Item 405 of Regulation S-K is not contained herein, and will not be contained, to the best of registrant’s knowledge, in definitive proxy or information statements incorporated by reference in Part III of this Form 10-K or any amendment to this Form 10-K. o
 
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, or a non-accelerated filer. See definition of “accelerated filer and large accelerated filer” in Rule 12b-2 of the Exchange Act. (Check one):
 
Large accelerated filer  o
Non-accelerated filer  o
 
Accelerated filer  o
Small Business Issuer  x
   

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act. Yes  No x
The aggregate market value of voting stock held by non-affiliates of the registrant on June 30, 2008 was approximately $6,460,000
 
State the number of shares outstanding of each of the issuer’s classes of equity securities, as of the latest practicable date: As at June 30, 2008, there were 95,608,,789 shares of Common Stock, $0.0001 par value per share issued and outstanding and 4,250 Series A preferred stock, $0.001 par value per share, issued outstanding and 2,850 Series D preferred stock $.0001 par value per share, issued outstanding.
Documents Incorporated By Reference

None
 
 
 
 

TABLE OF CONTENTS

 PART I
       
ITEM 1.
   
  3
ITEM 1A.
   
  6
ITEM 2.
   
  11
ITEM 3.
   
  11
ITEM 4.
   
  11
         
PART II
       
ITEM 5.
   
  11
ITEM 6.
   
  14
ITEM 7.
   
  14
ITEM 7A.
   
  21
ITEM 8.
   
  F-1
ITEM 9.
   
  22
ITEM 9A.
   
  22
ITEM 9B.
   
  23
         
PART III
       
ITEM 10.
   
  23
ITEM 11.
   
  24
ITEM 12.
   
  27
ITEM 13.
   
  29
ITEM 14.
   
  29
         
PART IV
       
ITEM 15.
   
  30
         
     
  31



ITEM 1.  BUSINESS.

Except for historical information contained herein, the following discussion contains forward-looking statements that involve risks and uncertainties.  Such forward-looking statements include, but are not limited to, statements regarding future events and the Company’s plans and expectations.  Actual results could differ materially from those discussed herein.  Factors that could cause or contribute to such differences include, but are not limited to, those discussed elsewhere in this Form 10-KSB or incorporated herein by reference, including those set forth in Management’s Discussion and Analysis or Plan of Operation.

History and General Overview

MedCom USA, Inc. (the "Company") a Delaware corporation was formed in August 1991 under the name Sims Communications, Inc.  The Company’s primary business was providing telecommunications services.  In 1996 the Company introduced four programs to broaden the Company's product and service mix: (a) cellular telephone activation, (b) sale of prepaid calling cards, (c) sale of long distance telephone service and (d) rental of cellular telephones using an overnight courier service.  With the exception of the sale of prepaid calling cards and cellular telephone activation the other programs were discontinued in December 1997.  During the fiscal year of 1998, the Company redirected its operations and moved into the area of medical information processing.

The Company changed its name to MedCom USA, Inc. in October 1999.  During the fiscal years of 1999 and continuing through 2000, the Company directed its efforts in medical information processing. From March 31, 2001 through 2005, the Company operated the MedCom System (“MedCom”) that is deployed through a point-of-sale terminal or web portal offering electronic transaction processing, as well as insurance eligibility verification. Since 2005, the Company has aggressively focused on its primary operations in Electronic Data Interchange (EDI) and core business in Electronic Medical Transaction Processing.

Medical Transaction Processing

MedCom System

The Company provides innovative web-based technology solutions for the healthcare industries that enable medical providers to check patient eligibility and a variety of financial services to efficiently collect patient co-pays and deductibles, The MedCom System currently operates through a web-portal.  The company still supports point-of-sale terminals which it had previously sold. All new business is sold through its web-portal.

The Company’s a “web portal” encourages customers to process their medical claims through an online portal.   Many customers purchase the terminal for the front office and the portal system for the back office to take advantage of the ease of both products.

Financial Services

The Company’s credit card center and check services, provides the healthcare industry a combination of services designed to improve collection and approvals of credit/debit card payments along with the added benefit and convenience of personal check guarantee from financial institutions.


Easy-Pay is an accounts receivable management program that allows a provider to swipe a patient’s credit card and store the patient’s signature in the terminals, and bill the patient’s card at a later date when it is determined what services rendered were not covered by the patient’s insurance.  Also, Easy- Pay allows patient’s the added benefit and convenience of a one-time payment option or a recurring installment payments that will be processed on a specified date determined by the provider and patient.  These options insure providers that payments are timely processed with the features of electronic accounts receivable management.  These services are all deployed thorough point-of-sale terminals or web portal.  Using the MedCom system, medical providers are relieved of many of the problems associated with billings and account management, and results in lower administrative documentation and costs.

Patient Eligibility

The MedCom System is also an electronic processing system that consolidates insurance eligibility verification, and payment services.  Presently, the MedCom system was able to retrieve on-line eligibility information from over 450 medical insurance companies and plans in seconds  Included in this group is the newly activated Medicare Part A & B eligibility for all 50 states.  This gives us access to over 42 million lives.  These insurance providers include CIGNA, Prudential, Oxford Health Plan, United Health Plans, Blue Cross, Medicaid, Aetna, Blue Cross/Blue Shield, and Prudential.
.
Presently, the MedCom system was able to retrieve on-line eligibility and authorization information from approximately 450 medical insurance companies and plans.  Included in this group is the newly activated Medicare Part A & B eligibility for all 50 states.  This gives us access to over 42 million lives.  The system also electronically processes and submits claims for its healthcare providers to over 1,700 companies.  These insurance providers include CIGNA, Prudential, Oxford Health Plan, United Health Plans, Blue Cross, Medicaid, Aetna, Blue Cross/Blue Shield, and Prudential.

Competition

Competing health insurance claims processing and/or benefit verification systems include Endeon and McKesson.  There are similar companies that compete with the Company with respect to its financial transaction processing services performed by the MedCom system.  These companies compete with the Company directly or to some degree.  Many of these competitors are better capitalized than the Company, and maintain a significant market share in their respective industries.

Technical Support Assistance

The Company offers multiple training options for its products and services and is easily accessed at www.medcomusa.com.  Training and teleconferencing, and technical support assistance are also features offered to health care providers.

Marketing Strategy

MedCom has broadened marketing strategy to reduce cost and increase efficiency.  The Company just completed its final phase of its portal software development which has broadened the sales model to its Web Portal.  The completion of the portal will increase sales to hospitals which results in multiple sales.  In addition, the portal has become popular for individual doctors, dentist, and other healthcare professionals which often results in a single or possibly multiple sales.  The Company has focused its sales to hospitals as a growing revenue source.


In the past the Company built its marketing around a strategy of expanding its sales capacity by using experienced external Independent Sales Organizations (ISO) and putting less reliance on an internal sales force.  MedCom has set-up these Independent Sales Organizations (ISOs) to market and distribute the MedCom System throughout the U.S.  Financial service companies comprise an important sales channel that views the healthcare industry as an important growth opportunity.  Also 6% of all healthcare payments are made with a credit card today. However, according to a recent survey 55% of all consumers would prefer to pay doctor and hospital visits by credit/debit card.

MedCom has been expanding its position with hospitals and working closely with hospital consultants and targeted seminars.  The Company, with its new Online web portal product and Medicare access, is becoming an increasingly valuable tool for the outpatient and faculty practice areas of hospitals.  While the ISO groups focus on individual doctors, dentists and clinics, our hospital team is focusing on multiple unit sales opportunities with hospitals around the country. The company is working on acquiring strategic companies with additional services and client bases to increase its market share and revenue.

Patent

Card Activation Technologies Inc. (“Card”) is a Delaware corporation headquartered in Chicago, Illinois that owns proprietary patented payment transaction technology used for electronic activation of phone, gift and affinity cards.  MedCom owns approximately 58,000,000 shares of common stock of Card which represents 41% of the issued and outstanding shares of Card.

The patent was transferred to Card by MedCom on the formation of Card and in exchange for 146,770,504 shares of Common Stock.
 
