Securityholder may be transmitted by
     operation of law as provided herein, and the expression "the Escrow Agent"
     shall include a new trustee appointed hereunder, and wherever the singular
     or masculine is used, the same shall be construed to include the plural or
     feminine or neuter where the context so requires.
<PAGE>

                                       4


20.  This agreement shall enure to the benefit of and be binding on the parties
     to this agreement and each of their heirs, executors, administrators,
     successors and permitted assigns.


     IN WITNESS WHEREOF the Issuer, the Escrow Agent and the Securityholders
have executed this Escrow Agreement as of the date and year first above
written.

                                       MED-EMERG INTERNATIONAL INC.


                                       Per: __________________________________


                                       Per: __________________________________



                                       MONTREAL TRUST COMPANY OF CANADA


                                       Per: __________________________________


                                       Per: __________________________________


          SIGNED, SEALED AND DELIVERED by the respective Securityholder set
out below.


                                       977675 ONTARIO INC.


                                       Per: __________________________________
                                            Donald Wilson



                                       PAGE RAYMOND & ASSOCIATES LTD.


                                       Per: __________________________________
                                            Martin Scullion
<PAGE>

     SCHEDULE "A" to the Escrow Agreement dated the _____ day of
     ________________, 1999 and made among Med-Emerg International Inc.,
     Montreal Trust Company of Canada and the parties listed on the execution
     page to the Escrow Agreement (therein called the "Securityholders")

<TABLE>
<CAPTION>
- ----------------------------------------------------------------------------------
NAME OF SECURITYHOLDERS             TYPE OF SECURITIES       NUMBER OF SECURITIES
- -----------------------------       ------------------       --------------------
<S>                                 <C>                      <C>
977675 ONTARIO INC.                   Common Shares                   -
(Donald Wilson)

PAGE RAYMOND & ASSOCIATES LTD.        Common Shares                   -
(Martin Scullion)
</TABLE>
<PAGE>

     SCHEDULE "B" to the Escrow Agreement dated the _____ day of
     ________________, 1999 and made among Med-Emerg International Inc.,
     Montreal Trust Company of Canada and the parties listed on the execution
     page to the Escrow Agreement (therein called the "Securityholders")


                                   DIRECTION

TO:  Montreal Trust Company of Canada

     Reference is made to the escrow agreement dated -, 1999 (the "Escrow
Agreement") among Med-Emerg International Inc., Montreal Trust Company of
Canada, 977675 Ontario Inc. and Page Raymond & Associates Ltd. Capitalized
terms which are not otherwise defined herein shall have the meaning ascribed
to such terms in the Escrow Agreement.

     Montreal Trust Company of Canada is hereby authorized and directed to
proceed with an immediate release of 20% of the original number of Escrowed
Shares of each Securityholder held in escrow under the Escrow Agreement.

     DATED this ___________ day of ___________________, 1999.


                                       MED-EMERG INTERNATIONAL INC.


                                       Per: __________________________________

<PAGE>

                                                                  EXHIBIT 5.1


                                        September 7, 1999

Med-Emerg International Inc.
2550 Argentia Road, Suite 205
Mississauga, Ontario L5N 5R1

Gentlemen:

     We have acted as counsel to Med-Emerg International Inc. (the "Company")
in connection with its filing of a registration statement on Form F-4
(Registration No. 333-__________, the "Registration Statement") covering
1,799,502 shares of common stock no par value (the "Common Stock").

     In our capacity as counsel to the Company, we have examined the
Company's Certificate of Incorporation and By-laws, as amended to date, and
the minutes and other corporate proceedings of the Company.

     With respect to factual matters, we have relied upon statements and
certificates of officers of the Company. We have also reviewed such other
matters of law and examined and relied upon such other documents, records and
certificates as we have deemed relevant hereto. In all such examinations we
have assumed conformity with the original documents of all documents
submitted to us as conformed or photostatic copies, the authenticity of all
documents submitted to us as originals and the genuineness of all signatures
on all documents submitted to us.

     On the basis of the foregoing, we are of the opinion that:

     The shares of Common Stock covered by this Registration Statement have
been validly authorized and will when sold as contemplated by the
Registration Statement, be legally issued, fully paid and non-assessable.

     We hereby consent to the filing of this opinion as an exhibit to the
Registration Statement and to the reference made to us under the caption
"Legal Matters" in the prospectus constituting the Registration Statement.


                                        Very truly yours,

                                        /s/ GSK
                                        --------------------------------
                                        Gersten, Savage & Kaplowitz, LLP

<PAGE>

                                                                 EXHIBIT 23.1


                   CONSENT OF GERSTEN, SAVAGE & KAPLOWITZ, LLP

The undersigned, Gersten, Savage & Kaplowitz, LLP, hereby consents to the use
of our name and of our opinion for Med-Emerg International Inc. (the
"Company") as filed with its Registration Statement on Form F-4, and any
amendments thereto.


                                        /s/ GERSTEN, SAVAGE & KAPLOWITZ, LLP
                                        ------------------------------------
September 7, 1999                       Gersten, Savage & Kaplowitz, LLP

<PAGE>

                                                                    Exhibit 23.4





We consent to the use of our report dated February 5, 1999 (except for note 15
for which the date is March 2, 1999) on the consolidated balance sheets of
Med-Emerg International Inc. as at December 31, 1998 and 1997, and the
consolidated statements of operations and deficit and changes in financial
position for the years ended December 31, 1998 and 1997 in the Registration
Statement and Prospectus on Form F-4, and to the use of our name as it appears
under the caption "Experts".



/s/ Schwarts Levitsky Feldman

SCHWARTZ LEVITSKY FELDMAN
Toronto, Ontario
September 7, 1999


<PAGE>

                                                                    EXHIBIT 23.5





We have issued our report dated February 26, 1999, accompanying the financial
statements of YFMC Healthcare Inc. contained in the Registration Statement
and Prospectus on Form F-4 for Med-Emerg International Inc. We consent to the
use of the aforementioned report in the Registration Statement and
Prospectus, and to the use of our name as it appears under the caption
"Experts".



/s/ BDO Dunwoody

Ottawa, Ontario
September 7, 1999



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