UNITED STATES SECURITIES AND EXCHANGE COMMISSION WASHINGTON, D. C. 20549 FORM 10-KSB ( X ) ANNUAL REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the Fiscal Year Period Ended December 31, 2002 ( ) TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 For the Transition Period From ___________ to ____________ COMMISSION FILE NUMBER: 0-30018 MERIDIAN HOLDINGS,INC. (Exact Name of Registrant as Specified in its Charter) COLORADO 52-2133742 (State of Other Jurisdiction of (I.R.S. Employer Incorporation or Organization) Identification Number) 900 WILSHIRE BOULEVARD, SUITE 500, LOS ANGELES, CALIFORNIA 90017 (Address of Principal Executive Offices) (213) 627-8878 (Registrant's telephone number, including area code) N/A (Former name, former address and former fiscal year, if changed since last report) Indicate by check mark whether the Registrant (1) has filed all reports required to be filed by Section 13 or 15 (d) of the Securities Exchange Act of 1934 during the preceding 12 months and, (2) has been subject to such filing requirements for the past 90 days. Yes ( X ) No ( ) The Registrant's revenues for the year ended December 31, 2002 were $2,618,984 As of December 31, 2002, the Registrant had 93,706,485 shares of its $0.001 par value common stock outstanding. Based upon the closing price at such date, aggregate market value was $1,874,130 Page 1 of 28 sequentially numbered pages Form 10-KSB Annual Report For The Fiscal Year Ended December 31, 2002 1 TABLE OF CONTENTS Page Number PART I Item 1. Description of Business . . . . . . . . . . . . . . . . . . . . . . .3 Item 2. Description of Property . . . . . . . . . . . . . . . . . . . . . . .16 Item 3. Legal Proceedings . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Item 4. Submission of Matters to a Vote of Security Holders Our . . . ... . . 17 PART II Item 5. Market for Common Equity and Related Stockholder matters . . . . . .. 18 Item 6. Management's Discussion and Analysis . . . . . . . . . . . . . . . . .19 Item 7. Financial Statements . . . . . . . . . . . . . . . . . . . . . . . .23 Item 8. Changes In an Disagreements With Accountants on Accounting and .. . ..23 Financial Disclosure PART III Item 9. Directors, Executive Officers, Promoters and Control Persons . . . . .23 Item 10. Executive Compensation . . . . . . . . . . . . . . . . . . . . . . .27 Item 11. Security Ownership of Certain Beneficial Owners and Management . . . 28 Item 12. Certain Relationships and Related Transaction . . . . . . . . . . .. 28 Item 13. Exhibits and Reports on Form 8-k . . . . . . . . . . . . . . . . . .28 2 PART I ITEM 1. DESCRIPTION OF BUSINESS BUSINESS The following section contains forward-looking statements that involve risks and uncertainties, including those referring to the period of time the Company's existing capital resources will meet the Company's future capital needs, the Company's future operating results, the market acceptance of the services of the Company, the Company's efforts to establish and the development of new services, and the Company's planned investment in the marketing of its current services and research and development with regard to future endeavors. The Company's actual results could differ materially from those anticipated in these forward-looking statements as a result of certain factors, including: domestic and global economic patterns and trends. Meridian Holdings, Inc. (the "Company") was incorporated under the laws of the State of Colorado on October 13, 1998. The Company is located in the City of Los Angeles, California, U.S.A. and provides management services to its' Affiliated group of Companies. Meridian Holdings, Inc., assigns a dedicated team to each affiliated company and actively assists in their management, operations and finances. The Company seeks to maximize shareholder value by actively providing operational assistance and expertise to help its partner companies grow and develop and by giving its shareholders the opportunity to participate in the initial public offerings of its partner companies while retaining a significant ownership interest after the initial public offering. Its network of partner companies creates an environment through which companies can leverage one another's information technology, operational experience, business contacts and industry expertise. We plan to hire additional senior management personnel to lend expert guidance in further development of our business plan. Also, we will actively seek opportunities for strategic transactions intended to raise capital to develop our emerging business strategy, potentially including issuance of additional equity or debt instruments. In addition, we will continue to evaluate and may enter into strategic transactions, including mergers and acquisitions. BUSINESS UNITS AND AFFILIATED PARTNERS The Company has under management the following business units: 1. Capnet IPA 2. InterCare.com-dx, Inc. 3. CGI Communications Services, Inc. 3 CAPNET IPA Capnet IPA ("Independent Physician Association"), with over 300 physicians, 15 community hospitals, 4 teaching Hospitals and other ancillary service companies contracted within its network, is the core component of Meridian Holdings, Inc. healthcare management division business. The linkage of these entities is imminent as the convergence of technology brings to bear the burden of information overload, currently one of the most critical problems in the healthcare industry. The Company believes that by using currently available Software technology, most of the healthcare industry information processing could be handled more efficiently. To be competitive, the Company must license leading technologies, enhance its existing services and content, develop new technologies that address the increasingly sophisticated and varied needs of healthcare professionals and healthcare consumers and respond to technological advances and emerging industry standards and practices on a timely and cost-effective basis. AFFILIATION STRATEGY Central to the new dynamic delivery model of management services is an economic alignment between Capnet IPA and: 1. Physicians and providers of healthcare services as partners and Shareholders who have demonstrated established practice patterns resulting in optimal utilization of healthcare services and disciplined cost control. 2. Tertiary care and community hospitals with shared interest in managing risk contracts in a highly captitated managed care environment 3. Health plans and third-party payors whose members are assigned to Capnet IPA for provision of healthcare services. To this end, the Company is in the process of acquiring additional healthcare-related companies whose business purpose and technology will further enhance the Company's ability to achieve its business goals and objectives in the healthcare industry. The key components of management services to be provided to Capnet's affiliated healthcare providers and organizations include: 1. Cost efficiency and quality outcome analysis. 2. R&D product substitution compliance. 3. Drug utilization data analysis. 4. Care utilization data analysis. 5. Care provider network and referral pattern analysis. 6. Quality management incentive compliance. 7. Dynamic and comprehensive clinical pathways. 8. Health risk and needs assessments of the patient population served 9. Electronic medical record system. 10. Clinical laboratory and diagnostic database repositories. 11. Contract negotiations, mergers and acquisition. 12. Strategic healthcare planning, marketing and implementation utilizing CAPNET will create compensation formulas which are designed to attract and retain good practitioners and maintain long-term harmony and productivity. A sound compensation formula can help avoid many of the problems in a "medical group." Practitioner incentives are designed to engage the practitioners in the pursuit of CAPNET's mission. CAPNET will use member meetings as a tool to nourish the benefits of synergy. CAPNET will pursue the application and continuous enhancement of technology to support efficient and effective clinical and business operations. This includes "bottom up" and "top down" analysis, so as not to unduly interfere with current clinical and business operations. 4 When practical, local area networks in practices and administrative offices will be connected to CAPNET's wide area network to eliminate duplication and allow efficient interchange of information at a minimal cost. CAPNET will develop a proper mix of physician specialties, mid-level providers and medical facilities in order to insure the success of the above strategy. CAPNET will develop a business approach to contracting with HMOs, PPOs and other managed care carriers and entities Contracts among the various elements of the health care delivery business should be fair to all parties, provide for reasonable administration and allow a fair profit. CAPNET plans to use the business approach to assess contracting opportunities, negotiate mutually beneficial agreements and then, monitor the cost and profit of each agreement. CAPNET will conduct periodic operations analyses and reviews to evaluate practice operations in the context of the patient, practitioners, staff, community and business environment in which the practice operates. The result of the analyses are specific recommendations for improvement along with a plan for implementation. CAPNET provides expertise to member practices in the area of clinical and business operations. Expertise is provided through standard operational techniques and procedures, as well as through an internal and contracted staff with expertise in a wide variety of fields. Support includes: 1. Marketing 2. Development and implementation of clinical protocol 3. Development and negotiation of risk contracts CAPNET will select providers based on credentials and ethical standards. A system of screening potential members is used to assure that problem practitioners are not invited to join. Providers will be selected based on the following criteria: 1. Exceptional clinical standards 2. High ethical standards 3. A demonstrated history of providing quality and cost-effective medical care. The Company also provides medical services management to its' Capnet IPA health care provider network within the greater Los Angles County area. We provide the following services: - disease management -- a method to manage the costs and care of high risk patients and produce better patient care - quality management -- a review of overall patient care measured against best medical practice patterns - utilization management -- a daily review of statistical data created by encounters, referrals, hospital, admissions and nursing home information - claims adjudication and payment Under our model, the primary care physicians maintain their independence but are aligned with a professional staff to assist in providing cost effective medicine. Each primary care physician provides direct patient services as a primary care doctor including referrals to specialists, hospital admissions and referrals to diagnostic services. These physicians are compensated on a per member per month capitation basis. Due to mounting pressures from the industry, managed care organizations have altered their strategy, returning to the traditional model of selling 5 insurance and transferring the risk to a provider service network such as us. Under such arrangements, managed care organizations receive premiums from the Center for Medicare and Medicaid Services, State Medicaid programs and other commercial groups and pass a significant percentage of the premium on to a third party such as us, to provide covered benefits to patients, including sometimes pharmacy and other enhanced services. After all medical expenses are paid, any surplus or deficit remains with the provider service network. When managed properly, accepting this risk can create significant surpluses. CHANGES IN THE HEALTH CARE INDUSTRY COULD ADVERSELY AFFECT OUR BUSINESS The $1 trillion health care industry is currently going through a period of tremendous change. Nowhere is this more evident than the patient care delivery network where the three main components--physician groups, insurers and hospitals - are scrambling for market share, volume and control. The health care industry is also subject to changing political, economic, and Regulatory influences. These factors affect the purchasing practices and operations of health care organizations. Changes in current health care financing and reimbursement systems could cause us to make unplanned enhancements of applications or services, or result in delays or cancellations of orders, or in the revocation of endorsement of our applications and services by health care participants. Federal and state legislatures have periodically considered programs to reform or amend the U.S. health care system at both the federal and state level. Such programs may increase governmental involvement in health care, lower reimbursement rates, or otherwise change the environment in which health care industry participants operate. Health care industry participants may respond by reducing their investments or postponing investment decisions, including investments in our applications and services. Many health care industry participants are consolidating to create integrated health care delivery systems with greater market power. As the health care industry consolidates, competition to provide products and services to industry participants will become even more intense, as will the importance of establishing a relationship with each industry participant These industry participants may try to use their market power to negotiate price reductions for our products and services. If we were forced to reduce our prices, our operating results could suffer as a result if we cannot achieve corresponding reductions in our expenses. GOVERNMENT REGULATION OF THE HEALTH CARE INDUSTRY COULD ADVERSELY AFFECT OUR BUSINESS. We are subject to extensive regulation relating to the confidentiality and release of patient records. Additional legislation governing the distribution of medical records has been proposed at both the state and federal level. It may be expensive to implement security or other measures designed to comply with new legislation. Moreover, we may be restricted or prevented from delivering patient records electronically. For example, until recently, the Health Care Financing Administration guidelines prohibited transmission of Medicare eligibility information over the Internet. Legislation currently being considered at the federal level could affect our business. For example, the Health Insurance Portability and Accountability Act of 1996 mandates the use of standard transactions, standard identifiers, security, and other provisions by April 14 2003. We are designing our platform and applications to comply with these proposed regulations; however, until these regulations become final, they could change, which could cause us to use additional resources and lead to delays as we revise our platform and applications. In addition, our success depends on other health care participants complying with these regulations. 