Card was incorporated in August 2006 in order to own and license, the assigned patent which covers payment transaction technology and the process for taking a card with a magnetic strip or other data capture mechanism and processing transactions or activating the card. This process is utilized for prepaid phone cards, gift cards, and debit-styled cards.  As of the date of this report, Card has entered into a license agreement with McDonald’s Corporation. Card has one principal asset, the patented payment transaction technology assigned from MedCom, and one full time and one part-time employee. Card does not expect to commence full scale operations or generate additional revenues until late 2008. Since incorporation, Card has not made any significant purchases or sale of assets, nor has Card been involved in any mergers, acquisitions or consolidations. Card has filed six lawsuits to enforce its patented technology and has sent license agreement requests to a number of companies in order to obtain license agreements with entities that Card believes are infringing its patent.

Card has the ability to market and sell licensing opportunities for the patented technology of processing debit-styled transactions, including processing transactions with debit, phone and gift cards and also activating and adding value to those debit-styled cards.  New View Technologies, which was acquired by MedCom USA, developed the patent and all patents were ultimately assigned to Card.

Service Agreements

During June 2005, the Company entered into a service agreement with TESIA-PCI, Inc.  This agreement to replace and service and support POS terminals inclusive of eligibly, claims processing, credit card processing for TESIA’s dental providers.


Additional Information

MedCom files reports and other materials with the Securities and Exchange Commission.  These documents may be inspected and copied at the Commission’s Public Reference Room at 100 F Street, N.E., Washington, D.C., 20549.  You can obtain information on the operation of the Public Reference Room by calling the Commission at 1-800-SEC-0330.  You can also get copies of documents that the Company files with the Commission through the Commission’s Internet site at www.sec.gov.

Employees

As of fiscal year end June 30, 2008, the Company had 13 employees.

ITEM 1A - Risk Factors
 
You should carefully consider the following risk factors before making an investment decision. If any of the following risks actually occur, our business, financial condition or results of operations could be materially adversely affected. In such cases, the trading price of our common stock could decline and you may lose all or a part of your investment.

OUR COMMON STOCK IS SUBJECT TO PENNY STOCK REGULATION

Our shares are subject to the provisions of Section 15(g) and Rule 15g-9 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), commonly referred to as the "penny stock" rule. Section 15(g) sets forth certain requirements for transactions in penny stocks and Rule 15g-9(d)(1) incorporates the definition of penny stock as that used in Rule 3a51-1 of the Exchange Act. The Commission generally defines penny stock to be any equity security that has a market price less than $5.00 per share, subject to certain exceptions. Rule 3a51-1 provides that any equity security is considered to be penny stock unless that security is: registered and traded on a national securities exchange meeting specified criteria set by the Commission; authorized for quotation on the NASDAQ Stock Market; issued by a registered investment company; excluded from the definition on the basis of price (at least $5.00 per share) or the registrant's net tangible assets; or exempted from the definition by the Commission. Since our shares are deemed to be "penny stock", trading in the shares will be subject to additional sales practice requirements on broker/dealers who sell penny stock to persons other than established customers and accredited investors.

WE MAY NOT HAVE ACCESS TO SUFFICIENT CAPITAL TO PURSUE OUR LITIGATION AND THEREFORE WOULD BE UNABLE TO ACHIEVE OUR PLANNED FUTURE GROWTH:
 
We intend to pursue a growth strategy that includes development of the Company business and technology.  Currently we have limited capital which is insufficient to pursue our plans for development and growth.  Our ability to implement our growth plans will depend primarily on our ability to obtain additional private or public equity or debt financing.  We are currently seeking additional capital.  Such financing may not be available at all, or we may be unable to locate and secure additional capital on terms and conditions that are acceptable to us.  Our failure to obtain additional capital will have a material adverse effect on our business.


OUR LACK OF DIVERSIFICATION IN OUR BUSINESS SUBJECTS INVESTORS TO A GREATER RISK OF LOSSES:
 
All of our efforts are focused on the development and growth of that business and its technology in an unproven area.  Although the medical billing is substantial, we can make no assurances that the marketplace will accept our products.

WE DO NOT INTEND TO PAY DIVIDENDS
 
We do not anticipate paying cash dividends on our common stock in the foreseeable future. We may not have sufficient funds to legally pay dividends. Even if funds are legally available to pay dividends, we may nevertheless decide in our sole discretion not to pay dividends. The declaration, payment and amount of any future dividends will be made at the discretion of the board of directors, and will depend upon, among other things, the results of our operations, cash flows and financial condition, operating and capital requirements, and other factors our board of directors may consider relevant. There is no assurance that we will pay any dividends in the future, and, if dividends are rapid, there is no assurance with respect to the amount of any such dividend.
 
BECAUSE WE ARE QUOTED ON THE OTCBB INSTEAD OF AN EXCHANGE OR NATIONAL QUOTATION SYSTEM, OUR INVESTORS MAY HAVE A TOUGHER TIME SELLING THEIR STOCK OR EXPERIENCE NEGATIVE VOLATILITY ON THE MARKET PRICE OF OUR STOCK.
 
Our common stock is traded on the OTCBB. The OTCBB is often highly illiquid, in part because it does not have a national quotation system by which potential investors can follow the market price of shares except through information received and generated by a limited number of broker-dealers that make markets in particular stocks. There is a greater chance of volatility for securities that trade on the OTCBB as compared to a national exchange or quotation system. This volatility may be caused by a variety of factors, including the lack of readily available price quotations, the absence of consistent administrative supervision of bid and ask quotations, lower trading volume, and market conditions. Investors in our common stock may experience high fluctuations in the market price and volume of the trading market for our securities. These fluctuations, when they occur, have a negative effect on the market price for our securities. Accordingly, our stockholders may not be able to realize a fair price from their shares when they determine to sell them or may have to hold them for a substantial period of time until the market for our common stock improves.
 
FAILURE TO ACHIEVE AND MAINTAIN EFFECTIVE INTERNAL CONTROLS IN ACCORDANCE WITH SECTION 404 OF THE SARBANES-OXLEY ACT COULD HAVE A MATERIAL ADVERSE EFFECT ON OUR BUSINESS AND OPERATING RESULTS.
 
It may be time consuming, difficult and costly for us to develop and implement the additional internal controls, processes and reporting procedures required by the Sarbanes-Oxley Act. We may need to hire additional financial reporting, internal auditing and other finance staff in order to develop and implement appropriate additional internal controls, processes and reporting procedures. If we are unable to comply with these requirements of the Sarbanes-Oxley Act, we may not be able to obtain the independent accountant certifications that the Sarbanes-Oxley Act requires of publicly traded companies.
 
If we fail to comply in a timely manner with the requirements of Section 404 of the Sarbanes-Oxley Act regarding internal control over financial reporting or to remedy any material weaknesses in our internal controls that we may identify, such failure could result in material misstatements in our financial statements, cause investors to lose confidence in our reported financial information and have a negative effect on the trading price of our common stock.


Pursuant to Section 404 of the Sarbanes-Oxley Act and current SEC regulations, beginning with our annual report on Form 10-K for our fiscal period ending December 31, 2007, we will be required to prepare assessments regarding internal controls over financial reporting and beginning with our annual report on Form 10-K for our fiscal period ending December 31, 2008, furnish a report by our management on our internal control over financial reporting. We have begun the process of documenting and testing our internal control procedures in order to satisfy these requirements, which is likely to result in increased general and administrative expenses and may shift management time and attention from revenue-generating activities to compliance activities. While our management is expending significant resources in an effort to complete this important project, there can be no assurance that we will be able to achieve our objective on a timely basis. There also can be no assurance that our auditors will be able to issue an unqualified opinion on management’s assessment of the effectiveness of our internal control over financial reporting. Failure to achieve and maintain an effective internal control environment or complete our Section 404 certifications could have a material adverse effect on our stock price.
 
