UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON,Washington, D.C. 20549

FORM 20-F

[   ]REGISTRATION STATEMENT PURSUANT TO SECTION 12(b) OR (g) OF THE SECURITIES EXCHANGE ACT OF 1934
or


[X]ANNUAL REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIESEXCHANGE ACT OF 1934
For the fiscal year ended:May 31, 2010 2011
or


[   ]TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
or


[   ]SHELL COMPANY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THESECURITIES EXCHANGE ACT OF 1934

Commission file number: 001-31995number:0-31092

MEDICURE INC.
(Exact name of registrant as specified in its charter)

Canada
(Jurisdiction of incorporation or organization)

2 - 1250 Waverley Street, Winnipeg, Manitoba, Canada R3T 6C6
(Address of principal executive offices)

Dr. Albert D. Friesen, Tel: (204) 487-7412, Fax: (204) 488-9823
2 - 1250 Waverley Street, Winnipeg, Manitoba, Canada R3T 6C6
 (Name,(Name, Telephone, E-mail and/or Facsimile number and Address of Company Contact Person)

Securities registered or to be registered pursuant to Section 12(b) of the Act:None

Securities registered or to be registered pursuant to Section 12(g) of the Act:

Common Shares, without par value
(Title of Class)

Securities for which there is a reporting obligation pursuant to Section 15(d) of the Act:None

Indicate the number of outstanding shares of each of the issuer’s classes of capital or common stock as of the close of the period covered by the annual report:

At May 31, 20102011 the registrant had 130,307,552 common shares issued and outstanding


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Indicate by check mark if the registrant is a well-known seasoned issuer, as defined in Rule 405 of the Securities Act.
Yes [   ]    No[ x ]X]

If this report is an annual or transition report, indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934.

Yes [   ]    No [ x ][X]

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

Indicate by check mark whether the registrant has submitted electronically and posted on its Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).
Yes [   ]    No[   ]

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[   ]Accelerated Filer[   ]Non-Accelerated Filer[ x ]X]

Indicate by check mark which basis of accounting the registrant has used to prepare the financial statements included in this filing:

US GAAP[   ]International Financial ReportingOther[ x ]X]
 Standards as issued by the International 
 Accounting Standards Board[   ] 

If “Other” has been checked in response to the previous question, indicate by check mark which financial statement item the registrant has elected to follow:
Item 17 [ x ][X]     Item 18 [   ]

If this is an annual report, indicate by check mark whether the registrant is a shell Company (as defined in Rule 12b-2 of the Exchange Act).
Yes [   ]    No[ x ]X]

As of May 31, 2010,2011, the rate for Canadian dollars was US $0.9583$0.9688 for CND $1.00.


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TABLE OF CONTENTS

GLOSSARY OF TERMS5
FORWARD LOOKING STATEMENTS5
PART I8
ITEM 1. IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERS8
A. Directors and Senior Management8
B. Advisers8
C. Auditors8
ITEM 2. OFFER STATISTICS AND EXPECTED TIMETABLE8
ITEM 3. KEY INFORMATION8
A. Selected Financial Data8
B. Capitalization and Indebtedness11
C. Reasons for the Offer and Use of Proceeds11
D. Risk Factors11
ITEM 4. INFORMATION ON THE COMPANY2423
A. History and Development of the Company2423
B. Business Overview2524
C. Organizational Structure3029
D. Property, Plants and Equipment3029
ITEM 4A. UNRESOLVED STAFF COMMENTS3129
ITEM 5. OPERATING AND FINANCIAL REVIEW AND PROSPECTS3130
A. Operating Results33
B. Liquidity and Capital Resources3837
C. Research and Development, Patents and Licenses, Etc.3937
D. Trend Information4441
E. Off-balance Sheet Arrangements4441
F. Contractual Obligations4542
ITEM 6. DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES4643
A. Directors and Senior Management4643
B. Compensation4946
C. Board Practices5046
D. Employees5753
E. Share Ownership5753
ITEM 7. MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS5955
A. Major Shareholders5955
B. Related Party Transactions5956
C. Interests of Experts and Counsel6157
ITEM 8. FINANCIAL INFORMATION6157
A. Consolidated Statements or Other Financial Information6157
ITEM 9. THE OFFERING AND LISTING6158
A. Listing Details6158
C. Markets6259
ITEM 10. ADDITIONAL INFORMATION6359


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A. Share Capital6359
B. Memorandum and Articles of Association6359
C. Material Contracts6663
D. Exchange Controls6763
E. Taxation6864
F. Dividends and Paying Agents7672
G. Statement by Experts7673
H. Documents on Display7673
I. Subsidiary Information7773
ITEM11. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK7773
ITEM12. DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES7773
ITEM13. DEFAULTS, DIVIDEND ARREARAGES AND DELINQUENCIES7773
ITEM 14. MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITYCURITY HOLDERS ANDUSE OF PROCEEDS7774
ITEM15. CONTROLS AND PROCEDURES7774
ITEM16. RESERVED7975
ITEM16A. AUDIT COMMITTEE FINANCIAL EXPERT7976
ITEM16B. CODE OF ETHICS7976
ITEM16C. PRINCIPAL ACCOUNTANT FEES AND SERVICES8076
ITEM16D. EXEMPTIONS FROM THE LISTING STANDARDS FOR AUDIT COMMITTEES8077
ITEM16E. PURCHASES OF EQUITY SECURITIES BY THE ISSUER AND AFFILIATEDPURCHASERS8077
PART III8178
ITEM17. FINANCIAL STATEMENTS8178
ITEM18. FINANCIAL STATEMENTS8279
ITEM19. EXHIBITS8279
Exhibit 12.1 – Certification of CEO pursuant to Section 302
Exhibit 12.2 – Certification of CFO pursuant to Section 302 
Exhibit 13.1 – Certification of CEO and CFO
Exhibit 23.1 – consentConsent of independent registered public accounting firmIndependent Registered Pubic Accounting Firm


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GLOSSARY OF TERMS

The following words and phrases shall have the meanings set forth below:

"angina"means chest pain;

"angioplasty"means an operation to repair a damaged blood vessel or unblock an artery;

“CABG”means coronary artery bypass graft;

"FDA"means the United States Food and Drug Administration;

"ischemia" means the lack of blood flow;

"myocardial infarction" means scarring and death to portions of the heart wall;

"myocardial ischemia" means blockages to parts of the heart muscle;

"TPD" means the Canadian Therapeutic Products Directorate, formerly the Canadian Health Protection Branch;

As used in this annual report, the “Corporation” or “Company” refers to “Medicure Inc.”, the Company resulting from the amalgamation of Medicure Inc. and Lariat Capital Inc., and “Medicure” refers to “Medicure Inc.” prior to its amalgamation with Lariat Capital Inc. unless otherwise indicated, all references to dollar amounts in this annual report are to Canadian dollars.

FORWARD LOOKING STATEMENTS

Medicure Inc. cautions readers that certain important factors (including without limitation those set forth in this Form 20-F) may affect the Company’s actual results in the future and could cause such results to differ materially from any forward-looking statements that may be deemed to have been made in this Form 20-F annual report, or that are otherwise made by or on behalf of the Company. This Annual Report contains forward-looking statements and information which may not be based on historical fact, which may be identified by the words “believes,” “may,” “plan,” “will,” “estimate,” “continue,” “anticipates,” “intends,” “expects,” and similar expressions and the negative of such expressions. Such forward looking statements include, without limitation, statements regarding:


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Such forward-looking statements and information involve a number of assumptions as well as known and unknown risks, uncertainties and other factors that may cause the actual results, events or developments to be materially different from any future results, events or developments expressed or implied by such forward-looking statements and information including, without limitation:


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These factors should be considered carefully and readers are cautioned not to place undue reliance on such forward-looking statements and information. The Company disclaims any obligation to update any such factors or to publicly announce the result of any revisions to any of the forward-looking statements and information contained herein to reflect future results, events or developments, except as otherwise required by applicable law. Additional risks and uncertainties relating to the Company and its business can be found in the “Risk Factors” section of this Annual Report.


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PART I

ITEM 1. IDENTITY OF DIRECTORS, SENIOR MANAGEMENT AND ADVISERS

A. Directors and Senior Management

Not applicable

B. Advisers

Not applicable

C. Auditors

Not applicable

ITEM 2. OFFER STATISTICS AND EXPECTED TIMETABLE

Not applicable

ITEM 3. KEY INFORMATION

A. Selected Financial Data

The selected financial data of the Company as at May 31, 20102011 and 20092010 and for the fiscal years ended May 31, 2011, 2010 2009 and 20082009 was extracted from the audited consolidated financial statements of the Company included in this annual report on Form 20-F. The information contained in the selected financial data is qualified in its entirety by reference to the more detailed consolidated financial statements and related notes included in Item 17 - - Financial Statements, and should be read in conjunction with such financial statements and with the information appearing in Item 5 - Operating and Financial Review and Prospects. The selected financial data as at May 31, 2009, 2008 2007 and 20062007 and for the fiscal years ended May 31, 20072008 and 20062007 was extracted from the audited financial statements of the Company not included in this annual report. Reference is made to Note 1617 of the consolidated financial statements of the Company included herein for a discussion of the material measurement differences between Canadian GAAP and U.S. GAAP, and their effect on the Company’s financial statements. Except where otherwise indicated, all amounts are presented in accordance with Canadian GAAP.

To date, the Company has not generated sufficient cash flow from operations to fund ongoing operational requirements, debt service obligations and cash commitments. The Company has financed its operations principally through the net revenue received from the sale of AGGRASTAT®, sale of its equity securities, the issue of warrants and stock options, interest on excess funds held and the issuance of debt. As at May 31, 2011 the Company had significant debt servicing obligations that it did not have the ability to repay without refinancing or restructuring and the Company was in default of the terms of its long-term debt financing obligations. Under an event of default, the lender could have exercised its security rights under the agreement, and accordingly the long-term debt obligation has been classified as a current liability as at May 31, 2011 as described in Note 8 to the accompanying financial statements. On July 18, 2011, the long-term debt was settled as described in Note 16 to the accompanying financial statements. The Company’s future operations are dependent upon its ability to continue operations is dependent on the abilitymaintain or grow sales of AGGRASTAT®, and/or secure additional capital, which may not be available under favourable terms, should these objectives not be achieved, the Company will have to restructure its debt and obtainconsider additional financing. See “Item 3 - Key Information - D. Risk Factors.”strategic alternatives which may include, among other strategies, asset divestitures and/or monetization of certain intangibles.


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Under Canadian Generally Accepted Accounting Principles (in Canadian dollars):

Balance Sheet Data May 31,  May 31,  May 31,  May 31,  May 31,  May 31,  May 31,  May 31,  May 31,  May 31, 
 2010  2009  2008  2007  2006  2011  2010  2009  2008  2007 
(as at period end)$  $  $  $  $   $  $  $  $  $ 
Current Assets 1,489,440  3,519,609  14,402,736  35,827,187  35,841,573  1,824,625  1,489,440  3,519,609  14,402,736  35,827,187 
Capital Assets 68,752  93,532  132,887  196,521  50,663 
Property and Equipment 50,996  68,752  93,532  132,887  196,521 
Intangible Assets 4,414,882  5,936,819  8,353,610  23,412,131  2,921,841  3,298,286  4,414,882  5,936,819  8,353,610  23,412,131 
Other Assets -  -  11,916,000  349,963  -  -  -  -  11,916,000  349,963 
Total Assets 5,973,074  9,549,960  34,805,233  59,785,802  38,814,077  5,173,907  5,973,074  9,549,960  34,805,233  59,785,802 
Total Liabilities 30,929,727  29,096,919  41,361,393  25,479,333  1,644,339  32,067,612  30,929,727  29,096,919  41,361,393  25,479,333 
Net Assets / (deficiency) (24,956,653) (19,546,959) (6,556,160) 34,306,469  37,169,738 
Capital Stock, warrants and Contributed Surplus 129,125,153  129,002,341  128,677,313  112,137,421  83,297,304 
Net Assets / (Deficiency) (26,893,705) (24,956,653) (19,546,959) (6,556,160) 34,306,469 
Capital Stock, Warrants and Contributed Surplus 129,202,210  129,125,153  129,002,341  128,677,313  112,137,421 
Deficit (154,081,806) (148,549,300) (135,233,473) (77,830,952) (46,127,566) (156,095,915) (154,081,806) (148,549,300) (135,233,473) (77,830,952)
Statement ofOperations(for the fiscal yearended on)                    
Product Sales 3,317,073  4,792,513  2,247,129  5,944,730  -  3,628,274  3,317,073  4,792,513  2,247,129  5,944,730 
Interest and Other Income 4,913  255,713  1,149,574  1,590,801  299,737 
Interest and Other 473  4,913  255,713  1,149,574  1,590,801 
Income               
Loss from Continuing Operations (5,532,506) (13,315,827) (57,402,521) (31,703,386) (12,607,074) (2,014,109) (5,532,506) (13,315,827) (57,402,521) (31,703,386)
Net Loss for the Period (5,532,506) (13,315,827) (57,402,521) (31,703,386) (12,607,074) (2,014,109) (5,532,506) (13,315,827) (57,402,521) (31,703,386)
Basic and Diluted Loss per Share (0.04) (0.10) (0.46) (0.30) (0.17)
Weighted-Average Number of Common Shares Outstanding 130,307,552  130,307,552  125,476,086  104,879,404  75,144,764 
Basic and Diluted Loss per Share Weighted-Average (0.02) (0.04) (0.10) (0.46) (0.30)
Number of Common Shares Outstanding 130,307,552  130,307,552  130,307,552  125,476,086  104,879,404 


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Under U.S. Generally Accepted Accounting Principles (in Canadian dollars):

Balance Sheet Data May 31,  May 31,  May 31,  May 31,  May 31,  May 31,  May 31,  May 31,  May 31,  May 31, 
 2010  2009  2008  2007  2006  2011  2010  200$9  2008  2007 
(as at Period end)$               $  $       $   
Current Assets 1,489,440  3,519,609  14,402,736  35,827,187  35,841,573  1,824,625  1,489,440  3,519,609  14,402,736  35,827,187 
Capital Assets 68,752  93,532  132,887  196,521  50,663 
Property and Equipment 50,996  68,752  93,532  132,887  196,521 
Intangible Assets 3,845,916  4,676,656  5,510,661  20,078,862  -  3,011,909  3,845,916  4,676,656  5,510,661  20,078,862 
Other Assets 2,014,801  2,250,518  14,470,081  349,963  -  1,751,482  2,014,801  2,250,518  14,470,081  349,963 
Total Assets 7,418,909  10,540,315  34,516,365  56,452,533  35,892,236  6,639,012  7,418,909  10,540,315  34,516,365  56,452,533 
Total Liabilities 32,982,499  31,347,086  43,915,123  25,479,333  1,644,339  33,829,691  32,982,499  31,347,086  43,915,123  25,479,333 
Net Assets / (deficiency) (25,563,590) (20,806,771) (9,398,758) 30,973,200  34,247,897  (27,190,679) (25,563,590) (20,806,771) (9,398,758) 30,973,200 
Capital Stock, warrants and Contributed Surplus 136,304,087  145,246,995  144,921,967  128,382,255  99,542,135  136,381,144  136,304,087  145,246,995  144,921,967  128,382,255 
Deficit (161,867,677) (166,053,766) (154,320,725) (97,409,055) (65,294,238) (163,571,823) (161,867,677) (166,053,766) (154,320,725) (97,409,055)
Statement ofOperations                    
Product Sales 3,317,073  4,792,513  2,247,129  5,944,730  -  3,628,274  3,317,073  4,792,513  2,247,129  5,944,730 
Interest and Other Income 4,913  255,713  1,149,574  1,590,801  299,737  473  4,913  255,713  1,149,574  1,590,801 
Loss from Continuing Operations (4,772,309) (11,733,041) (56,911,670) (32,114,817) (14,175,800) (1,704,146) (4,772,309) (11,733,041) (56,911,670) (32,114,817)
Net Loss for the Period (4,772,309) (11,733,041) (56,911,670) (32,114,817) (14,175,800) (1,704,146) (4,772,309) (11,733,041) (56,911,670) (32,114,817)
Basic and Diluted Loss per Share (0.04) (0.09) (0.45) (0.31) (0.19) (0.01) (0.04) (0.09) (0.45) (0.31)
Weighted-Average Number of Common Shares Outstanding 130,307,552  130,307,552  125,476,086  104,879,404  75,144,764  130,307,552  130,307,552  130,307,552  125,476,086  104,879,404 

Dividends

No cash dividends have been declared nor are any intended to be declared. The Company is not subject to legal restrictions respecting the payment of dividends except that they may not be paid if the Company is, or would after the payment be, insolvent. Dividend policy will be based on the Company's cash resources and needs and it is anticipated that all available cash will be required to further the Company’s research and development activities for the foreseeable future.

Exchange Rates

Unless otherwise indicated, all reference to dollar amounts are to Canadian dollars. The following table sets out the exchange rates for one Canadian dollar expressed in terms of one U.S. dollar for the periods indicated. Rates of exchange are obtained from the Bank of Canada and believed by the Registrant to approximate closely the noon buying rates in New York City for cable transfers as certified for customs purposes by the Federal Reserve Bank in New York.

 May 31, 2010  May 31, 2009  May 31, 2008  May 31, 2007  May 31, 2006 May 31, 2011May 31, 2010May 31, 2009May 31, 2008May 31, 2007
                
Period End 0.9583  0.9160  1.0070  0.9349  0.9079 0.96880.95830.91601.00700.9349
Average 0.9403  0.8645  0.9857  0.8798  0.8588 0.96790.94030.86450.98570.8798


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 September  August  July  June  May  April  March SeptemberAugustJulyJuneMayAprilMarch
 2010  2010  2010  2010  2010  2010  2010 2011
 (Sep. 1- 24)                  (Sep. 1- 21) 
High for Period(1) 0.9789  0.9893  0.9750  0.9864  0.9900  1.0052  0.9938 1.02711.04521.06301.03901.05821.0340
Low for Period(1) 0.9430  0.9369  0.9365  0.9391  0.9218  0.9827  0.9601 0.99411.00311.02881.00931.01871.02861.0093

Notes:
(1) Figures are extracted from daily exchange rates

As of September 24, 201021, 2011 the exchange rate to convert one Canadian dollar into one U.S. dollar was 0.9750.1.0059.

B. Capitalization and Indebtedness

Not applicable

C. Reasons for the Offer and Use of Proceeds

Not applicable

D. Risk Factors

The Company’s business entails significant risks. In addition to the usual risks associated with a business, the following is a general description of certain significant risk factors which are applicable to the Company.

Going concern risk

TheseThe accompanying consolidated financial statements have been prepared on a going concern basis in accordance with Canadian generally accepted accounting principles. The going concern basis of presentation assumes that the Company will continue in operation for the foreseeable future and be able to realize its assets and discharge its liabilities and commitments in the normal course of business. There is significant doubt about the appropriateness of the use of the going concern assumption because the Company has experienced operating losses and cash outflows from operations since incorporationincorporation.

The Company has experienced a loss of $2,014,109 for the year ending May 31, 2011, and has accumulated a deficit of $156,095,915 as at May 31, 2011. The Company’s future operations are dependent upon its ability to maintain or grow sales of AGGRASTAT®, and/or secure additional capital, which may not be available under favourable terms. Should these objectives not be achieved, the Company will have to consider additional strategic alternatives which may include, among other strategies, asset divestitures and/or monetization of certain intangibles.

As at May 31, 2011 the Company had significant debt servicing obligations that it doesdid not have the ability to repay without refinancing or restructuring. At May 31, 2010,restructuring and the Company was in default of the terms of its long-term debt financing obligations, and continues to be in default.obligations. Under an event of default, the lender can exercisecould have exercised its security rights under the agreement, and accordingly the long-term debt obligation has been classified as a current liability as at May 31, 2010.

The Company has experienced a loss2011 and 2010 as described in note 8 of $5,532,506 and negative cash flows from operations of $1,452,809 inthe audited consolidated financial statements for the year endingended May 31, 2010, and has accumulated a deficit2011. On July 18, 2011, the long-term debt was settled as described in Note 16 of $154,081,806 as atthe audited consolidated financial statements for the year ended May 31, 2010. The Company continues to monitor staff and corporate expenses to the extent deemed appropriate in order to more closely align expenses with net revenue. Based on the Company’s operating plan, its existing working capital is not sufficient to fund its planned operations, capital requirements, debt servicing obligations, and commitments through the end of the fiscal 2011 year without restructuring of its debt and raising additional capital. The Company is in ongoing discussions with its senior lender to restructure its debt, and in January 2010, retained advisors to assist in the evaluation of financial alternatives and fundraising options, and to assist in the partnership, license or sale of AGGRASTAT®. No agreements with the lender or other potential lenders or investors have been reached yet and there can be no assurance that such agreements will be reached. Further, the Company’s financing agreement includes certain restrictive covenants on commercial and developmental products including intellectual property.2011.


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ThereforeThe financial statements do not reflect adjustments that would be necessary if the ability of the Company to execute on its operating plan and/or obtain additional capital is likely to be contingent on having collaborative relationships with its senior lender. The Company is currently evaluating expressions of interest regarding the potential partnership, license, or sale of AGGRASTAT® and/or an investment in the Company, and may also consider conversion of all or a portion of its long term debt into equity instruments. Such transactions, if completed, could have a significant dilutive effect on existing shareholders.going concern assumption were not appropriate. If the Company is unable to restructure its debt, complete other strategic alternatives, and/or secure additional funds, the Company will have to consider additional strategic alternatives which may include, among other strategies, asset divestitures, monetization of certain intangibles, and/or the winding up, dissolution or liquidation of the Company.

The ability of the Company to continue as a going concern andbasis was not appropriate for these financial statements, then adjustments would be necessary to realize the carrying value of its assets and discharge its liabilities, when due is dependent on many factors, including, but not limited to the actions taken or planned, some of which are described above, which are intended to mitigate the adverse conditionsreported revenues and events which raise doubt about the validity of the going concern assumption used in preparing these financial statements. There is no certainty that these and other strategies will be sufficient to permit the Company to continue as a going concern.