6 InterCare.com-Dx, Inc. InterCare.com-dx, Inc. formerly known as Inter-Care Diagnostics, Inc., is organized in the State of California. The company is an innovative software products and services company specializing in providing healthcare management and information system solutions. The Company recently completed the development of ICE(tm) software, which comprises of three primary layers: Healthcare Enterprise Layer ----------------------------- This layer implements the entire capabilities of ICE(tm) which includes the Medical knowledge base, Clinical decision support; Microsoft speech recognition and Voice command technologies; Human anatomical navigation using a three-dimensional virtual reality technology. Terminal Services Platform ------------------------------- This layer enables care providers which are not members of the healthcare enterprise to have access to an internet Version of ICE(tm) with some stripped down functionality such Voice Command; Speech recognition, utilizing either standard or biometric authentication. Consumers --------- This layer, based on standard browser access, enables full integration of the patient/consumer in the entire care process. This layer places the convenience and the satisfaction of each consumer/patient (i.e. health plan member) at its prime target. It supports the following major components: Request and allocation of care services per the consumer's personal preferences, provider-patient communication and consumer-centric medical content. ICE(tm) Internet capabilities will facilitate the proactive participation of the consumer in the entire care delivery process. As such, InterCare will have ICE(tm) positioned to become a significant player in the growing market of Internet-based, e-healthcare community solutions. This will significantly expand the scope of available healthcare solutions. The strength of ICE(tm) application is derived from differentiated core technologies consisting of: Mainstream SQL Database with full open architecture ;human anatomy and graphical user interfaces that simplify documentation and information access; data mining and data query tools; end-user tool sets; and interface capabilities to facilitate peaceful coexistence with other systems. Over 10 years of research and development have been spent in the development of ICE(tm) software. Benefits of ICE(tm) Products to Healthcare Payors and Providers: Point of Care Documentation Applications enabling all care providers (e.g. physicians, nurses, PA's, technologists, therapists, dieticians, etc.) to document objective and subjective patient data at the point-of-care in a manner that enhances compliance, reduces time, enhances communications, controls resource utilization and enhances revenue generation. In order to comply with HCFA, HIPAA and other tightening Federal and State regulations, a typical mid-sized IHDN / hospital (300 beds) needs to invest a direct capital investment of $4M - $6M in an EMR/CDR solution over a 5 year period. This huge capital investment includes the purchase of hardware and software licenses, professional implementation / process re-engineering services and on-going critical support services, all comprising a turn-key EMR/CDR enterprise solution. The majority of this capital investment occurs during year 1 of the project, while ROI (Return-On-Investment) is expected to be realized only in much later stages. Thus, the scope of both internal and external 7 investment mandated by selecting any specific EMR/CDR solution, exposes decision makers to significant personal risk in case of future failure. This is one of the prime reasons why EMR/CDR solutions' evaluation processes take for ever, and frequently end up with no decision purchase at all. The U.S. healthcare market is undergoing a transition from fee-for-service to managed care. This transition involves increased exposure to financial risks for healthcare providers, requiring improved control over outcomes and cost generation throughout the entire continuum-of-care. The U.S. Government, through new HCFA and HIPAA regulations accepted since 1996, will tighten its on-going inspection of medical records documentation quality. US physicians who fail to maintain necessary levels of clinical documentation are expected to suffer substantial fines. In a recently held survey, 65% of 1,200 hospital CIOs (Chief Information officers) interviewed had indicated that clinician oriented Computerized Patient Record (CPR) or Central Data Repository (CDR) solutions are their primary purchase priority (Hewlett Packard at the HIMSS trade show, 1997), averaging $4M-$6M per contract Only a handful of the leading U.S. healthcare legacy systems vendors are in practice coping with the magnitude of the enterprise-wide, distributed CPR/CDR challenge. Order entry and results reporting Simplified multi-disciplinary communication of orders, referrals, consultations, notes and retrieval of results including Laboratory, Radiology, Pharmacy, Respiratory Therapy, Dietary, Physiotherapy, Nursing and the like. Imaging and general archiving On-line viewing, manipulation and annotation of digital images and documents such as X-rays, CAT Scans, MRIs, Ultrasounds, digitized images, scanned paper documents, etc. This is particularly important in emergency and urgent care settings where speed and provider viewing and interpretation is needed to enhance care delivery. This is the foundation for an integrated healthcare delivery system, using both Local and Wide area networks. Multi-disciplinary Clinical decision support Provision of advanced clinical functionality including protocols, pathways, care plans, order sets, alerts, advanced directives, costing, staffing, time standards and templates that facilitate care management, resources control and outcome management. Clinical workflow and productivity management Personal desktop that organizes individual user tasks, simplifies follow up and documentation requirements, improves workflow, facilitates quality assurance and management intervention in order to make better use of time. Care provider communication management On-line, simplified message routing and communication that interfaces to e-mail, voice mail and like systems to enhance coordination and follow up among care providers. Central Data Repository Aggregation of all patient-centric data in the enterprise from all legacy and newer information systems, including Registration, ADT, lab, radiology, pharmacy PACS, departmental systems and ICE(tm). Medical knowledge base / lexicon Multiple third-party knowledge bases and lexicons can be readily incorporated 8 into ICE(tm) including ICD9, CPT4, DSM-4, application objects, lexicon objects, security objects and individual user preferences. Bi-directional legacy integration middleware Data exchange in real-time between ICE(tm) and legacy systems to facilitate data merging, data normalization and information consolidation. Real-time Electrophysiological and Clinical Data Acquisition InterCare has obtained a developers license from QRS Diagnostics, Inc., to integrate their Medic Software application into ICE(tm), thus making it possible to add such medical diagnostic data as ECG, Temperature, Weight Spirometry and Pulse-oximetry into ICE(tm) database real-time. Data discovery, mining and analysis Suite of ad-hoc, programming free tools, enabling novice users experimental "cruising" of all enterprise data in real-time. InterCare's ICE(tm) software operates over a customizable and highly adaptable operating environment. ICE(tm) is designed to concurrently serve all care providers throughout the continuum-of-care from acute and long-term care to ambulatory and home health care: - The various medical professions (i.e. physician, nurse, therapists, technologists, dietician, etc.) - The various medical specialties (i.e. Primary care, OB/Gyn, Pediatrics, Surgery, etc.) - The various facility types (i.e. acute care, ambulatory care, long term care and home care) ICE(tm) can seamlessly integrate with legacy systems (utilizing any off- the- shelf interface engine) through both HL7 and proprietary legacy interfaces. A 12-tier security paradigm offers industry leading confidentiality and control of information. Security "behavior" rules are fully configurable by privileged system administrator(s), without programming, through the underlying knowledge bases. ICE(tm)'s embedded security will be fully HIPAA (Health Insurance Portability and Accountability Act of 1996) compliant when the final rulings are released, and supports data compartmentalization down to the level of specific value in any data field. OUR COMPETITION In the past few years, resulting from the rapid growth of the Internet, a variety of young companies emerged and quickly became dominant players in the Healthcare IT terrain. WebMD is the most dominant new player in the e-health's administrative and financial arena. WebMD incorporates a crop of young e-health corporations acquired through M&As. Another important player, MedicaLogic which until 1998 was a traditional ambulatory EMR player, made a bold strategic move to the Internet in 1998 was recently acquired by GE medical Systems Corporation. In light of these rapid market transitions, each of the dominant legacy players is executing a different strategy to capture a leadership position in the emerging e-health market. The most pro-active e-health players are Eclypsis, IDX and McKesson-HBOC. yet, each of these players has thousands of existing customers operationally using its legacy systems. Thus, their e-health transition strategy is slow both technically and business wise. There are no specific figures available for estimating the portion of Internet EMR/CDR sales within the annual $2 US Billion sales of traditional EMR/CDR and clinical systems. Yet, it is prudent to assume that it is still below the 10% mark. Thus, the sales of traditional (legacy) enterprise EMR/CDR software programs still dominate the market and are expected to continue such 9 dominance for quite some time. Mergers or consolidations among our competitors, or acquisitions of small competitors by larger companies, would make such combined entities more formidable competitors to us. Large companies may have advantages over us because of their longer operating histories, greater name recognition, or greater financial, technical and marketing resources. As a result, they may be able to adapt more quickly to new or emerging technologies and changes in customer requirements. They can also devote greater resources to the promotion and sale of their products or services than we can. For the above reasons, we may not be able to compete successfully against our current and future competitors. Increased competition may result in reduced gross margins and loss of market share. OUR COMPETITIVE ADVANTAGE - OUR KNOWLEDGEABLE AND GROWING SALES FORCE AND TECHNICAL STAFF. We will be making sure that the sales force is trained on the "high-end" networking elements in which we deal so they will be able to service the needs of their customers. - OUR BUSINESS MODEL COST, EFFICIENCY AND FLEXIBILITY. We have addressed the largest cost factor in the methodology for deploying our services through an outsourcing strategy rather than a building the human resources from the scratch strategy. This keeps start-up costs as low as possible. - OUR STRATEGIC PARTNER STRENGTH. Partnerships with CGI Communications Services, Inc., and Meridian Holdings, Inc., (affiliated companies), Acer America, Ingram-Micro Inc., Tech Data Corporation, Microsoft Corporation and, ViewSonic Corporation, will give us the ability to deliver our software products faster and at a lower cost than the competition - INTEGRATION. We can seamlessly integrate all of the different technological solutions and custom applications development. We use different strategic partners to tailor the optimum solution for our customer. - AUTOMATION AND ADVANCED TELECOMMUNICATIONS TECHNOLOGY. Our Network Management tools are automated which leads to less downtime, and lower labor costs. We use the latest equipment, work closely with strategic partners that are forerunners in their fields, and are not hampered by existing legacy infrastructures. - OUR CUSTOMIZED CUSTOMER APPROACH. We emphasize direct relationships with our customers. These relationships enable us to learn information from our customers about their needs and preferences and help us expand our service offerings to include additional value-added services based on customer demand. We believe that these customer relationships increase customer loyalty and reduce turnover. Our success depends upon careful planning and the selection of partners. We can meet the customer's needs more efficiently with entrenched procedures. This enables us to excel at customer service. Our Product Features and Benefits ICE(tm) incorporates a wide variety of capabilities and functionality, which differentiate it from other generally available Electronic Medical Record/Central Database Repository (EMR/CDR) software programs in the global Healthcare Information Technology (IT) market. 