In addition, in connection with our on-going assessment of the effectiveness of our internal control over financial reporting, we may discover “material weaknesses” in our internal controls as defined in standards established by the Public Company Accounting Oversight Board, or the PCAOB. A material weakness is a significant deficiency, or combination of significant deficiencies, that results in more than a remote likelihood that a material misstatement of the annual or interim financial statements will not be prevented or detected. The PCAOB defines “significant deficiency” as a deficiency that results in more than a remote likelihood that a misstatement of the financial statements that is more than inconsequential will not be prevented or detected.
 
In the event that a material weakness is identified, we will employ qualified personnel and adopt and implement policies and procedures to address any material weaknesses that we identify. However, the process of designing and implementing effective internal controls is a continuous effort that requires us to anticipate and react to changes in our business and the economic and regulatory environments and to expend significant resources to maintain a system of internal controls that is adequate to satisfy our reporting obligations as a public company. We cannot assure you that the measures we will take will remediate any material weaknesses that we may identify or that we will implement and maintain adequate controls over our financial process and reporting in the future.
 
Any failure to complete our assessment of our internal control over financial reporting, to remediate any material weaknesses that we may identify or to implement new or improved controls, or difficulties encountered in their implementation, could harm our operating results, cause us to fail to meet our reporting obligations or result in material misstatements in our financial statements. Any such failure could also adversely affect the results of the periodic management evaluations of our internal controls and, in the case of a failure to remediate any material weaknesses that we may identify, would adversely affect the annual auditor attestation reports regarding the effectiveness of our internal control over financial reporting that are required under Section 404 of the Sarbanes-Oxley Act. Inadequate internal controls could also cause investors to lose confidence in our reported financial information, which could have a negative effect on the trading price of our common stock.
 
THE REPORT OF OUR INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM CONTAINS EXPLANATORY LANGUAGE THAT SUBSTANTIAL DOUBT EXISTS ABOUT OUR ABILITY TO CONTINUE AS A GOING CONCERN
 
The independent auditor’s report on our financial statements contains explanatory language that substantial doubt exists about our ability to continue as a going concern. The report states that we depend on the continued contributions of our executive officers to work effectively as a team, to execute our business strategy and to manage our business. The loss of key personnel, or their failure to work effectively, could have a material adverse effect on our business, financial condition, and results of operations. If we are unable to obtain sufficient financing in the near term or achieve profitability, then we would, in all likelihood, experience severe liquidity problems and may have to curtail our operations. If we curtail our operations, we may be placed into bankruptcy or undergo liquidation, the result of which will adversely affect the value of our common shares.


OPERATING HISTORY AND LACK OF PROFITS WHICH COULD LEAD TO WIDE FLUCTUATIONS IN OUR SHARE PRICE. THE PRICE AT WHICH YOU PURCHASE OUR COMMON SHARES MAY NOT BE INDICATIVE OF THE PRICE THAT WILL PREVAIL IN THE TRADING MARKET. YOU MAY BE UNABLE TO SELL YOUR COMMON SHARES AT OR ABOVE YOUR PURCHASE PRICE, WHICH MAY RESULT IN SUBSTANTIAL LOSSES TO YOU. THE MARKET PRICE FOR OUR COMMON SHARES IS PARTICULARLY VOLATILE GIVEN OUR STATUS AS A RELATIVELY UNKNOWN COMPANY WITH A SMALL AND THINLY TRADED PUBLIC FLOAT, LIMITED
 
The market for our common shares is characterized by significant price volatility when compared to seasoned issuers, and we expect that our share price will continue to be more volatile than a seasoned issuer for the indefinite future. The volatility in our share price is attributable to a number of factors. First, as noted above, our common shares are sporadically and thinly traded. As a consequence of this lack of liquidity, the trading of relatively small quantities of shares by our shareholders may disproportionately influence the price of those shares in either direction. The price for our shares could, for example, decline precipitously in the event that a large number of our common shares are sold on the market without commensurate demand, as compared to a seasoned issuer which could better absorb those sales without adverse impact on its share price. Secondly, we are a speculative or “risky” investment due to our limited operating history and lack of profits to date, and uncertainty of future market acceptance for our potential products. As a consequence of this enhanced risk, more risk-adverse investors may, under the fear of losing all or most of their investment in the event of negative news or lack of progress, be more inclined to sell their shares on the market more quickly and at greater discounts than would be the case with the stock of a seasoned issuer. Many of these factors are beyond our control and may decrease the market price of our common shares, regardless of our operating performance. We cannot make any predictions or projections as to what the prevailing market price for our common shares will be at any time, including as to whether our common shares will sustain their current market prices, or as to what effect that the sale of shares or the availability of common shares for sale at any time will have on the prevailing market price.
 
Shareholders should be aware that, according to SEC Release No. 34-29093, the market for penny stocks has suffered in recent years from patterns of fraud and abuse. Such patterns include (1) control of the market for the security by one or a few broker-dealers that are often related to the promoter or issuer; (2) manipulation of prices through prearranged matching of purchases and sales and false and misleading press releases; (3) boiler room practices involving high-pressure sales tactics and unrealistic price projections by inexperienced sales persons; (4) excessive and undisclosed bid-ask differential and markups by selling broker-dealers; and (5) the wholesale dumping of the same securities by promoters and broker-dealers after prices have been manipulated to a desired level, along with the resulting inevitable collapse of those prices and with consequent investor losses. Our management is aware of the abuses that have occurred historically in the penny stock market. Although we do not expect to be in a position to dictate the behavior of the market or of broker-dealers who participate in the market, management will strive within the confines of practical limitations to prevent the described patterns from being established with respect to our securities. The occurrence of these patterns or practices could increase the volatility of our share price.


VOLATILITY IN OUR COMMON SHARE PRICE MAY SUBJECT US TO SECURITIES LITIGATION, THEREBY DIVERTING OUR RESOURCES THAT MAY HAVE A MATERIAL EFFECT ON OUR PROFITABILITY AND RESULTS OF OPERATIONS.
 
As discussed in the preceding risk factors, the market for our common shares is characterized by significant price volatility when compared to seasoned issuers, and we expect that our share price will continue to be more volatile than a seasoned issuer for the indefinite future. In the past, plaintiffs have often initiated securities class action litigation against a company following periods of volatility in the market price of its securities. We may in the future be the target of similar litigation. Securities litigation could result in substantial costs and liabilities and could divert management’s attention and resources.
 
FORWARD-LOOKING STATEMENTS
 
This Annual Report contains certain forward-looking statements regarding management’s plans and objectives for future operations including plans and objectives relating to our planned marketing efforts and future economic performance. The forward-looking statements and associated risks set forth in this Annual Report include or relate to, among other things, (a)  our growth strategies, (b) anticipated trends in our industry, (c) our ability to obtain and retain sufficient capital for future operations, and (d) our anticipated needs for working capital. These statements may be found under “Management’s Discussion and Analysis or Plan of Operations” and “Business,” as well as in this Annual Report  generally. Actual events or results may differ materially from those discussed in forward-looking statements as a result of various factors, including, without limitation, the risks outlined under “Risk Factors” and matters described in this Annual Report generally. In light of these risks and uncertainties, there can be no assurance that the forward-looking statements contained in this Annual Report will in fact occur.
 
The forward-looking statements herein are based on current expectations that involve a number of risks and uncertainties. Such forward-looking statements are based on assumptions described herein. The assumptions are based on judgments with respect to, among other things, future economic, competitive and market conditions, and future business decisions, all of which are difficult or impossible to predict accurately and many of which are beyond our control. Accordingly, although we believe that the assumptions underlying the forward-looking statements are reasonable, any such assumption could prove to be inaccurate and therefore there can be no assurance that the results contemplated in forward-looking statements will be realized. In addition, as disclosed elsewhere in the “Risk Factors” section of this prospectus, there are a number of other risks inherent in our business and operations which could cause our operating results to vary markedly and adversely from prior results or the results contemplated by the forward-looking statements. Management decisions, including budgeting, are subjective in many respects and periodic revisions must be made to reflect actual conditions and business developments, the impact of which may cause us to alter marketing, capital investment and other expenditures, which may also materially adversely affect our results of operations. In light of significant uncertainties inherent in the forward-looking information included in this prospectus, the inclusion of such information should not be regarded as a representation by us or any other person that our objectives or plans will be achieved.
 