The Company has engaged in a restructuring program designed to reduce costs and conserve capital which may not be successful.

During the year, the Company implemented additional organizational changes including streamlining US sales staff, downsizing administration staff, and outsourcing a large portion of administration and accounting functions to a service company to further reduce expenses, and find operational efficiencies. The Company’s ability to continue in operation for the foreseeable future remains dependent upon the effective execution of its business development and strategic plans, and on securing additional sources of financing and restructuring of its existing Debt Financing agreement. The Company estimates it currently has sufficient working capital to fund its current obligations and planned operations through to the end of the current fiscal year and potentially beyond this point, excluding debt servicing obligations.balance sheet classifications used.

Prior to the acquisition of AGGRASTAT®, the Company had no products in commercial production or use. As such, the Company was considered to be a development-stage enterprise for accounting purposes prior to the acquisition. The Company expects to continue to incur substantial losses and may never achieve profitability, which in turn may harm its future operating performance and may cause the market price of its stock to decline.

With the exception of AGGRASTAT®, the Company’s products are in the development stage and accordingly, its business operations are subject to all of the risks inherent in the establishment and maintenance of a developing business enterprise, such as those related to competition and viable operations management.

The Company has incurred net losses every year since inception in 1997. The Company incurred net losses of $2,014,109 for the year ended May 31, 2011, $5,532,506 for the year ended May 31, 2010, $13,315,827 for the year ended May 31, 2009, $57,402,521 for the year ended May 31, 2008, and $31,703,386 for the year ended May 31, 2007, and $12,607,074 for the year ended May 31, 2006.2007.

The Company anticipates that its losses will continue for the foreseeable future under the current capital structure. The long-term profitability of the Company’s operations is uncertain, and may never occur.


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The Company’s long-term profitability will be directly related to its ability to develop a commercially viable drug product or products. This in turn depends on numerous factors, including the following:

 a)

the success of the Company’s research and development activities, including its drug discovery, preclinical and clinical development programs;

 b)

obtaining Canadian and United States regulatory approvals to market any of its lead products;

 c)

the ability to contract for the manufacture of the Company’s products according to schedule and within budget, given that it has no experience in large scale manufacturing;

 d)

the ability to develop, implement and maintain appropriate systems and structures to market and operate within applicable regulatory, industry and legal guidelines;

e)

the ability to successfully prosecute and defend its patents and other intellectual property; and

 e)f)

the ability to successfully market the Company’s products including AGGRASTAT®(tirofiban hydrochloride), given that it has limited resources.

If the Company does achieve profitability, it may not be able to sustain or increase profitability in the future.

Substantial cash payments may be required under the terms of the Company’s borrowings upon an event of default or change of control. Such cash payments may leave the Company with little or no working capital in the business or make the Company insolvent.

In September 2007, the Company entered into a debt financing agreement with Birmingham Associates Ltd. (Birmingham), an affiliate of Elliott Associates, L.P. (Elliott) for a US$25 million up-front cash payment. Under the terms of the agreement, Birmingham receives a payment based on a percentage of AGGRASTAT® net sales. Birmingham is entitled to a return of 20 percent on the first US$15 million in AGGRASTAT® revenues, 17.5 percent on the next US$10 million, 15 percent on the next $5 million and 5 percent thereafter, subject to an escalating minimum annual return, until May 31, 2020. The minimum annual returns start at US$2.5 million in 2008 and escalate to US$6.9 million in 2017, with minimum payments over the life of the agreement aggregating US$49.7 million. The Company has had to seek extensions from its lender under its secured debt financing agreement dated September 17, 2007 to defer required payments of US$4.3 million. As at May 31, 2010, the Company is in default of the terms of its debt financing obligations and continues to be in default. The debt agreement contains no express provisions to accelerate debt payments in an event of default, however under the agreement the lender can exercise its security rights at any time. Accordingly, for financial reporting purposes, based on the guidance in Canadian GAAP “EIC-59 Long Term Debt With Covenant Violations”, the outstanding long term debt of US$25 million that is in default has been classified as a current liability in the consolidated financial statements for the year ended May 31, 2010.

The Company’s substantial debt could impair its financial condition. The Company is highly leveraged and has substantial debt service obligations which it may not be able to meet in the ordinary course of business.

As of May 31, 2010, the Company had approximately US$47.2 million of future debt service obligations (minimum payments) on its long-term debt. This substantial indebtedness could have important consequences for the Company. For example, it could:


14

The Company has not been able to meet its obligations under these facilities.

The Company may be exposed to short-term liquidity risk.

TheTo a certain extent the Company currently relies on trade credit, as well as cash from term debt and equity issues to provide the necessary short-term financing to conduct the Company’s research and development activities as well as its commercial operations. Should suppliers and other creditors decline to extend short-term credit to the Company in the future, it may have a material adverse effect on the Company’s business prospects, financial results and financial condition.


13

Despite current indebtedness levels, the Company may still be able to incur substantially more debt. This could further exacerbate the risks associated with the Company’s substantial leverage.

Despite current indebtedness levels, the Company may still be able to incur substantial additional indebtedness in the future. As at May 31, 2011 the Company had significant debt servicing obligations that it did not have the ability to repay without refinancing or restructuring and the Company was in default of the terms of its long-term debt financing obligations. Under an event of default, the lender could have exercised its security rights under the agreement, and accordingly the long-term debt obligation has been classified as a current liability as at May 31, 2011 and 2010 as described in note 8 of the audited consolidated financial statements for the year ended May 31, 2011. On July 18, 2011, the long-term debt was settled as described in Note 16 of the audited consolidated financial statements for the year ended May 31, 2011.

The Company may never receive regulatory approval in Canada, the United States or abroad for any of its products developed.in development. Therefore, the Company may not be able to sell any therapeutic products developed.currently under development.

The Company’s failure to obtain necessary regulatory approvals to fully market its current and future therapeuticdevelopment stage products in one or more significant markets may adversely affect its business, financial condition and results of operations. The procedureprocess involved in obtaining regulatory approval from the competent authorities to market therapeutic products is long and costly and may delay product development. The approval to market a product may be applicable to a limited extent only or it may be refused entirely.

With the exception of AGGRASTAT®, all of the Company’s products are currently in the research and development stages. The Company may never have another commercially viable drug product approved for marketing. To obtain regulatory approvals for its products and to achieve commercial success, human clinical trials must demonstrate that the products are safe for human use and that they show efficacy. Unsatisfactory results obtained from a particular study or clinical trial relating to one or more of the Company’s products may cause the Company to reduce or abandon its commitment to that program.

If the Company fails to successfully complete its clinical trials, it will not obtain approval from the from the U.S. Food and Drug Administration (“FDA”) and other international regulatory agencies, to market its leading products,products. Regulatory approvals also may be subject to conditions that could limit the market its products can be sold in or make either products more difficult or expensive to sell than anticipated. Also, regulatory approvals may be revoked at any time for various reasons, including for failure to comply with regulatory requirements or poor performance of its products in terms of safety and effectiveness.


15

The Company’s business, financial condition and results of operations may be adversely affected if it fails to obtain regulatory approvals in Canada, the United States and abroad to market and its products or any current or future drug products, including any limitations imposed on the marketing of such products.

The Company may not be able to hire or retain the qualified scientific, technical and management personnel it requires.

The Company’s business prospects and operations depend on the continued contributions of certain of the Company’s executive officers and other key management and technical personnel, certain of whom would be difficult to replace.


14

The Company subsidiary, Medicure International, Inc., has a contract with CanAm Bioresearch Inc. (“CanAm”) to perform for it a significant amount of its research and development activities. Because of the specialized scientific nature of the Company’s business, the loss of services of CanAm may require the Company to attract and retain replacement qualified scientific, technical and management personnel. Competition in the biotechnology industry for such personnel is intense and the Company may not be able to hire or retain a sufficient number of qualified personnel, which may compromise the pace and success of its research and development activities.

Also, certain of the Company’s management personnel are officers and/or directors of other companies, some publicly-traded, and will only devote part of their time to the Company. TheAlthough subsequent to May 31, 2011, the Company purchased key person insurance for Dr. Albert Friesen, Chief Executive Officer, the Company does not have key person insurance in effect in the event of a loss of any management, scientific or other key personnel. The loss of the services of one or more of the Company’s current executive officers or key personnel or the inability to continue to attract qualified personnel could have a material adverse effect on the Company’s business prospects, financial results and financial condition.

The Company faces substantial technological competition from many biotechnology and pharmaceutical companies with much greater resources, and it may not be able to effectively compete.

Technological and scientific competition in the pharmaceutical and biotechnology industry is intense. The Company competes with other companies in Canada, the United States and abroad to develop products designed to treat similar conditions. Many of these other companies have substantially greater financial, technical and scientific research and development resources, manufacturing and production and sales and marketing capabilities than the Company. Small companies may also prove to be significant competitors, particularly through collaborative arrangements with large pharmaceutical and biotechnology companies. Developments by other companies may adversely affect the competitiveness of the Company’s products or technologies or the commitment of its research and marketing collaborators to its programs or even render its products obsolete.

The pharmaceutical and biotechnology industry is characterized by extensive drug discovery and drug research efforts and rapid technological and scientific change. Competition can be expected to increase as technological advances are made and commercial applications for biopharmaceutical products increase. The Company’s competitors may use different technologies or approaches to develop products similar to the products which it is developing, or may develop new or enhanced products or processes that may be more effective, less expensive, safer or more readily available before or after the Company obtains approval of its products. The Company may not be able to successfully compete with its competitors or their products and, if it is unable to do so, the Company’s business, financial condition and results of operations may suffer.


16

The Company may be unable to establish collaborative and commercial relationships with third parties.

The Company’s success will depend partly on its ability to enter into and to maintain various arrangements with corporate partners, licensors, licensees and others for the research, development, clinical trials, manufacturing, marketing, sales and commercialization of its products. These relationships will be crucial to the Company’s intention to license to or contract with larger, international pharmaceutical companies the manufacturing, marketing, sales and distribution of any products it may commercialize for production. There can be no assurance that any licensing or other agreements will be established on favourable terms, if at all. The failure to establish successful collaborative arrangements may negatively impact the Company’s ability to develop and commercialize its products, and may adversely affect its business, financial condition and results of operations.


The Company’s financing agreement with Birmingham includes certain restrictive covenants on the corporation���s commercial and developmental products including intellectual property. The ability for the Company to execute on portions of its business plan may be contingent on having collaborative relationships with Birmingham. The failure to establish or maintain this successful collaborative arrangement may negatively impact the Company.15

The Company has licensed certain technologies relating to products under development and may enter into future licensing agreements. The Company’s current licensing agreements contain provisions allowing the licensors to terminate such agreements if it becomes insolvent or breach the terms and conditions of the licensing agreements without rectifying such event of default in accordance with the agreement terms.

The Company is currently dependent on a single manufacturerits remaining inventory of its sole commercial product, AGGRASTAT® and ondoes not have in place a singlequalified supplier of raw material used in the manufacture of AGGRASTAT®.

The Company is reliant onSubsequent to May 31, 2011, the Company’s subsidiary, Medicure International, Inc., acquired a singlesignificant quantity of the raw material used in the manufacture of AGGRASTAT®and terminated its supply contract with its sole supplier of the raw material for AGGRASTAT® and. In addition, Medicure International, Inc. sold drug substance from inventory on hand to a singlethird party as described in Note 16 of the audited consolidated financial statements for the year ended May 31, 2011. The Company’s subsidiary, Medicure Pharma, Inc., also has a third party manufacturer of the final product AGGRASTAT®.and that supply arrangement is due to expire on July 1, 2012. If the supply of raw material or the manufacturing agreement for AGGRASTAT® is terminated or interrupted, ofor if the Company and its subsidiaries are unable to establish new or maintain existing third party manufacturers, or if the inventories of AGGRASTAT® currently helpheld are contaminated or otherwise lost, and the Company was unable to obtain a replacement supplier or manufacturer, it could have a material adverse effect on the Company’s business prospects, financial results and financial condition.

The Company may fail to obtain acceptable prices or appropriate reimbursement for its products and its ability to successfully commercialize its products may be impaired as a result.

Government and insurance reimbursements for healthcare expenditures play an important role for all healthcare providers, including physicians, medical device companies, drug companies, medical supply companies, and companies, such as the Company, that plan to offer various products in the United States and other countries in the future. The Company’s ability to earn sufficient returns on its products will depend in part on the extent to which reimbursement for the costs of such products, related therapies and related treatments will be available from government health administration authorities, private health coverage insurers, managed care organizations, and other organizations. In the United States, the Company’s ability to have its products and related treatments and therapies eligible for Medicare or private insurance reimbursement will be an important factor in determining the ultimate success of its products. If, for any reason, Medicare or the insurance companies decline to provide reimbursement for the Company’s products and related treatments, the Company’s ability to commercialize its products would be adversely affected. There can be no assurance that the Company’s products and related treatments will be eligible for reimbursement.


17

There has been a trend toward declining government and private insurance expenditures for many healthcare items. Third-party payers are increasingly challenging the price of medical products and services.

If purchasers or users of the Company’s products and related treatments are not able to obtain appropriate reimbursement for the cost of using such products and related treatments, they may forgo or reduce such use. Even if the Company’s products and related treatments are approved for reimbursement by Medicare and private insurers, of which there can be no assurance, the amount of reimbursement may be reduced at times, or even eliminated. This would have a material adverse effect on the Company’s business, financial condition, and results of operations.


16

Significant uncertainty exists as to the reimbursement status of newly approved healthcare products, and there can be no assurance that adequate third-party coverage will be available.

The Company does not have manufacturing experience and has limited marketing resources and may never be able to successfully manufacture or market certain of its products.

The Company has no experience in large-scalecommercial manufacturing and has limited resources for marketing or selling its products. The Company may never be able to successfully manufacture and market certain of its products. If any other of its products are approved for sale, the Company intends to contract with and rely on third parties to manufacture, and possible to market and sell its products. Accordingly, the quality, timing and ultimately the commercial success of such products may be outside of the Company’s control. Failure of or delay by a third party manufacturer of the Company’s products to comply with good manufacturing practices or similar quality control regulations or satisfy regulatory inspections may have a material adverse effect on its future prospects. Failure of or delay by a third party in the marketing or selling of the Company’s products or failure of the Company to successfully market and sell such products likewise may have a material adverse effect on its future prospects.

The Company has limited product liability insurance and may not be able to obtain adequate product liability insurance in the future.

The sale and use of the Company’s commercial and development products under development by the Company,, and the conduct of clinical studies involving human subjects, may entail product and professional liability risks, which are inherent in the testing, production, marketing and sale of new drugs to humans. While the Company has taken, and will continue to take, what it believes are appropriate precautions, there can be no assurance that it will avoid significant liability exposure. Although the Company currently carries product liability insurance for clinical trials, there can be no assurance that it has sufficient coverage, or can in the future obtain sufficient coverage at a reasonable cost. An inability to obtain insurance on economically feasible terms or to otherwise protect against potential product liability claims could inhibit or prevent the commercialization of products developed by the Company. The obligation to pay any product liability claim or recall a product may have a material adverse effect on its business, financial condition and future prospects. In addition, even if a product liability claim is not successful, adverse publicity and the time and expense of defending such a claim may significantly interfere with the Company’s business.


18

If the Company is unable to successfully protect its proprietary rights, its competitive position will be adversely affected.

The Company’s success will depend partly on its ability to obtain and protect its patents and protect its proprietary rights in unpatented trade secrets.

The Company owns or jointly owns 39numerous patents from the United States Patent Office.Office and other jurisdictions. The Company has additional pending United States patent applications.applications along with applications pending in other jurisdictions. The Company’s pending and any future patent applications may not be accepted by the United States Patent and Trademark Office or any other jurisdiction in which applications may be filed. Also, processes or products that may be developed by the Company in the future may not be patentable.


17

The patent protection afforded to biotechnology and pharmaceutical companies is uncertain and involves many complex legal, scientific and factual questions. There is no clear law or policy involving the degree of protection afforded under patents. As a result, the scope of patents issued to the Company may not successfully prevent third parties from developing similar or competitive products. Competitors may develop similar or competitive products that do not conflict with the Company’s patents. Litigation may be commenced by the Company to prevent infringement of its patents. Litigation may also commence against the Company to challenge its patents that, if successful, may result in the narrowing or invalidating of such patents. It is not possible to predict how any patent litigation will affect the Company’s efforts to develop, manufacture or market its products. However, the cost of litigation to prevent infringement or uphold the validity of any patents issued to the Company may be significant, in which case its business, financial condition and results of operations may suffer. Patents provide protection for only a limited period of time, and much of such time can occur well before commercialization commences.

Disclosure and use of the Company’s proprietary rights in unpatented trade secrets not otherwise protected by patents are generally controlled by written agreements. However, such agreements will not provide the Company with adequate protection if they are not honoured, others independently develop an equivalent technology, disputes arise concerning the ownership of intellectual property, or its trade secrets are disclosed improperly. To the extent that consultants or other research collaborators use intellectual property owned by others in their work with the Company, disputes may also arise as to the rights to related or resulting know-how or inventions.

Others could claim that the Company infringes on their proprietary rights, which may result in costly, complex and time consuming litigation.

The Company’s success will depend partly on its ability to operate without infringing upon the patents and other proprietary rights of third parties. The Company is not currently aware that any of its products or processes infringes the proprietary rights of third parties. However, despite its best efforts, the Company may be sued for infringing on the patent or other proprietary rights of third parties at any time in the future.

Such litigation, with or without merit, is time-consuming and costly and may significantly impact the Company’s financial condition and results of operations, even if it prevails. If the Company does not prevail, it may be required to stop the infringing activity or enter into a royalty or licensing agreement, in addition to any damages it may have to pay. The Company may not be able to obtain such a license or the terms of the royalty or license may be burdensome for it, which may significantly impair the Company’s ability to market its products and adversely affect its business, financial condition and results of operations.


19

The Company is subject to stringent governmental regulation, in the future may become subject to additional regulations and if it is unable to comply, its business may be materially harmed.

Biotechnology, medical device, and pharmaceutical companies operate in a high-risk regulatory environment. The FDA and other national health agencies can be very slow to approve a product and can also withhold product approvals. In addition, these health agencies also oversee many other medical product operations, such as research and development, manufacturing, and testing and safety regulation of medical products. As a result, regulatory risk is normally higher than in other industry sectors.

The Company is or may become subject to various federal, provincial, state and local laws, regulations and recommendations. The Company is subject to various laws and regulations in Canada, relating to product emissions, use and disposal of hazardous or toxic chemicals or potentially hazardous substances, infectious disease agents and other materials, and laboratory and manufacturing practices used in connection with its research and development activities. If the Company fails to comply with these regulations, it may be fined or suffer other consequences that could materially affect its business, financial condition or results of operations.


18

The pharmaceutical sales and marketing industry within which the Company operates is a complex legal and regulatory environment. The failure to comply with applicable laws, rules and regulations may result in civil and criminal legal proceedings. As those rules and regulations change or as governmental interpretation of those rules and regulations evolve, prior conduct may be called into question. The Company may become subject of federal and/or state governmental investigations into pricing, marketing, and reimbursement of its prescription drug product. Any such investigation could result in related restitution or civil litigation on behalf of the federal or state governments, as well as related proceedings initiated against the Company by or on behalf of consumers and private payers. Such proceedings may result in trebling of damages awarded or fines in respect of each violation of law. Criminal proceedings may also be initiated against the Company. Any of these consequences could materially and adversely affect the Company’s financial results.

The Company is unable to predict the extent of future government regulations or industry standards. However, it should be assumed that government regulations or standards will increase in the future. New regulations or standards may result in increased costs, including costs for obtaining permits, delays or fines resulting from loss of permits or failure to comply with regulations.

The Company’s products may not gain market acceptance, and as a result it may be unable to generate significant revenues.

Except with respect to AGGRASTAT®, the Company does not currently have the required clinical data and results to successfully market its product candidates in any jurisdiction; future clinical or preclinical results may be negative or insufficient to allow it to successfully market any of its product candidates; and obtaining needed data and results may take longer than planned, and may not be obtained at all.

Even if the Company’s products are approved for sale, they may not be successful in the marketplace. Market acceptance of any of the Company’s products will depend on a number of factors, including demonstration of clinical effectiveness and safety; the potential advantages of its products over alternative treatments; the availability of acceptable pricing and adequate third-party reimbursement; and the effectiveness of marketing and distribution methods for the products. Providers, payors or patients may not accept the Company’s products, even if they prove to be safe and effective and are approved for marketing by the FDA and other national regulatory authorities. The Company estimatesanticipates that it maywill take up to twomany years or longer before its initial products may be sold commercially. If the Company’s products do not gain market acceptance among physicians, patients, and others in the medical community, its ability to generate significant revenues from its products would be limited.

The Company may not achieve its projected development goals in the time frames it announces and expects.

The Company sets goals for and makesmay from time to time make public statements regarding timing of the accomplishment of objectives material to its success, such as the commencement and completion of clinical trials, anticipated regulatory approval dates, and timetiming of product launch. The actual timing of these events can vary dramatically due to factors such as delays or failures in the Company’s clinical trials, the uncertainties inherent in the regulatory approval process, and delays in achieving product development, manufacturing or marketing milestones necessary to commercialize its products.


20

There can be no assurance that the Company’s clinical trials will be completed, that it will make regulatory submissions or receive regulatory approvals as planned, or that it will be able to adhere to its current schedule for the scale-up of manufacturing and launch of any of its products. If the Company fails to achieve one or more of these milestones as planned, that could materially affect its business, financial condition or results of operations and the price of its common shares could decline.


19

The Company’s business involves the use of hazardous material, which requires it to comply with environmental regulations.

The Company’s research and development processes and commercial activities may involve the controlled storage, use, and disposal of hazardous materials and hazardous biological materials. The Company is subject to laws and regulations governing the use, manufacture, storage, handling, and disposal of such materials and certain waste products. Although the Company believes that its safety procedures for handling and disposing of such materials comply with the standards prescribed by such laws and regulations, the risk of accidental contamination or injury from these materials cannot be completely eliminated. In the event of such an accident, the Company could be held liable for any damages that result, and any such liability could exceed its resources. There can be no assurance that the Company will not be required to incur significant costs to comply with current or future environmental laws and regulations, or that its business, financial condition, and results of operations will not be materially or adversely affected by current or future environmental laws or regulations.