10 The most significant differentiators are: Fully integrated Software Program ICE(tm) is not an aggregation of unrelated and disintegrated legacy products acquired through M&As. ICE(tm) is designed and developed as a fully integrated suite of products, which utilize an identical graphic user interface on top of a scaleable and highly adaptable component architecture. Thus, each of the variety of ICE(tm) products is inherently integrated (data model and business rules alike) with the other products, and the underlying CDR/MKB. Human anatomy image annotation and embedding, point-and-click data entry Three-dimensional (3D) MKB (Medical Knowledge Base) navigation utilizing gender-sensitive, human anatomy drawings. Keyboardless medical documentation through drag-and-drop of findings on top of human anatomy . Presentation of lifetime medical history data over a single full-body drawing. Automatic generation of all progress notes and forms from the graphical queues entered by the end user on top of human anatomy drawings as well as annotation of an embedded image referenced in the body of the document. Customizable, component-based architecture Multi-tier, common enterprise architecture for all ICE(tm) products. Multi-threaded engines & components. Automatic and manual load balancing & distribution through multiple engines utilizing entry level PC hardware. Knowledge driven applications Knowledge base driven clinical workstation applications. Most of the Applications' "behavior" (e.g. business rules) is derived from the underlying database(s), which is fully customizable without the need for programming by the novice end user. This also includes extended support for visually "painting" (e.g. designing) additional input & output screens, inclusive of its business rules. Repository, data warehouse and datamart unification While ICE(tm) master central data repository engine(s) will serve the multitude of concurrent enterprise users, its live backup(s) simultaneously will serve as data warehouse and datamart for ad-hoc data discovery, mining and analysis in real-time. Third-party legacy integration Seamless bi-directional integration with ancillary, administrative and financial legacy systems. Concurrent support for both HL7 and proprietary legacy messaging. Plug-and-play legacy interface(s) addition and/or modification. Immediate value and ROI to the enterprise by integration of legacy systems only into the ICE(Tm) CDR prior to any ICE(Tm) application implementation. Marketing & Sales organization --------------------------------- The Company entered into a Master Reseller Agreement with InterCare.com-dx, Inc., an affiliated entity. InterCare plans to build strong internal organizations for both marketing and sales. The company intends to utilize both direct and indirect sales channels, where direct channels will be primarily with small customers, and indirect channels with medium sized customers. BENEFITS OF THE COMPANY'S MODEL PHYSICIAN'S INTERACTIVE. The Company intends to offer an interactive web-forum ------------------------ 11 for physicians to discuss various issues regarding their pharmaceutical usage and experience. This product will enable pharmaceutical manufacturers and managed care organizations to deliver drug education and detailing to physicians more efficiently and cost-effectively via the Internet, without the face-to-face interaction currently required. In future, as the technology evolves, the Company will offer interactive video conferencing to participating physicians and the pharmaceutical representatives to discuss their experience and pharmaceutical needs. INTELLIGENT REMINDER. The Company intends to offer a service to track patient --------------------- compliance with prescribed treatment and to send reminders to patients, physicians and managed care organizations. By increasing compliance, the Company expects to improve patient care and reduce unnecessary office visits, benefiting patients, physicians and managed care organizations. PATIENT EDUCATION. Through Capnet IPA and other healthcare entities the Company ------------------ intends to acquire, they will provide information to patients, enabling them to take a more active role in managing and improving the quality and cost of their healthcare. Specific information regarding health state, managed care and medications will be made available on the Web site and via e-mail. CGI COMMUNICATIONS SERVICES, INC. CGI Communications Services, Inc., a start-up company, delivers broadband communications solutions including high-speed Internet access, data, voice and video services over a revolutionary national network to a wide spectrum of business customers. CGI Communications Services is also a specialized Vertical Market Applications Services Provider (VMASP) subsidiary of Meridian Holdings, Inc. The Company's fully integrated, cost-effective solution approach gives businesses little reason to search elsewhere for the same solution that would be delivered by 2 to 3 different companies, each specializing in one facet to the whole solution. Because our network is smarter than the competition and we have extensive experience in deploying multi-faceted Internet solutions, our plan is to brand CGI COMMUNICATIONS SERVICES as the clear market leader in delivering solid, complete and cost-effective network solutions to businesses that need to integrate the utility of the Internet into their operations. By combining enabling technology with industry leading companies supplying telecommunications, medical products and services, CGI is poised to make InterCare.com-dx, Inc.'s ICE(tm) Suite of clinical applications, the global leader in providing comprehensive telemedicine and telecare solutions. CGI will now begin a Pilot-testing of this technology among over 300 healthcare providers affiliated with CAPNET IPA, an integrated healthcare delivery system, located in Los Angeles, California, managed by Meridian Holdings, Inc., the ASP version of ICE(tm) when released. INDUSTRY According to TeleChoice, a telecommunications consulting firm, the market for digital subscriber lines (DSL) has charted growth of 300% for the first half of 1999, well beyond analysts' expectations. Positioning itself to give cable modem competition a good run, DSL is a technology that uses digital coding to push up to 99% more information through a regular copper phone line. The result is that the line can transmit data using a higher frequency, and simultaneous voice and fax using a lower frequency. DSL services the "last mile"- the area stretching from the central phone exchange to the customer - that has proven such a challenge in providing fast connections to businesses. Laurie Falconer, DSL analyst at TeleChoice, expects market growth for DSL to speed up, and competition to increase. "There's a lot of demand for it," she says. Falconer claims a main factor to separate the market leaders and losers will be the viability of the targeted market. The Company is aiming to attract multi-location businesses to its products and services. 12 Published figures and projections about growth of the Internet vary, but agreement about rapid expansion is standard. A new study of the Internet telephony business by Killen & Associates, a telecommunications research and consultant group in Palo Alto, Calif. Forecasts an $8 Billion market by the year 2003 for providers of IP services offering voice, fax and video capabilities. Recent mergers of telephone and cable companies, and acquisitions of Internet technology companies predict that broadband access is the future of the online world. The Internet's increasingly pivotal role in business via Web content, e-commerce and virtual Private Networks (VPNs), combined with the lack of affordable, high-speed access solutions for small businesses, have created a large niche for DSL services. Although the market is still nascent, Morgan Stanley Dean Witter & Co. estimates the U.S. DSL service market for access alone will reach $7 billion to $9 billion by 2002. Although local phone companies are in the best position to offer DSL because they own the core infrastructure that supports it, until very recently, they were reluctant to market these services to business customers. According to New York-based Bank of America Securities LLC senior analyst Michael Renegar, ILECs ("Incumbent Local Exchange Carriers") won't aggressively sell DSL services to businesses. "DSL will cannibalize existing T1 service, for which ILECs typically charge $1,000 a month," he says. "It would reduce margins considerably." BUSINESS STRATEGY CGI Communications Services, Inc., intends to capitalize on the enormous public attention focused on the Internet and the need for increased bandwidth by increasing its' telemarketing sales and technical support staff, targeting its advertising to its core audience, and by providing the most efficient, lowest-cost high speed Internet service in its service corridor. CGI is focusing its marketing efforts to specialty and small business entities. CGI recently entered into a joint venture relationship with TeleHealth Consulting, LLC, to deploy the web-enabled version of ICE(tm) suite of clinical applications to physicians and healthcare providers in the continent of Africa and Asia during when the first phase of this project began later in the fall of 2002. CORPORATE INFORMATION CGI Communications Services, Inc., was incorporated under Delaware law on April 12, 1997. Its executive offices are at 900 Wilshire Blvd., Suite 500, Los Angeles, California 90017. Its telephone number is (213) 627-8878. Its fax number is (213) 627-9183. On December 10, 1999, Meridian Holdings, Inc., acquired 20% equity interest in the Company, in exchange for an aggregate of $12,000,000 equity investment over 5 years. MANAGEMENT OF POTENTIAL GROWTH The Company has rapidly and significantly expanded its operations and anticipates that further expansion will be required to address potential growth in its customer base, to expand its product and service offerings and its international operations and to pursue other market opportunities. The projected expansion of the Company's operations and employee base will place a significant strain on the Company's management, operational and financial resources. To manage the expected growth of its operations and personnel, the Company will be required to improve existing and implement new transaction-processing, operational and financial systems, procedures and controls and to expand, train and manage its growing employee base. There can be no assurance that the Company's current and planned personnel, systems, procedures and controls will be adequate to support the Company's future operations, that management will be able to hire, train, retain, motivate and manage required personnel or that Company management will be able to successfully identify, manage and exploit existing and potential market opportunities. If the Company is unable to manage growth effectively, such inability could have a material adverse effect on the Company's business, prospects, financial condition and 13 results of operations. NEW BUSINESS AREAS The Company intends to expand its operations by promoting new or complementary products or sales formats and by expanding the breadth and depth of its product or service offerings. Expansion of the Company's operations in this manner would require significant additional expenses, development, operations and editorial resources and would strain the Company's management, financial and operational resources. Furthermore, the Company may not benefit from the first-mover advantage that it will experience in the online high technology market and gross margins attributable to new business areas may be lower than those associated with the Company's existing business activities prior to the introduction of new products or line of business. There can be no assurance that the Company will be able to expand its operations in a cost-effective or timely manner. Furthermore, any new business launched by the Company that is not favorably received by consumers could damage the Company's reputation or the Bolingo.com brand. The lack of market acceptance of such efforts or the Company's inability to generate satisfactory revenues from such expanded services or products to offset their cost could have a material adverse effect on the Company's business, prospects, financial condition and results of operations. INTERNATIONAL EXPANSION The Company intends to expand its presence in foreign markets. To date, the Company has only limited experience in sourcing, marketing and distributing products on an international basis and in developing localized versions of its Web site and other systems. The Company expects to incur significant costs in establishing international facilities and operations, in promoting its brand internationally, in developing localized versions of its Web site and other systems and in sourcing, marketing and distributing products in foreign markets. There can be no assurance that the Company's international efforts will be successful. If the revenues resulting from international activities are inadequate to offset the expense of establishing and maintaining foreign operations, such inadequacy could have a material adverse effect on the Company's business, prospects, financial condition and results of operations. In addition, there are certain risks inherent in doing business on an international level, such as unexpected changes in regulatory requirements, export and import restrictions, tariffs and other trade barriers, difficulties in staffing and managing foreign operations, longer payment cycles, political instability, fluctuations in currency exchange rates, seasonal reductions in business activity in other parts of the world and potentially adverse tax consequences, any of which could adversely impact the success of the Company's international operations. There can be no assurance that one or more of such factors will not have a material adverse impact on the Company's future international operations and, consequently, on the Company's business, prospects, financial condition and results of operations. BUSINESS COMBINATIONS AND STRATEGIC ALLIANCES The Company may choose to expand its operations or market presence by entering into business combinations, investments, joint ventures or other strategic alliances with third parties. Any such transaction would be accompanied by the risks commonly encountered in such transactions. These include, among others, the difficulty of assimilating the operations, technology and personnel of the combined companies, the potential disruption of the Company's ongoing business, the inability to retain key technical and managerial personnel, the inability of management to maximize the financial and strategic position of the Company through the successful integration of acquired businesses, additional expenses associated with amortization of acquired intangible assets, the maintenance of uniform standards, controls and policies and the impairment of relationships with existing employees and customers. There can be no assurance that the Company would be successful in overcoming these risks or any other problems encountered in connection with such business combinations, investments, joint ventures or other strategic alliances, or that such transactions will not have a 14 material adverse effect on the Company's business, prospects, financial condition and results of operations. RAPID TECHNOLOGICAL CHANGE To remain competitive, the Company must continue to enhance and improve the responsiveness, functionality and features of the its Internet websites. The Internet and the online commerce industry are characterized by rapid technological change, changes in user and customer requirements and preferences, frequent new product and service introductions embodying new technologies and the emergence of new industry standards and practices that could render the Company's existing Web site and proprietary technology and systems obsolete. The Company's success will depend, in part, on its ability to license leading technologies useful in its business, enhance its existing services, develop new services and technology that address the increasingly sophisticated and varied needs of its prospective customers and respond to technological advances and emerging industry standards and practices on a cost-effective and timely basis. The development of Web site and other proprietary technology entails significant technical, financial and business risks. There can be no assurance that the Company will successfully implement new technologies or adapt its Web site, proprietary technology and transaction-processing systems to customer requirements or emerging industry standards. If the Company is unable, for technical, legal, financial or other reasons, to adapt in a timely manner in response to changing market conditions or customer requirements, such inability could have a material adverse effect on the Company's business, prospects, financial condition and results of operations. The Company's future success also depends on its ability to identify, attract, hire, train, retain and motivate other highly skilled technical, managerial, editorial, merchandising, marketing and customer service personnel. Competition for such personnel is intense and there can be no assurance that the Company will successfully attract, assimilate