Some of the information in this prospectus contains forward-looking statements that involve substantial risks and uncertainties. Any statement in this prospectus and in the documents incorporated by reference into this prospectus that is not a statement of an historical fact constitutes a “forward-looking statement”. Further, when we use the words “may”, “expect”, “anticipate”, “plan”, “believe”, “seek”, “estimate”, “internal”, and similar words, we intend to identify statements and expressions that may be forward- looking statements. We believe it is important to communicate certain of our expectations to our investors. Forward-looking statements are not guarantees of future performance. They involve risks, uncertainties and assumptions that could cause our future results to differ materially from those expressed in any forward-looking statements. Many factors are beyond our ability to control or predict. You are accordingly cautioned not to place undue reliance on such forward-looking statements. Important factors that may cause our actual results to differ from such forward-looking statements include, but are not limited to, the risk factors discussed herein.


ITEM 2.  PROPERTIES.
 
As of fiscal year end June 30, 2008 and 2007, the Company maintains its corporate executive offices in Scottsdale, Arizona.  The Company leases 1,317 square feet of office space for approximately $32,000 annually.  The Company entered into a three-year lease in May 2002 for the Scottsdale facility. The Company also maintains an office in Irvine, California, for executive office space for approximately $1,300 a month to month basis.  The Company also leases 1,300 square feet of office space in Islandia, New York, for approximately $28,800 annually the Company entered into a three-year lease in April 2008;
Rental Leases on a Monthly Basis:

   
Scottsdale
   
Irvine
   
Islandia
   
Total
 
                         
  $ 2,666     $ 1,300     $ 8,699       12,665  
                                 
  $ 2,666     $ 1,300     $ 2,500       6,466  


ITEM 3.  LEGAL PROCEEDINGS

The Company is also involved in various claims and legal actions arising in the ordinary course of business. In the opinion of management, except as discussed above, the ultimate disposition of these matters will not have a material adverse effect on the Company's financial position, results of operations, or liquidity.

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

The Company submitted no matters to a vote of its security holders during the fiscal year ended June 30, 2008.

PART II

ITEM 5.  MARKET FOR COMMON EQUITY AND RELATED STOCKHOLDER MATTERS.

MedCom common stock is traded in the over-the-counter market, and quoted in the National Association of Securities Dealers Inter-dealer Quotation System (“Electronic Bulletin Board) and can be accessed on the Internet at www.otcbb.com under the symbol “EMED.”

At June 30, 2008, there were 95,608,789 shares of common stock of MedCom outstanding and there were approximately 789 shareholders of record of the Company’s common stock.

The following table sets forth for the periods indicated the high and low bid quotations for MedCom’s common stock.  These quotations represent inter-dealer quotations, without adjustment for retail markup, markdown or commission and may not represent actual transactions.

 
Fiscal Year Ended June 30, 2008
 
High
   
Low
 
First Quarter (July – September 2006)
  $ .43     $ .37  
Second Quarter (October – December 2006)
  $ .46     $ .45  
Third Quarter (January – March 2007)
  $ .46     $ .45  
Fourth Quarter (April – June 2007)
  $ .43     $ .37  
                 
First Quarter (July – September 2007)
  $ .35     $ .32  
Second Quarter (October – December 2007)
  $ .27     $ .25  
Third Quarter (January – March 2008)
  $ .17     $ .15  
Fourth Quarter (April – June 2008)
  $ .10     $ .07  

On June 30, 2008, the closing bid price of our common stock was $.11

Dividends

MedCom has never paid dividends on any of its common stock shares. MedCom does not anticipate paying dividends at any time in the foreseeable future and any profits will be reinvested in MedCom’s business.  MedCom’s Transfer Agent and Registrar for the common stock is Corporate Stock Transfer located in Denver, Colorado.

Recent sales of unregistered securities

Quarter Ended
 
Stock issued
   
Cash Received
   
Stock issued
 
   
for Cash
         
for Services
 
September 30, 2006
    7,384,373     $ 2,178,991       1,837,331  
December 31, 2006
    2,579,331     $ 1,273,333       4,726,870  
March 31, 2007
    2,659,000     $ 1,302,000       866,530  
June 30, 2007
    2,201,856     $ 768,651       200,000  
Year Ended June 30, 2007
    14,824,560     $ 5,522,975       7,630,731  
                         
September 30, 2007
    1,847,357     $ 803,000       -  
December 31, 2007
    310,000     $ 155,000          
March 31, 2008
    200,000     $ 64,000          
June 30, 2008
    478,572     $ -       466,645  
Year Ended June 30, 2008
    2,835,929       1,022,000       466,645  


During the year ended June 30, 2007 the Company issued 14,824,560 shares of its common stock for $5,522,975.  The shares were issued to third parties in a private placement of the Company’s common stock.  The shares were sold throughout the year ended June 30, 2007, ranging from $.75 per share at the beginning of the year to $.25 per share at the end of the year.  Commissions of approximately $1,350,078 are recorded as a charge in additional paid in capital as direct costs associated with the raising of equity capital.  The offer and sale of such shares of our common stock were effected in reliance on the exemptions for sales of securities not involving a public offering, as set forth in Rule 506 promulgated under the Securities Act and in Section 4(2) of the Securities Act, based on the following: (a) the investors confirmed to us that they were “accredited investors,” as defined in Rule 501 of Regulation D promulgated under the Securities Act and had such background, education and experience in financial and business matters as to be able to evaluate the merits and risks of an investment in the securities; (b) there was no public offering or general solicitation with respect to the offering; (c) the investors were provided with certain disclosure materials and all other information requested with respect to our company; (d) the investors acknowledged that all securities being purchased were “restricted securities” for purposes of the Securities Act, and agreed to transfer such securities only in a transaction registered under the Securities Act or exempt from registration under the Securities Act; and (e) a legend was placed on the certificates representing each such security stating that it was restricted and could only be transferred if subsequent registered under the Securities Act or transferred in a transaction exempt from registration under the Securities Act.


The Company has issued shares of its common stock as consideration to consultants for the fair value of the services rendered.  The value of those shares was determined based on the trading value of the stock at the dates on which the agreements were entered into for the services.   During the year ended June 30, 2007, the Company granted to consultants and paid out obligations of 7,630,731 shares of common stock valued in the aggregate at $3,900,137 with a strike price range of $.35 to $.75.  The Company recorded as a charge in additional paid in capital an obligation buyout for the Royalty arrangement with Dream Technology in the amount of $4,050,480.  The offer and sale of such shares of our common stock were effected in reliance on the exemptions for sales of securities not involving a public offering, as set forth in Rule 506 promulgated under the Securities Act and in Section 4(2) of the Securities Act. A legend was placed on the certificates representing each such security stating that it was restricted and could only be transferred if subsequent registered under the Securities Act or transferred in a transaction exempt from registration under the Securities Act.

During the year ended June 30, 2008 the Company issued of 2,357,357 shares of its common stock for $1,022,000.  The shares were issued to third parties in a private placement of the Company’s common stock.  The shares were sold throughout the quarter ended March 31, 2008, ranging from $.35 per share at the beginning of the period to $.48 per share at the end of the period.  Commissions of approximately $94,975 are recorded as a charge in additional paid in capital as direct costs associated with the raising of equity capital.  The offer and sale of such shares of our common stock were effected in reliance on the exemptions for sales of securities not involving a public offering, as set forth in Rule 506 promulgated under the Securities Act and in Section 4(2) of the Securities Act, based on the following: (a) the investors confirmed to us that they were “accredited investors,” as defined in Rule 501 of Regulation D promulgated under the Securities Act and had such background, education and experience in financial and business matters as to be able to evaluate the merits and risks of an investment in the securities; (b) there was no public offering or general solicitation with respect to the offering; (c) the investors were provided with certain disclosure materials and all other information requested with respect to our company; (d) the investors acknowledged that all securities being purchased were “restricted securities” for purposes of the Securities Act, and agreed to transfer such securities only in a transaction registered under the Securities Act or exempt from registration under the Securities Act; and (e) a legend was placed on the certificates representing each such security stating that it was restricted and could only be transferred if subsequent registered under the Securities Act or transferred in a transaction exempt from registration under the Securities Act.