The Company’s insurance may not provide adequate coverage with respect to environmental matters.

Environmental regulation could have a material adverse effect on the results of the Company’s operations and its financial position.

The Company is subject to a broad range of environmental regulations imposed by federal, state, provincial, and local governmental authorities. Such environmental regulation relates to, among other things, the handling and storage of hazardous materials, the disposal of waste, and the discharge of contaminants into the environment. Although the Company believes that it is in material compliance with applicable environmental regulation, as a result of the potential existence of unknown environmental issues and frequent changes to environmental regulation and the interpretation and enforcement thereof, there can be no assurance that compliance with environmental regulation or obligations imposed thereunder will not have a material adverse effect on the Company in the future.

The Company is exposed to foreign exchange movements since the majority of its debt financing and its commercial sales operations are denominated in U.S. currency.

At May 31, 2010, the Company had US$47.2 million of future debt service obligations (minimum payments). As well, theThe majority of the Company’s sales revenues and a substantial portion of its selling, general and administrative expenses are denominated in U.S. dollars. The Company does not utilize derivatives, such as foreign currency forward contracts and futures contracts, to manage its exposure to currency risk and as a result a change in the value of the Canadian dollar against the U.S. dollar could have a negative impact on the Company’s business prospects, financial results and financial condition. As well, at May 31, 2011, the Company had US$47.2 million of future debt service obligations (minimum payments), which was subsequently settled.


20

The Company may need to raise additional capital through the sale of its securities, resulting in dilution to its existing shareholders. Such funds may not be available, or may not be available on reasonable terms, adversely affecting the Company’s operations.

The Company has limited financial resources and has financed much of its operations through the sale of securities, primarily common shares. The Company has significant on-going cash expenses and limited ability to generate cash from operations.


21

To meet its on-going cash needs the Company willmay need to continue its reliance on the sale of such securities for future financing, resulting in dilution to its existing shareholders. The Company’s long-term capital requirements may be notably significant and will depend on many factors, including continued scientific progress in its product discovery and development program, progress in the maintenance and expansion of its sales and marketing capabilities, progress in its pre-clinical and clinical evaluation of products and product candidates, time and expense associated with filing, prosecuting and enforcing its patent claims and costs associated with obtaining regulatory approvals. In order to meet such capital requirements, the Company will consider contract fees, collaborative research and development arrangements, public financing or additional private financing (including the issuance of additional equity securities) to fund all or a part of particular programs.

The Company’s business, financial condition and results of operations will depend on its ability to obtain additional financing which may not be available under favourable terms, if at all. The Company’s ability to arrange such financing in the future will depend in part upon the prevailing capital market conditions as well as its business performance. Where additional financing is available, the Company may be required to obtain approval for the Company’s shareholders. Such approval may not be provided.

If its capital resources are exhausted and adequate funds are not available, the Company may have to reduce substantially or eliminate expenditures for research and development, testing, production and marketing of its proposed products, or obtain funds through arrangements with corporate partners that require it to relinquish rights to certain of its technologies or products.

Future issuance of the Company’s common shares will result in dilution to its existing shareholders. Additionally, future sales of the Company’s common shares into the public market may lower the market price which may result in losses to its shareholders.

As of May 31, 2010,2011, the Company had 130,307,552, common shares issued and outstanding. A further 4,311,3492,322,192 common shares are issuable upon exercise of outstanding stock options and another 15,961,2719,358,521 common shares are issuable upon exercise of share purchase warrants, all of which may be exercised in the future resulting in dilution to the Company’s shareholders. The Company’s stock option plan allows for the issuance of stock options to purchase up to a maximum of 10% of the outstanding common shares at any time.

On July 18, 2011, the Company issued 52,640,043 shares and 12,542,000 stock options in conjunction with transactions announced on that date as described in Note 16 to the audited consolidated financial statements for the year ended May 31, 2011.

Sales of substantial amounts of the Company’s common shares into the public market, or even the perception by the market that such sales may occur, may lower the market price of its common shares.

The Company’s common shares may experience extreme price and volume volatility which may result in losses to its shareholders.

On May 31, 2010,2011, the Company’s common shares closed at a price of CDN$0.0150.02 on the NEX board of the TSX Venture Exchange (“NEX”). For the period from June 1, 20092010 to May 31, 2010,2011, the high and low trading prices of the Company’s common shares were CDN$0.060.03 and CDN$0.01,0.005, respectively, with a total trading volume of 38,405,86027,386,211 shares. The CompanysCompany’s shares were delisted from Amex on July 3, 2008 and from the TSX on March 26, 2010.


21

Daily trading volume on the TSX of the Company’s common shares for the period from June 1, 20092010 to May 31, 20102011 has fluctuated, with a high of 4,505,4422,023,365 shares and a low of nilshares, averaging approximately 158,702107,941 shares. Accordingly, the trading price of the Company’s common shares may be subject to wide fluctuations in response to a variety of factors including announcement of material events by the Company, such as the status of required regulatory approvals for its products, competition by new products or new innovations, fluctuations in its operating results, general and industry-specific economic conditions and developments pertaining to patent and proprietary rights.


22

The trading price of the Company’s common shares may be subject to wide fluctuations in response to a variety of factors and/or announcements concerning such factors, including:

In addition, the securities markets in the United States and Canada have recently experienced a high level of price and volume volatility, and the market price of securities of biotechnology companies have experienced wide fluctuations in price which have not necessarily been related to the operating performance, underlying asset values or prospects of such companies.


22

There may not be an active, liquid market for the Company’s common shares.

On March 26, 2010, the Company’s common shares were delisted from the TSX due to the Company’s current inability to meet continued listing requirements. On March 29, 2010, the Company’s common shares commenced trading on the NEX board of the TSX Venture Exchange under the symbol “MPH.H”. The transfer in stock exchange listing to the NEX was designed to ensure continuous trading and continued liquidity for the Company’s shareholders.

The Company’s shares ceased trading on the Amex effective July 3, 2008.


23

There is no guarantee that an active trading market for the Company’s common shares will be maintained on the NEX. Investors may not be able to sell their shares quickly or at the latest market price if trading in its common shares is not active.

If there are substantial sales of the Company’s common shares, the market price of its common shares could decline.

Sales of substantial numbers of the Company’s common shares could cause a decline in the market price of its common shares. Any sales by existing shareholders or holders of options or warrants may have an adverse effect on the Company’s ability to raise capital and may adversely affect the market price of its common shares.

The Company has no history of paying dividends, does not intend to pay dividends in the foreseeable future and may never pay dividends.

Since incorporation, the Company has not paid any cash or other dividends on its common shares and does not expect to pay such dividends in the foreseeable future as all available funds will be invested to finance the growth of its business. The Company will need to achieve profitability prior to any dividends being declared, which may never happen.

If the Company’sCompany is classified as a “passive foreign investment Company” for United States income tax purposes, it could have significant and adverse tax consequences to United States holders of its common shares.

The Company does not believe that it was a “passive foreign investment Company” for the taxable year ended May 31, 2010,2011, and does not expect that it will be a “passive foreign investment Company” (PFIC) for the taxable year ending May 31, 2011.2012. (See more detailed discussion in Item 10 E – Taxation) However, there can be no assurance that the IRS will not challenge the determination made by the Company concerning its “passive foreign investment Company” status or that the Company will not be a “passive foreign investment Company” for the current taxable year or any subsequent taxable year. Accordingly, although the Company expects that it may be a QFC for the taxable year ending May 31, 2011,2012, there can be no assurances that the IRS will not challenge the determination made by the Company concerning its QFC status, that the Company will be a QFC for the taxable year ending May 31, 20112012 or any subsequent taxable year, or that the Company will be able to certify that it is a QFC in accordance with the certification procedures issued by the Treasury and the IRS.

The Company’s classification as a PFIC could have significant and adverse tax consequences for United States holders of its common shares.


23

The Company has adopted a shareholder rights plan.

The Company has adopted a shareholder rights plan. The provisions of such plan could make it more difficult for a third party to acquire a majority of the Company’s outstanding common shares, the effect of which may be to deprive the Company’s shareholders of a control premium that might otherwise be realized in connection with an acquisition of its common shares.


24

Risks associated with Material weaknesses within the Company’s financial reporting and review process

In connection with its review of the Company’s internal control over financial Reporting, the Company has identified material weaknesses with the Company’s financial reporting and review process, involving the preparation and review of the reconciliation formfrom Canadian GAAP to United States GAAP, the accounting and reporting for complex transactions due limited staff and the complex accounting issues due limited staff.resignation of the Company’s Chief Financial Officer subsequent to year-end resulting in procedures over the year-end close process not operating effectively. Based on such determination, the Company’s management concluded that the Company’s internal control over financial reporting was not effective as of May 31, 2010.2011. The Company either plans to ensure adequate personnel are available with the necessary training and expertise or rely on an external third party to provide this control. In addition, the Company appointed a new Chief Financial Officer on September 22, 2011. Any failure to remediate the material weakness,weaknesses, to implement the required new or improved control, or difficulties encountered in the implementation, could cause the Company to fail to meet its reporting obligations on a timely basis or result in material misstatements in the annual or interim financial statements. Inadequate internal control over financial reporting could also cause investors to lose confidence in the Company’s reported financial information, which could cause the Company’s stock price to decline.

ITEM 4. INFORMATION ON THE COMPANY

A. History and Development of the Company

On December 22, 1999, the Company was formed by the amalgamation of Medicure Inc. with Lariat Capital Inc. pursuant to the provisions of theBusiness Companys Act (Alberta). The Company was continued from Alberta to the federal jurisdiction by Certificate of Continuance issued pursuant to the provisions of theCanada Business Companys Acton February 23, 2000.

The Company’s current legal and commercial name is Medicure Inc. and its current registered office is 30th Floor, 360 Main Street, Winnipeg, Manitoba, Canada, R3C 4G1, Phone (204) 487-7412. The Company’s head office is located at 2-1250 Waverley Street, Winnipeg, Manitoba, Canada, R3T 6C6.

In August 2006, the Company acquired the U.S. rights to its first commercial product, AGGRASTAT® Injection (tirofiban hydrochloride) in the United States and its territories (Puerto Rico, Virgin Islands and Guam) for US$19,000,000.

In September 2007, the Company monetized a percentage of its current and potential future commercial revenues by entering into a debt financing agreement with Birmingham Associates Ltd. (Birmingham), an affiliate of Elliott Associates, L.P. (Elliott) for proceeds of US$25 million (See Item 5 B – Liquidity and Capital Resources).

In February 2008, the Company announced that its pivotal Phase III MEND-CABG II clinical trials with MC-1 did not meet the primary endpoint and as a result was not sufficient to support the filings. As a result, the Company announced a restructuring plan that resulted in the organization reducing its head count by approximately 50 employees and full-time consultants. The restructuring and downsizing in March 2008 conserved capital for ongoing operations.


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In fiscal 2009, the Company continued to focus on the sale and marketing of AGGRASTAT® and on focusing its research and development activities on the development of TARDOXALTM, for Tardive Dyskinesia, and MC-1 for chronic cardiovascular disorders, and exploring further cost savings measures. All these initiatives were initiated due to the restructuring plan announced towards the end of fiscal 2008. These activities assisted in further reducing the Company’s use of capital, in particular its investment in research and development programs but have moved forward certain programs on a limited and focused fashion such as the Phase II clinical study of TARDOXALTM for the treatment of Tardive Dyskinesia.


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Since that time and up until the current date, further organizational charges have been undertaken to further reduce expenses and find operational efficiencies. The Company’s ability to continue in operation for the foreseeable future remains dependent upon the effective execution of its business development and strategic plans, and on securing additional sourcesmaintaining adequate working capital, whether by means of financing, debt, revenue and restructuring of its existing Debt Financing agreement. The Company estimates it currently has sufficient working capital to fund its current obligations and planned operations through to the end of the current fiscal year and potentially beyond this point. As of May 31, 2010, the Company had accrued US$4.3 million in debt service obligations. Of this amount, US$1.7 million was originally due July 15, 2009; US$0.2 million was originally due October 15, 2009; US$0.2 million was originally due January 15, 2010; US$0.2 million was originally due April 15, 2010; and US$2.0 million was originally due July 15, 2010.further cost control measures. As at May 31, 2010,2011 the Company ishad significant debt servicing obligations that it did not have the ability to repay without refinancing or restructuring and the Company was in default of the terms of its long-term debt financing obligations and continues to be in default. The debt agreement contains no express provisions to accelerate debt payments inobligations. Under an event of default, howeverthe lender could have exercised its security rights under the agreement, and accordingly the lender can exercise its security rights at any time. Accordingly, for financial reporting purposes, based on the guidance in “EIC-59 Long Term Debt With Covenant Violations”, the outstanding long termlong-term debt of US$25 million that is in defaultobligation has been classified as a current liability in the consolidated financial statements for the year endedas at May 31, 2010.2011. On July 18, 2011, the Company settled its long-term debt to Birmingham in exchange for; i) $4,750,000 in cash; ii) 32,640,043 common shares of the Company; and iii) a royalty on future AGGRASTAT® sales until 2023. The royalty is based on four percent of the first $2,000,000 of quarterly AGGRASTAT® sales and increases on sales exceeding that amount.

B. Business Overview

Plan of Operation

Medicure is a specialty pharmaceutical Companycompany engaged in the research, clinical development and commercialization of human therapeutics. The Company’s primary operating focus is on the sale and marketing of its acute care cardiovascular drug, AGGRASTAT® (tirofiban hydrochloride) owned by its subsidiary, Medicure International, Inc. and distributed in the United States and its territories through itsthe Company’s U.S. subsidiary, Medicure Pharma, Inc. The Company’s primary ongoing Researchresearch and Development activitydevelopment program is focused on developing new plans related to AGGRASTAT® and, secondly, on the clinical development of TARDOXALTM for neurological disorders. The Company also continues to explore certain other product opportunities.

Strategic changes made over the past year, coupled with focused capital conservation efforts, have assisted the Company in reducing its use of capital. The Company's ability to continue in operation for the foreseeable future remains dependent upon the effective execution of its business development and implementationstrategic plans. The Company estimates it has sufficient working capital and revenue to fund ongoing operations. On July 18, 2011, the Company settled its existing long-term debt.

The ongoing focus of the Company and its primary asset of interest is AGGRASTAT® (tirofiban HCl). In parallel with the Company’s ongoing commitment to support the product, its valued customers and the continuing efforts of the commercial organization, the Company is in the process of developing and implementing a new regulatory, brand and life cycle management strategy for AGGRASTAT®. The Company’s primary, non-AGGRASTAT® Research and Development activityobjective of this effort is TARDOXALTM for the treatment of Tardive Dyskinesia ("TD"). The Company continues to investigate and advance certain other product opportunities.

In fiscal 2008, the Company was focused on two major objectives; first and foremost on the 3000 patient Phase III trial of MC-1 for protection of ischemic reperfusion injury during Coronary Artery By-pass Graft surgery (CABG), entitled MEND-CABG II and secondly on increasing the sales offurther expand AGGRASTAT®. In February 2008 the Company announced that the pivotal Phase III trial, MEND-CABG II, did not meet the primary end point and therefore would not file an application for regulatory approval’s share of, the use of MC-1, for this indication. It further announced that the MC-1 development for theUS $400 million glycoprotein IIb/IIIa (GP IIb/IIIa) inhibitor market. GP llb/lla inhibitors are injectable platelet inhibitors used to treat acute indication of CABG, ACScoronary syndromes and Stroke would be put on holdrelated conditions and the primary focus would shift to growing the AGGRASTAT® sales through its Commercial business and that the Company’s Research and Development activity would focus on exploring other clinical applications of MC-1.

As a result of the above, the Company announced a restructuring plan that enabled the Company to significantly conserve capital for ongoing operations. The Company continues to look for areas were it can reduce overhead and further conserve capital and will continue to do so into the 2011 fiscal year. The Company is also exploring various alternatives for further strengthening its financial position and will provide additional guidance as appropriate. The Company’s ability to continue in operation for the foreseeable future and to realize its assets and discharge its liabilities and commitments in the normal course of business is dependent on the ability of the Company to execute on these plans, restructure its debt financial obligations and secure additional sources of financing. There is no certainty these and other strategies will be achieved or that they will be sufficient to permit the Company to continue as a going concern.procedures.


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Recent Developments

Commercial:

In fiscal 2007, the Company acquired the U.S. rights to its first commercial product, AGGRASTAT® Injection (tirofiban hydrochloride), in the United States and its territories (Puerto Rico, Virgin Islands, and Guam). AGGRASTAT®, a glycoprotein GP IIb/IIIa receptor antagonist, is used for the treatment of acute coronary syndrome (ACS) including unstable angina, which is characterized by chest pain when one is at rest, and non-Q-wave myocardial infarction (MI). The Company continues to support the product through its home office and a small, dedicated field force of cardiovascular specialists employed under the Company’s US subsidiary, Medicure Pharma.Pharma Inc.


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Net revenue from the sale of AGGRASTAT® for fiscal 2010 decreased 31%the year ended May 31, 2011 increased 9% over the net revenue for fiscal 2009.the year ended May 31, 2010. All of the Company’s sales are denominated in US dollars. The declineincrease is attributable to an increase in wholesale purchasing of AGGRASTAT®, a reduction in hospital discounts and fluctuations in foreign currency exchange rates, an increase in wholesalerrates. Although wholesale purchasing in advance of a price increase introduced during the 3rd quarter of 2010, and a modest decrease ingenerally reflects hospital demand, for AGGRASTAT®. Since then, wholesale purchasing has more closely reflected hospital demand with modestit is also subject to fluctuations attributingattributed to wholesaler inventory adjustments.


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Subsequent to year end the Company continued cost savings strategies for its commercial operations and has reduced and is realigning its sales force. These measures are expected to assist in further reducing the Company’s cash burn in fiscal 2011.

Going forward and contingent on financing arrangements, including the successful renegotiation of the Company’s current debt,sufficient finances being available, the Company plans to explore opportunities to further expand revenue through strategic investments related to AGGRASTAT® and the acquisition of other niche products that fit the commercial organization.

Research and Development:

The Company’s primary ongoing Researchresearch and Developmentdevelopment activity is the development and implementation of a new regulatory, brand and life cycle management strategy for AGGRASTAT®. While the Company believes that it will be ableThe extent to finalize a relatively low cost clinical, product and regulatory strategy, it requires additional resources to implement this plan. Until such resources become available,which the Company is workingable to advanceinvest in this program withplan is dependent upon the modest capital investment that it can make from its available cash resources.availability of sufficient finances.

The Company’s primary, non-AGGRASTAT® Researchresearch and Developmentdevelopment activity is TARDOXALTM for the treatment of Tardive Dyskinesia ("TD"). The Company’s lead drug candidate is TARDOXALTM currently in development for treating the serious neurological disorder tardive dyskinesia (TD). This program evolved from the Company’sMedicure’s extensive clinical experience with MC-1, a naturally occurring small molecule, for new chronic medicalcardiovascular conditions. A modest amount of capital is being used on thefor an ongoing Phase II clinical program for treatment for TD and on exploring other potential treatments using data collected during previous research programs.study of TARDOXALTM. The Company is also pursuing licensing opportunities forinterested in out-licensing its library of small-molecule anti-thromboticsmall molecule antithrombotic drugs.

The following table summarizes the Company’s research and development programs, their therapeutic focus and their stage of development.

Product CandidateTherapeutic focusStage of Development
AGGRASTAT®Acute CardiologyPhase III/IV - planning
TARDOXALTMTD/Neurological indicationsPhase II - enrolling patients
MC-1-Chronic
Lipid lowering/metabolic
syndrome
Phase II - pursuing partnership
MC-45308Anti-thrombotic small moleculesThrombosis reductionDiscovery - pursuing partnership

The TARDOXALTM and MC-1 programs benefitprogram benefits from over 10 years of work that the CompanyMedicure invested in advancingthe advancement of this compound, through late-stageincluding extensive human clinical testing in acute and chronicunrelated cardiovascular conditions. Over this time the Company invested substantially in numerous animal and human safety and pharmacokinetic studies, product manufacturing and formulation development, efficacy studies in chronic and acute conditions and other laboratorypre-clinical, formulation, manufacturing and non-lab work.safety research and development. The Company believes the information and physical assets resulting from this activity isare a valuable asset that will reduce costs and also speed development of this molecule for application to other conditions.


28TD.

The development of MC-1 for use in acute cardiovascular conditions is not listed in the table above as these initiatives have been placed on hold.

The Company is continuing some analyses from these studiesintends to pursue a license or development partnership for TARDOXALTM with a large pharmaceutical company. Such a partnership may provide funding and other resources for further clinical trials and commercialization. While the Company has had informal discussions with potential partners, no formal agreement, or letter of intent, has been entered into by the Company as resources permit, and will in due course determine what, if any, further investigation is warranted.of the date hereof.


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The Company’s library of novel therapeutics includes a series of small molecule dual acting anticoagulant/antiplatelet compounds (including the preclinical lead compound MC-45308) which may be useful in treating venous and arterial thrombosis. These compounds, which have shown activity in venous and arterial models of thrombosis, provide a basis for further research, optimization and preclinical development.

Medicure’s library of novel therapeutics includes a series of small molecule dual acting anticoagulant/antiplatelet compounds (including the preclinical lead, MC-45308) which may be useful in treating venous and arterial thrombosis. These compounds, which have shown activity in venous and arterial models of thrombosis, provide a basis for further research, optimization and preclinical development. The Company is interested in out-licensing its library of small molecule anti thrombotic drugs.

The Company may from time to time also evaluatesevaluate other drug candidatesproduct opportunities for potential license with the objective of further broadening its product and patent portfolio.

It is the Company’s intention to actively search for a partnership with a large pharmaceutical Company. Such a partnership may provide funding for Phase II and Phase III clinical trials, add experience to the product development process, and bring in overall marketing expertise. While the Company has had informal discussions with potential partners, no formal agreement, or letter of intent, has been entered into by the Company as of the date hereof.

The Company anticipates that no substantial material acquisition of equipment or facilities will take place in the coming year.