or retain sufficiently qualified personnel. In particular, the Company has encountered difficulties in attracting a sufficient number of qualified software developers for its Web site and transaction-processing systems and there can be no assurance that the Company will retain and attract such developers. The failure to retain and attract the necessary technical, managerial, editorial, merchandising, marketing and customer service personnel could have a material adverse effect on the Company's business, prospects, financial condition and results of operations. ACQUISITIONS If appropriate opportunities present themselves, the Company intends to acquire businesses, technologies, services or products that the Company believes are strategic. The Company currently has no understandings, commitments or agreements with respect to any other material acquisition and no other material acquisition is currently being pursued. There can be no assurance that the Company will identify, negotiate or finance future acquisitions successfully, or to integrate such acquisitions with its current business. INTERNATIONAL EXPANSION The Company intends to expand its presence in foreign markets. To date, the Company has only limited experience in sourcing, marketing and distributing products on an international basis and in developing localized versions of its Web site and other systems. The Company expects to incur significant costs in establishing international facilities and operations, in promoting its brand internationally, in developing localized versions of its' web site and other systems and in sourcing, marketing and distributing products in foreign markets. There can be no assurance that the Company's international efforts will be successful. If the revenues resulting from international activities are inadequate to offset the expense of establishing and maintaining foreign operations, such inadequacy could have a material adverse effect on the Company's business, prospects, financial condition and results of operations. In addition, there are certain risks inherent in doing business on an international level, such as unexpected changes in regulatory requirements, export and import 15 restrictions, tariffs and other trade barriers, difficulties in staffing and managing foreign operations, longer payment cycles, political instability, fluctuations in currency exchange rates, seasonal reductions in business activity in other parts of the world and potentially adverse tax consequences, any of which could adversely impact the success of the Company's international operations. ONLINE COMMERCE SECURITY A significant barrier to online commerce and communications is the secure transmission of confidential information over public networks. The Company relies on encryption and authentication technology licensed from third parties to provide the security and authentication necessary to effect secure transmission of confidential information, such as customer credit card numbers. There can be no assurance that advances in computer capabilities, new discoveries in the field of cryptography, other events or developments will not result in a compromise or breach of the algorithms used by the Company to protect customer transaction data. If any such compromise of the Company's security were to occur, it could have a material adverse effect on the Company's reputation, business, prospects, financial condition and results of operations. A party who is able to circumvent the Company's security measures could misappropriate proprietary information or cause interruptions in the Company's operations. The Company may be required to expend significant capital and other resources to protect against such security breaches or to alleviate problems caused by such breaches. Concerns over the security of the Internet and other online transactions and the privacy of users may also inhibit the growth of the Internet and other online services generally and the Web in particular, especially as a means of conducting commercial transactions. To the extent that activities of the Company or third-party contractors involve the storage and transmission of proprietary information, such as credit card numbers, security breaches could damage the Company's reputation and expose the Company to a risk of loss or litigation and possible liability. There can be no assurance that the Company's security measures will prevent security breaches or that failure to prevent such security breaches will not have a material adverse effect on the Company's business, prospects, financial condition and results of operations. EMPLOYEES As of December 31, 2002, the Company had approximately 17 full-time employees. Of the total,13 were employed at the Company's executive offices. No employee of the Company is covered by a collective bargaining agreement or is represented by a labor union. The Company considers its employee relations to be good. ITEM 2. DESCRIPTION OF PROPERTY The Company's corporate offices are located at 900 Wilshire Boulevard, Suite 500, Los Angeles, California 90017. The Company is required to pay $5,791.00 per month rental. The Company was required to make a lease deposit of $5,186.00. The lease expires on February 28, 2004. The telephone number is (213) 627-8878. The Company has additional office space located at 1601 Centinela Avenue, Inglewood, California 90302. The Company is required to pay $1,560.00 per month rental. The Company was not required to make a lease deposit. This lease is on a month to month basis. ITEM 3. LEGAL PROCEEDINGS On August 27, 2001, the Company filed a Civil Complaint for Damages and Equitable Relief in Superior Court of the State of California, for the County of Los Angeles (Case No. BC 2566860), styled Meridian Holdings, vs Sirius Technologies of America, a Delaware Corporation; Sirius Computerized Technologies Ltd, an Israeli Corporation; DOES 1 through 500, inclusive. This lawsuit was in connection to the cancellation by the registrant of the purchase of the intellectual property commonly known as "Medmaster Software" including the Source-Code and Subsystems of Sirius Computerized Technologies Ltd. Through the Israeli bankruptcy court. 16 The registrant seeks, among other relief, rescission based on fraud; damages for fraud; money had and received; rescission based on failure of consideration; damages for breach of written contract; negligent misrepresentation; conversion; declaratory relief; preliminary and permanent injunction and damages; intentional interference with contract and other economic relationship; and negligent interference with economic relationship; breach of fiduciary duty. As of this filing, no responses have been received from any of the named defendants. On July 19, 2001, Ventures & Solutions, LLC, filed a lawsuit against the company, styled Ventures & Solutions, LLC, Plaintiff v. Meridian Holdings, Inc., Defendant, Circuit Court of Alexandria, Virginia, Case No. C10517. The company was served with a copy of the Complaint on August 6, 2001. Plaintiff has alleged that the company owes it approximately $29,000.00, pre and post judgment interest, and attorneys' fees and costs. On August 22, the Company filed a response denying all allegations in the lawsuit. The company believes that the allegations are wholly without merit and currently expects to vigorously defend its position. The company believes that the principal of Plaintiff is Mr. Dale Church, a former Director of company's former subsidiary and current affiliated company, Intercare.Com-DX, Inc. and that the basis of Plaintiff's allegations stem from the company's transactions with respect to Sirius and the MedMaster Technology and Software. Effective October 17 2002, Meridian Holdings, Inc., InterCare.com, Inc., and Silicon Valley Bank reached a settlement agreement of the entire action, including the registrant's cross complaint, entitled Silicon Valley Bank Corporation .v. Meridian Holdings, Inc., a Colorado Corporation,InterCare.com, Inc., a Nevada Corporation, Los Angeles California, Superior Court Case number BC 259513. The salient terms of the settlement include mutual general releases with prejudice by all parties. The lawsuit, as well as the cross-complaint, resulted from the earlier acquisition of the asset of Sirius Computerized Technology of Israel, for which Silicon Valley Bank claimed that said asset was pledged as collateral by Sirius et al for a loan in the amount of $450,000. The company had earlier abandoned the proposed asset purchase, and filed a lawsuit against Sirius et al, as described above. From time to time, we may be engaged in litigation in the ordinary course of our business or in respect of which we are insured or the cumulative effect of which litigation our management does not believe may reasonably be expected to be materially adverse. With respect to existing claims or litigation, our management does not believe that they will have a material adverse effect on our consolidated financial condition, results of operations, or future cash flows. ITEM 4. SUBMISSION OF MATTERS TO A VOTE OF SECURITY HOLDERS On March 8, 2002 the shareholders voted to re-appoint Mr. Andrew Smith CPA, as the Company's independent accountant for the fiscal year ended December 31, 2002. Also, the shareholders approved the Registrants' 2002 stock option plan as well as the election of the following directors for another one year term: Mr. James Truher Mr. Scott Wellman, Esq Mr. James Kyle Mrs Marcelina Offoha 17 PART II ITEM 5. MARKET FOR COMMON EQUITY AND RELATED STOCKHOLDER MATTER The Common Stock is currently quoted on the OTC Bulletin Board, maintained by the National Association of Security Dealers, Inc. under the Symbol: MEHO, and there is presently only a very limited market for the Common Stock. Historically the spread between the bid and asked price of the Company's Common Stock has been large, reflecting limited trading in the stock. The price range of the Company's Common Stock has varied significantly in the past months, ranging from a high bid of $0.25 and a low bid of $0.012 per share. The trading price for the Common Stock has fluctuated widely in the recent past. The above prices represent inter-dealer quotations without retail mark-up, mark-down or commission, and may not necessarily represent actual transactions. We plan to list our common stock on the new exchange to be sponsored by NASD in 2003. This new exchange will be known as Bulletin Board Exchange(SM) or BBX, a listed market place, with qualitative listing standards but with no minimum share price, income, or asset requirements therefore allowing entrance to a wide array of listings. According to NASD, companies trading on the BBX will be differentiated from those over-the-counter in that their market symbol will begin with a the letters "XB", and unlike the current OTCBB issuers will be allowed to choose their own three-letter market symbol. In addition the BBX will have an electronic trading system to allow order negotiation and automatic execution. The current OTCBB will be phased out in 2003 according to NASD, and in its place will be the BBX. The following information with respect to the high and low bid price of our shares was obtained from the National Quotation Bureau.High Low Calendar 2002 Quarter ended March 31 0.08 0.02 Quarter ended June 30 0.07 0.02 Quarter ended September 30 0.04 0.02 Year ended December 31, 2002 0.02 0.02 High Low Calendar 2001 Quarter ended March 31 0.09 0.06 Quarter ended June 30 0.08 0.06 Quarter ended September 30 0.05 0.03 Year ended December 31, 2001 0.04 0.04 At December 31, 2002, the company had approximately 1000 shareholders of record for its common stock. Our preferred shares have never been offered to the public, therefore have never been publicly traded. SELECTED FINANCIAL DATA The Company had net working capital of $507,664 as at December 31 2002 compared to $1,068,959 at December 31, 2001. This represents an decrease in working capital of 52%. This decrease in working capital is attributed to 18 the adjustment discussed in "Note 7" as well as a decrease in enrollment or disenrollment of membership into the Capnet IPA Network, refund to InterCare an affiliated company, the sum of $325,000 of fees paid for Medmaster software enhancement and maintenance, that was not delivered due to the abandonment of the purchase of the software from Sirius et al by the registrant. The selected financial data set forth above should be read in conjunction with "Management's Discussion and Analysis of Financial Condition and Results of Operations" and the consolidated financial statements and notes thereto. ITEM 6. MANAGEMENT'S DISCUSSION AND ANALYSIS OF THE FINANCIAL CONDITION AND RESULTS OF OPERATIONS The following section contains forward-looking statements that involve risks and uncertainties, including those referring to the period of time the Company's existing capital resources will meet the Company's future capital needs, the Company's future operating results, the market acceptance of the services of the Company, the Company's efforts to develop new products and services, and the Company's planned investment in the marketing of its current services and research and development with regard to future endeavors. The Company's actual results could differ materially from those anticipated in these forward-looking statements as a result of certain factors, including: domestic and global economic patterns and trends. LIQUIDITY AND CAPITAL RESOURCES OF THE COMPANY. We believe that we will be able to fund our capital commitments, operating cash requirements and satisfy our obligations as they become due from a combination of cash on hand, expected operating cash flow improvements through HMO capitation payments. However, there can be no assurances that these sources of funds will be sufficient to fund our operations and satisfy our obligations as they become due. Long-term cash requirements, other than normal operating expenses, are anticipated for the continued development of the Company's business plans. The Company will need to raise additional funds from investors in order to complete these business plans. There can be no assurance that such additional capital can be obtained or, if obtained, that it will be on terms acceptable to us. The incurring or assumption of additional indebtedness could result in the issuance of additional equity and/or debt which could have a dilutive effect on current shareholders and a significant impact on our operations. RESULTS OF OPERATIONS THE FINANCIAL RESULTS DISCUSSED BELOW RELATE TO THE OPERATION OF MERIDIAN HOLDINGS FOR THE TWELVE MONTHS ENDED DECEMBER 31, 2002 AS COMPARED TO THE TWELVE MONTHS ENDED DECEMBER 31, 2001. REVENUE Medical services revenues decreased by 7% from $2,808,026 for the twelve months ended December 31, 2001 to $2,618,894 for the twelve months ended December 31, 2002. The decrease in medical services revenue is attributed to decrease in membership enrollments, into the Capnet IPA Physician Network. There was $0 revenue generated from software licensing fees for the twelve months ended December 31, 2002, compared to revenue of zero revenue generated from software sales or services during comparable period in 2002. This decrease