The Company has issued shares of its common stock as consideration to consultants for the fair value of the services rendered.  The value of those shares was determined based on the trading value of the stock at the dates on which the agreements were entered into for the services.   During the year ended June 30, 2008, the Company granted to consultants and paid out obligations of 478,572 shares of common stock valued in the aggregate at $466,645.  The offer and sale of such shares of our common stock were effected in reliance on the exemptions for sales of securities not involving a public offering, as set forth in Rule 506 promulgated under the Securities Act and in Section 4(2) of the Securities Act. A legend was placed on the certificates representing each such security stating that it was restricted and could only be transferred if subsequent registered under the Securities Act or transferred in a transaction exempt from registration under the Securities Act.
 

Transfer Agent

On June 30, 2008, the Company engaged Corporate Stock Transfer to serve in the capacity of transfer agent. Their mailing address and telephone number Corporate Stock Transfer, 3200 Cherry Creek Drive South, Suite 430. Denver, CO  80209 - Phone is (303) 282-4800.

Stock Splits

Share data in this report have been adjusted to reflect the following stock splits relating to the Company's common stock: June 1995: 2-for-1 forward split, February 1996: 1-for-10 reverse split, February 1998: 1-for-4 reverse split, May 2001: 1-for-5 reverse split.

ITEM 6.  SELECTED FINANCIAL DATA.

The following information has been summarized from financial information included elsewhere and should be read in conjunction with such financial statements and notes thereto.

Summary of Statements of Operations of EMED

Year Ended June 30, 2008 and 2007


Statement of Operations Data
     
   
Years Ended June 30,
   
Years Ended June 30,
 
             
   
   
 
             
Revenues
  $ 2,901,482     $ 4,004,899  
Cost of Deliverables
    (1,005,359 )     (1,682,412 )
      (2,941,218 )     (4,876,098 )
                 
Net Loss
  $ (1,045,095 )   $ (2,553,611 )
                 
Balance Sheet Data:
               

   
Years Ended June 30,
   
Years Ended June 30,
 
             
   
   
 
             
Current Assets
  $ 650,968     $ 1,013,600  
Total Assets
    1,177,025       2,125,107  
Current Liabilities
    3,565,386       3,341,144  
Non Current Liabilities
    3,388,663       4,909,562  
Total Liabilities
    6,954,049       8,250,706  
Working Capital (Deficit)
    (2,914,418 )     (2,327,544 )
Shareholders'Equity (Deficit)
  $ (5,777,024 )   $ (6,125,599 )


ITEM 7.  MANAGEMENT'S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OR PLAN OF OPERATION.

The following is management’s discussion and analysis of certain significant factors that have affected our financial position and operating results during the periods included in the accompanying consolidated financial statements, as well as information relating to the plans of our current management. This report includes forward-looking statements. Generally, the words “believes,” “anticipates,” “may,” “will,” “should,” “expect,” “intend,” “estimate,” “continue,” and similar expressions or the negative thereof or comparable terminology are intended to identify forward-looking statements. Such statements are subject to certain risks and uncertainties, including the matters set forth in this report or other reports or documents we file with the Securities and Exchange Commission from time to time, which could cause actual results or outcomes to differ materially from those projected. Undue reliance should not be placed on these forward-looking statements which speak only as of the date hereof. We undertake no obligation to update these forward-looking statements.

The following discussion and analysis should be read in conjunction with our consolidated financial statements and the related notes thereto and other financial information contained elsewhere in this Form 10-K.

Critical Accounting Policies and Estimates

We prepare our consolidated financial statements in accordance with accounting principles generally accepted in the United States of America. The preparation of these financial statements requires the use of estimates and assumptions that affect the reported amounts of assets and liabilities and the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amount of revenues and expenses during the reporting period. Our management periodically evaluates the estimates and judgments made. Management bases its estimates and judgments on historical experience and on various factors that are believed to be reasonable under the circumstances. Actual results may differ from these estimates as a result of different assumptions or conditions.


The following critical accounting policies affect the more significant judgments and estimates used in the preparation of the Company’s consolidated financial statements.

Reclassifications
 
Certain prior year amounts have been reclassified to conform to the current period presentation for comparative purposes.

Stock Based Compensation

In December 2004, the FASB issued a revision of SFAS No. 123 ("SFAS No. 123(R)") that requires compensation costs related to share-based payment transactions to be recognized in the statement of operations. With limited exceptions, the amount of compensation cost will be measured based on the grant-date fair value of the equity or liability instruments issued. In addition, liability awards will be re-measured each reporting period. Compensation cost will be recognized over the period that an employee provides service in exchange for the award. SFAS No. 123(R) replaces SFAS No. 123 and is effective as of the beginning of January 1, 2006. Based on the number of shares and awards outstanding as of December 31, 2005 (and without giving effect to any awards which may be granted in 2006), we do not expect our adoption of SFAS No. 123(R) in January 2006 to have a material impact on the financial statements.

FSP FAS 123(R)-5 was issued on October 10, 2006. The FSP provides that instruments that were originally issued as employee compensation and then modified, and that modification is made to the terms of the instrument solely to reflect an equity restructuring that occurs when the holders are no longer employees, then no change in the recognition or the measurement (due to a change in classification) of those instruments will result if both of the following conditions are met: (a). There is no increase in fair value of the award (or the ratio of intrinsic value to the exercise price of the award is preserved, that is, the holder is made whole), or the antidilution provision is not added to the terms of the award in contemplation of an equity restructuring; and (b). All holders of the same class of equity instruments (for example, stock options) are treated in the same manner. The provisions in this FSP shall be applied in the first reporting period beginning after the date the FSP is posted to the FASB website. The Company has adopted SP FAS 123(R)-5 but it did not have a material impact on its consolidated results of operations and financial condition.
 
Accounting Policies and Estimates

The preparation of our financial statements in conformity with accounting principles generally accepted in the United States of America requires our management to make certain 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.  Our management periodically evaluates the estimates and judgments made. Management bases its estimates and judgments on historical experience and on various factors that are believed to be reasonable under the circumstances. Actual results may differ from these estimates as a result of different assumptions or conditions.  As such, in accordance with the use of accounting principles generally accepted in the United States of America, our actual realized results may differ from management’s initial estimates as reported.  A summary of significant accounting policies are detailed in notes to the financial statements which are an integral component of this filing.


Vendor-Specific Objective Evidence

We have non-software and software deliverables which have a specific cost per customer.  The costs of the deliverables are valued at based on historical cost, usage and delivered charges.  We deliver the following VSOE:

Provider enrollment, EDI Connectivity, Payer/Provider, Benefit Verification – Govt. Billings, Referral Transfers – Govt. billing, Benefit Verification – Commercial, Referral Transfer – Commercial, Claim Status, Service Authorization, Maintenance, Training, Support, Program Upgrades, Carrier Editions, and Customized Reports.  These deliverables are delivered electronically therefore the average cost is $1.02 per delivery.  The company assessed its prior electronic costs these costs average between 80 cents to $1.25 per customers.  Management decided to use the average cost of $1.02 to value these deliverables.

We provide non-software deliverables and have valued these costs based on the average of purchasing the hardware for outside third parties.  The non-software deliverables are the terminal which cost $394 per terminal, pin pads which cost $100, check reader which cost $100, Reader Printers which cost $100, and Portal Wedge costs $100.  The Company has further cost per terminal to upgrade and update the software to be in compliance with the health care industry which the per terminal and portal costs are $250.

Revenues

A sales staff meets with a dental or medical professional.  During that initial meeting a demo is displayed so the professional has first had knowledge of the software and is use.  At the time of the meeting a noncancellable licensing agreement is executed along with a service agreement.  The license agreement indicates the life of the agreement if the customer wants check readers, pin pads, portal wedge, etc. with the software.  These units allow the professional swipe a credit card and medical card for the software to read.