Potential New Products in Development Stage

One of the Company’s primary focuses is the clinical development and commercialization of its lead research product, TARDOXALTM (pyridoxal 5-phosphate) for Tardive Dyskinesia (TD).TD. TD is a serious movement disorder which results from long-term treatment with antipsychotic medications. At present there is no treatment available for TD in the US. TARDOXAL’sTARDOXALTM’s potential for treatment of TD is supported by its biological mechanism of action and by preliminary clinical studies which indicated efficacy of a related compound in treatment of TD.

Earlier studies have demonstrated thatUntil 2008, the Company’sCompany had been focused on the development of its then lead product MC-1 has the potential as a cardioprotective treatment in reducing damage to the heart associated with acute ischemic and reperfusion injury (MEND-1 Phase-II study). The MEND-CABG Phase-II study demonstrated that a 250mg dose of MC-1 significantly reduced the composite of events driven by a 46.9% reduction in non-fatal heart attacks. Based on these trials the Company initiated a follow on Phase-III MEND-CABG II study at over 120 cardiac centres enrolling over 3000 patients. The MEND-CABG II trial did not meet its primary end point and therefore was not sufficient for registration filings for market approval. Due to a lack of resources and the Company has putinability to demonstrate efficacy in the furtherCompany’s Phase III study, MEND-CABG II, this development of MC-1 for acute cardiovascular indicationsprogram was placed on hold.

Separate from the MEND CABG program, preclinical and clinical studies have shown that MC-1 This product also has the potential to provide other clinicalchronic cardiovascular benefits to patients with hyperlipidemia, hyperglycemia, hypertension etc.hperglycemia and hypertension. The Company has clinical data and intellectual property related to some of these potential applications and is interested in advancing these applications of MC-1 through partnershipsa partnership with another pharmaceutical Company.company. However, at this time sufficient resources are not available to pursue these applications. MC-1 is the same chemical compound being developed for TD under the name TARDOXALTM.

The Company has various compounds currently in early stageIn research and development.


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Thedevelopment conducted prior to fiscal 2009, the Company has developed a novel series of small molecule dual acting anticoagulant/antiplatelet compounds which may be useful in treating venous and arterial thrombosis. These novel compounds are patented and based on a vitaminB6(pyridoxine) scaffold. The dual acting anticoagulant/antiplatelet molecules have shown definite activity in venous and arterial models of thrombosis. Preclinical studies show these compounds to have lesser bleeding tendencies as compared to currently used agents such as heparin. Acute toxicity studies in rats also demonstrate a favourable safety profile.

The Company seeks to establish a licensing arrangement or R&D collaboration to advance these compounds to human clinical studies when sufficient financial resources are available to do so.

As at May 31, 2010,2011, the Company had 39numerous issued United States patents (see Item 5 – Operating and Financial Review and Prospects – C. Research and Development, Patents and Licenses, Etc. below).


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Competitors’ Current Products

The only commercial product the corporation currently has, being AGGRASTAT®, which is soldowned by the CompanyCompany’s subsidiary, Medicure International, Inc., and is sold in the United States of America.America through the Company’s subsidiary, Medicure Pharma, Inc.

AGGRASTAT® competes in a market segment commonly referred to as the anti-thrombotic market (treatments to remove or prevent formation of blood clots). More specifically, AGGRASTAT®is one of a handful of antiplatelet drugs which affect thrombus (blood clot) formation by preventing the aggregation of platelets in the blood stream. Of the different classes of antiplatelet drugs, AGGRASTAT® is a representative of the glycoprotein IIB/IIIA inhibitors drug class. There are three of these agents approved for use, including abciximab (ReoPro®), eptifibatide (Integrilin®), and tirofiban (Aggrastat®). Of the two directly competing agents, AGGRASTAT® is most closely comparable to Integrilin® as they are both highly potent, small molecule drugs that have reversible antiplatelet effects.

Competitors’ Products in Development

At present the Company is not aware of any other glycoprotein IIb/IIIa inhibitors in clinical development. However, the utilization of its drug may be affected by the continued advancement of new antithrombotic and antiplatelet agents.agents, including the recently approved agents, ticagrelor (Brilinta®) and prasugrel (Effient®). The potential future launch of generic versions of AGGRASTAT® and/or of other competitive drugs is also expected to impact utilization of the Company’s drug. Many companies, including large pharmaceutical and biotechnology companies, are conducting development of products that are intended to address athe same or a similar medical need. Many of these companies have much larger financial and other resources than the Company does, including those related to research and development, manufacturing, and sales and marketing. The Company also faces competition in recruiting scientific personnel from colleges, universities, agencies, and research organizations who seek patent protection and licensing agreements for the technologies they develop.

Competitive Strategy and Position

The Company is primarily focusing on:

1.

Maintaining and Growing AGGRASTAT®sales in the United States. The present market for the class of drug GP IIb/IIIa, of which AGGRASTAT®is one of three in the USA market, is approximately $450$400 million per year (2010). At present AGGRASTAT®has ≤ 2% of this market. AGGRASTAT®is recommended by the AHA and ACC Guidelines as one of the three GP IIb/IIIa drugs to be used for the treatment of ACS. AGGRASTAT®has been shown, in several clinical trials, to reduce mortality and/or morbidity (myocardial infarction) post ACS by as much as 40%.



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2.

The development and implementation of a new regulatory, brand and clinical strategy for AGGRASTAT®:As stated previously, the Company’s primary ongoing Research and Development activity is the development and implementation of a new regulatory, brand and life cycle management strategy for AGGRASTAT®. One important aspect of the strategy is the Company’s efforts to expand and modify the product label. Any such change is dependent upon review and approval by the FDA and may necessitate substantial regulatory filing fees. Clinical development activities would also require substantial financial resources to conduct. While the Company believes that it will be able to finalize a relatively low cost clinical, product and regulatory strategy, it requires additional resources to implement all aspects of this plan. Until such resources become available, the Company is working to advance this program with the modest capital investment that it can make from its available cash resources.



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3.

The development of TARDOXALTMfor Tardive Dyskinesia and other neurological indications.The Company is focusing initially on these markets because of preclinical and clinical evidence supporting the product’s safety and potential efficacy in these applications.

4.

Establishing a licensing arrangement or R&D collaboration to advance the dual acting anticoagulant/antiplatelet molecules to the clinic.

It is the Company’s intention to secure a partnership with a large pharmaceutical company for commercialization of TARDOXALTM or other agents from its product pipeline. Such a partnership would provide funding for clinical development, add experience to the product development process and provide market positioning expertise. While the Company has had informal discussions with potential partners in this regard, no formal agreement or letter of intent has been entered into by the Company as of the date hereof.

C. Organizational Structure

Medicure International, Inc., a wholly owned subsidiary of the Company, was incorporated pursuant to the laws of Barbados, West Indies, on May 23, 2000. Medicure International Inc.’s registered office is located at Whitepark House, White Park Road, Bridgetown, Barbados. Medicure International Inc.’s head office is located at 2nd Street, Holetown, St. James, Barbados.

Medicure Pharma Inc., a wholly owned subsidiary of the Company, was incorporated pursuant to the laws of the State of Delaware, United States of America, on September 30, 2005. Medicure Pharma Inc.’s registered office is 2711 Centerville Road, Suite 400, Wilmington, Delaware, 19808. Medicure Pharma Inc.’s head office is located at 500 Atrium Drive, Somerset, NJ, 08873.

American Cardio Therapeutics Inc., a Company that is 49% owned by Medicure Pharma Inc., was incorporated pursuant to the laws of the State of Delaware, United States of America, on September 30, 2005. American Cardio Therapeutics Inc.’s registered office is 2711 Centerville Road, Suite 400, Wilmington, Delaware, 19808. As at May 31, 2010,2011, American Cardio Therapeutics Inc. was involved inhad no material transactions.activity and it is the Company’s intention that American Cardio Therapeutics Inc. will be wound up.

Medicure Europe Limited, a wholly owned subsidiary of the Company, was incorporated pursuant to the laws of the United Kingdom, on May 19, 2006. Medicure Europe Limited ceased operations on August 4, 2009.

D. Property, Plants and Equipment

Office Space

Included in connection with thebusiness and administration services agreemententered into with Genesys Venture Inc. (see F. Contractual Obligations), the Company has use of approximately 1,000750 square feet of office space as part of its business services contract with a related party. The office is located in Winnipeg, Manitoba, Canada.


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ITEM 4A. UNRESOLVED STAFF COMMENTS

Not applicable


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ITEM 5. OPERATING AND FINANCIAL REVIEW AND PROSPECTS

This section contains forward-looking statements involving risks and uncertainties. The Company's actual results could differ materially from those anticipated in these forward-looking statements as a result of certain factors, including those set forth under part Item 3 - Key Information - D. Risk Factors. The following discussion of the financial condition, changes in financial conditions and results of operations of the Company for the years ended May 31, 2010,2011, May 31, 20092010 and May 31, 20082009 should be read in conjunction with the consolidated financial statements of the Company. The Company’s consolidated financial statements are presented in Canadian dollars and have been prepared in accordance with Canadian generally accepted accounting principles (“GAAP”) included under Item 17 to this annual report. Material measurement differences between Canadian and U.S. GAAP, as applicable to the Company, are set forth in note 1617 to the consolidated financial statements of the Company included herein.

Critical Accounting Estimates

The Company’s consolidated financial statements are prepared in accordance with Canadian generally accepted accounting principles (“Canadian GAAP”). A reconciliation in accordance with Item 17 of amountsForm 20-F of adjustments required to present in accordance with United States generally accepted accounting principles (“US GAAP”) is described in note 1617 to the audited consolidated financial statements for the year ended May 31, 2010.2011. These accounting principles require management to make certain estimates and assumptions. Management believes that the estimates and assumptions upon which the Company relies are reasonable based upon information available at the time these estimates and assumptions are made. Actual results could differ from these estimates. Future estimates and assumptions may lead to different judgments than those applied in the preparation of these consolidated financial statements. Areas of significant estimates include revenue recognition, research and development costs, clinical trial expenses, the assessment of net recoverable value of intangible assets, income taxes, stock-based compensation and accounting for warrants.

Going concern assumption and continuity of operations
The accompanying consolidated financial statements have been prepared on a going concern basis in accordance with Canadian generally accepted accounting principles. The going concern basis of presentation assumes that the Company will continue in operation for the foreseeable future and be able to realize its assets and discharge its liabilities and commitments in the normal course of business. There is significant doubt about the appropriateness of the use of the going concern assumption because the Company has experienced operating losses since incorporation.

The Company has experienced a loss of $2,014,109 for the year ending May 31, 2011, and has accumulated a deficit of $156,095,915 as at May 31, 2011. The Company’s future operations are dependent upon its ability to maintain or grow sales of AGGRASTAT®, and/or secure additional funds, which may not be available under favourable terms, should these objectives not be achieved, the Company will have to consider additional strategic alternatives which may include, among other strategies, asset divestitures and/or monetization of certain intangibles.

As at May 31, 2011 the Company had significant debt servicing obligations that it did not have the ability to repay without refinancing or restructuring and the Company was in default of the terms of its long-term debt financing obligations. Under an event of default, the lender could have exercised its security rights under the agreement, and accordingly the long-term debt obligation has been classified as a current liability as at May 31, 2011 and 2010 as described in note 8 of the audited consolidated financial statements for the year ended May 31, 2011. On July 18, 2011, the long-term debt was settled as described in Note 16 of the audited consolidated financial statements for the year ended May 31, 2011.


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The financial statements do not reflect adjustments that would be necessary if the going concern assumption were not appropriate. If the going concern basis was not appropriate for these financial statements, then adjustments would be necessary to the carrying value of assets and liabilities, the reported revenues and expenses, and the balance sheet classifications used.

Revenue recognition
The Company recognizes product revenue when substantially all of the risks and rewards of ownership have transferred to the customer and collection is reasonably assured. Revenue is recognized upon product delivery, and when no significant contractual obligations remain. As is common practice in the pharmaceutical industry, the Company’s sales are made to pharmaceutical wholesalers for further distribution to end consumers.

Net sales reflect a reduction of gross sales at the time of initial sales recognition for estimated wholesaler chargebacks, discounts, allowances for product returns, and other rebates.rebates (product sales allowances). Wholesaler management decisions to increase or decrease their inventory of AGGRASTAT® may result in sales of AGGRASTAT® to wholesalers that do not track directly with demand for the product at hospitals. In determining the amounts of certain offor these allowances and accruals, the Company uses estimates. The Company estimates chargebacks, discounts,Through reports provided by the Company’s wholesalers and other rebates using the following factors: contract prices and terms with customers, estimatedthird party external information, management estimates customer and wholesaler inventory levels, sales trends and hospital demand. Management uses this information along with such factors as: historical experience and average contractual chargeback rates.


32rates to estimate product sales allowances. Third-party data is subject to inherent limitations of estimates due to the reliance on information from external sources, as this information may itself rely on certain estimates.

Research and development costs
All costs of research activities are expensed in the period in which they are incurred. Development costs are charged as an expense in the period incurred unless a development project meets stringent criteria for cost deferral and amortization. The Company assesses whether these costs have met the relevant criteria for deferral and amortization at each reporting date. No development costs have been deferred to date.

Clinical trial expenses
Clinical trial expenses are a component of the Company’s research and development costs. These expenses include fees paid to contract research organizations, clinical sites, and other organizations who conduct development activities on the Company’s behalf. The amount of clinical trial expenses recognized in a period related to clinical agreements are based on estimates of the work performed using an accrual basis of accounting. These estimates incorporate factors such as patient enrolment, services provided, contractual terms, and prior experience with similar contracts.

Intangible assets
Costs incurred in obtaining patents are capitalized and amortized commencing upon issuance on a straight-line basis over the remaining legal life of the respective patents, being approximately twenty years, or their economic life, if shorter. The cost of servicing the Company’s patents is expensed as incurred. Intangible assets are recorded at acquisition cost and are amortized on a straight-line basis based on the following estimated useful lives:

Technology license8 years
Patents5-20 years
Trademark10 years
Customer list10 years


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The Company determines the estimated useful liveslife of intangible assets based on a number of factors, including: legal, regulatory or contractual limitations; known technological advances; anticipated demand; and the existence or absence of competition. A significant change in any of these factors could require a revision of the expected useful life of the intangible asset, which could have a material impact on the Company’s results of operations through an increase to amortization.

On a regular basis, management reviews the valuation of intangible assets taking into consideration any events and circumstances which may impair their recoverable value including expected cash flows, the potential benefit the Company expects to derive from the costs incurred to date and the Company’s ongoing development plans. A change in any of these assumptions could produce a different fair value, which could have a material impact on the Company’s results of operations.

Income Taxes
The Company follows the asset and liability method of accounting for income taxes. Under this method, future income tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Future income tax assets and liabilities are measured using enacted or substantively enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on future tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the date of substantive enactment. Given the Company’s history of net losses, and expected future losses, the Company is of the opinion that it is more likely than not that these tax assets will not be realized in the foreseeable future and therefore, a full valuation allowance has been recorded against these income tax assets. As a result, no net future income tax assets or liabilities are recorded on the Company’s balance sheets at year-end.


33sheets.

Stock-based compensation
The Company has a stock option plan for its directors, management, consultants,employees, and employees.consultants. Compensation expense is recorded for stock options issued to employees and non employees using the fair value method. The Company must calculate the fair value of stock options issued and amortize the fair value to stock compensation expense over the vesting period, and adjust the amortization for stock option forfeitures and cancellations. The Company uses the Black-Scholes model to calculate the fair value of stock options issued which requires that certain assumptions including the expected life of the option and expected volatility of the stock be estimated at the time that the options are issued. The Company amortizes the fair value using the accelerated method over the vesting period of the options, generally a period of three years. The factors included in the Black-Scholes model are reasonably likely to change from period to period due to changes in the Company’s stock price and external factors, as further stock options are issued and as adjustments are made to previous calculations for unvested stock option forfeitures and cancellations.

The stock-based compensation recorded by the Company is a critical accounting estimate because of the value of compensation recorded, the volume of the Company’s historical stock option activity, and the many assumptions that are required to be made to calculate the compensation expense. The Black-Scholes model is not the only permitted model to calculate the fair value of stock options. A different model, such as the binomial model, as well as any changes to the assumptions made may result in a different stock compensation expense calculation. TheFor the year ended May 31, 2011, the Company recorded stockstock-based compensation expense in fiscalof $77,057 (May 31, 2010 of $122,812 (2009 - $325,028; 2008 - $563,272)$122,812).


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A. Operating Results

General

The Company has concentrated primarily on research and development and has yet to and may never derive any revenues from its clinical products. The Company has a limited operating history and its prospects must be considered in light of the risks, expenses and difficulties frequently encountered with the establishment of a business in a highly competitive industry, characterized by frequent new product introductions.

As discussedYear Ended May 31, 2011 Compared to the Year Ended May 31, 2010

Net product sales for fiscal 2011 were $3,628,000, compared to $3,317,000 in Note 1fiscal 2010. The Company currently sells AGGRASTAT® to drug wholesalers. These wholesalers subsequently sell AGGRASTAT® to the hospitals where health care providers administer the drug to patients. Wholesaler management decisions to increase or decrease their inventory of AGGRASTAT® may result in sales of AGGRASTAT® to wholesalers that do not track directly with demand for the product at hospitals. All of the consolidated financial statementsCompany’s sales are denominated in US dollars. The increase compared to fiscal 2010 is attributable to an increase in wholesale purchasing of AGGRASTAT®, a reduction in hospital discounts and fluctuations in foreign currency exchange rates. Although wholesale purchasing generally reflects hospital demand, it is also subject to fluctuations attributed to wholesaler inventory adjustments.

Cost of goods sold represents direct product costs associated with AGGRASTAT® including and write-downs for obsolete inventory. Amortization of the related acquired AGGRASTAT® intangible assets is separately discussed below.

Cost of goods sold, excluding amortization, for fiscal 2011 were $674,000 compared to $572,000 in fiscal 2010. The Company the financial statements have been prepared onhas a going concern basis in accordance with Canadian generally accepted accounting principles. The going concern basis of presentation assumes that the Company will continue in operationminimum purchase commitment for the foreseeable futuremanufacturing of AGGRASTAT® and be ableas a result has recorded a $0.1 million charge to realize its assetsrecognize this commitment. For the year ended May 31, 2011, increases to cost of goods sold are the result of increases in net sales of AGGRASTAT® and discharge its liabilitiesthe write-off of expired inventory during 2011.

Total Selling, general, and commitmentsadministrative expenditures for fiscal 2011 were $2,818,000, compared to $4,475,000 in fiscal 2010. Selling, general, and administrative expenditures related to AGGRASTAT® were $1,657,000 in fiscal 2011, compared to $3,277,000 in fiscal 2010. Selling, general and administrative expenses include salaries and related costs for those employees not directly involved in research and development. The expenditures are required to support sales and marketing efforts of AGGRASTAT® and ongoing business development and corporate stewardship activities. The balance also includes professional fees such as legal, audit, investor and public relations.

Selling, general and administrative expenditures - AGGRASTAT® decreased during the year ended May 31, 2011 as compared to same period in the normal courseprior year mainly due to :


34

Selling, general and administrative expenditures – Other decreased during the year ended May 31, 2011 as compared to same period in the prior year mainly due to:

Net research and has significant debt servicing obligations that it does not havedevelopment expenditures for fiscal 2011 were $205,000, compared to $393,000 in fiscal 2010. Research and development expenditures include costs associated with the ability to repay without refinancing or restructuring. AtCompany’s clinical development and preclinical programs including salaries, research centred costs and monitoring costs. The Company expenses all research and development costs. The decrease in research and development expenditures, for the year ended May 31, 2011 as compared to the same period in fiscal 2010 is due to reductions in the modest funds allocated by the Company was in defaultto advance its TARDOXALTM clinical trial. As a result of the termsdecline in research and development activities, there were not any investment tax credit recoveries during fiscal 2011. In fiscal 2010, investment tax credit recoveries totalled $0.3 million.

The Company’s Impairment of itsIntangibles assets for fiscal 2011 were $280,000, compared to $769,000 in fiscal 2010. Intangible assets are reviewed for impairment on an ongoing basis whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. Based on this review certain patents were deemed not significant to the Company’s commercial and research operations and a decision was made to surrender certain issued patents and withdraw certain applications under review. The majority of these patents were in the review stage in numerous countries. As a result, impairment charges of $280,235 were recorded to write off the carrying value of certain specific patents.

It is important to note that historical patterns of impairment charges cannot be taken as an indication of future impairments. The amount and timing of impairments and write-downs may vary substantially from period to period depending on the business and research activities being undertaken at any one time and changes in the Company's commercial strategy.

Amortization for the year ended May 31, 2011 was $899,000, compared to $919,000 in fiscal 2010. For the year ended May 31, 2011, amortization decreased as compared to the prior year as a result of the write-down in intangibles in the third and fourth quarters of fiscal 2010. The majority of amortization expense in both periods relates to the amortization of AGGRASTAT® intangible assets.

Interest expense for fiscal 2011 was $3,122,000, compared to $3,280,000 in fiscal 2010. The decrease in interest expense for the year ended May 31, 2011 as compared to the prior fiscal year is primarily due to the increase in the strength of the Canadian dollar as compared to the US dollar.

The net foreign exchange gain for the year ended May 31, 2011 was $2,355,000, compared to a net foreign exchange gain of $1,247,000 in fiscal 2010. The net foreign exchange gain during the year ended May 31, 2011 changed by $1.11 million due to a weakening of the U.S. dollar relative to the Canadian dollar in the quarter. Foreign exchange gain represents changes in the Canadian dollar value of foreign currency denominated operating accounts and long-term debt financing obligations, and continuesin response to bechanges in default. Under an eventthe value of default, the lender can exercise its security rights underCanadian dollar relative to US dollar. The value of the agreement, and accordinglyCanadian dollar relative to the long-term debt obligation has been classified as a current liabilityUS dollar increased over the period, with exchange rates moving from 1.046 as at May 31, 2010.