in software licensing fee is due to the discontinuation of sale of the MedMaster software by the registrant. (See Item 3 Legal proceedings section on page 16) Revenue generated from our managed care contracts with HMOs as a percentage of medical services revenue was approximately 99% and 96%, respectively, during the twelve months ended December 31, 2002 and 2001. Revenue generated by the 19 Los Angeles County Community Health Plan ("CHP") contracts was 98% and 95% of medical services revenue for the twelve months ended December 31, 2002 and 2001, respectively. Revenue generated by LACARE Health Plan ("LACARE") contract was less than 2% of medical services revenue for the comparable period. Cost of Revenues The cost of revenue for twelve months ended December 31, 2002 is $1,358,566, compared to $888,208 for twelve months ended December 31, 2001. This represents a 52% increase in cost of revenue. The increase in cost of revenue is attributed to the increase in the per member per month fee paid by the company to the contracted primary care providers, with no apparent increase in per member per month capitation fee received from the HMO.Of the $1,358,566 cost of revenue expenses for the period ended December 31, 2002, $659,968 was for capitation fees paid to our contracted primary care providers, $664,131 was for medical clams paid to specialist physicians, hospitals, and other ancillary services providers. Direct medical costs includes all costs associated with providing services for CAPNET IPA contracted members, including direct medical payment to physician providers, hospitals and ancillary services on capitated and fee for service basis. For the year ended December 31, 2002, these cost represents 51% of total revenue compared to 96% for the year ended December 31, 2001. This is referred to as Medical Loss Ratio (MLR). The decrease in Medical Loss Ratio is due to decrease in volume of claims paid to contracted providers and hospitals for services rendered. The decrease in volume of claims is also attributable to decrease in enrollment of members in the IPA network with concomitant decrease in utilization of services. Medical claims represent the costs of medical services provided by other healthcare providers other than our contracted primary care providers, but which are to be paid by us for individuals covered by our capitated risk contracts with HMOs. Our Medical Loss Ratio varies from quarter to quarter due to fluctuations in utilization, the timing of claims paid by the HMOs on our behalf, as well as increases in medical costs without counterbalancing increases in capitation revenues. EXPENSES General and administrative expenses were $1,370,449 or 49 % of total revenues for the twelve months ended December 31, 2002, compared to $1,961,653 or 66% of total revenues for twelve months ended December 31, 2001. The decrease in general and administrative expense is due laying off of some employees, as well the implementation of additional cost reduction measures during the twelve months ended December 31, 2002. Of the $1,370,449 administrative expense for the period ended December 31, 2002, $511,454 was for employee salaries and wages, $325,000 was for refund of fees paid to the registrant for Medmaster software enhancement and maintenance that was not delivered, due to the abandonment of the purchase of the Asset of Sirius et al as disclosed under legal proceedings section of this 10ksb, $99,640 was for insurance including stop-loss, D&O liability, general and liability, Medical Mal-practice, Workermans' Compensation, employees health and dental insurance, $82,383 was for rent, $56,741 was for taxes and the rest was for outside consultant fees and other corporate purposes. Payroll and employee benefits for administrative personnel was $511,454 for the twelve months ended December 31, 2002, or 20% of total revenues, compared to $600,773 for the twelve months ended December 31, 2001. or 20% of total revenue. This reflects the adjustment of our staffing requirements in order to synchronize with our revenue stream. INCOME/LOSS FROM OPERATIONS The registrant recorded a loss from operations for the twelve months ended December 31, 2002 of $43,803, compared to a net loss of $11,254 during 20 comparable period in 2001. The increase in net loss from operations is due to the decrease in revenue following the disenrollment of members from the Capnet IPA physician network, as well as lack of revenue from software licensing. Management believes that this will not be the trend for the 2003 fiscal year, as it negotiates more HMO contracts, and receives royalties from the ICE software licensing. CERTAIN FACTORS AFFECTING FUTURE OPERATING RESULTS This Form 10-KSB contains certain forward-looking statements within the meaning of Section 27A of the Securities Act of 1933 and Section 21E of the Securities Exchange Act of 1934. When used in this Form 10-Q, the words "believe," "anticipate," "think," "intend," "plan," "will be," and similar expressions, identify such forward-looking statements. Such statements regarding future events and/or the future financial performance of our Company are subject to certain risks and uncertainties, which could cause actual events or our actual future results to differ materially from any forward-looking statement. Certain factors that might cause such a difference are set forth in our Form 10-K for the period ended December 31, 2002, including the following: our success or failure in implementing our current business and operational strategies; the availability, terms and access to capital and customary trade credit; general economic and business conditions; competition; changes in our business strategy; availability, location and terms of new business development; availability and terms of necessary or desirable financing or refinancing; labor relations; the outcome of pending or yet-to-be instituted legal proceedings; and labor and employee benefit costs. Medical claims payable include estimates of medical claims expenses incurred by our members but not yet reported to us. These estimates are based on a number of factors, including our prior claims experience and pre-authorizations of treatment. Adjustments, if necessary, are made to medical claims expenses in the period the actual claims costs are ultimately determined. We cannot assure that actual medical claims costs in future periods will not exceed our estimates. If these costs exceed our estimates, our profitability in future periods will be adversely affected. Pursuant to the Medicaid program, the federal government supplements funds provided by the various states for medical assistance to the medically indigent. Payment for such medical and health services is made to providers in an amount determined in accordance with procedures and standards established by state law under federal guidelines. Significant changes have been and may continue to be made in the Medicaid program which could have an adverse effect on our financial condition, results of operations and cash flows. During certain fiscal years, the amounts appropriated by state legislatures for payment of Medicaid claims have not been sufficient to reimburse providers for services rendered to Medicaid patients. Failure of a state to pay Medicaid claims on a timely basis may have an adverse effect on our cash flow, results of operations and financial condition. PLAN OF OPERATIONS The Company intends to embark on more aggressive marketing campaign to increase its enrollment of membership into its Healthy Family Program contract with the County of Los Angeles Community Health Plan, and LACARE Health Plan. The Company through its' CAPNET IPA physician Network renewed its' Medical Services contract for another two years term with the Los Angeles County Community Health Plan and LACARE Health Plan. The Company is currently negotiating with yet another health plan within Southern California for a Medical Services Contract. These contracts will represent over $10 million in annualized revenue over the next two years. On September 17, 2002, the Company announced the release of version 3.0 of InterCare Clinical Explorer(tm) (ICE(tm)), an innovative, Scalable healthcare software solution that integrates every aspect of the healthcare enterprise, 21 designed for information tracking, error reduction, patient safety. The software is available to healthcare providers and institutions from InterCare.com-dx, Inc., (OTC BB :ICCO) which will engage in product sales and support under an exclusive value-added reseller agreement. RECENT EVENTS On March 8 2003, the following individuals were elected to serve as directors of the company until the next annual meeting or until their successors are elected and qualified : 1. James Kyle II 2. James Truher 3. Scott Wellman 4. Marcellina Offoha Also, Anthony C. Dike, MD, elected as Chairman of the Board of Directors of the Company, will serve a three-year term. Additionally, shareholders ratified the reappointment of Andrew Smith, CPA, as the independent auditor for the fiscal year ending December 31, 2002 and reapproved the Company's 2001 Joint Incentive and Non-Qualified Stock Option Plan for fiscal year 2003. Shareholders of the Company also granted the board of directors the discretion to, at any time prior to the next annual meeting, effect a reverse split of the Company's common shares at an exchange ratio of 1 for 3, 1 for 5 or 1 for 10. Based upon such vote, the board retained discretion to elect to implement a reverse split according to the aforementioned ratios, or not to implement a reverse stock split at all within the referenced time period. Following the shareholder meeting, the newly elected Board of Directors voted to extend the Company's authorization to buy back up to one million shares of its common stock in the open market from time to time through March 2005. Thus far, the Company has repurchased 250,000 shares of its common stock under the previously granted authorization. On March 27, 2003, the registrant issued a press release announcing the appointment of Mr. Randy Simpson, CPA, as the new member of the board of directors, as well as the resignation of Dr. James Kyle,11 from the board of directors of the registrant. RISKS ASSOCIATED WITH MANAGING GROWTH The Company's anticipated level of growth, should it occur, will challenge the Company's management and its sales and marketing, customer support, research and development and finance and administrative operations. The Company's future performance will depend in part on its ability to manage any such growth, should it occur, and to adapt its operational and financial control systems, if necessary, to respond to changes resulting from any such growth. There can be no assurance that the Company will be able to successfully manage any future growth or to adapt its systems to manage such growth, if any, and its failure to do so would have a material adverse effect on the Company's business, financial condition and results of operations. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK The Company's securities may be deemed "penny stock" as defined in Rule 3a51-1 of the Securities and Exchange Act of 1934, as amended, since the average bid price has remained consistently below $2. Such a designation could have a material adverse effect on the development of the public market for shares of the Company's common stock or, if such a market develops, its continuation, since broker-dealers are required to personally determine whether an investment in such securities is suitable for customers prior to any solicitation of any offer to purchase these securities. Compliance with procedures relating to sale by broker-dealers of "penny stock" may make it more difficult for purchasers of the Company's common stock to resell their shares to third parties or to 22 otherwise dispose of such shares. We plan to list our common stock on the new exchange to be sponsored by NASD in 2003. This new exchange will be known as Bulletin Board Exchange(SM) or BBX, a listed market place, with qualitative listing standards but with no minimum share price, income, or asset requirements therefore allowing entrance to a wide array of listings. According to NASD, companies trading on the BBX will be differentiated from those over-the-counter in that their market symbol will begin with a the letters "XB", and unlike the current OTCBB issuers will be allowed to choose their own three-letter market symbol. In addition the BBX will have an electronic trading system to allow order negotiation and automatic execution. The current OTCBB will be phased out in 2003 according to NASD, and in its place will be the BBX. ITEM 7. FINANCIAL STATEMENTS Please refer to Exhibit 99.1 for the Independent Auditors' Reports and Consolidated Financial Statements. ITEM 8. CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS ON ACCOUNTING AND FINANCIAL DISCLOSURE None PART III ITEM 9. DIRECTORS, EXECUTIVE OFFICERS, PROMOTERS AND CONTROL PERSONS; COMPLIANCE WITH SECTION 16(A) OF THE EXCHANGE ACT. The Board of Directors, which consists of five directors, four of which are outside members and one of which is an officer of the Company, establishes the general compensation policies of the Company and the compensation plans and specific compensation levels for executive officers. The Company does not have a separate Compensation Committee of its Board of Directors. The Company's objective is to ensure that executive compensation be directly linked to ongoing improvement in corporate performance and increasing shareholder value. The following objectives are guidelines for compensation decisions: Job Classification. The Company assigns a job grade to each salaried position, and each job grade has a salary range, which is based on national salary surveys. These salary ranges are reviewed annually to determine parity with national compensation trends, and to ensure that the Company maintains a competitive compensation structure. Competitive Salary Base. Actual salaries are based on individual performance contributions within a competitive salary range for each position established through job evaluation and market comparisons. The salary of each corporate officer is reviewed annually by the Board of Directors. Stock Option Programs. The purposes of the Company's ESOP and SOP are to provide additional incentives to employees to work to maximize shareholder value. The ESOP is open to all full-time employees of the Company and the SOP is open to participation by key employees and other persons as determined by the Board, based upon a subjective evaluation of the key employee's ability to influence the Company's long-term growth and profitability. Stock options under the ESOP may be granted at the current market price at the time of the grant or under the SOP at prices as determined by the Board. With specific reference to the Chief Executive Officer, the Board attempts to exercise great latitude in setting salary and bonus levels and granting stock options. Philosophically, the Board attempts to relate executive compensation to those variables over which the individual executive generally has control. The Chief Executive officer has the primary responsibility for improving shareholder