The professional executes the licensing agreement which states the terms for a period of 24 – 60 month agreements, number of portal/units needed, at which location the portals will be used, the monthly licensing amount, (which varies per contract) type of contract whether dental or medical, the amount of the gateway access fee usually $24.95 per month which includes provider enrollment, EDI connectivity, a the monthly maintenance charges that are billed when used as commercial benefit verification, Referral transactions, claims status, service authorizations, maintenance, training, support, programs upgrades, carrier additions, and customized reports.  The professional then provides MedCom a voided check or credit card number to automatically withdraw or charge the licensing fee and gateway access fees on a monthly basis.  Also those automatic withdrawals include the maintenance charges based upon usage.  The professional also agrees to allow MedCom to provide merchant services for Visa/MasterCard.  MedCom further agrees that the monthly fees charged for gateway access and licensing fees will commence with in 10 day so of the execution of the noncancellable agreements.
 
The Company recognizes revenue in accordance with the American Institute of Certified Public Accountants Statement of Position (“SOP”) 97-2, “Software Revenue Recognition,” as modified by SOP 98-9 “Modifications of SOP 97-2, Software Revenue Recognition, with Respect to Certain Transactions,” and interpreted by the Securities and Exchange Commission Staff Accounting Bulletin (“SAB”) No. 104 - Revenue Recognition. The Company has also adopted Emerging Issues Task Force (“EITF”) Issue No. 00-21, Accounting for Revenue Arrangements with Multiple Deliverables.

 
The Company recognizes revenue on software related transactions on single element arrangements and on each element of a multiple element arrangement, when all of the following criteria are met:

1. Persuasive evidence of an arrangement exists, which consists of a written, non-cancelable contract signed by both parties;
2. The fee is fixed or determinable when we have a signed contract that states the agreed upon fee for our products and/or services, which specifies the related payment terms and conditions of the arrangement and it is not subject to refund or adjustment;
3. Delivery occurs:
a. For licenses - due to the Web nature of our software, when the software is shipped to our customer. Our arrangements are typically not contingent upon the customer providing the hardware, staff for training or scheduling conflicts in general nor do our arrangements contain acceptance clauses;
b. Non Software deliverables- when shipped to our customers;
c.  For access, authorization, verification and other services – ratably over the annual service period.
d. For post-contract customer support - ratably over the annual service period.
e. For professional services - as the services are performed for time and materials contracts or upon achievement of milestones on fixed price contracts.
4. Collection upfront cash received fro contracts is probable as determined by a credit evaluation, the customer’s payment history (either with other vendors or with us in the case of follow-on sales and renewals) and financial position.
 
Our arrangements typically represent large value “multiple element” arrangements where a multi-year term license is delivered in the first year with post contract support (PCS) and certain professional services.  PCS some through the life of the contract includes technical support, maintenance, enhancements and upgrades.  In the first year, PCS is packaged with the license and accordingly the Company allocates the arrangement fees to the elements using the residual method which generally results in 63% of the first year’ arrangement fee being allocated to license revenue.  The Company recognizes revenue from license fees when the software is shipped to the customer.  PCS subsequent to year one is optional and renewable at a customer’s discretion on an annual basis.   The PCS revenue subsequent to year 1 is realized annually, upon customer acceptance, as deferred revenue and recognized as revenue over the service period of one year.  Professional services include training and installation services and are accounted for separately as they are not considered essential to the functionality of the software.

The Company charges various fees for other services as utilized by the customer. These services include, but are not limited to, access fee, provider enrollment fees, EDI connectivity fees, Payer/Provider fees, benefit verification fees, referral transfer fees and service authorization fees.

Deferred Revenue
 
Deferred revenue result from fees billed to customers for which revenue has not yet been recognized or for which the conditions of the arrangement have been modified. Current deferred revenue generally represents PCS and training services not yet rendered and deferred until all requirements under SOP 97-2 are satisfied.  Non-current deferred revenue represents license fees which will be deferred until such time as all SOP 97-2 requirements have been satisfied.


We have adopted the Securities and Exchange Commission’s Staff Accounting Bulletin (SAB) No. 104, which provides guidance on the recognition, presentation and disclosure of revenue in financial statements.

Recent Developments

We have signed letters of intent acquiring PayMed USA, LLC and Absolute Medical Software Systems, LLC. PayMed USA and Absolute Medical are leading providers of Practice Management, Electronic Medical Records, and Revenue Cycle Management software to Hospitals, Surgery Centers and Physician Practices.

We have renegotiated the credit facility with LEECO Financial Services in July, 2008.  We have agreed to transfer 2,000,000 common shares of its holdings in Card Activation Technologies, Inc. a Delaware Corporation (“CDVT”).  Commencing January 1, 2009, LEECO shall be permitted to sell the CDVT stock in increments and shall prompt apply the proceeds from such sales to discharge the LEECO Indebtedness, provided that LEECO shall not sell in any given 30 day period more than a number of shares of CDVT stock that is equal to the greater of 200,000 shares or 150% of the average daily trading volume for such shares in the previous 30 day period provided the stock price is over $2.00.  These common stock sales will be offset against the outstanding balance with LEECO Financial Services, Inc.  We have been in agreement to allocate the interest of $500,000 and payments over a period of 18 months effective September 1, 2008.

We are further renegotiating our agreement with LADCO Financial Services, Inc.  Presently we have been making minimum payments to reduce our structured debt agreement.

RESULTS OF OPERATIONS

Fiscal Year Ended June 30, 2008, Compared to Fiscal Year Ended June 30, 2007

Revenues for Fiscal 2008 decreased to $2,901,482 from $4,004,899 during fiscal 2007 as 72% reduction.  This decrease in revenue is directly the result of changes in the Company's strategic direction in core operations.  This included discontinuing declining or unprofitable and business sectors.  We continue to aggressively pursue and devote its resources and focus its direction in electronic medical transaction processing.   The Company’s agreement with its credit facility in connection with the licensing of terminals and portal transactions therewith, We must defer revenue on licensing agreement of the terminals and portal software.

We have further refocused is sales to large practice management groups to sell multiple web portals and further have expanded its exposure and future sales with a large dental group.  In year ended 2007 the negotiations and relationship with the practice management and dental groups were being fostered and the company will not realize those efforts until fiscal year 2008.

Cost of deliverables for the quarter ended fiscal 2008 decreased to $1,005,359 as compared to fiscal 2007 of $1,682,412 a 69% reduction.  We have developed the MedComConnect portal package that will decrease the cost of deliverables as the company focuses on the sale of the portal software which rendered the medical terminals sales no longer the core revenue model for us. The decrease in cost of deliverables is directly related to the decrease in revenues from the two fiscal years.  Further we no longer pay commission on future revenues from its noncancellable licensing agreements.  Commissions are paid at inception of the licensing agreement at a 10% rate and there are no future payments on residuals revenues from gateway access fees and licensing fees.

Selling expenses for the fiscal 2008 decreased to $52,313 as compared to fiscal 2007 of $209,998 a 25% reduction.  This decrease is primarily the result of marketing efforts and includes commissions paid to internal sales personnel to market the Company’s products and services.  We have introduced the telesales marketing strategy for less expensive sales force and more effective in the future.  We have been focused on the practice management and large dental groups and should see the results of their efforts in fourth quarter.


General and administrative expenses for the fiscal 2008 decreased to $2,467,504 as compared to fiscal 2007 of $4,127,360 a 62% reduction.    This decrease is attributed to the Company's reduction of workforce in their New York operations as We have streamlined overall employee use.  We have implemented and advanced its in-house software to perform many of the services the prior employees were performing manually.  The decrease is related to settling outstanding litigation which resulted decrease in legal fees.  We do not expect additional expense related to this expense in the future.