The Company has experienced a loss of $5,532,506 and negative cash flows from operations of $1,452,809 in the year ending May 31, 2010 and has accumulated a deficit of $154,081,806to 0.969 as at May 31, 2010. The Company continues to monitor staff and corporate expenses2011, which resulted in a foreign exchange gain of $2.4 million for the period. In the prior year, the value of the Canadian dollar as compared to the extent deemed appropriateUS dollar strengthened, with exchange rate equal to 1.092 as at May 31, 2009 moving to 1.046 as at May 31, 2010, which resulted in ordera foreign exchange gain of $1.25 million for the prior year.


35

For the year ended May 31, 2011, the Company recorded a consolidated net loss of $2,014,000 or $0.02 per share compared to more closely align expenses witha consolidated net revenue. Based onloss of $5,533,000 or $0.04 per share for the Company’syear ended May 31, 2010. As discussed above the main factors contributing to the decrease in the loss as compared to 2010 fiscal year were the increases in wholesale AGGRASTAT®, sales and the Company's cost curtailment program whereby operating plan, its existing working capital is not sufficient to fund its planned operations, capital requirements,costs (exclusive of debt servicing obligations,requirements and commitments through the end of the fiscal 2011 year withoutcosts related to restructuring of its debt and raising additional capital. The Company is in ongoing discussions with its senior lender to restructure its debt, and in January 2010, retained advisors to assist in the evaluation of financial alternatives and fundraising options, and to assist in the partnership, license or sale of AGGRASTAT®.


34

No agreements with the lender or other potential lenders or investorsas discussed above) have been reached yet and there can be no assurance that such agreements will be reached. Further, the Company’s financing agreement includes certain restrictive covenants on commercial and developmental products including intellectual property. Therefore the ability of the Company to execute on its operating plan and/or obtain additional capital is likely to be contingent on having collaborative relationships with its senior lender. The Company is currently evaluating expressions of interest regarding the potential partnership, license, or sale of AGGRASTAT® and/or an investment in the Company, and may also consider conversion of all or a portion of its long term debt into equity instruments. Such transactions, if completed, could have a significant dilutive effect on existing shareholders. If the Company is unable to restructure its debt, complete other strategic alternatives, and/or secure additional funds, the Company will have to consider additional strategic alternatives which may include, among other strategies, asset divestitures, monetization of certain intangibles, and/or the winding up, dissolution or liquidation of the Company.reduced.

The abilityweighted average number of common shares outstanding used to calculate basic and diluted loss per share was 130,507,552 for the Company to continue as a going concernyears ended May 31, 2011 and to realize the carrying value of its assets and discharge its liabilities when due is dependent on many factors, including, but not limited to the actions taken or planned, some of which are described above, which are intended to mitigate the adverse conditions and events which raise doubt about the validity of the going concern assumption used in preparing these financial statements. There is no certainty that these and other strategies will be sufficient to permit the Company to continue as a going concern.

The financial statements do not reflect adjustments that would be necessary if the “going concern” assumption were not appropriate. If the “going concern” basis was not appropriate for these financial statements, then adjustments would be necessary in the carrying value of assets and liabilities, the reported revenues and expenses, and the balance sheet classifications used.2010.

Year Ended May 31, 2010 Compared to the Year Ended May 31, 2009

Net product sales for fiscal 2010 were $3,317,000, compared to $4,793,000 in fiscal 2009. The Company currently sells AGGRASTAT® to drug wholesalers. These wholesalers subsequently sell AGGRASTAT® to the hospitals where health care providers administer the drug to patients. Wholesaler management decisions to increase or decrease their inventory of AGGRASTAT® may result in sales of AGGRASTAT® to wholesalers that do not track directly with demand for the product at hospitals. The decline is attributable to fluctuations in foreign currency exchange rates and an increase in wholesaler purchasing in advance of a price increase introduced during the 3rd quarter of 2009. Since then, wholesale purchasing has more closely reflected hospital demand with modest fluctuations attributing to wholesaler inventory adjustments.

Cost of goods sold represents direct product costs associated with AGGRASTAT® including and write-downs for obsolete inventory. Amortization of the related acquired AGGRASTAT® intangible assets is separately discussed below.

Cost of salesgoods sold, excluding amortization, for fiscal 2010 were $572,000 compared to $377,000 in fiscal 2009. The Company has a minimum purchase commitment for the manufacturing of AGGRASTAT® and as a result has recorded a $0.3 million charge to recognize this commitment. The increase is partially offset by direct costs linked to lower sales volume during the year ended May 31, 2010 as compared to of 2009.


35

Total Selling, general, and administrative expenditures for fiscal 2010 were $4,475,000, compared to $9,255,000 in fiscal 2009. Selling, general, and administrative expenditures related to AGGRASTAT® were $3,277,000 in fiscal 2010, compared to $6,598,000 in fiscal 2009. Selling, general, and administrative expenditures for AGGRASTAT® are primarily related to field selling expenses, product promotion costs and administrative expenses. The appreciation of the US dollar compared the Canadian dollar favourably impacted our expenditures which complimented Management’s cost curtailment program implemented since the beginning of the fiscal year. Other selling, general, and administrative expenditures in fiscal 2010 decreased to $1,198,000 from $2,657,000 in fiscal 2009 mainly due to Management’s cost curtailment program, as well as a one-time provision against research advances recorded in fiscal 2009. These reductions were offset by professional and advisory fee related to ongoing discussions with the Company’s secured lender.

Net Research and development expenditures for fiscal 2010 were $393,000, compared to $23,000 in fiscal 2009. The increase in research and development expenditures as compared to fiscal 2009 is due to the Company continuing with its Phase II clinical study TARDOXALTM on a cost conservative basis until such time as the Company’s financial condition improves. In 2009, the Company recovered approximately $800,000 in research and development expenses as a result of negotiations and support from clinical partners and service providers for costs incurred in 2008. This recovery was applied against existing 2009 expenditures.


36

The Company’s Impairment of Intangibles assets decreased from $1,756,000 in fiscal 2009 to $769,000 in fiscal 2010. During fiscal 2009 the Company had initiated a review of all outstanding patents as part of its ongoing cost curtailment program. Intangible assets are reviewed for impairment on an ongoing basis whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. Based on this review certain patents were deemed not significant to the Company’s commercial and research operations and a decision was made to surrender issued patents and withdraw applications under review. The majority of these patents were in the review stage in numerous countries. As a result, an impairment charge of $1.0 million was recorded to write off the carrying value of these specific patents.

It is important to note that historical patterns of impairment charges cannot be taken as an indication of future impairments. The amount and timing of impairments and write-downs may vary substantially from period to period depending on the business and research activities being undertaken at any one time and changes in the Company's commercial strategy.

Amortization for the year ended May 31, 2010 was $919,000, compared to $939,000 in fiscal 2009. The majority of amortization expense in both periods relates the amortization of AGGRASTAT® intangibles. The amortization was lower in fiscal 2010 due to the write-down of the intangibles in fiscal 2009 and 2010.

Interest and other income for the year ended May 31, 2010 was $5,000, compared to $256,000 in fiscal 2009. The decrease in interest and other income in fiscal 2010 is the result of lower cash and cash equivalents balance and lower interest rates as compared to the prior fiscal year.

Interest expense for fiscal 2010 was $3,280,000, compared to $4,945,000 in fiscal 2009. The decrease in interest expense for the year ended May 31, 2010 as compared to fiscal 2009 is primarily due to the repayment of the term loan facility during the second quarter of 2009.

The net foreign exchange gain for the year ended May 31, 2010 was $1,247,000, compared to a net foreign exchange loss of $1,636,000 in fiscal 2009. The net foreign exchange gain during the year ended May 31, 2010 changed by $2.88 million due to a weakening of the U.S. dollar relative to the Canadian dollar in the year. Foreign exchange loss represents changes in the Canadian dollar value of foreign currency denominated operating accounts and long-term debt in response to changes in the value of the Canadian dollar relative to US dollar. The value of the Canadian dollar relative to the US dollar increased over the period, with exchange rates moving from $1.095 as at May 31, 2009 to $1.046 as at May 31, 2010, which resulted in a foreign exchange gain of $1.2 million for the year. In the prior year, the value of the Canadian dollar decreased, with exchange rates moving from $0.994 as at May 31, 2008 to $1.092 as at May 31, 2009, which resulted in a foreign exchange loss of $1.64 million for the prior year.


36

For the year ended May 31, 2010, the Company recorded a consolidated net loss of $5,532,000 or $0.04 per share compared to a consolidated net loss of $13,316,000 or $0.10 per share for the year ended May 31, 2009. As discussed above the main factors contributing to the decrease in the loss as compared to the 2009 fiscal year resulted from the cost curtailment program whereby normal operating costs (exclusive of debt servicing requirements and costs related to restructuring of debt as discussed above) have been brought in line with revenues. Savings were offset by decreases in wholesale AGGRASTAT® sales.


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The weighted average number of common shares outstanding used to calculate basic and diluted loss per share was 130,507,552 for the years ended May 31, 2010 and 2009.

Year Ended May 31, 2009 Compared to the Year Ended May 31, 2008

Net product sales for fiscal 2009 were $4,793,000, compared to $2,247,000 in fiscal 2008. The Company currently sells AGGRASTAT® to drug wholesalers. These wholesalers subsequently sell AGGRASTAT® to the hospitals where health care providers administer the drug to patients. Wholesaler management decisions to increase or decrease their inventory of AGGRASTAT® may result in sales of AGGRASTAT® to wholesalers that do not track directly with demand for the product at hospitals. The appreciation of the US dollar accounted for approximately 29% of the increase. The remaining increase is due to increased wholesaler demand and a modest price increase during the third quarter of 2009.

Cost of goods sold represents direct product costs associated with AGGRASTAT® including write-downs for obsolete inventory. Amortization of the related acquired AGGRASTAT® intangible assets is separately discussed below.

Cost of sales for fiscal 2009 were $377,000 compared to $606,000 in fiscal 2008. The decrease in cost of sales is attributable to lower write-downs for obsolete inventory during 2009 (2009-$92,986; 2008 - $428,822), offset by the increased sales volume.

Total Selling, general, and administrative expenditures for fiscal 2009 were $9,255,000, compared to $12,073,000 in fiscal 2008. Selling, general, and administrative expenditures related to AGGRASTAT® were $6,598,000 in fiscal 2009, compared to $6,782,000 in fiscal 2008. Selling, general, and administrative expenditures for AGGRASTAT® are primarily related to field selling expenses, product promotion costs and administrative expenses. The appreciation of the US dollar compared the Canadian dollar negatively impacted our expenditures by approximately $.9 million, however this was offset positively by the restructuring of the commercial operations which began in fiscal 2008 which helped reduce selling, general and administrative expenditures by approximately $1.1 million. Other selling, general, and administrative expenditures in fiscal 2009 decreased to $2,657,000 from $5,291,000 in fiscal 2008 mainly due to a reduction in costs associated with the Company’s restructuring efforts from 2008 (approximately $1.1 million associated with reduced head office staff), less financing and business activity development activities during the year (approximately $.6 million), a recovery of regulatory fees paid in fiscal 2008 (approximately $.5 million), reduced capital tax expenditures of approximately $0.3 million and a general reduction in other general and administrative expenses. These reductions were offset by a one time provision of approximately one million dollars for potentially unrecoverable prepaid research costs.


37

Net Research and development expenditures for fiscal 2009 were $23,000, compared to $28,660,000 in fiscal 2008. The significant decrease in Research and development expenditures as compared to fiscal 2008 is due to completion of the Phase III MEND-CABG II study in the third quarter of fiscal 2008 and with the support of our clinical partners and service providers, the Company was able to secure a recovery on certain research and development costs incurred in fiscal 2008 of approximately $970,000. There were no Phase III studies during 2009. Pre-clinical and other research and development costs are also lower as the Company focuses on its commercial product and only on selected research and development programs. The research and development costs related to some ongoing regulatory and administrative costs, the development program involving use of TARDOXAL in the treatment of neurological conditions and other research exploring further uses of the Company’s library of novel, anti-thrombotic small molecules developed by its Drug Discovery program.

Charges for impairment of intangible assets decreased from $13,057,000 in fiscal 2008 to $1,756,000 in fiscal 2009. The significant write-downs during fiscal 2008 had occurred after the Company has decided to suspend the development of MC-1 as a monotherapy for acute indications such as CABG as part of a corporate restructuring plan announced in March 2008 resulting in an impairment charge of $13.1 million. During fiscal 2009 the Company had initiated a review of all outstanding patents as part of its ongoing cost curtailment program. Based on this review certain patents were deemed not significant to the Company’s commercial and research operations and a decision was made to surrender issued patents and withdraw applications under review. The majority of these patents were in the review stage in numerous countries. As a result, an impairment charge of $1.8 million was recorded to write off the carrying value of these specific patents.

Amortization for the year ended May 31, 2009 was $939,000, compared to $2,653,000 in fiscal 2008. The majority of amortization expense in both periods relates the amortization of AGGRASTAT® intangibles. The amortization was lower in fiscal 2009 due to the write-down of the intangibles in fiscal 2009.

Interest and other income for the year ended May 31, 2009 was $256,000, compared to $1,150,000 in fiscal 2008. The decrease in interest and other income in fiscal 2008 is the result of lower cash and cash equivalents balance and lower interest rates as compared to the prior fiscal year.

Interest expense for fiscal 2009 was $4,945,000, compared to $3,831,000 in fiscal 2008. The increase in interest expense is primarily due to the US$25 million in long-term debt that the Company secured in the second quarter of fiscal 2008 being outstanding for a full year in 2009 compared to 8.5 months in 2008, an early termination fee of US$600,000 paid in relation to the repayment of the term loan facility during the second quarter of 2009 and the strengthening of the US dollar during the period as the Company’s debt and interest payments are denominated in US dollars.

The net foreign exchange loss for the year ended May 31, 2009 was $1,636,000, compared to a net foreign exchange gain of $79,000 in fiscal 2008. The net foreign exchange loss in fiscal 2009 is due to a strengthening U.S. dollar relative to the Canadian dollar in the period. The exchange rate used at May 31, 2009 was 1.0917 versus 0.9930 at May 31, 2008. The U.S. dollar had traded up to a high of 1.3066 during the year. The majority of the loss was incurred on our US dollar denominated debt, partially offset by gains on the Company’s U.S. denominated cash.

For the year ended May 31, 2009, the Company recorded a consolidated net loss of $13,316,000 or $0.10 per share compared to a consolidated net loss of $57,402,000 or $0.46 per share for the year ended May 31, 2008. As discussed above the main factors contributing to the decrease in the loss as compared to 2008 was the significant reduction in Research and Development costs, lower write-downs on intangible assets and a reduction in general and administration costs. Higher interest costs and the appreciation of the U.S. dollar added to the loss as compared to 2008.


38

The weighted average number of common shares outstanding used to calculate basic and diluted loss per share increased was 130,507,552 for the years ended May 31, 2009 and 2008.

B. Liquidity and Capital Resources

Since the Company’s inception, it has financed operations primarily from public and private salesnet revenue received from the sale of AGGRASTAT®, sale of its equity debt financing,securities, the issue of warrants and exercise of stock options, and interest income on excess funds held. At present,held and the Company estimates it currently has sufficient working capital and revenues to fund its current obligations and planned operations excluding debt servicing obligations.issuance of debt.

Cash used inprovided by (used in) operating activities for fiscal 2010 decreased $9.0 million or 86.0%the year ended May 31, 2011 increased $1,930,288 to $1.5 million$444,479 compared to $10.4 million($1,452,809) for fiscal 20092010 primarily due to:to improved operating results in the Company’s AGGRASTAT® operations and lower overall expenditures as a result of the cost curtailment program.

  • A decrease of $5.3 million related to loss from operations before changes in operating assets and liabilities due mainly to:

  • A $4.4 million reduction in selling, general and administrative expenses;

  • A $3.7 million reduction in net interest expense;

  • A $1.5 million reduction in net product sales;

  • A $1.1 million decrease in operating costs, including foreign exchange expense; and

  • A $0.4 million increase in research and development expenses.

  • Those factors were partially offset by decrease of $3.7 million related to the change in accounts payable and accrued liabilities.

    Investing and financing activities for fiscal yearsthe year ended May 31, 2011 and 2010 and 2009 were insignificant.

    Financing activities for fiscal years 2010 and 2009 were insignificant.

    At May 31, 20102011 the Company had cash and cash equivalents totaling $371,000$750,184 compared to $1,978.000$371,262 as of May 31, 2009.

    2010. As at May 31, 2010,2011, the Company had a working capital deficiency of $29,440,287$30.2 million compared to working capital a working capital deficiency of $535,328$29.4 million at May 31, 2009. The reduction of2010. Fluctuations in working capital wasare mainly due to increases in accrued interest on long-term debt the reclassification of the debt to a current liability, and use of funds to support operations.operations and changes in foreign currency exchange rates.

    The CompanyCorporation has long-term debt at May 31, 20102011 of US$25.0 million recorded in on its financial statements relating to the Birmingham debt described in more detail above. The Company has imputedNote 8 of the Company's consolidated financial statements for the year ended May 31, 2011. Interest is accrued based on an annual effective interest rate of 13.3% . The minimum annual debt obligations are disclosed in Item 5F-Contractualunder Contractual Obligations.

    TheAt May 31, 2011, the Company currently has accrued US$4.37.8 million (CDN$7.6 million) in debt service obligations. Of this amount, US$1,739,659 was originally due July 15, 2009; US$180,811 was originally due October 15, 2009; US$195,550 was originally due January 15, 2010; US$160,359 was originally due April 15, 2010; and $2,063,280US$2,063,280 was originally due on July 15, 2010.2010, US$168,085 was originally due October 15, 2010, US$167,025 was originally due January 15, 2011, US$258,703 was originally due April 15, 2011, and US$2,906,188 was originally due on July 15, 2011. As at September 27, 2010,described in the "Recent Developments" section of this annual report, the Company was in default of the terms ofsettled its debt financing obligations and continues to be in default. The debt agreement contains no express provisions to accelerate debt payments in an event of default, however under the agreement the lender can exercise its security rights at any time. Accordingly, for financial reporting purposes, basedlong-term on the guidance in Canadian GAAP “EIC-59 Long Term Debt With Covenant Violations”, the outstanding long term debt of US$25 million that is in default has been classified as a current liability as at May 31, 2010. Depending on the outcome of these negotiations the Company may not have sufficient working capital to maintain operations. In addition to the negotiations with the Company’s senior lender the Company continues to implement a cost savings program to further reduce its operating expenses and exploring additional strategic alternatives.


    39

    The Company has experienced a loss of $5,532,506 and negative cash flows from operations of $1,452,809 in the year ending May 31, 2010, and has accumulated a deficit of $154,081,806 as at May 31, 2010. The Company continues to monitor staff and corporate expenses to the extent deemed appropriate in order to more closely align expenses with net revenue. Based on the Company’s operating plan, its existing working capital is not sufficient to fund its planned operations, capital requirements, debt servicing obligations, and commitments through the end of the fiscal 2011 year without restructuring of its debt and raising additional capital. The Company is in ongoing discussions with its senior lender to restructure its debt, and in January 2010, retained advisors to assist in the evaluation of financial alternatives and fundraising options, and to assist in the partnership, license or sale of AGGRASTAT®. No agreements with the lender or other potential lenders or investors have been reached yet and there can be no assurance that such agreements will be reached. Further, the Company’s financing agreement includes certain restrictive covenants on commercial and developmental products including intellectual property. Therefore the ability of the Company to execute on its operating plan and/or obtain additional capital is likely to be contingent on having collaborative relationships with its senior lender. The Company is currently evaluating expressions of interest regarding the potential partnership, license, or sale of AGGRASTAT® and/or an investment in the Company, and may also consider conversion of all or a portion of its long term debt into equity instruments. Such transactions, if completed, could have a significant dilutive effect on existing shareholders. If the Company is unable to restructure its debt, complete other strategic alternatives, and/or secure additional funds, the Company will have to consider additional strategic alternatives which may include, among other strategies, asset divestitures, monetization of certain intangibles, and/or the winding up, dissolution or liquidation of the Company.

    As at May 31, 2010 the Company had US $0.3 million in cash and cash equivalents to fund the U.S. denominated long-term debt as well U.S. denominated selling, general and administrative expenses and research and development costs. The Company currently has no derivatives, such as foreign currency forward contracts and futures contracts, hedging the balance of the U.S. denominated debt.July 18, 2011.

    The total number of common shares issued and outstanding at May 31, 20102011 and 20092010 was 130,307,552.

    C. Research and Development, Patents and Licenses, Etc.

    Research and Development

    Drug development and design begins with an idea, or theoretical concept for treating a given disorder. The idea is advanced through the drug design process, resulting in preliminary candidates that have theoretical potential. Candidates are improved to achieve the optimal effectiveness with limited toxicity. Following preclinical testing, products with the greatest potential become lead candidates and are advanced into clinical trials (human testing) with the intent of having them receive regulatory approval for marketing.

    The Company’s primary ongoing Researchresearch and Developmentdevelopment activity is the development and implementation of a new regulatory, brand and life cycle management strategy for AGGRASTAT®AGGRASTAT®. While the Company believes that it will be ableThe extent to finalize a relatively low cost clinical, product and regulatory strategy, it requires additional resources to implement this plan. Until such resources become available,which the Company is workingable to advanceinvest in this program withplan is dependant upon the modest capital investment that it can make from its available cash resources.


    40availability of sufficient finances.

    In February 2008, the Company announced that its pivotal Phase III MEND-CABG II clinical trial with MC-1 did not meet the primary endpoint and as a result were not sufficient to support the filings. This program has been put on hold due to the Company’s limited resources at this time. At such time as the Company’s resources warrant a further review of this program the Company will do so and then make a determination as to what if any further investigation is warranted. The key findings from the study were presented at the American College of Cardiology 57th Annual Scientific Session in April 2008. The trial was designed to evaluate the effect of The Company’s lead product MC-1, versus placebo, on the incidence of cardiovascular death or nonfatal myocardial infarction up toprimary, non-AGGRASTAT® research and including 30 days following coronary artery bypass graft (CABG) surgery. Based on the results, the Company does not plan, in the foreseeable future, on submitting an application for MC-1 marketing approval to the U.S. Food and Drug Administration for the CABG indication. However, the information and findings from the program was used to investigate alternative applications of MC-1 leading to the Company’s current lead drug candidate TARDOXALTM.

    development activity is TARDOXALTM is currently in development for treating the serious neurological disorder tardive dyskinesia (TD)treatment of Tardive Dyskinesia ("TD"). This program evolved from The Company’sMedicure’s extensive clinical experience with MC-1, a naturally occurring small molecule, for new chronic medicalcardiovascular conditions. A modest amount of capital is being used for an ongoing Phase II clinical study of TARDOXALTM. The Company is interested in out-licensing its library of small molecule anti thrombotic drugs.