value for the whole Company. The Board believes that its objectives of linking executive compensation to corporate performance results in alignment of compensation with corporate goals and shareholder interest. When performance goals are met or exceeded, shareholder value is increased and executives are rewarded commensurately. The Board believes that compensation levels during 2001/2002 adequately reflect the Company's compensation goals and policies. In 1993, the Internal Revenue Code was amended to add section 162(m), which generally disallows a tax deduction for 23 compensation paid to a company's senior executive officers in excess of $1 million per person in any year. Excluded from the $1 million limitation is compensation which meets pre-established performance criteria or results from the exercise of stock options which meet certain criteria. While the Company generally intends to qualify payment of compensation under section 162(m), the Company reserves the right to pay compensation to its executives from time to time that may not be tax deductible. The Company will compensate the members of the Board of Directors for each meeting he/she attends, in the amount of $250 cash or equivalent in the form of the Company's Common Stock at the fair market value. TERM AND CLASSIFICATION OF BOARD OF DIRECTORS The Board of Directors has determined that there will be two Classes of Directors (Class A and Class B). Class A Directors are also officers of the Company. Class B Directors are outside directors. The full Board shall consist of five directors. Directors are elected each year for one-year term, except for Class "A" directors, who are elected for a period of three years. The stockholders will elect five directors for the coming year. The business of the Company is managed under the direction of the Board. The Board members will serve until their successors are elected at the Annual Shareholder meeting, unless they earlier resign or are removed as provided in the Bylaws. The following is the list of members of the board of directors elected during the annual shareholders meeting held on March 8, 2002. James L. Kyle II, MD. M-Div --------------------------------- Dr. Kyle II has been the Director and Secretary of the Company since August 9, 1999. Dr. Kyle is currently the Interim Dean of Charles R. Drew University of Medicine and Science, Los Angeles, California. Prior to this appointment, he was the Chief Medical officer and Director of Clinical Business Development of the University since March 1996. Dr. Kyle was the President and Chief Executive officer of Sharp Health Plan and a Vice President, Community Care Division of Sharp Healthcare from March 1994 through March 1996. During the period from June 1990 through March 1994, Dr. Kyle started and maintained a private practice of internal medicine in Long Beach, California. Dr. Kyle received his Bachelor of Arts degree in Religion from Loma Linda University and his Masters of Divinity from Andrews Theological Seminary. Dr. Kyle received his Medical Degree from UCLA in 1987. Dr. Kyle performed his residency at UCLA, Department of Medicine and received his California Medical license in 1988. James W. Truher ----------------- Mr. Truher has been a Director of the Company since August 19, 1999. Mr. Truher has over 40 years management and engineering experience in the telecommunications industry. He is currently, the Chairman and Chief Executive officer of Superwire.Com, an Internet services and content provider company. Mr. Truher owns Columbia Management Corp., a telecommunications services and investment company. In 1988, Mr. Truher founded and served as Chairman of the Board and Chief Executive officer of SelecTel Corporation, which prior to a merger with a public company, was an AT&T Co-Marketing Partner and system integration company. Mr. Truher then served as Chairman and Chief Executive officer of two publicly traded NASDAQ telecom companies and has worked extensively with foreign PTT telephone companies. In 1981, Mr. Truher founded and was the Chief Executive officer of Polaris Intelcom, the first shared tenant service company in California. 24 Scott W. Wellman, Esq. ------------------------- Mr. Wellman became a director of the Company in October 1999, Mr. Wellman is a senior partner of a law firm Wellman & Warren, LLP in Irvine, California, specializing in business law and complex business litigation with particular emphasis in securities matters, regulatory enforcement matters, unfair competition, real estate, and international business transactions. A graduate of University of California, Los Angeles, with BA in Mathematics, Scott Wellman received his Juris Doctor as well as his Masters degree in Economics in 1978 from the University of Southern California. Mr. Wellman serves as an Adjunct Professor of Law at Whittier Law School, where he teaches international business litigation and international transactions. Mr. Wellman has been a lecturer and/or guest panelist for numerous seminars, and has authored several publications. Marcellina Offoha, Ph.D. -------------------------- Ms. Offoha a director of the Company in October 1999, Ms. Offoha has extensive experience in teaching and counseling. Ms. Offoha has taught at several universities such as Shaw University, Ithaca College, State University of New York, Philadelphia College of Pharmacy & Science, Temple University, and Morgan State University. Ms. Offoha holds a Ph.D. in Sociology from Temple University, Philadelphia, Pennsylvania. There are no family relationships between any directors or executive officers. The election of the nominees requires the affirmative vote of a majority of the shares of Common Stock represented at the Annual Meeting and entitled to vote thereon. COMMITTEES OF THE BOARD OF DIRECTORS FUNCTIONS OF COMMITTEES AUDIT AND ETHICS COMMITTEE: - Has general powers relating to accounting disclosure and auditing matters; - Recommends the selection and monitors the independence of our independent auditors; - Reviews the scope and timing of the independent auditors' work; - Reviews the financial accounting and reporting policies and principles appropriate for the Corporation, and recommendations to improve existing practices; - Reviews the financial statements to be included in the Corporation's Annual Report on Form 10-KSB - Reviews accounting and financial reporting issues, including the adequacy of disclosures; - Monitors compliance with the Code of Ethics and Standards of Conduct; - Reviews and resolves all matters presented to it by our Ethics office; - Reviews and monitors the adequacy of our policies and procedures, and the organizational structure for ensuring general compliance with environmental, health and safety laws and regulations; - Reviews with the General Counsel the status of pending claims, litigation and other legal matters; - Meets separately and independently with the Chief Financial officer, Internal Audit and our independent auditors. It is composed of Messrs. Kyle II, Truher, Wellman and Ms. Offoha 25 EXECUTIVE COMMITTEE: The Executive Committee may exercise the power of the Board of Directors in the management of the business and affairs of the Corporation at any time when the Board of Directors is not in session. The Executive Committee shall, however, be subject to the specific direction of the Board of Directors and all actions must be by unanimous vote. It is composed of Messrs. Dike, Truher, and Wellman. Meetings of the Board of Directors During the fiscal year ended December 31, 2002, the Company's Board of Directors acted Four times by a unanimous written consent in lieu of a meeting. Each member of the Board participated in each action of the Board. AUDIT AND ETHICS COMMITTEE REPORT Management has the primary responsibility for the financial reporting process and the audited consolidated financial statements, including the systems of internal controls. The Corporation's independent auditors, Messr. Andrew Smith CPA, and its predecessor Haskell & White LLP are responsible for expressing an opinion on the quality and conformity of consolidated financial statements with accounting principles generally accepted in the United States. In our capacity as members of the Audit and Ethics Committee and on behalf of the Board of Directors, we oversee the Corporation's financial reporting process and monitor compliance with its Code of Ethics and Business Conduct. The Audit Committee has not adopted a written charter, which has been approved by the Board of Directors The members of the Audit and Ethics Committee are independent as defined by the listing standards of the National Association of Securities Dealers(NASD) In connection with our oversight responsibilities, we have: - discussed with the internal and independent auditors the overall scope and plans for their audits; - reviewed and discussed the audited consolidated financial statements included in Meridian Holdings 2001 Annual Report with management and the independent auditors; - discussed with the independent auditors the matters (including the quality of the financial statements and clarity of disclosures) required to be discussed under the American Institute of Certified Public Accountants' Statement on Auditing Standards No. 61, Communications with Audit Committees, which generally requires that certain matters related to the performance of an audit be communicated to the audit committee; - received from the independent auditors and reviewed the written disclosures and the letter required from the independent auditors required by the Independence Standards Board, and have discussed with them their independence from management and the Corporation; - considered the nature of the nonaudit services performed by the independent auditors and the compatibility of those services with their independence; and - met with the internal and independent auditors, with and without management present, to discuss the results of their examinations, their evaluations of the Corporation's internal controls, and the overall quality of the Corporation's financial reporting. Based on the reviews and discussions referred to above, we recommended to the Board of Directors (and the Board has approved) the inclusion of the audited 26 Consolidated financial statements referred to above in the Corporation's Annual Report on Form 10-KSB for the year ended December 31, 2001 and 2002, for filing with the Securities and Exchange Commission. Members of the Audit and Ethics Committee: James Truher Chairman James Kyle 11 Scott Wellman Marcellina Offoha Management Team Capnet IPA Physician Network Anthony C. Dike, M.D. Chairman/CEO Wesley Bradford, M.D., M.P.H.,M.B.A, Chief Medical Officer Elizabeth Campos, Vice President Operations Foday Conteh, BSc.(Accounting) Vice President Finance InterCare.com-Dx, Inc. Anthony C. Dike, MD Chairman/CEO Russ A. Lyon, MA President and CTO Felipe Carino, MSc, MBA Senior Vice President Business Development Foday Conteh, BSc.(Accounting) Vice President Finance CGI Comunications Service, Inc. Anthony C. Dike, MD Chairman/CEO Felipe Carino, MSc, MBA Chief Operations Officer Foday Conteh, BSc.(Accounting) Vice President Finance ITEM 10. EXECUTIVE COMPENSATION The table below shows information concerning the annual and long-term compensation for services in all capacities to the Company for the Chief Executive officer: Annual Compensation Name Year Salary Bonus Stock Option Amount Exercised as of Anthony C. Dike 2002 $144,000(F1) 0 250,000 0 F1: As of December 31, 2002, payment of salary has been deferred until such time as the Company has sufficient capital to commence such payment. COMPLIANCE WITH SECTION 16(a) OF THE SECURITIES EXCHANGE ACT OF 1934 Section 16(a) of the Securities Exchange Act of 1934 requires the Company's directors and executive officers, and persons who own more than ten (10%) percent of the outstanding Common Stock, to file with the Securities and Exchange Commission (the "SEC") initial reports of ownership on Form 3 and reports of changes in ownership of Common Stock on Forms 4 or 5. Such persons are required by SEC regulation to furnish the Company with copies of all such reports they file. Based solely on its review of the copies of such reports furnished to the 27 Company or written representations that no other reports were required, the Company believes that all Section 16(a) filing requirements applicable to its officers, directors and greater than (10%) percent beneficial owners were complied with during the twelve months ended December 31, 2002. ITEM 11. SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND MANAGEMENT The following table sets forth, as of December 31, 2002 to the extent known to the Company, certain information regarding the ownership of the Company's Common Stock by (i) each person who is known by the Company to own of record or beneficially more than five percent of the Company's Common Stock, (ii) each of the Company's directors and executive officers and (iii) all directors and executive officers as a group. Except as otherwise indicated, the shareholders listed in the table have sole voting and investment powers with respect to the shares indicated: Name of Beneficial Owner Title Amount and Nature of Status Percent of Class Beneficial Ownership Anthony C. Dike,M.D. Director 75,370,450 Active 80% James L Kyle, M.D. Director 264,400 Active 0.02% James W. Truher Director 409,000 Active 0.07% Scott W. Wellman, Esq Director 297,985 Active 0.05% Marcellina Offoha, PhD Director 271,900 Active 0.03% All Directors and officers as a group (Six Persons) 77,037,335 80.20% CGI Communications Services 11,115,000 12.0% Other shareholders(1) 5,554,150 7.80% Total number of shares outstanding 93,706,485 100% Foot Note: 1. Includes 3.3 million shares pledged to secure the asset purchased by the registrant from the Israeli Bankruptcy court. 