Interest expense for fiscal 2008 decreased to $512,358 as compared to fiscal 2007 of $885,189 a 38% reduction.  This decrease is a result of renegotiation of the Company’s credit facility with Ladco who was charge a higher interest rate.  Also, expenses were incurred and paid on notes We have outstanding with LeeCo.  Further We have renegotiation has reduced the accrual of interest below 3% until paid in full in 2009.  We have also have been paying down the LeeCo obligation which has grown from the increase in financing through LeeCo Financial Inc.  The payments to Ladco represented a high interest rate and it has been a Company initiative to reduce the Ladco debt to zero.   Interest income for fiscal 2008 decreased to $179,097 as compared to Fiscal 2007 of $395,050. The decrease is due to the reduction in current sales of the portal software from our license agreements.  The licensing agreements are noncancellable licensing of our portal software in which we capitalize the receivable and liability related to the life of the licensing agreement.  The accrual of these licensing agreements results in interest income.

The loss for fiscal 2008 decreased to ($1,045,095) as compared to fiscal 2007 of ($2,553,611).  The decrease is due to the reduction in revenue, sales force, royalty expense, commissions, and reduction in operations in our New York facility.

No tax benefit was recorded on the expected operating loss for fiscal 2008 and 2007 as required by Statement of Financial Accounting Standards No. 109, Accounting for Income Taxes.  For the quarter ended we do not expect to realize a deferred tax asset and it is uncertain, therefore we have provided a 100% valuation of the tax benefit and assets until we are certain to experience net profits in the future to fully realize the tax benefit and tax assets.

LIQUIDITY AND CAPITAL RESOURCES

Our operating requirements have been funded primarily on its sale of licensing agreements with hospitals, medical and dental professionals and sales of our common stock.  During the fiscal 2008, our net proceeds from the licensing of our software portals were $874,591 as compared to fiscal 2007 of $1,505,166.  We have received $1,022,000 in fiscal 2008 as compared to Fiscal 2007 of $5,474,375 in proceeds from the sale of common stock.  We believe that the cash flows from its monthly service and transaction fees are inadequate to repay the capital obligations and have relied upon the sale of common stock through a private place to sustain its operations.

Cash used in operating activities for the fiscal year 2008 was $1,567,875 compared to $3,966,556 for fiscal year 2007.  We have focus on core operations results in an increase in licenses receivable.  We receive payments from customers automatically through electronic fund transfers.  Collection cycles are generally less than thirty days.  We have grown its operations to begin to reduce the deficit cash flow positions.  However we are still operating in a deficit.


Cash provided by investing activities was $498,271 for fiscal 2008, compared to $523,215 for Fiscal 2007.  Streamlining operations and capital budget curtailment practices promoted a reduction in equipment purchases for us.  However, we continue to employ software development teams that are upgrading the existing proprietary software in our terminal and portal licensing agreement sold.  We have developed its portal software during fiscal 2008.  Fiscal 2008 the chairman advanced funds of $1,053,907 as compared to ($489,626) for fiscal 2007.  We have received advances for fiscal 2008 of $163,250 as compared to $49,541 in fiscal 2007 to Card Activation Technologies, Inc.

Cash provided by financing activities was $1,105,251 for fiscal 2008 as compared to $3,407,213 for fiscal 2007.  Financing activities primarily consisted of proceeds from the licensing of our software portal transactions through our licensing agreements with hospitals and medical and dental professionals.  We do not have adequate cash flows to satisfy its obligations although have improved cash flow and anticipates have adequate cash flows in the upcoming fiscal period.  We received proceeds from the sale of common stock for fiscal 2008 of $1,022,000 as compared to fiscal 2007 of $5,474,375.  We have decreased its licensing debt for fiscal 2008 of $874,822 as compared to $227,458 for 2007.  We have decrease the cost of raising capital was $94,975 for fiscal 2008 as compared to $1,350,078 for fiscal 2007 was due to the increase in the amount of capital raised.

We have used funds advanced from an affiliated entity that is controlled by our chairman and chief executive officer.  As of fiscal 2008 we maintained a note payable from this entity for the amount of $908,987 as compared to Fiscal 2007 of $305,000 including accrued interest.  We owe the chairman $908,987.

We have funding agreements with LeeCo Financial Service Inc. and Ladco Financial Group who provide exclusive funding for the License agreement between the Licensing and us.  The funding groups accept contracts and adopt the same terms and conditions that Licensing and we have agreed.  In prior years Ladco required to personally guarantee the licensing agreements which were a financial burden to us.  In Fiscal 2007, we no longer sought funding through Ladco and have consistently sought the funding of LeeCo.  LeeCo does not require personal guarantees of licensing agreements other then hospital agreements.  LeeCo requires us to personally guarantee the hospital agreements due to the size and volume of transaction with the terminal and web portals.

We expect increased cash flow from its existing services fees which include transaction processing, benefit claims processing, direct terminal sales, and credit card processing. The decrease in cost of deliverables is directly related to the sales through our telesales.

We are looking at expanding the market for its services and considering prospective acquisitions that would complement the existing revenue model.  We have investigated two possible acquisitions but until due diligence is completed and negotiations have been completed we will continue to look for possible new horizontal business mergers.
 
On September 14, 2006 we have renegotiated the Ladco debt.  We have agreed to pay penalties and late fees of $268,585.73 in exchange the renegotiated balance would only carry an interest rate of 3% reduced from 26% in the original note.  We originally owed $3,015,063 and renegotiated the balance to $3,880,500 which included the accrued penalties and late fees.  Further we would be able to pay the remaining balance of the note for 39 months at $99,500 payments per month until paid in full.  Under the renegotiated note the note matures on October 2009.  We has paid $895,500 toward the unpaid for fiscal 2007 and there is an outstanding balance of $2,985,000 of the Ladco obligation.


LeeCo agreement adopts the agreement that we execute with the customer.  LeeCo collects all funds through ACH and is paid from those proceeds.  The excess of those proceeds are collected by us.  LeeCo holds as collateral all the proceeds from the customer leases, access fees and all cash collections and is secured from all assets of ours.

The licensing agreement is executed between the professional and the MedCom.  During the course of the agreement we ACH’s the accounts of the professionals and LeeCo collects the fees and reduces the liability for the licensing fees collected and returns any excess transaction fees to us.  The professional does not finance their agreement with LeeCo, we finance the agreement.  LeeCo is not a related party of ours.  The financing of the licensing agreement is calculated as part of our revenue recognition process as the monthly collection of the licensing fee is recorded against the outstanding balance.  Revenue is not recognized in excess of the cash received from our financing of the likening agreement in accordance with SAB 101.  The guarantees that are provided in connection with the hospital agreements have not changed our revenue recognition process except the accrual of the interest expense related to the unpaid balances.

We have renegotiated the credit facility with LEECO Financial Services in July, 2008.  We have agreed to transfer 2,000,000 common shares of its holdings in Card Activation Technologies, Inc. a Delaware Corporation (“CDVT”).  Commencing January 1, 2009, LEECO shall be permitted to sell the CDVT stock in increments and shall prompt apply the proceeds from such sales to discharge the LEECO Indebtedness, provided that LEECO shall not sell in any given 30 day period more than a number of shares of CDVT stock that is equal to the greater of 200,000 shares or 150% of the average daily trading volume for such shares in the previous 30 day period provided the stock price is over $2.00.  These common stock sales will be offset against the outstanding balance with LEECO Financial Services, Inc.  We have been in agreement to allocate the interest of $500,000 and payments over a period of 18 months effective September 1, 2008.

We are further renegotiating our agreement with LADCO Financial Services, Inc.  Presently we have been making minimum payments to reduce our structured debt agreement.  LadCo and LeeCo have no affiliation with the Company.

Other Considerations

There are numerous factors that affect the business and the results of its operations.  Sources of these factors include general economic and business conditions, federal and state regulation of business activities, the level of demand for product services, the level and intensity of competition in the healthcare electronic transaction processing industry, and the ability to develop new services based on new or evolving technology and the market's acceptance of those new services, our ability to timely and effectively manage periodic product transitions, the services, customer and geographic sales mix of any particular period, and our ability to continue to improve our infrastructure including personnel and systems to keep pace with our anticipated rapid growth.

ITEM 7A. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

We do not hold any derivative instruments and do not engage in any hedging activities.  We are in the business of Medical Billing through the delivery of our portal software products.


ITEM 8.  FINANCIAL STATEMENTS

MEDCOM USA, INC.