    38

    The TARDOXALTM and MC-1 programs benefitprogram benefits from over 10 years of work that the CompanyMedicure invested in advancingthe advancement of this compound, through late-stageincluding extensive human clinical testing in acute and chronicunrelated cardiovascular conditions. Over this time the Company invested substantially in numerous animal and human safety and pharmacokinetic studies, product manufacturing and formulation development, efficacy studies in chronic and acute conditions and other laboratorypre-clinical, formulation, manufacturing and non-lab work.safety research and development. The Company believes the information and physical assets resulting from this activity are a valuable assetsasset that will reduce costs and also speed development of this molecule for application to other conditions.TD.

    The Company is also pursuing licensing opportunitiesintends to pursue a license or development partnership for its library of small-molecule anti-thrombotic drugs.

    It is the Company’s intention to actively search for a partnershipTARDOXALTM with a large pharmaceutical Company.company. Such a partnership may provide funding and other resources for Phase II and Phase IIIfurther clinical trials add experience to the product development process, and bring in overall marketing expertise.commercialization. While the Company has had informal discussions with potential partners, no formal agreement, or letter of intent, has been entered into by the Company as of the date hereof.

    Medicure’s library of novel therapeutics includes a series of small molecule dual acting anticoagulant/antiplatelet compounds (including the preclinical lead, MC-45308) which may be useful in treating venous and arterial thrombosis. These compounds, which have shown activity in venous and arterial models of thrombosis, provide a basis for further research, optimization and preclinical development. The Company is interested in out-licensing its library of small molecule anti thrombotic drugs.

    The Company may from time to time evaluate other product opportunities for potential license with the objective of further broadening its product and patent portfolio.

    As outlined in Item 17, Company-sponsored research and development net expenditures for fiscal 20102011 were $393,385 (2009$205,000 (2010 - $22,706;$393,000; 2008 - - $28,660,250)$23,000). During fiscal 2009, the Company, and with the support of our clinical partners and service providers, was able to secure a recovery on certain research and development costs incurred in fiscal 2008 of approximately $970,000.

    Patents and Licenses

    The Company has 3924 issued patents, 23 from the United States Patent Office and one patent from New Zealand providing protection for AGGRASTAT® and certain uses of MC-1 and related compounds in treatment of cardiovascular diseases and other compounds for the use in cardiovascular disease. The Company has also filed 8 regular applications in the United States plus corresponding patent applications in other jurisdictions. The Company will continue to file patents to extend protection of MC-1 and for new compounds in development. The 39 patents currently issued to the Company are as follows:


    41

    Patent Number Issue DateTitle
    5,292,756March 8, 1994Novel Sulfonamide Fibrinogen Receptor Antagonists
    5,658,929August 19, 1997Novel Sulfonamide Fibrinogen Receptor Antagonists
    5,733,916March 31, 1998Prevention and treatment of ischemia-reperfusion and endotoxin-related injury using adenosine and purino receptor antagonists
    5,733,919March 31, 1998Compositions for Inhibiting Platelet Aggregation
    5,814,643September 29, 1998Novel Sulfonamide Fibrinogen Receptor Antagonists
    5,880,136March 9, 1999Novel Sulfonamide Fibrinogen Receptor Antagonists
    5,965,581October 12, 1999Compositions for Inhibiting Platelet Aggregation
    5,972,967October 26, 1999Compositions for Inhibiting Platelet Aggregation
    5,978,698November 2, 1999Angioplasty Procedure Using Nonionic Contrast Media
    6,040,317March 21, 2000Novel Sulfonamide Fibrinogen Receptor Antagonists
    6,043,259March 28, 2000Treatment of Cardiovascular and Related Pathologies
    6,051,587April 18, 2000Treatment of Age Related Hypertension
    6,136,794October 24, 2000Platelet Aggregation Inhibition Using Low Molecular Weight Heparin in Combination with a GP IIb/IIIa Antagonist
    6,339,085January 15, 2002Prodrugs of MC1


    39

    6,417,204July 9, 20025-AZA Analogues
    6,489,345December 3, 2002Treatment of Diabetes and Related Pathologies
    6,538,112March 25, 2003Anticoagulant Test
    6,548,519April 15, 20035-AZA Analogues
    6,586,414July 1, 2003Methods of Treating Stroke
    6,605,612August 12, 2003Mimics of MC1
    6,667,315December 23, 2003Mimics of MC1
    6,677,356January 13, 2004Combination
    6,770,660August 3, 2004Method for Inhibiting Platelet Aggregation
    6,780,997August 24, 2004Cardioprotective Phosphonates and Malonates
    6,861,439March 1, 2005Treatment of Cerebrovascular Disease
    6,867,215March 15, 2005Cardioprotective Phosphonates and Malonates
    6,890,943May 10, 2005Pyridoxal Analogues and Methods of Treatment
    6,897,228May 24, 2005Pyridoxine and Pyridoxal Analogues: Cardiovascular Therapeutics
    7,105,673September 12, 2006Cardioprotective Phosphonates and Malonates
    7,115,625October 3, 2006Treatment of Cardiovascular and Related Pathologies
    7,125,889October 24, 2006Treatment of Cardiovascular and Related Pathologies
    7,132,430November 7, 2006Treatment of Cardiovascular and Related Pathologies


    42

    7,144,892December 5, 2006Treatment of Cardiovascular and Related Pathologies
    7,148,233December 12, 2006Treatment of Cardiovascular and Related Pathologies
    7,230,009June 12, 2007Pyridoxal Analogues and Methods of Treatment
    7,375,112May 20, 2008Compounds and Methods for Reducing Triglyceride Levels
    7,425,570September 16, 2008Pyridoxine and Pyridoxal Analogues: New Uses
    7,442,689October 28, 2008Cardioprotective Phosphonates and Malonates
    7,459,4687,812,037December 2, 2008October 12, 2010Aryl Sulfonic Pyridoxines as Antiplatelet AgentsDual antiplatelet/anticoagulant pyridoxine analogs
    548,346May 13, 2010Combination therapies employing a composition comprising a HMG CoA reductase inhibitor and a vitamin B6 related compound

    Patent 5,733,916 is sublicensed by the Company from ENDACEA, Inc. ENDACEA, Inc. has the right to sublicense the Sublicensed Patents to the Company in accordance with an agreement with the Trustees at the University of Pennsylvania. Pursuant to a Sublicense Agreement dated April 11, 2006, ENDACEA sublicensed the exclusive worldwide use of the patents to the Company. Pursuant to the Sublicense Agreement, the Company has agreed to pay ENDACEA, Inc. a royalty payment on Net Sales of Sublicensed Products sold worldwide. The Sublicense Agreement commenced on April 11, 2006.

    Patents 6,043,259, 6,051,587, 6,339,085, 6,890,943 and 7,230,0096,339,085 are jointly owned by the Company and the University of Manitoba. Pursuant to a Licence Agreement dated August 18, 1997, an Assignment Agreement dated September 26, 1997, an updated License Agreement dated August 30, 1999 and a newly revised version executed November 24, 2006, which supersedes all previous versions, (the ‘‘Licence Agreement’’) the University of Manitoba licensed the exclusive worldwide use of the patents and the MC-1 technology to the Company. Pursuant to the License Agreement, the Company has agreed to pay the University of Manitoba a royalty payment of up to 3% of net sales from any cardiovascular product derived from the MC-1 technology. The License Agreement was originally signed on August 30, 1999 and subsequently amended on November 24, 2006 and shall terminate if a patent or patents, domestic or foreign, are obtained prior to commercialization of a Licensed Product, the expiration date of the last to expire of any patents covered by the Patent Rights.

    The MC-1 technology is derived from work done by employees of the Company and by two employees of the University of Manitoba, Dr. Naranjan Dhalla and Dr. Krishnamurti Dakshinamurti, Professor Emeritus, Department of Biochemistry.

    Patents 5,292,756, 5,658,929, 5,733,919, 5,814,643, 5,880,136, 5,965,581, 5,972,967, 5,978,698, 6,040,317, 6,136,794, 6,538,112 and 6,770,660 were purchased by the Company from MGI GP, INC. (a Delaware corporation doing business as MGI PHARMA and its Affiliate, Artery, LLC). Pursuant to an Asset Purchase Agreement dated August 8, 2006, MGI GP, INC. sold the exclusive use of the patents to the Company in the specified territory (the United States of America including the Commonwealth of Puerto Rico; Guam; and the United States Virgin Islands). Pursuant to the Asset Purchase Agreement the Company agreed to pay MGI GP, INC. a one timeone-time fee for the procurement of the acquired assets. The Asset Purchase Agreement was executed August 8, 2006.

    There are 813 pending regular and provisional United States patent applications, including 74 filed with the United States Patent Office as either regular or provisional applications. Certain of these are owned by the Company by virtue of their inventorship, in whole areor in part, by employees of the Company and, subsequent to June 1, 2000, by CanAm Bioresearch Inc. Effective June 22, 2010, application 10/909,608 lapsed.


    4340

    Much of the work, including some of the research methods, that is important to the success of the Company’s business is germane to the industry and may not be patentable. For this reason all employees, contracted researchers and consultants are bound by non-disclosure agreements.

    Given that the patent applications for these technologies involve complex legal, scientific and factual questions, there can be no assurance that patent applications relating to the technology used by the Company will result in patents being issued, or that, if issued, the patents will provide a competitive advantage or will afford protection against competitors with similar technology, or will not be challenged successfully or circumvented by competitors.

    The Company has filed patents in accordance with the Patent Cooperation Treaty (the ‘‘PCT’’). The PCT is a multilateral treaty that was concluded in Washington in 1970 and entered into force in 1978. It is administered by the International Bureau of the World Intellectual Property Organization (the ‘‘WIPO’’), headquartered in Geneva, Switzerland. The PCT facilitates the obtaining of protection for inventions where such protection is sought in any or all of the PCT contracting states (total of 104 at July 1999). It provides for the filing of one patent application (the ‘‘international application’’), with effect in several contracting states, instead of filing several separate national and/or regional patent applications. At the present time, an international application may include designation for regional patents in respect of contracting states party to any of the following regional patent treaties: The Protocol on Patents and Industrial Designs within the framework of the African Regional Industrial Property Organization, the Eurasian Patent Convention, the European Patent Convention, and the Agreement Establishing the African Intellectual Property Organization. The PCT does not eliminate the necessity of prosecuting the international application in the national phase of processing before the national or regional offices, but it does facilitate such prosecution in several important respects by virtue of the procedures carried out first on all international applications during the international phase of processing under the PCT. The formalities check, the international search and (optionally) the international preliminary examination carried out during the international phase, as well as the automatic deferral of national processing which is entailed; give the applicant more time and a better basis for deciding whether and in what countries to further pursue the application. Further information may be obtained from the official WIPO internet website (http://www.wipo.int).

    On June 1, 2000 the Company entered into the Medicure International Licensing Agreement whereby it licensed the world-wide development and marketing rights for MC-1, except for Canada, to its wholly owned subsidiary, Medicure International, Inc. As consideration for the grant of the license, Medicure International, Inc. agreed to pay the Company a fee of $1.00 upon the completion of specified milestones in the development process, together with a variable royalty of 7% to 9% of net sales of MC-1 (if any sales are ever in fact made). The term of the Medicure International Licensing Agreement will expire on the date of expiration of the last to expire patent on MC-1, or in the absence of any such patent, on the 10th anniversary of the date of the first commercial sale of MC-1 in the country where it was last introduced (if it is ever so introduced). The Medicure International Licensing Agreement may be terminated under a number of circumstances and, in any event, by either party at any time by providing the other with at least 90 days prior written notice of its intention to terminate the Medicure International Licensing Agreement.

    Medicure International, Inc. subsequently entered into a development agreement with CanAm on June 1, 2000 and Clinical Development Research Institute (CDRI) on July 2, 2004 to perform research and development of MC-1 and other compounds at cost, plus a reasonable mark-up not to exceed ten percent of any amount invoiced. The parties to the development agreements have agreed that the aggregate amount of all invoiced expenditures shall not exceed $30,000,000 over the term of each agreement. The development agreement with CDRI is no longer in effect. The term of the CanAm development agreement is to expire on the completion of all research and development activities by CanAm and the written acknowledgment by CanAm and Medicure International, Inc. that no further research projects will be undertaken (see Item 6 - Directors, Senior Management and Employees - A. Directors and Senior Management).undertaken.


    4441

    The development agreements may be terminated under a number of circumstances and, in any event, by Medicure International, Inc. at any time by providing CanAm or CDRI with at least 30 days prior written notice of its intention to terminate, or by CanAm or CDRI at any time by providing Medicure International, Inc,Inc., with at least 90 days prior written notice of its intention to terminate the development agreement.

    The agreements provide that all confidential information developed or made known during the course of the relationship with the Company is to be kept confidential except in specific circumstances.

    D. Trend Information

    Net revenue from the sale of AGGRASTAT® for fiscal 2010 decreased 31%2011 increased 9% over the net revenue for the in fiscal 2009.2010. All of the Company’s sales are denominated in US dollars. The declineincrease is attributable to an increase in wholesale purchasing of AGGRASTAT®, a reduction in hospital discounts and fluctuations in foreign currency exchange rates, an increase in wholesalerrates. Although wholesale purchasing in advance of a price increase introduced during the 3rd quarter of 2010, and a modest decrease ingenerally reflects hospital demand, for AGGRASTAT®. Since then, wholesale purchasing has more closely reflected hospital demand with modestit is also subject to fluctuations attributingattributed to wholesaler inventory adjustments.

    The Company is not aware of any other trends, uncertainties, demands, commitments or events which are reasonably likely to have a material effect upon the Company’s net sales or revenues, income from continuing operations, profitability, liquidity or capital resources, or that would cause reported financial information not necessarily to be indicative of future operating results or financial condition except the potential effect the following items may or may not have:

    E. Off-balance Sheet Arrangements

    As of May 31, 20102011 the Company does not have any off-balance sheet arrangements, other than those disclosed below.


    4542

    F. Contractual Obligations

    The following tables set forth the Company’s contractual obligations as of May 31, 2010:2011:

    Contractual Obligations Payment Due By PeriodContractual Obligations Payment Due By Period
    (in thousands ofUS$)Total20112012201320142015Thereafter
    (in thousands ofCDN$)Total20122013201420152016Thereafter
    Long-term debt obligations1$45,411$2,600$3,500$3,920$4,390$4,917$26,084$43,995$3,798$4,253$4,764$5,335$5,976$19,869
    Purchase Agreement commitments21,852644805403-82375964-
    Management services agreement commitments150
    Management services agreement commitments3180-
    Total$47,413$3,394$4,305$4,323$4,390$4,917$26,084$44,998$4,737$4,317$4,764$5,335$5,976$19,869

    Debt obligations reflect the minimum annual payments under the debt financing agreement, and reflect the contractual terms. As discussed above, as at May 31, 2010 the Company is in default of the payment terms of its long-term debt and accordingly the entire balance of the debt has been classified as a current liability. See also note 2 below.

    agreement. In addition to the contractual obligations disclosed above, the Company and its wholly-owned subsidiaries, have ongoing research and development agreements with third parties in the ordinary course of business. TheThese agreements include the research and development of AGGRASTAT®, TARDOXALTM as well as other projects.product opportunities.

    Effective October 1, 2009,In addition, as at May 31, 2011, the Company entered intohas committed to fund up to a businessmaximum of $3,000,000 in research and administration servicesdevelopment activities under a development agreement with Genesys Venture Inc., a company controlled bycontract research organization. The timing of expenditures and payments is largely at the CEOdiscretion of the Company under which the Company is committed to pay $25,000 per month or $300,000 per annum. The agreement shall be automatically renewed for succeeding terms of one year on terms to be mutually agreed upon by the parties. The Company may terminate this agreement at any time upon 60 days written notice.and

    _________________________________
    1

    In September 2007, the Company entered into a debt financing agreement with Birmingham Associates Ltd. (Birmingham), an affiliate of Elliott Associates, L.P. (Elliott) for a US$25 million up-front cash payment. Under the terms of the agreement, Birmingham will receive a payment based on a percentage of AGGRASTAT®AGGRASTAT® net sales. Birmingham is entitled to a return of 20 percent on the first US$15 million in AGGRASTAT®AGGRASTAT® revenues, 17.5 percent on the next US$10 million, 15 percent on the next $5US$5 million and 5 percent thereafter, subject to an escalating minimum annual return, until May 31, 2020. The minimum annual returns start at US$2.5 million in 2008 and escalate to US$6.9 million in 2017. The total minimum payments over the life of the agreement aggregate to US$49.7 million. Additional information can be found in the Company's Annual Report on Form 20-F for the year ended May 31, 2011, which can be obtained on SEDAR (www.sedar.com).

      

    Birmingham will also receivereceived the option to convert its rights based on AGGRASTAT®AGGRASTAT® to MC-1 within six months after MC-1’s commercialization, if achieved. The exact percentage of AGGRASTAT®AGGRASTAT® or MC-1 revenue that Birmingham will receive iswould have received was tiered and declinesdeclined as certain revenue levels arewere to be achieved. Upon conversion to MC-1, Birmingham iswould have been entitled to a return of 10 percent on the first US$35 million in MC-1 revenues, 5 percent on the next US$40 million in MC-1 revenues and 3 percent thereafter. Birmingham shallwould have also receivereceived a minimum annual return of US$2.6 Million on MC-1 net sales, if approved until May 31, 2020. Birmingham will receivewould have received payments based on MC -1MC-1 revenues until December 31, 2024, unless a novel patent is obtained for MC-1, which could extend the period of payments.

      

    During the 30 day period following the date on which the U.S. Food and Drug Administration shall have first approved MC-1 for sale to the public, the Company may electcould have elected to terminate AGGRASTAT®AGGRASTAT® or MC-1 Debt Payment rights with the payment, prior to the end of such 30 day period of US$70 Million to Birmingham. In addition, upon the approval of MC-1 for a second indication, the Company maycould have once again elect to terminate AGGRASTAT®AGGRASTAT® or MC-1 Debt Payment rights with the payment, prior to the end of such 30 day period of US$120 Million to Birmingham.

      

    With the settlement of the Birmingham long-term debt on July 18, 2011, all associated commitments and obligations were cancelled. Under the debt settlement Birmingham is entitled to a royalty on future AGGRASTAT® sales until 2023.

    2

    In conjunction with the acquisition of AGGRASTAT®, theThe Company has entered into manufacturing and supply agreements to purchase a minimum quantity of AGGRASTAT®AGGRASTAT® from a third party.

    3

    Effective October 1, 2009, the Company entered into a business and administration services agreement with Genesys Venture Inc. (GVI), a company controlled by the Chief Executive Officer, under which the Company is committed to pay $25,000 per month or $300,000 per annum. On October 1, 2010, an amendment was made to the agreement thereby reducing the fees to $15,000 per month, or $180,000 per year effective November 1, 2010. The agreement shall be automatically renewed for succeeding terms of one year on terms to be mutually agreed upon by the parties. The Company may terminate this agreement at any time upon 60 days written notice.



    4643

    In addition, as at May 31, 2010, the Company has committed to fund up to a maximum of $3,000,000 in research and development activities under a development agreement with a contract research organization. The timing of expenditures and payments is largely at the discretion of the Company and the agreements may be terminated at any time provided thirty (30) days notice is provided. Accordingly, no obligations are included in the above table in relatedrelation to these agreements.this agreement.

    The Company periodically enters into research agreements with third parties that include indemnification provisions customary in the industry. These guarantees generally require the Company to compensate the other party for certain damages and costs incurred as a result of claims arising from research and development activities undertaken on behalf of the Company. In some cases, the maximum potential amount of future payments that could be required under these indemnification provisions could be unlimited. These indemnification provisions generally survive termination of the underlying agreement. The nature of the indemnification obligations prevents the Company from making a reasonable estimate of the maximum potential amount it could be required to pay. Historically, the Company has not made any indemnification payments under such agreements and no amount has been accrued in the accompanying financial statements with respect to these indemnification obligations.

    The Company has granted royaltiesa 3% royalty to third partiesthe University of Manitoba based on future commercial net sales of certainMC-1 for cardiovascular uses of MC-1, aggregating up to 3.9% on net sales.uses. To date, no royalties are due and/or payable. Thepayable and, given these development programs have been placed on hold, the Company does not haveanticipate any such royalties to be paid. Such royalty commitments on AGGRASTAT® nor on any future commercial salesdoes not apply to the sale of TARDOXALTM.

    The above commitments exclude any royalty obligations to Birmingham in excess of minimum annual payments pursuant to the debt financing agreement. With the settlement of the Birmingham long-term debt on July 18, 2011, these royalties were cancelled. Under the debt settlement Birmingham is entitled to a royalty on future AGGRASTAT® sales until 2023. The royalty is based on four percent of the first $2,000,000 of quarterly AGGRASTAT® sales and increases on sales exceeding that amount.

    In addition, as part of a transaction on July 6, 2011, Iroko made available to the Company certain analytical methods for testing of AGGRASTAT® in Europe. If the indication currently being pursuedcompany exercises its option to obtain the data and is successful in getting changes to the approved use of AGGRASTAT® in the United States, Iroko will be entitled to receive a royalty of up to US$3.5 million on future AGGRASTAT® sales based on a percentage of sales.