2. The numbers shown include the shares of our Common Stock actually owned as of December 31, 2002 and the underlying options and warrants representing shares that the person has the right or will have the right to acquire based on the 2002 stock option plan table. ITEM 12. CERTAIN RELATIONSHIPS AND RELATED PARTY TRANSACTIONS During the second quarter of 2002, the registrant purchased the intellectual property rights to the source-code of ICE software program from Intercare com-Dx, Inc., an affiliated Company in the amount of $325,000. PART IV ITEM 13. EXHIBITS, FINANCIAL STATEMENT SCHEDULES AND REPORTS OF FORM 8-K Item Description Exhibit 99.1 Independent Auditors' Report and Consolidated Financial Statements Signatures Pursuant to the requirements of Section 12 of the Securities Exchange Act of 1934, the Registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized. Meridian Holdings, Inc. Date: March 27, 2003 By: /s/ Anthony C. Dike ____________________________________Signature Anthony C. Dike Chief Executive officer 28 EXHIBIT 99.1 Financial Statements and Independent Auditors' Reports MERIDIAN HOLDINGS, INC. YEARS ENDED DECEMBER 31, 2002 AND 2001 i MERIDIAN HOLDINGS, INC. TABLE OF CONTENTS Item Page Number INDEPENDENT AUDITORS' REPORTS F-1 AUDITED FINANCIAL STATEMENTS Consolidated Balance Sheets F-3 Consolidated Statements of Operations F-4 Consolidated Statements of Stockholders' Equity F-5 Consolidated Statements of Cash Flows F-6 Notes to Consolidated Financial Statements F-7 F-1 INDEPENDENT AUDITORS' REPORT To the Board of Directors Meridian Holdings, Inc. I have audited the accompanying consolidated balance sheet of Meridian Holdings, Inc. as of December 31, 2002 and 2001 respectively, and the related consolidated statements of stockholders' equity and cash flows for the year then ended. These consolidated financial statements are the responsibility of the Company's management. My responsibility is to express an opinion on these consolidated financial statements based on my audit. I conducted my audit in accordance with auditing standards generally accepted in the United States of America. Those standards require that I plan and perform the audit to obtain reasonable assurance about whether the consolidated financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the consolidated 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. I believe that my audit provides a reasonable basis for my opinion. In my opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of Meridian Holdings, Inc. as of December 31, 2002 and 2001 respectively, and the results of their operations and their cash flows for the year then ended, in conformity with accounting principles generally accepted in the United States of America. Andrew M. Smith CPA Long Beach, California March 27, 2003 F-2 Meridian Holdings, Inc. Balance Sheets ASSETS As of December 31, ---------------------- 2002 2001 ======= ======== Current assets Cash and cash equivalents $23,040 $ 7,219 Restricted cash (Note 8) 400,993 331,232 Accounts receivable, net of allowance for doubtful accounts of $179,813 and $146,151, respectively 1,155,971 1,485,530 Other current assets 17,881 Total current assets 1,841,863 Fixed assets, net of accumulated depreciation (Note 4) 45,693 37,870 Intellectual property, net of accumulated amortization of $34,998 as of (Note 3) 315,002 - Investments (Notes 3 and 12) 3,911,511 3,803,691 Total assets $5,860,212 $ 5,683,424 LIABILITIES AND STOCKHOLDERS' EQUITY Current liabilities Accounts payable $ 282,726 $ 202,750 Accrued payroll and other 391,697 283,477 Reserve for incurred but not reported claims (Note 8) 265,958 144,025 Accrued interest (Note 11) - Line of credit (Note 5) 43,885 46,278 Current portion of long-term debt (Note 7) 96,375 96,375 Total current liabilities 1,080,641 772,904 Loan from majority stockholder/officer (Note 11) - Long-term debt, net of current portion (Note 7) 335,530 422,530 Total liabilities 1,417,171 1,195,434 Commitments and contingencies (Notes 5,6,9,10,11 and 14) Stockholders' equity (Notes 2, 3, 10 and 14) Common stock (100,000,000 shares authorized, par value $0.001; 93,706,485 and 93,956,485 shares issued and outstanding at December 31, 2002 and 2001, respectively) 93,706 93,706 Additional paid-in capital 4,947,424 4,947,424 Accumulated deficit (597,089) (553,140) Total stockholders' equity 4,444,041 4,487,990 Total liabilities and stockholders' equity 5,860,212 $ 5,683,424 See accompanying notes to consolidated financial statements. F-3 Meridian Holdings, Inc. Consolidated Statements of Operations YEARS ENDED DECEMBER 31, --------------------------- 2002 2001 ======= ========= Revenues Capitation $ 2,618,984 $ 2,808,028 Related party fees (Note 3) - Other sale of software (Note 10) 149,600 --------- ---------- 2,957,626 Cost of revenues 1,358,566 888,208 --------- ------- Gross margin 1,260,418 2,069,419 --------- --------- Operating expenses Research and development (Note 3) 80,833 General and administrative 1,370,449 1,961,653 --------- ------- 1,370,449 2,042,486 --------- ------- Income (loss) from operations (110,031) 26,933 --------- ------- Other income and (expense) Equity interest in earnings of investment 107,520 (301,277) Other, net (41,292) 263,090 ------- -------- 66,228 (38,187) -------- --------- Net income (loss) (43,803) $ (11,254) ========= ========== Net income (loss) per share: Basic and diluted $(.0005) $ (0.0001) ========= ========== Weighted average shares outstanding 93,831,485 93,831,485 =========== ========== See accompanying notes to consolidated financial statements. F-4 Meridian Holdings, Inc. Statements of Stockholders' Equity For the Years Ended December 31, 2002 and 2001 Common Accumulated Common Stock Paid-in Stock Earnings Shares Amount Capital Subscribe (Deficit) Total ========= ====== ======== ========== ======== ====== Balances, January 1, 1999 1,950,000 $ 1,950 $ 13,574 $(12,000) $ - $ 3,524 Common stock issued for cash and services 562,500 563 18,187 - - 18,750 Subscribed common stock issued 360,000 360 (360) 12,000 - 12,000 Common stock issued to Stockholder 75,000,000 75,000 51,922 - - 526,922 acquisition Common stock issued to an employee 600,000 600 24,400 - - 25,000 Common stock issued to liquidate debt 3,000,000 3,000 497,000 - - 500,000 Common stock issued for equity investment 12,000,000 12,000 3,868,000 - - 3,880,000 Net loss for the year - - - - 215,863) (215,863) ---------- ------ ---------- --------- -------- -------- Balances, December 31, 1999 93,472,500 93,473 4,872,723 - (215,863) 4,750,333 Stock options exercised 406,000 406 67,994 - - 68,400 Common stock issued for services 77,985 78 6,420 - - 6,498 Dividends paid and declared (Notes 2 and 3) - - - - (428,578) (428,578) Net income for the year - - - - 102,555 102,555 ----------- --------- --------- --------- -------- ---------- Balances, December 31, 2000 93,956,485 $ 93,957 $ 4,947,137 $ - $(541,886) $4,499,208 Net Income/(Loss) (11,254) (11,254) Shares Re-acquired (250,000) (250) 287 37 ----------- --------- --------- --------- -------- ---------- Balances, December 31, 2001 93,706,485 $ 93,707 $ 4,947,424 $ - $(553,140) $4,487,990 Net Income/(Loss) (43,803) (43,803) ----------- --------- --------- --------- -------- ---------- Balance December 31, 2002 93,706,485 $ 93,707 $ 4,947,424 $ - $(597,089) $4,444,187 ========== ========= =========== ========= ========= ========== See accompanying notes to consolidated financial statements. F-5 Meridian Holdings, Inc. Consolidated Statements of Cash Flows Years Ended December 31, ======================== 2002 2001 ======== ========= Cash flows from operating activities Net income (loss) $ (43,803) $ (11,254) Adjustments to reconcile net income (loss) to net cash used in operating activities: Depreciation and amortization 47,178 - Allowance for doubtful accounts - Equity interest in earnings of investments (107,520) 568,997 Stock compensation - Income from extinguishment of debt (3,054,535) Loss on abandonment of software 2,362,500 (Increase) decrease in Restricted cash (69,761) (128,544) Accounts receivable 329,559 41,195 Other current assets 9,579 (1,715) Increase(Decrease) in: Accounts payable 79,976 (168,719) Accrued payroll and other 108,075 (177,136) Incurred but not reported reserve 121,933 (58,665) Accrued interest (2,393) - -------- ------- Net cash used in operating activities 427,823 (627,877) --------- ------- Cash flow from investing activities Acquisition of intellectual property (350,000) - Acquisition of fixed assets (20,002) 13,858 Organization costs - - --------- --------- Net cash used in investing activities (370,002) 13,858 ---------- --------- Cash flow from financing activities Common Stock 36 Borrowings from majority stockholder / officer 367,704 Repayment of debt (87,000) - Repayment of line of credit - Borrowings on line of credit - ---------- ----------- Net cash provided by financing activities (87,000) 367,740 ---------- ----------- Increase (decrease)in cash and cash equivalents 15,821 (246,282) Cash and cash equivalents, beginning of period 7,219 253,501 ---------- ---------- Cash and cash equivalents, end of period $ 23,040 $ 7,219 ========== ========== Supplemental disclosure of cash flow information: Cash paid during the year for: Interest $ 36,435 $ 7,703 ========== ========= Income taxes $ 800 $ 800 ========= ========= Supplemental disclosure of non-cash investing and financing activities: See accompanying notes to consolidated financial statements. F-6 MERIDIAN HOLDINGS, INC. Notes to Consolidated Financial Statements 1. Summary of Significant Accounting Policies Nature of Operations Meridian Holdings, Inc. (the "Company") was incorporated under the laws of the State of Colorado on October 13, 1998. The Company is located in the City of Los Angeles, California, U.S.A. and contracts with physicians to provide health care services primarily within the area of Los Angeles County. The Company is an acquisition-oriented holding company focused on building, operating, and managing a portfolio of business-to-business companies. It seeks to acquire majority or controlling interests in companies engaged in e-commerce, e-communication, and e-business services, which will allow the holding company to actively participate in management, operations, and finances. The Company's network of affiliated companies is designed to encourage maximum leverage of information technology, operational excellence, industry expertise, and synergistic business opportunities. Cash And Cash Equivalents The Company considers all highly liquid investments with original maturities of three months or less to be cash equivalents ( e.g. restricted cash). From time to time, the Company maintains cash balances with financial institutions in excess of federally insured limits. Equity Method Investments in certain companies whereby the Company owns 20 percent or more interest are carried at cost, adjusted for the Company's proportionate share of their undistributed earnings or losses, because the Company exercises significant influence over their operating and financial activities. Such investee entities include InterCare.com-dx, Inc. ("InterCare") and CGI Communications Services, Inc. ("CGI"). Use of Estimates The preparation of financial statements in conformity with generally accepted accounting principles requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities and disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the reporting period. Actual results could differ from those estimates. Fiscal Year The Company operates on a December 31 year end. Revenue Recognition The Company prepares its financial statements and federal income taxes on the accrual basis of accounting. The Company recognizes capitation revenue on a monthly basis from managed care plans that contract with the Company for the delivery of health care services. This capitation revenue is at the contractually agreed-upon per-member, per-month rates. For the year ended December 31, 2002, approximately 99% of capitation revenues are derived from two Los Angeles county managed care plans. For the year ended December 31, 2001, approximately 95% of capitation revenues are derived from same Los Angeles county managed care plans. F-7 Costs of Revenues The Company recognizes costs of revenues paid to physicians on a monthly basis who contract with the Company for the delivery of health care services. These costs are at the contractually agreed-upon per-member, per-month rates. Fair Value of Financial Instruments and Concentration of Credit Risk The carrying amounts of cash, receivables, accounts payables and accrued liabilities approximate fair value because of the immediate or short-term maturity of these financial statements. Fixed Assets and Depreciation Property and equipment are stated at cost. Acquisitions having a useful life in excess of one year are capitalized and depreciated over their estimated useful, 1 Summary of Significant Accounting Policies (continued) life using the straight line method (normally 5-7 years). Repairs and maintenance are expensed in the year incurred. The Company provides for depreciation over estimated useful lives ranging from three to five years, using the straight-line method. Leaseholds are amortized over the life of the related, noncancelable lease, or the related asset's useful life, whichever is shorter. Repair and maintenance expenditures that do not significantly add to the value of the property, or prolong its life, are charged to expense, as incurred. Gains and losses on dispositions of property and equipment are included in the related period's statement of operations. Research and Development Costs Costs incurred in the Software research and development are expensed as incurred Long-Lived Assets The Company reviews the carrying amount of its long-lived assets and identifiable intangible assets for possible impairment whenever events or changes in circumstances indicate that the carrying amount of the assets may not be recoverable. Recoverability of assets to be held and used is measured by a comparison of the carrying amount of an asset to future net cash flows expected to be generated by the asset. If such assets are considered impaired, the impairment to be recognized is measured by the amount by which the carrying amount of the assets exceeds the fair value of the assets. Assets to be disposed of are reported at the lower of the carrying amount or fair value, less costs to sell. Earnings Per Share Earnings per share is calculated pursuant to Statement of Financial Accounting Standards No. 128, "Earnings per Share." Basic earnings per share ("EPS") includes no dilution and is computed by dividing income available to common shareholders by the weighted average number of shares outstanding during the period. Diluted earnings per share reflects the potential dilution of securities that could share in the earnings of the Company. Accounting for Stock-based Compensation The Company adopted SFAS No. 123, "Accounting for Stock-based Compensation," which establishes financial accounting and reporting standards for stock-based compensation. SFAS No. 123 generally suggests, but does not require, stock-based employee compensation transactions be accounted for based on the fair value of the consideration received, or the fair value of the equity instruments issued, whichever is more reliably measurable. Companies that do not elect to change their accounting for employee stock-based compensation are F-8 required to disclose the effect on net income as if the provisions of SFAS No. 123 were followed. The Company has decided to retain the provisions of APB Opinion No. 25, and related interpretations thereof, for recognizing stock-based compensation expense for employees, which includes members of the board of directors. Non-employee stock compensation is recorded at fair value in accordance with SFAS No. 123. There was no such compensation recorded during the periods ended December 31, 2002 and 2001. Income Taxes The Company utilizes the liability method of accounting for income taxes in accordance with Statement of Financial Accounting Standards No. 109, "Accounting for Income Taxes." Deferred income taxes are recognized based on the differences between financial statement and income tax bases of assets and liabilities using the enacted statutory rates in effect for the year in which the differences are expected to reverse. Valuation allowances are established, when necessary, to reduce deferred tax assets to the amount expected to be realized. The provision for income taxes represents the tax payable for the period and the change during the period in deferred tax assets and liabilities. 