TABLE OF CONTENTS
Page
   
INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM:
F-2
Jewett Schwartz Wolfe & Associates
 
   
CONSOLIDATED FINANCIAL STATEMENTS:
 
Consolidated Balance Sheet at June 30, 2008 and 2007
F-3
   
Consolidated Statements of Operations for the years ended June 30, 2008 and 2007
F-4
 
 
Consolidated Statements of Stockholders’ Equity for the years ended June 30, 2008 and 2007
F-5
 
 
Consolidated Statements of Cash Flows for the years ended June 30, 2008 and 2007
F-6
 
 
NOTES TO CONSOLIDATED FINANCIAL STATEMENTS
F-7



 
REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

To the Board of Directors and Stockholders of
MEDCOM USA INCORPORATED

We have audited the accompanying consolidated balance sheet of MedCom USA Incorporated and Subsidiaries as of June 30, 2008 and 2007, and the related consolidated statements of operations, changes in shareholders' deficiency and cash flows for the year then ended. These consolidated financial statements are the responsibility of the Company's management. Our responsibility is to express an opinion on these financial statements based on our audits.

We conducted our audit in accordance with the standards of the Public Company Accounting Oversight Board (United States). Those standards require that we 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. We believe that our audits provided a reasonable basis for our opinion.

In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the financial position of MedCom USA Incorporated, Inc and Subsidiaries, as of June 30, 2008 and 2007, and the results of their operations and their cash flows for the period then ended in conformity with accounting principles generally accepted in the United States of America.

These consolidated financial statements have been prepared assuming that the Company will continue as a going concern. As discussed in Note 2 to the consolidated financial statements, the Company has operating and liquidity concerns, has incurred an accumulated deficit of approximately $91,271,451 through the period ended June 30, 2008, and current liabilities exceeded current assets by approximately $2,914,418 at June 30, 2008. These conditions raise substantial doubt about the Company's ability to continue as a going concern. Management's plans as to these matters are also described in Note 2. The consolidated financial statements do not include any adjustments to reflect the possible future effects on the recoverability and classification of assets or the amounts and classification of liabilities that may result from the outcome of these uncertainties.

JEWETT, SCHWARTZ, WOLFE & ASSOCIATES
Hollywood, Florida
September 28, 2007

2514 HOLLYWOOD BOULEVARD, SUITE 508 ● HOLLYWOOD, FLORIDA 33020 ● TELEPHONE (954) 922-5885 ● FAX (954) 922-5957
MEMBER - AMERICAN INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS ● FLORIDA INSTITUTE OF CERTIFIED PUBLIC ACCOUNTANTS
PRIVATE COMPANIES PRACTICE SECTION OF THE AICPA ● REGISTERED WITH THE PUBLIC COMPANY ACCOUNTING OVERSIGHT BOARD OF THE SEC

 
MEDCOM USA, INC.
CONSOLIDATED BALANCES SHEETS
FOR YEARS ENDED JUNE 30, 2008 and 2007

ASSETS:
           
   
   
 
CURRENT ASSETS
           
Cash
  $ 61,857     $ 26,210  
Licensing contracts - current portion, net
    511,863       790,250  
Prepaid expenses and other current assets
    77,247       197,140  
Total current assets
    650,966       1,013,600  
                 
PROPERTY AND EQUIPMENT, net
    462,431       483,986  
                 
Licensing contracts - long-term portion. net
    42,120       547,223  
Other assets
    -       62,641  
Deposits
    21,507       17,657  
TOTAL ASSETS
  $ 1,177,025     $ 2,125,107  
                 
LIABILITIES AND STOCKHOLDERS' DEFICIENCY:
               
                 
CURRENT LIABILITIES:
               
Accounts payable
  $ 131,523     $ 123,156  
Accrued expenses and other liabilities
    285,344       54,442  
Dividend payable
    23,750       23,750  
Notes from afiliates
    1,118,957       305,000  
Deferred revenue - current portion
    193,809       498,971  
Licensing obligations - current portion
    1,812,003       2,335,825  
Total current liabilities
    3,565,386       3,341,144  
                 
Licensing obligations - long-term portion
    3,006,173       3,357,175  
Deferred revenue
    382,490       1,552,387  
Total liabilities
    6,954,049       8,250,706  
                 
STOCKHOLDERS' DEFICIENCY:
               
Convertible preferred stock, series A $.001par value, 52,900 shares designated, 4,250 issued and outstanding
           
Convertible preferred stock, series D $.01par value, 50,000 shares designated, 2,850 issued and outstanding
           
Common stock, $.0001 par value, 175,000,000 shares authorized, 95,608,789 and 92,772,860 issued and outstanding as of June 30, 2008 and 2007
    9,562       9,278  
Treasury stock
    -       (37,397 )
Paid-in capital
    85,484,832       84,128,843  
Accumulated deficit
    (91,271,451 )     (90,226,356 )
Total stockholders' deficiency
    (5,777,024 )     (6,125,599 )
                 
TOTAL LIABILITIES AND STOCKHOLDERS' DEFICIENCY
  $ 1,177,025     $ 2,125,107  

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

 
MEDCOM USA, INC.
CONSOLIDATED STATEMENT OF OPERATIONS
FOR THE YEARS ENDED JUNE 30, 2008 AND JUNE 30, 2007

   
   
 
             
REVENUES:
           
Terminal sales
  $ -     $ 41,681  
Service
    2,026,890       2,458,052  
Licensing fees
    874,591       1,505,166  
      2,901,481       4,004,899  
COST OF DELIVERABLES:
    1,005,359       1,682,413  
GROSS PROFIT
    1,896,122       2,322,486  
                 
OPERATING EXPENSES:
               
General and administrative expenses
    2,467,504       4,127,360  
Sales and marketing expenses
    52,313       209,998  
Total operating expenses
    2,519,817       4,337,358  
OPERATING LOSS
    (623,695 )     (2,014,872 )
                 
OTHER (INCOME) AND EXPENSES
               
Interest expense
    512,358       885,189  
Interest Income
    (179,091 )     (395,050 )
Legal settlement
    10,000       48,600  
Impairment of assets
    78,133       -  
Total other expense
    421,400       538,739  
                 
LOSS BEFORE INCOME TAXES
    (1,045,095 )     (2,553,611 )
                 
INCOME TAX BENEFIT
    -       -  
                 
NET LOSS
  $ (1,045,095 )   $ (2,553,611 )
                 
NET LOSS PER SHARE:
               
Basic and diluted:
  $ (0.01 )   $ (0.03 )
                 
WEIGHTED AVERAGE COMMON SHARES OUTSTANDING:
               
Basic and diluted:
    94,837,327       84,729,836  

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

 
MEDCOM USA, INC.
CONSOLIDATED STATEMENT OF CHANGES IN STOCKHOLDERS’ DEFICIENCY
FOR THE YEARS ENDED JUNE 30, 2008 AND 2007- Continued

               
\ ----------- Prefered Stock -----------\
                         
   
Common Stock
   
Preferred A & B
   
Preferred D
   
Paid-in
   
Treasury
   
Accumulated
       
   
Shares
   
Amount
   
Shares
   
Amount
   
Shares
   
Amount
   
Capital
   
Stock
   
Deficit
   
Total
 
                                                             
JUNE 30, 2007
    92,772,860     $ 9,278       4,250     $       2,850     $     $ 84,128,843     $ (37,397 )   $ (90,226,356 )   $ (6,125,599 )
                                                                                 
Common stock issued for cash
    2,357,357             -       -       -       -       1,021,764       -       -       1,022,000  
                                                                                 
Common stock issued for services
    278,572             -       -       -       -       277,617       -       -       277,645  
                                                                                 
Common stock issued for assets
    200,000             -       -       -       -       188,980       -       -       189,000  
                                                                                 
Cost of raising capital
    -       -       -       -       -       -       (94,975 )     -       -       (94,975 )
                                                                                 
Cancelled stock
                                                    (37,397 )     37,397               -  
                                                                                 
Net loss
    -       -       -       -       -       -       -       -       (1,045,095 )     (1,045,095 )
                                                                                 
JUNE 30, 2008
    95,608,789