    ITEM 6. DIRECTORS, SENIOR MANAGEMENT AND EMPLOYEES

    A. Directors and Senior Management

    Directors and Senior Management

    The members of the board of directors and senior officers of the Company including a brief biography of each are as follows:

    Dr. Albert D. Friesen, Winnipeg, Manitoba, Canada - Director, President, Chairman and Chief Executive Officer

    The founder of Medicure Inc., Dr. Friesen holds a Ph.D. in protein chemistry from the University of Manitoba. Dr. Friesen played a key role in founding several health industry companies including Rh Pharmaceuticals (acquired by Cangene Inc.), ABI Biotechnology (acquired by Apotex Inc.), Viventia Biotech Inc., Genesys Pharma Inc. and KAM Scientific Inc. Dr. Friesen has experience in the establishment of pharmaceutical production facilities and has also managed and initiated the research and clinical development of several pharmaceutical candidates. Dr. Friesen is a founder of the Industrial Biotechnology Association of Canada (IBAC) and past Chairman of its board of directors and former member of the Industrial Advisory Committee to the Biotechnology Research Institute in Montreal. Dr. Friesen previously served as a senior executive of other publicly-traded companies, including a position as President of Viventia Biotech Inc. (formerly Novopharm Biotech Inc.) In addition to his role with the Company, Dr. Friesen is currently the President and Chairman of Genesys Venture Inc., a biotech incubator, based in Winnipeg. Dr. Friesen provides his services to the Company through A.D. Friesen Enterprises Ltd., his private consulting corporation. Dr. Friesen devotes substantially all of his time to the Company. Date of birth is May 19, 1947


    4744

    Dr. Arnold Naimark, Winnipeg, Manitoba, Canada - Director

    Dr. Arnold Naimark, O.C., O.M., M.D., L.L.D., F.R.C.P.(C), F.R.S.C, FCAHS,. has had a distinguished career in biomedical research, medicine and higher education. He is President Emeritus and Dean of Medicine Emeritus and Professor of Medicine and Physiology at the University of Manitoba, andManitoba. He is currently Director of the University’s Centre for the Advancement of Medicine. He also serves asMedicine, and Chair of the Health CanadaCanada’s Ministerial Science Advisory Board Chairand Chairman of Genome Prairie; as a director of CancerCare Manitoba and member ofPrairie. Dr. Naimark serves on the Research Council of the Canadian Institute for Advanced Research, the National Statistics Council of Canada, as a Member of the CancerCare Manitoba Board, and on the International Advisory Committee on Research of the Alberta Cancer Board, InternationalResearch Institute. He is Vice-Chair of CancerCare Manitoba, the Manitoba Health Research Council and the Audit Committee on Research. Dr. Naimark wasof Statistics Canada. He served as the founding ChairChairman of the North Portage Development Corporation, the Canadian Health Services Research Foundation and of the Canadian Biotechnology Advisory Committee, and has served on many other committees and boards, in such positions as a Director of the Canadian Imperial Bank of Commerce, Chair of the International Review Panel for the MedicalRobarts Research Council of Canada andInstitute. He has served as President of several academic bodies including, the Canadian Physiological Society, the Canadian Society for Clinical Investigation, the Association of Canadian Medical Colleges, the Association of Universities and Colleges of Canada.Canada and as Chairman of the Association of Commonwealth Universities. Dr. Naimark has received several honorary degrees and awards, includingis an Officer of the Order of Canada, anda Member of the Order of Manitoba.Manitoba and a Fellow of the Royal College of Physicians and Surgeons of Canada, the Royal Society of Canada, and the Canadian Academy of Health Sciences. He is recipient of the G. Malcolm Brown Award of the Royal College of Physicians and Surgeons and Medical Research Council of Canada, the Osler Award, the Distinguished Service Award of Ben Gurion University, the Symons Award of the Association of Commonwealth Universities; and of honorary doctorates from Mount Allison University and the University of Toronto, and of several other awards and distinctions related to his professional, academic and civic activities. Date of birth is August24,August 24, 1933.

    Gerald P. McDole, Mississauga, Ontario, Canada, MBA – Director

    Mr. McDole is currently a director of several Canadian healthcare companies. Mr. McDole is Past President of AstraZeneca Canada Inc. He was named President and CEO of AstraZeneca Canada Inc.'s pharmaceutical operations in 1999 and immediately led the merger of Astra Pharma and Zeneca Pharma Inc. Prior to this, Mr. McDole was president and CEO of Astra Pharma Inc., a position he assumed in 1985 after having served as Executive Vice-President. Mr. McDole is a member of the Canadian Healthcare Marketing Hall of Fame, and has been recognized by Canadian Healthcare Manager Magazine with the Who's Who in Healthcare Award in the pharmaceutical category. In recognition of Mr. McDole's outstanding contributions to the biotech and pharmaceutical industries, the University of Manitoba recently established The Gerry McDole Fellowship in Health Policy and Economic Growth. Mr. McDole holds a Bachelor of Science and a Certificate of Business Management from the University of Manitoba, an MBA from Simon Fraser University, and a Business Administration diploma from the University of Toronto. Date of birth is January 25, 1940.


    45

    Peter Quick, Mill Neck, New York, USA - Director

    Mr. Quick currently serves on the Board of Directors for Fund For Thefor the Poor, the Board of Governors of St. Francis Hospital on Long Island, and the National Selection Committee for the Jefferson Scholars Program of the University of Virginia. Mr. Quick is past President and CEO of Quick & Reilly, Inc. and a former President of the American Stock Exchange. Mr. Quick has also served on the Board of Governors of the Chicago Stock Exchange and as Chairman of the Midwest Securities Trust Company. Mr. Quick received a bachelor's degree in engineering from the University of Virginia and attended Stanford University's Graduate School of Petroleum Engineering. He was a lieutenant in the United States Navy, and served four years active duty. Date of birth is February 11, 1956.

    Dawson Reimer, MAES - Vice-President, Operations– President and Chief Operating Officer

    Dawson Reimer proceeded from a Master's Degree in Economic Development, University of Waterloo to be employed as a full-time consultant to the Federal Department of Western Diversification. In this capacity, he conducted entrepreneurship training and developed a business start-up training program. Beginning in 1996, he served as Business Development/Investor Relations with Genesys Pharma Inc. He was also project coordinator for the establishment of the Company's new research and pharmaceutical production facility. In 1997, he began conducting business activities for Genesys Venture Inc., a biotech business incubator, where he has assisted numerous biotechnology ventures in developing business plans, obtaining financing, and developing intellectual property protection. In this capacity, Mr. Reimer became actively involved in the Company at its inception and has been directly employed by the Company since 2001. Mr. Reimer is a son-in-law of Dr. Albert D. Friesen, Director, President, Chairman and Chief Executive Officer. Date of birth is May 7, 1971.


    48

    Eric Johnstone,James Kinley, CA – Chief Financial Officer

    EricJames has acted as The Company’s Chief Financial Officer since October 2009.September 2011. His services are provided to the Company through a Management Services Agreement with Genesys Venture Inc. (“GVI”). In addition to The Company, Mr. Johnstone acts as Chief Financial Officer for Kane Biotech Inc. and Miraculins Inc. and is the Vice-President, Finance of DiaMedica Inc. Previous to his time at GVI and Thethe Company, he was a Manager, Financial Reporting at Manitoba Telecom Services Inc. and was involved in all aspects of Audit and Assurance at BDO Dunwoody LLP, working with a broad cross-section of businesses and organizations in Manitoba and Ontario. Ericfinancial reporting, including publicly filed documents such as their financial statements. James is a Chartered Accountant and holds a Bachelor of Commerce (Hons.) degree from the University of Manitoba. Date of birth is January 15, 1977.July 9, 1978.

    Management

    Dr. Albert D. Friesen - Chairman, President, Chief Executive Officer and Director: Dr. Friesen directs the overall business management of the Company (see “Directors and Senior Management” under this item).

    Dawson Reimer - Vice-President, Operations:President and Chief Operating Officer: Subject to the direction of the Chief Executive Officer, Mr. Reimer holdshas general charge of the responsibilityCorporation’s day to day business activities with a primary focus on its commercial direction, including the advancement and management of commercial operationsnew and managing the internal operations as well as certain other functional areas.existing pharmaceutical products. (See “Directors and Senior Management” under this item)

    Eric Johnstone,James Kinley, CA - Chief Financial Officer and Secretary: Mr. JohnstoneKinley is responsible for the Company’s financial management and accounting practices (see “Directors and Senior Management” under this item).

    Scientific Advisory Board

    The Scientific Advisory Board is called on by the Company’s Management and Board from time to time to provide independent review of research activities and work plans. At present and during the past year, the Company’s R&D activities have been minimal so no meetings were held but members of Scientific Advisory Board remain available to be called on as deemed appropriate. The members of the Scientific Advisory Board and a brief biography of each are as follows:

    Dr. Paul Armstrong - Chairperson

    Dr. Armstrong, Chair of the Scientific Advisory Board, is Professor in the Department of Medicine, University of Alberta in Edmonton. Dr. Armstrong is an internationally recognized cardiologist and clinical investigator with extensive expertise in the design and conduct of clinical trials focused on acute ischemic syndromes and congestive heart failure. Dr. Armstrong has published widely and served as a senior advisor to major organizations and industry.

    Dr. Stephen Hanessian

    Dr. Hanessian is Professor, Department of Chemistry, University of Montreal. Dr. Hanessian is one of North America’s most renowned medicinal chemists with considerable experience in industry collaboration for the discovery of new pharmaceuticals.


    49

    Dr. Morris Karmazyn

    Dr. Karmazyn is a Professor in the Department of Pharmacology and Toxicology at the University of Western Ontario in London, Ontario. Dr. Karmazyn is internationally recognized and has received numerous distinctions for his research in the field of myocardial ischemia and ischemic reperfusion injury.

    Dr. Pierre Theroux

    Dr. Theroux is Professor of Medicine at the University of Montreal and Chief of the Coronary Care Unit at the Montreal Heart Institute. Dr. Theroux’s innovative work is widely recognized and he has contributed extensively to the development of new treatments for acute ischemic heart disease.

    Dr. Jeffrey Weitz

    Dr. Weitz is Professor of Medicine and Haematology at McMaster University in Hamilton where he has contributed extensively to understanding the role of thrombosis and its treatment in cardiovascular disease. Dr. Weitz also brings a wealth of expertise in academic-industrial collaboration and development of new products.

    Dr. Trevor Hassell

    Dr. Hassell is Adjunct Professor of Medicine at the University of the West Indies, Barbados, and Consultant Physician and Cardiologist at the Queen Elizabeth Hospital, also in Barbados. He is President-Elect of the Inter-American Heart Foundation, former President of the Caribbean Cardiac Society and founder, President and member of the Board of Directors of the Heart Foundation of Barbados.

    Dr. A. Michael Lincoff

    Dr. Lincoff is an interventional cardiologist in the Cleveland Clinic Department of Cardiovascular Medicine and a staff cardiologist in the Joseph J. Jacobs Center for Thrombosis and Vascular Biology, Department of Molecular Cardiology at the Cleveland Clinic Research Institute. Dr. Lincoff’s specialty interests focus on high-risk and complex coronary angioplasty, preventing restenosis, treating acute coronary syndromes and acute myocardial infarction, and developing antithrombotic therapy during coronary intervention.46

    B. Compensation

    No compensation of any kind was paid to the directors, and executive officers of the Company during the year ended May 31, 2010,2011, except for the accrual for unpaid board compensation described below and stock-based compensation described in Item 6(E) below and as follows:

    On October 1, 2001, a compensation agreement was entered into between the Company and A.D. Friesen Enterprises Ltd., a corporation owned by Dr. Friesen and subsequently amended on October 1, 2003, October 1, 2005, October 1, 2006, and October 1, 2007. For the year ended May 31, 2010,2011, the Company paid A.D. Friesen Enterprises Ltd., $281,000$201,000 in consulting compensation, including bonuses.taxable benefits. Dr. Friesen is eligible for an annual bonus, if certain objectives of the Company are met, as determined by the Board of Directors.


    50

    Dawson Reimer serves the Company as Vice President Operationsand Chief Operating Officer and received a salary of $135,000$161,000 payable in equal semi-monthly instalments in fiscal 2010.2011.

    During the year ended May 31, 2010,2011, the Company paid directors a total of Nil (Year ended May 31, 2010: Nil; Year ended May 31, 2009: Nil; Year ended May 31, 2008: Nil; Year ended May 31, 2007: Nil; Year ended May 31, 2006: Nil) for consulting fees.

    While theThe Company has agreed to provide its independent directors $2,000 for each quarterly board meeting they personally attend ($1,000 via telephone), and $1,500 for each quarterly executive compensation, nominating and corporate governance committee meeting or audit and finance committee meeting they attend, at presentattend.

    For fiscal 2011 and for the duration of the 2010 fiscal year,prior, due to the CompanysCompany’s current financial position, the board hashad offered and committed not to request, and has therefore not received, any compensation for their services as independent directors. As at May 31, 2011, the Company had accrued director compensation of $295,000 relating to the independent directors’ service as directors .. prior to May 31, 2011.

    The Company does not provide any cash compensation for its directors who are also officers of the Company for their services as directors.

    No pension, retirement fund and other similar benefits have been set aside for the officers and directors of the Company.

    C. Board Practices

    The Board of Directors presently consists of four directors who were elected at the Company’s annual general meeting of the shareholders held on November 27, 2009.29, 2010. Each director holds office until the next annual general meeting of the Company or until his successor is elected or appointed, unless his office is earlier vacated in accordance with the Articles of the Company, or with the provisions of theCanada Business Companys Act. Dr. Albert D. Friesen has served as a director of the Company since September 1997. Dr. Arnold Naimark has served as a director of the Company since March 2000. Gerald McDole has served as a director of the Company since January 2004. Peter Quick has served as a director of the Company since November 2005.

    Audit and Finance Committee

    Pursuant to Section 171 of theCanada Business Companys Act (the “Act”), the Company is required to have an Audit Committee. As at the date hereof, the Audit and Finance Committee is comprised of three independent directors: Gerald McDole (Chair), Dr. Arnold Naimark, and Peter Quick. The relevant experience of each member is described above. (See “Item 6. Directors, Senior Management and Employees”) Section 171(1) of the Act requires the directors of a reporting corporation to elect from among their number a committee composed of not fewer than three directors, of whom a majority must not be officers or employees of the corporation or an affiliate of the corporation. Section 171(3) of the Act provides that, before financial statements are approved by the directors, they must be submitted to the audit committee for review. Section 171(4) of the Act provides that the auditor must be given notice of, and has the right to appear before and to be heard at, every meeting of the audit committee, and must appear before the audit committee when requested to do so by the committee. Finally, section 171(5) of the Act provides that on the request of the auditor, the audit committee must convene a meeting of the audit committee to consider any matters the auditor believes should be brought to the attention of the directors or members.


    47

    Under the Sarbanes-Oxley Act of 2002, the independent auditor of a public Company is prohibited from performing certain non-audit services. The Audit and Finance Committee has adopted procedures and policies for the pre-approval of non-audit services, as described in the audit committee charter.


    51

    AUDIT AND FINANCE COMMITTEE CHARTER

    GENERAL FUNCTIONS, AUTHORITY, AND ROLE

    The purpose of the Audit and Finance Committee is to oversee the accounting and financial reporting processes of the Company and the audits of its financial statements, and thereby assist the Board in monitoring (1) the integrity of the financial statements of the Company, (2) compliance by the Company with ethical policies and legal and regulatory requirements related to financial reporting, (3) the appointment, compensation, qualifications, independence and performance of the Company’s internal and external auditors, (4) the performance of the Company's independent auditors, and (5) performance of the Company's internal controls and financial reporting process.

    The Audit and Finance Committee has the power to conduct or authorize investigations into any matters within its scope of responsibilities, with full access to all books, records, facilities and personnel of the Company, its auditors and its legal advisors. In connection with such investigations or otherwise in the course of fulfilling its responsibilities under this charter, the Audit and Finance Committee has the authority to independently retain special legal, accounting, or other consultants to advise it, and may request any officer or employee of the Company, its independent legal counsel or independent auditor to attend a meeting of the Audit and Finance Committee or to meet with any members of, or consultants to, the Audit and Finance Committee. The Audit and Finance Committee has the power to create specific sub-committees with all of the power to conduct or authorize investigations into any matters within the scope of the mandate of the sub-committee, with full access to all books, records, facilities and personnel of the Company, its auditors and its legal advisors.

    The Company's independent auditor is ultimately accountable to the Board of Directors and to the Audit and Finance Committee, who, as representatives of the Company's shareholders, have the authority and responsibility to evaluate the independent auditor, appoint and replace the independent auditor, and to determine appropriate compensation for the independent auditor. In the course of fulfilling its specific responsibilities hereunder, the Audit and Finance Committee must maintain free and open communication between the Company's independent auditors, Board of Directors and Company management. The responsibilities of a member of the Audit and Finance Committee are in addition to such member's duties as a member of the Board of Directors.


    48

    While the Audit and Finance Committee has the responsibilities and powers set forth in this charter, it is not the duty of the Audit and Finance Committee to plan or conduct audits or to determine that the Company's financial statements are complete, accurate, and in accordance with generally accepted accounting principles. This is the responsibility of management and the independent auditor. Nor is it the duty of the Audit and Finance Committee to conduct investigations, to resolve disagreements, if any, between management and the independent auditor or to assure compliance with laws and regulations and the Company’s Code of Ethics. Any responsibilities that the Audit and Finance Committee has the power to act upon, may be recommended to the Board to act upon.

    MEMBERSHIP

    The membership of the Audit and Finance Committee will be as follows:

    The Committee shall consist of a minimum of three members of the Board of Directors, appointed from time to time, each of whom is affirmatively confirmed as independent by the Board of Directors, with such affirmation disclosed in the Company's annual Information Circular.

    The Board will elect, by a majority vote, one member as chairperson.


    52

    The members of the Audit and Finance Committee will meet all independence and financial literacy requirements of The American Stock Exchange, The Toronto Stock Exchange, Rule 10A-3 of the Securities Exchange Act of 1934, as amended, Multilateral Instrument 52-110 and the requirements of such other securities exchange or quotations system or regulatory agency as may from time to time apply to the Company.

    A member of the Audit and Finance Committee may not, other than in his or her capacity as a member of the Audit and Finance Committee, the Board of Directors, or any other Board committee, accept any consulting, advisory, or other compensatory fee from the Company, and may not be an affiliated person of the Company or any subsidiary thereof.

    RESPONSIBILITIES

    The responsibilities of the Audit and Finance Committee shall be as follows:

    Frequency of Meetings

    Meet quarterly or more often as may be deemed necessary or appropriate in its judgment, either in person or telephonically.

    The Audit and Finance Committee will meet with the independent auditor at least quarterly, either in person or telephonically.

    Reporting Responsibilities

    Provide to the Board of Directors proper Committee minutes.

    Report Committee actions to the Board of Directors with such recommendations as the Committee may deem appropriate.


    49

    Charter Evaluation

    Annually review and reassess the adequacy of this Charter and recommend any proposed changes to the Board of Directors for approval.

    Whistleblower Mechanism

    Adopt and review annually a procedure through which employees and others can anonymously inform the Audit and Finance Committee regarding any concerns about the Company's accounting, internal accounting controls or auditing matters. The procedure shall include responding to and the retention of, any such complaints.

    Legal Responsibilities

    Perform such functions as may be assigned by law, by the Company's certificate of incorporation, memorandum, articles or similar documents, or by the Board of Directors.


    53

    INDEPENDENT AUDITOR

    Nominations

    Nominates annually the independent auditor to be proposed for shareholder approval.

    Compensation and Evaluation

    Approve the compensation of the independent auditor, evaluate the performance of the independent auditor and, if so determined by the Committee, replace the independent auditor.

    Pre-approve all “related party transactions,” which are transactions or loans between the Company and a related party involving goods, services, or tangible or intangible assets that are (1) material to the Company or the related party, or (2) unusual in their nature or conditions. A related party includes an affiliate, major shareholder, officer, other key management personnel or director of the Company, a Company controlled by any of those parties or a family member of any of those parties.

    Engagement Procedures for Audit and Non-audit Services

    Approve in advance all audit services to be provided by the independent auditor. Establish policies and procedures that establish a requirement for approval in advance of the engagement of the independent auditor to provide permitted non-audit services and to prohibit the engagement of the independent auditor for any activities or services not permitted by any of the Canadian provincial securities commissions, the SEC or any securities exchange on which the Company's shares are traded including any of the following ten types of non-audit services:

    Bookkeeping or other services related to accounting records or financial statements of the Company;

    Financial information systems design and implementation consulting services;

    Appraisal or valuation services, fairness opinions, or contributions-in-kind reports;

    Actuarial services;


    50

    Internal audit outsourcing services;

    Any management or human resources function;

    Broker, dealer, investment advisor, or investment banking services;

    Legal services;

    Expert services related to the auditing service; and

    Any other service the Board of Directors determines is not permitted.

    Hiring Practices

    Ensure that no individual who is, or in the past 3 years has been, affiliated with or employed by a present or former auditor of the Company or an affiliate, is hired by the Company as a senior officer until at least 3 years after the end of either the affiliation or the auditing relationship.


    54

    Independence Test

    Take reasonable steps to confirm the independence of the independent auditor, which shall annually include:

    Ensuring receipt from the independent auditor of a formal written statement delineating all relationships between the independent auditor and the Company, consistent with the Independence Standards Board Standard No. 1 and related Canadian regulatory body standards;

    Considering and discussing with the independent auditor any relationships or services provided to the Company, including non-audit services, that may impact the objectivity and independence of the independent auditor; and

    As necessary, taking, or recommending that the Board of Directors take, appropriate action to oversee the independence of the independent auditor and evaluate whether it is appropriate to rotate the independent auditor on a regular basis.

    Audit and Finance Committee Meetings

    Notify the independent auditor of every Audit and Finance Committee meeting and permit the independent auditor to appear and speak at those meetings.

    At the request of the independent auditor, convene a meeting of the Audit and Finance Committee to consider matters the auditor believes should be brought to the attention of the directors or shareholders.

    Keep minutes of its meetings and report to the Board for approval of any actions taken or recommendations made.

    Restrictions

    Confirm with management and the independent auditor that no restrictions are placed on the scope of the auditors' review and examination of the Company's accounts.


    51

    OTHER PROFESSIONAL CONSULTING SERVICES

    Engagement Review

    As necessary, consider with management the rationale and selection criteria for engaging professional consulting services firms.