2. Capitalization The Company has established one class of preferred stock, one class of common stock and has established two classes of warrants. 1,000,000 Class "A" Redeemable Common Stock Purchase Warrants have been established, exercising into Common Shares at an exercise price of $3.00 per share. 1,000,000 Class "B" Redeemable Common Stock Purchase Warrants have been established, exercising into Common Shares at an exercise price of $4.50 per share. There were no such warrants outstanding as of December 31, 2002 and 2001. In April 2000, the board of directors approved the authorization of 20,000,000 shares of $0.001 par value preferred stock. The preferred stock may be issued from time to time in one or more series, and the board of directors, without further approval of the stockholders, is authorized to fix the dividend rates and terms, conversion rights, voting rights, redemption rights and terms, liquidation preferences, and any other rights, preferences, privileges, and restriction applicable to each series of preferred stock. There are no shares of preferred stock outstanding, and no series of shares have yet been designated as of December 31, 2002. 3. Investments and Intellectual Property: During the second quarter of 2002, the Company purchased the intellectual property rights to the source-code of ICE software from InterCare.com-DX, Inc. In the amount of $325,000. Capnet The Company completed the acquisition of the Capnet Group of Companies ("Capnet") on May 25, 1999 through the issuance of 25,000,000 pre-split shares of common stock to the Company's majority stockholder/officer with an estimated fair value of approximately $527,000. During 1999, the Company incurred a write-off of approximately $518,000 due to the impairment of certain assets acquired. Capnet currently operates as a division of the Company. InterCare.com-dx, Inc. On September 18, 1999, the Company acquired 51% of all the outstanding Common Stock of InterCare in exchange for services and assumption of certain debts of InterCare. During fiscal year 2000, additional stock issued by InterCare combined with a dividend distribution by the Company of InterCare stock resulted in a net decrease in the Company's ownership percentage to 32% at December 31, 2000. A dividend of approximately $160,800 was recorded reflecting the relative net book value of the Company's investment in InterCare that was distributed. F-9 CGI On December 10, 1999, the Company agreed to acquire a 20% equity interest in CGI for common stock. On December 20, 1999, the board of directors authorized the issuance of 4,000,000 pre-split (adjusted to 12,000,000 post-split) shares of common stock in consideration for the 20% of the interest in CGI. At the date of the transaction, the Company's shares opened at a price of $3 per share. Between September 1, 1999 and the acquisition date, the Company's stock sold within a range of $.25 to $3.25 per share (an average of $.97 per share). Because of the limited trading history of the Company, the six-month average was deemed to be a fair valuation of the transaction, resulting in a total investment balance of $3,911,511 and $3,880,000 as of December 31, 2002 and 2001 respectively. The shareholders of CGI were also issued warrants to purchase an additional 1,000,000 pre-split (adjusted to 3,000,000 post-split) shares of common stock at $2 pre-split share (or approximately $0.67 on a post-split basis) over a five-year period as a hedge against any fluctuation of the share price of the common stock in the immediate future. These warrants will expire on December 30, 2004, and none have been exercised as of December 31, 2002. 4. Property Plant & Equipments Fixed Property plant and equipment are stated at cost. Acquisitions having a useful life in excess of one (1) year are capitalized. Repairs and maintenance are expensed in the year incurred. Capital assets are depreciated by the straight-line method over estimated useful lives of the related assets, normally five (5) to seven (7)years. Property and equipment consists of the following as of December 31, 2002 and 2001 respectively and is summarized as follows: 2002 2001 ===== ==== Computer equipment $ 78,130 $ 73,816 Leasehold improvements 6,500 6,500 Office furniture and fixtures 36,603 36,603 Office equipment 36,325 36,325 Software 25,803 22,389 Medical equipment 6,653 5,391 ------- -------- 190,014 181,024 Less accumulated depreciation (144,321) (132,141) $ 45,693 $ 48,883 5. Line of Credit During 2001 and 2000, the Company had a $50,000 line of credit with a financial institution. Approximately $44,000 and $46,000 was outstanding under this facility as of December 31, 2002 and 2001, respectively. Related advances bear interest at 11%, and interest is payable monthly. The line of credit expired March 21, 2003, and has been subsequently renewed through March 21, 2004. 6. Lease Obligations The Company's corporate offices are located at 900 Wilshire Boulevard, Suite 500 Los Angeles, California 90017. The lease expires in May 2003 and provides the option to renew for one three-year term. Monthly rents range from $4,761 to $5,186 per month. In addition, the Company leases office space on a month-to-month basis. The Company also entered into a three-year vehicle lease agreement in September 1999. Monthly rents on these leases are $1,560 and $572, respectively. F-10 The following is a schedule of future minimum lease payments required under the leases described above: Years Ending December 31, Amount 2003 25,930 ---------- $ 25,930 ========== 7. Long-term Debt The Company has various loans with financial institutions with interest rates ranging from 4% to 15% and maturity dates ranging from 2015 to 2024. 8. Income Taxes Deferred income taxes reflect the net tax effects of temporary differences between the carrying amounts of assets and liabilities for financial reporting purposes and the amounts used for income tax purposes The Company's income tax provision for the years ended December 31, 2002 and 2001 are not significant to the Company's operations and have been included within the general and administrative expenses in the accompanying statements of operations. At December 31, 2002, a 100% valuation allowance had been provided on the net deferred income tax assets, since the Company can not determine that it is "more likely than not" to be realized. The loss for the current year of 2002 will expire in 2023. As of December 2002 the company has no federal and state loss carry forward for federal and state Income tax purposes. 9. Risk Pool Agreement The Company is a party to a Risk Pool Agreement (the "Agreement") with Tenet HealthSystem Hospitals, Inc. ("Tenet"). Pursuant to the Agreement, 50% of the monthly capitation revenue is received directly by the Company, and the remaining 50% is deposited into an escrow account from which Cap-Management Systems, Inc., a subsidiary of Tenet pays all claims expenses, reinsurance expenses, make allowance for IBNR reserve, and retains a management fee. The Company is responsible for 50% of Profit (loss) after all institutional claims reinsurance and management fees are paid, and Incurred But Not Reported ("IBNR") reserve have been accounted for. The Company has also reflected the monies in the escrow account as of December 31, 2002 and 2001 as restricted cash in the accompanying consolidated balance sheets. Additionally Cap-Management System provides the Company with an estimate as to the incurred but not reported claims, which has been recorded as such potential claims against restricted cash in the accompanying consolidated balance sheets. 10. Stock Option Plan In January 2001, the stockholders of the Company approved a stock option plan for the directors of the Company (the "Plan"). The Plan provides for issuance of up to 5,000,000 shares of its common stock. Options to directors are granted F-11 based on attendance at board meetings. At December 31, 2002, 3,500,000 shares were available for grant under the terms of this plan. The purchase price per share (the "Option Price") of the shares of Common Stock underlying each Option shall be not less than the fair market value of such shares on the date of granting of the Option. Such fair market value shall be determined by the Option Committee on the basis of reported closing sales price on such date or, in the absence of reported sales price on such date, on the basis of the average of reported closing bid and asked prices on such date. In the absence of either reported sales price or reported bid and asked prices, the Option Committee shall determine such market value on the basis of the best available evidence. Each Option shall be exercisable for the full number of shares of Common Stock subject thereto, or any part thereof, in such installments and at such intervals as the Option Committee may determine in granting such Option, provided that (i) each Option shall become fully exercisable no later than five years from the date the Option is granted, (ii) the number of shares of Common Stock subject to each Option shall become exercisable at the rate of at least 20% per year each year until the Option is fully exercisable, and (iii) no option may be exercisable subsequent to its termination date. Each Option shall terminate and expire, and shall no longer be subject to exercise, as the Option Committee May determine in granting such Option, but in no event, later than ten years after the date of grant thereof. A summary of the status of the Plan and changes during the years ended December 31 is as follows: 2002 2001 ===== ===== Fixed Options Fixed Options Shares Weighted Shares Weighted Average Average Price Price ======== ======== ======= ======== Outstanding at beginning of Year 1,500,000 $ 1.45 1,500,000 $ 1.45 Granted 1,500,000 0.46 1,500,000 $ 0.46 Exercised (406,000) 0.17 (406,000) 0.17 Forfeitures/Cancelled (1,500,000) (1.45) (1,500,000) (1.45) ---------- ------ --------- ------ Outstanding at end of the year 1,094,000 $ 0.57 1,094,000 $ 0.57 ========== ====== ========= ======= Exercisable at end of year 1,094,000 $ 0.57 1,094,000 $ 0.57 ========== ====== ========= ======= Weighted average fair value per Options Granted during the year $ 1.95 $ 1.95 Grants under the Company's stock option plan are accounted for under the provisions of APB Opinion No. 25 and related interpretations. Accordingly, no compensation cost has been recognized for grants under the plan. F-12 2002 1 ===== ===== Net income (loss) As reported $ $ (11,254) Pro forma (11,254) The pro forma effect on operations for 2002 of 2001 stock option grants was offset by the pro forma effect of options forfeited in 2001. No stock option was exercised in 2002. The fair value of each grant is estimated at the grant date using the following assumptions: no dividends for all years; risk-free interest rates of 5.1% in 2002 and 2001; and expected lives of five years for all grants. 11. Related Party Transactions Under the terms of a Reseller Agreement entered into with InterCare in 2000, the Company receives a 60% royalty on the software sales generated by InterCare. 12. Equity Method Investments Summary financial information for InterCare as of and for the two years ended December 31, 2002 and 2001, is presented in the following table. The amounts shown represent the operating results and financial position based on U.S. generally accepted accounting principles. 2002 2001 (audited) (audited) Current assets $1,441,491 $ 1,441,888 Total assets 1,506,823 1,507,210 Current liabilities 1,228,949 1,586,210 Total liabilities 1,284,749 1,633,010 Revenues 364,452 334,199 Gross margin 364,452 (361,228) Net income (loss) 347,873 (648,422) Summary financial information for CGI as of and for the two years ended December 31, 2002 and 2001 respectively is presented in the following table. 2002 2001 (unaudited) (unaudited) Long-term assets $ 5,273,128 $ 5,273,128 Total assets 5,273,128 5,273,128 Current liabilities 1,394,450 1,382,450 Total liabilities 1,394,450 1,382,450 Revenues - - Gross margin - - Net income (loss) (12,000) (206) The differences in the underlying net equity of the above-described investees and the investment balances recorded at December 31, 2002 and 2001 respectively are a result of the initial acquisition accounting of the Company's percentage interests. F-13 13 Legal Proceedings On August 27, 2001, the Company filed a Civil Complaint for Damages and Equitable Relief in Superior Court of the State of California, for the County of Los Angeles (Case No. BC 2566860), styled Meridian Holdings, vs Sirius Technologies of America, a Delaware Corporation; Sirius Computerized Technologies Ltd, an Israeli Corporation and DOES 1 through 500, inclusive. This lawsuit is in connection to the recent cancellation by the registrant of the purchase of the intellectual property commonly known as "Medmaster Software" including the Source-Code and Subsystems of Sirius Computerized Technologies Ltd. through the Israeli bankruptcy court. The registrant seeks, among other relief, rescission based on fraud; damages for fraud; money had and received; rescission based on failure of consideration; damages for breach of written contract; negligent misrepresentation; conversion; declaratory relief; preliminary and permanent injunction and damages; intentional interference with contract and other economic relationship; and negligent interference with economic relationship; breach of fiduciary duty. As of this filing, no responses have been received from any of the named defendants. On July 19, 2001, Ventures & Solutions, LLC, filed a lawsuit against the Company, styled Ventures & Solutions, LLC, Plaintiff v. Meridian Holdings, Inc., Defendant, Circuit Court of Alexandria, Virginia, Case No. C10517. The company was served with a copy of the Complaint on August 6, 2001. Plaintiff has alleged that the company owes it approximately $29,000.00, pre and post judgment interest, and attorneys' fees and costs. On August 22, 2001the Company filed a response denying all allegations in the lawsuit. The case is pending trial. Effective October 17 2002, Meridian Holdings, Inc., InterCare.com, Inc., and Silicon Valley Bank reached a settlement agreement of the entire action, including the registrant's cross complaint, entitled Silicon Valley Bank Corporation .v. Meridian Holdings, Inc., a Colorado Corporation,InterCare.com, Inc., a Nevada Corporation, Los Angeles California, Superior Court Case number BC 259513. The salient terms of the settlement include mutual general releases with prejudice by all parties. The lawsuit, as well as the cross-complaint, resulted from the earlier acquisition of the asset of Sirius Computerized Technology of Israel, for which Silicon Valley Bank claimed that said asset was pledged as collateral by Sirius et al for a loan in the amount of $450,000. The company had earlier abandoned the proposed asset purchase, and filed a lawsuit against Sirius et al, as described above. 14. Stock Repurchase On September 11, 2001, the registrant announced that it has repurchased a total of 250,000 shares of its Common Stock from its shareholders. The registrant has 93,706,485 shares of Common Stock issued and outstanding as of December 31, 2002. F-14