    Ultimate authority and responsibility to select, evaluate and approve professional consulting services engagements.

    AUDIT AND REVIEW PROCESS AND RESULTS

    Scope

    Consider, in consultation with the independent auditor, the audit scope, staffing and planning of the independent auditor.


    55

    Review Process and Results

    Consider and review with the independent auditor the matters required to be discussed by Statement on Auditing Standards No. 61, as the same may be modified or supplemented from time to time.

    Review and discuss with management and the independent auditor at the completion of annual and quarterly examinations:

    The Company's audited and unaudited financial statements and related notes;

    The Company's MD&A and news releases related to financial results;

    The independent auditor's audit of the financial statements and its report thereon;

    Any significant changes required in the independent auditor's audit plan;

    The appropriateness of the presentation of any non-GAAP related financial information;

    Any serious difficulties or disputes with management encountered during the course of the audit; and

    Other matters related to the conduct of the audit, which are to be communicated to the Audit and Finance Committee under generally accepted auditing standards.

    Review the management letter delivered by the independent auditor in connection with the audit.

    Following such review and discussion, if so determined by the Committee, recommend to the Board that the annual financial statements be included in the Company's annual report.

    Review, discuss with management and approve annual and interim quarterly financial statements prior to public disclosure. The chairperson of the Audit and Finance Committee may represent the entire Audit and Finance Committee for purposes of this review.

    Review and discuss with management and the independent auditor the adequacy of the Company's internal accounting and financial controls that management and the Board of Directors have established and the effectiveness of those systems, and inquire of management and the independent auditor about significant financial risks or exposures and the steps management has taken to minimize such risks to the Company.


    52

    Meet separately with the independent auditor and management, as necessary or appropriate, to discuss any matters that the Audit and Finance Committee or any of these groups believe should be discussed privately with the Audit and Finance Committee.

    Review and discuss with management and the independent auditor the accounting policies which may be viewed as critical, including all alternative treatments for financial information within generally accepted accounting principles that have been discussed with management, and review and discuss any significant changes in the accounting policies of the Company and industry accounting and regulatory financial reporting proposals that may have a significant impact on the Company's financial reports.

    Review with management and the independent auditor the effect of regulatory and accounting initiatives as well as off-balance sheet structures, if any, on the Company's financial statements.


    56

    Review with management and the independent auditor any correspondence with regulators or governmental agencies and any employee complaints or published reports which raise material issues regarding the Company's financial statements or accounting policies.

    Review with the Company's General Counsel legal matters that may have a material impact on the financial statements, the Company's financial compliance policies and any material reports or inquiries received from regulators or governmental agencies related to financial matters.

    SECURITIES REGULATORY FILINGS

    Review filings with the Canadian provincial securities commissions and the SEC and other published documents containing the Company's financial statements.

    Review, with management and the independent auditor, prior to filing with regulatory bodies, the interim quarterly financial reports (including related notes and MD&A) at the completion of any review engagement or other examination. The chairperson of the Audit and Finance Committee may represent the entire Audit and Finance Committee for purposes of this review.

    RISK ASSESSMENT

    Meet periodically with management to review the Company's major financial risk exposures and the steps management has taken to monitor and control such exposures.

    Assess risk areas and policies to manage risk including, without limitation, environmental risk, insurance coverage and other areas as determined by the Board of Directors from time to time.

    Review and discuss with management, and approve changes to, the Company's Corporate Treasury Policy.

    ADOPTION OF AUDIT AND FINANCE COMMITTEE CHARTER

    This charter was originally adopted by the Board of Directors on August 23, 2004 and is reviewed and amended as necessary on an annual basis.


    53

    Executive Compensation, Nominating and Corporate Governance Committee

    The Executive Compensation, Nominating and Corporate Governance Committee is responsible for determining the compensation of executive officers of the Company. The current members of the Committee are Dr. Arnold Naimark (Chair), Gerald McDole and Peter Quick, none of whom is a current or former executive officer of the Company. The Committee meets at least once a year.

    The Committee has developed a policy to govern the Company's approach to corporate governance issues and provides a forum for concerns of individual directors about matters not easily or readily discussed in a full board meeting, e.g., the performance of management. The Committee ensures there is a clear definition and separation of the responsibilities of the Board, the Committees of the Board, the Chief Executive Officer and other management employees. It also ensures there is a process in place for the orientation and education of new directors and for continuing education of the Board. The Committee also assesses the effectiveness of the Board and its committees on an ongoing ad hoc basis. It also reviews at least annually the Company's responsiveness to environmental impact, health and safety and other regulatory standards.


    57

    The Committee reviews the objectives, performance and compensation of the Chief Executive Officer at least annually and makes recommendations to the Board for change. The Committee makes recommendations based upon the Chief Executive Officer’s suggestions regarding the salaries and incentive compensation for senior officers of the Company. The Committee also reviews significant changes to compensation, benefits and human resources policies and compliance with current human resource management practices, such as pay equity, performance review and staff development. The Committee is responsible for reviewing and recommending changes to the compensation of directors as necessary.

    The charter of the Executive Compensation, Nominating and Corporate Governance Committee can be found on the Company’s website at www.medicure.com.

    D. Employees

    In addition to the individuals disclosed in Section A. Directors and Senior Management of this item, the Company has 64 employees. During the year ended May 31, 2010, the Company outsourced some of its general, administrative and research activities.

    E. Share Ownership

    With respect to the persons referred to above in Section B, Compensation, the following table discloses the number of shares (each share possessing identical voting rights), stock options held and percent of the shares outstanding held by those persons at May 31, 2010.2011.

    Title of ClassIdentity of Person or GroupAmount OwnedPercentage of ClassIdentity of Person or GroupAmount Owned  Percentage of Class 
           
    Common sharesDr. Albert D. Friesen(1)9,621,699(1)7.38%Dr. Albert D. Friesen(1)(2)(3)9,621,699(1) 7.38%
    Common sharesDr. Arnold NaimarkNilNilDr. Arnold NaimarkNil  Nil 
    Common sharesGerald P. McDole10,0000.01%Gerald P. McDole10,000  0.01%
    Common sharesPeter QuickNilNilPeter QuickNil  Nil 
    Common sharesEric JohnstoneNilNilJames KinleyNil  Nil 
    Common sharesDawson Reimer289,7350.22%Dawson Reimer289,735  0.22%


    54

    (1)

    Dr. Albert D. Friesen holds 2,837,500 shares personally or in an RRSP, a Canadian individual retirement plan. The rest of the shares are held by ADF Family Holding Corp., his wife Mrs. Leona M. Friesen, and CentreStone Ventures Limited Partnership Fund (the “Fund”). Dr. Friesen is the General Partner of the Fund.

    (2)

    On July 18, 2011, the Company issued 20,000,000 common shares of the Company to Dr. Albert D. Friesen and entities controlled by Dr. Albert D. Friesen for consideration relating to the guarantee of a loan obtained subsequent to May 31, 2011, as described in Note 16 to the accompanying financial statements.

    (3)

    Additionally, Dr. Albert D. Friesen purchased an additional 200,000 shares subsequent to May 31, 2011 on the open market.



    58

    Incentive Stock Options

    The following table discloses the stock options beneficially held by the aforementioned persons, as of May 31, 2010.2011. The stock options are for shares of Common Stock of the Company.



    Name of Person
    Number of
    Shares
    Subject to
    Issuance
    Exercise
    Price per
    Share


    Expiry Date
    Dr. Albert D. Friesen
    150,000
    150,000
    $1.65
    $1.63
    December 6, 2015
    October 14, 2016
    Dr. Arnold Naimark


    35,000
    110,000
    50,000
    10,000
    $1.65
    $0.98
    $0.04
    $0.04
    December 6, 2015
    December 11, 2017
    September 3, 2018
    April 16, 2019
    Gerald P. McDole


    75,000
    10,000
    50,000
    10,000
    $1.65
    $0.98
    $0.04
    $0.04
    December 6, 2015
    December 11, 2017
    September 3, 2018
    April 16, 2019
    Peter Quick



    100,000
    50,000
    10,000
    50,000
    10,000
    $1.65
    $1.54
    $0.98
    $0.04
    $0.04
    December 6, 2015
    January 16, 2017
    December 11, 2017
    September 3, 2018
    April 16, 2019
    Eric JohnstoneJames Kinleyniln/an/a
    Dawson Reimer

    65,000
    100,000
    100,000
    $1.65
    $1.63
    $0.03
    December 6, 2015
    October 14, 2016
    November 10, 2018

    The Company has established an Incentive Stock Option Plan (the ‘‘Plan’’) for its directors, key officers, employees and consultants. Options granted pursuant to the Plan will not exceed a term of ten years and are granted at an option price and on other terms which the directors determine is necessary to achieve the goal of the Plan and in accordance with regulatory requirements, including those of the TSX Venture Exchange. Each option entitles the holder thereof to purchase one (1) Common Share of the Company on the terms set forth in the Plan and in such purchaser’s specific stock option agreement. The option price may be at a discount to market price, which discount will not, in any event, exceed that permitted by any stock exchange on which the Company’s Common Shares are listed for trading.


    55

    The number of Common Shares allocated to the Plan, the exercise period for the options (not to exceed five years), and the vesting provisions for the options will be determined by the board of directors of the Company from time to time. The aggregate number of shares reserved for issuance under the Plan, together with any other employee stock option plans, options for services and employee stock purchase plans, will not exceed 10% of the issued and outstanding Common Shares.

    The Common Shares issued pursuant to the exercise of options, when fully paid for by a participant, are not included in the calculation of Common Shares allocated to or within the Plan. Should a participant cease to be eligible due to the loss of corporate office (being that of an officer or director) or employment, the option shall cease for varying periods not exceeding 90 days. Loss of eligibility for consultants is regulated by specific rules imposed by the directors when the option is granted to the appropriate consultant. The Plan also provides that estates of deceased participants can exercise their options for a period not exceeding one year following death.


    59On July 18, 2011, the Company issued 12,542,000 stock options under the Company's approved stock option plan to employees and consultants of the Company, including the chief executive officer and chief operating officer, at an exercise price of $0.10 per common share. The options vested immediately and expire after ten years.

    ITEM 7. MAJOR SHAREHOLDERS AND RELATED PARTY TRANSACTIONS

    A. Major Shareholders

    As of May 31, 2010,2011, the following table sets forth the beneficial ownership of the Company's common shares by each person known by the Company to own beneficially more than 5% of the issued and outstanding common shares of the Company. Information as to shares beneficially owned, directly or indirectly, by each nominee or over which each nominee exercises control or direction, not being within the knowledge of the Company, has been furnished by the respective nominees individually. CDS & Company, Toronto, Ontario is a clearing house that owns approximately 76,483,337 (58.7%) of common shares of the Company on behalf of beneficial owners. The Company does not know the majority of the ultimate beneficial owners of these common shares.

    Title of ClassIdentity of Person or GroupAmount OwnedPercentage of ClassIdentity of Person or GroupAmount OwnedPercentage of Class
       
    Common shares
    Dr. Albert D. Friesen(2)
    Winnipeg, Manitoba
    9,621,699(1)
    7.38%
    Dr. Albert D. Friesen(2)(3)(4)
    Winnipeg, Manitoba
    9,621,699(1)
    7.38%
    Common shares
    Dr. Lars Hoie
    London, England
    20,018,230
    15.36%
    Dr. Lars Hoie
    London, England
    20,018,230
    15.36%

    Notes:

    Notes:
    (1)

    Amount of shares as of May 31, 2010.2011.

    (2)

    Dr. Albert Friesen holds 2,837,500 shares personally or in an RRSP. The rest of the shares are held by ADF Family Holding Corp., his wife Mrs. Leona M. Friesen, and the Fund.

    (3)

    On July 18, 2011, the Company issued 20,000,000 common shares of the Company to Dr. Albert D. Friesen and entities controlled by Dr. Albert D. Friesen for consideration relating to the guarantee of a loan obtained subsequent to May 31, 2011, as described in Note 16 to the accompanying financial statements.

    (4)

    Additionally, Dr. Albert D. Friesen purchased an additional 200,000 shares subsequent to May 31, 2011 on the open market.



    56

    As of April 27, 2009, there were approximately 6,860 shareholders of record worldwide. As of this date there were approximately 1,602 shareholders of record in the United States holding a total of 24,906,240 common shares of the Company.

    To the best of the Company's knowledge, it is not owned or controlled, directly or indirectly, by another Company, by any foreign government or by any other natural or legal person severally or jointly.

    As of May 31, 2010,2011, the total number of issued and outstanding common shares of the Company beneficially owned by the directors and executive officers of the Company as a group was 10,940,499 (or 8.40% of common shares).

    To the best of the Company's knowledge, there are no arrangements, the operation of which at a subsequent date will result in a change in control of the Company.

    The major shareholders do not have any special voting rights.

    B. Related Party Transactions

    Other than as set forth below, management of the Company is not aware of any material interest, direct or indirect, of any director or officer of the Company, any person beneficially owning, directly or indirectly, more than 10% of the Company’s voting securities, or any associate or affiliate of any such person in any transaction within the last three years or in any proposed transaction which in either case has materially affected or will materially affect the Company or its subsidiaries.


    60

    On October 1, 2001, a two-year consulting contract was entered into with A.D. Friesen Enterprises Ltd., a corporation owned by Dr. Friesen. This agreement, which was subsequently amended on February 1, 2002, paid A.D. Friesen Enterprises Ltd. an annual salary of $150,000 payable in monthly instalments. On October 1, 2003 a new two year consulting contract was entered into with A.D. Friesen Enterprises Ltd. for an annual salary of $175,000. On October 1, 2005, a one-year consulting contract was entered into with A.D. Friesen Enterprises Ltd. for an annual salary of $200,000. On October 1, 2006, a two-year consulting contract was entered into with A.D. Friesen Enterprises Ltd. for an annual salary of $250,000. On October 1, 2007, a consulting contract was entered into with A.D. Friesen Enterprises Ltd. for an annual salary of $275,000. The consulting contract expired on December 31, 2008. During the year ended May 31, 2008, the Company paid a total of $272,249 to A.D. Friesen Enterprises Ltd. This salary is reviewed annually by the Board. Dr. Friesen is also eligible for grants of incentive stock options and bonuses, if certain objectives between the Board and Dr. Friesen are met, as determined by the Board. During the year ended May 31, 2011, the Company paid a total of $201,000 to A.D. Friesen Enterprises Ltd. During the year ended May 31, 2010 the Company paid a total of $281,000 to A.D. Friesen Enterprises Ltd. During the year ended May 31, 2009, the Company paid a total of $281,000 to A.D. Friesen Enterprises Ltd. During the year ended May 31, 2008, the Company paid a total of $272,249 to A.D. Friesen Enterprises Ltd.

    Dr. Friesen, a director, the Chairman, the President and the Chief Executive Officer of the Company also owns a leasing company, Waverley Business and Science Centre Inc. (1200 Waverley Street, Winnipeg) which entered into a lease with the Company as of March 1, 2002. The lease agreement was subsequently amended on March 15, 2005. Pursuant to this agreement, the Company leased approximately 4,000 square feet of office space from Waverley Business and Science Centre Inc. for minimum annual rental payments of $44,264, with additional overhead payable under the lease dependant on usage. The lease terminated effective October 31, 2010. Also in October 2010, the Company entered into a lease with South Waverley Business and Science Centre Inc. (1250 Waverley Street, Winnipeg), which is a leasing company also owned by Dr. Friesen. Pursuant to this agreement, as at May 31, 2011, the Company has leased approximately 750 scquare feet of office space. During the fiscal year 2011, $17,671 was paid for base and additional rent. During fiscal 2010, $28,754$45,477 was paid for base and additional rent. During fiscal 2009, $69,012 was paid for base and additional rent. During fiscal 2008, $69,012 was paid for base and additional rent.


    57

    Dr. Friesen, a director, the Chairman, the President and the Chief Executive Officer of the Company is also the majority shareholder in a management service company, Genesys Venture Inc. which entered into a management service agreement with the Company as of October 1, 2010. The Chief Financial Officer's services, intellectual property management, accounting, payroll, human resources, and information technology are provided pursuant to this agreement. During fiscal 2010, $175,0002011 $225,000 was paid in accordance with the terms of this agreement.

    Dr. Friesen, a director, the Chairman, the President and the Chief Executive Officer of the Company also owns a clinical research organization, GVI Clinical Development Solutions Inc. (“GVI CDS”) which entered into the following clinical research contracts with the Company;

    Nature of AgreementEffective DateTerms
    Regulatory affairs supportJune 22, 2009Services provided as needed.
    Pharmacovigilance and medical affairs support

    August 1, 2009

    Monthly retainer of $4,000, plus
    hourly charges for pharmacovigilance
    services outside base services.
    Quality assurance supportJune 1, 2010Services provided as needed.
    AGGRASTAT®clinical trial management
    May 1, 2010
    Services provided for on an hourly fee
    basis under terms of the contract.

    During the fiscal 2010, $88,9182011, $169,762 was paid to GVI CDS.


    61

    C. Interests of Experts and Counsel

    Not applicable

    ITEM 8. FINANCIAL INFORMATION

    A. Consolidated Statements or Other Financial Information

    Financial Statements

    Included in Item 17 hereto are the consolidated financial statements of the Company for the years ended May 31, 2011, 2010 2009 and 2008.2009. The consolidated financial statements including related notes are accompanied by the report of the Company’s independent registered public accounting firm, KPMG LLP.

    Legal Proceedings

    There are no legal or arbitration proceedings, including those relating to bankruptcy, receivership or similar proceedings and those involving any third party, which may have, or have had in the recent past, significant effects on the Company’s financial position or profitability. There are no significant legal proceedings to which the Company is a party, nor to the best of the knowledge of the Company’s management are any legal proceedings contemplated.


    58

    Dividend Policy

    The Company has not paid dividends in the past and it has no present intention of paying dividends on its shares as it anticipates that all available funds will be invested to finance the growth of its business. The directors of the Company will determine if and when dividends should be declared and paid in the future based upon the Company’s financial position at the relevant time. All of the Company’s Shares are entitled to an equal share of any dividends declared and paid.

    ITEM 9. THE OFFERING AND LISTING

    A. Listing Details

    The Company's common shares are listed and traded on NEX board of the TSX Venture Exchange (“NEX”) under the symbol “MPH.H”. Prior to March 26, 2010, The Company’s shares traded on the Toronto Stock Exchange. The historical trading data for the common shares of the Company on the above-mentioned exchanges is set out below.

     TSX/NEXTSX/NEXAmex(1)Amex(1)
    Fiscal Period/Year EndedHigh ($)Low ($)High ($US)Low
        ($US)
    May 31, 20100.060.01(2)(2)
    May 31, 20090.060.02(2)(2)
    May 31, 20081.700.061.640.05
    May 31, 20071.881.101.700.91
    May 31, 20062.370.832.070.66


     TSX/NEXTSX/NEXAmex(1)Amex(1)
    Fiscal Period/Year EndedHigh ($)Low ($)High ($US)Low
        ($US)
    May 31, 20110.030.005(2)(2)
    May 31, 20100.060.01(2)(2)
    May 31, 20090.060.02(2)(2)
    May 31, 20081.700.061.640.05
    May 31, 20071.881.101.700.91
         
    Fiscal Quarter Ended
         
    May 31, 20110.030.005  
    February 28, 20110.020.01  
    November 30, 20100.020.01  
    August 31, 20100.0250,01  
    May 31, 20100.040.02  
    February 28, 20100.060.02  
    November 30, 20090.050.01  
    August 30, 20090.020.01  
         
    Month    
         
    August 20110.0450.03  
    July 20110.0750.02  
    June 20110.030.015  
    May 20110.030.005  
    April 20110.0150.005  
    March 20110.0150.01  

    62Note:

    Fiscal Quarter Ended    
         
    May 31, 20100.040.02  
    February 28, 20100.060.02  
    November 30, 20090.050.01  
    August 30, 20090.020.01  
    May 31, 20090.040.03  
    February 28, 20090.040.02  
    November 30, 20080.060.02  
    August 31, 20080.050.02  
         
    Month    
         
    August 20100.020.01  
    July 20100.020.01  
    June 20100.030.02  
    May 20100.020.01  
    April 20100.030.01  
    March 20100.020.01  

    Note:
    (1)

    The Company commenced trading on the American Stock Exchange on February 17, 2004.

    (2)

    The Company ceased trading on the American Stock Exchange on July 3, 2008.



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    C. Markets

    The Company's common shares commenced trading on the Toronto Stock Exchange on March 15, 2002 and on the American Stock Exchange on February 17, 2004. The Company’s shares ceased trading on the Amex effective July 3, 2008 and transferred from the Toronto Stock Exchange to the NEX board of the TSX Venture Exchange on March 26, 2010.


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    ITEM 10. ADDITIONAL INFORMATION

    A. Share Capital

    Not applicable

    B. Memorandum and Articles of Association

    1.    Objects and Purposes of the Company

    The Memorandum of the Company places no restrictions upon the Company’s objects and purposes.

    2.    Directors

    Under applicable Canadian law, the directors and officers of the Company, in exercising their powers and discharging their duties, must act honestly and in good faith with a view to the best interests of the Company. The directors and officers must also exercise the care, diligence and skill that a reasonably prudent person would exercise in comparable circumstances.

    Section 4.14 of By-Law No.1 of the Company (the “By-Law”) provides that a director shall not be disqualified by reason of his office from contracting with the Company or a subsidiary thereof. Subject to the provisions of theCanada Business Companys Act(the “Act”), a director shall not by reason only of his office be accountable to the Company or its shareholders for any profit or gain realized from a contract or transaction in which he has an interest. Such contract or transaction shall not be voidable by reason only of such interest, or by reason only of the presence of a director so interested at a meeting, or by reason only of his presence being counted in determining a quorum at a meeting of the directors at which such a contract or transaction is approved, provided that a declaration and disclosure of such interest shall have been made at the time and in the manner prescribed by section 120 of the Act, and the director so interested shall have refrained from voting as a director on the resolution approving the contract or transaction (except as permitted by the Act) and such contract shall have been reasonable and fair to the Company and shall have been approved by the directors or shareholders of the Company as required by section 120 of the Act.

    Section 4.01 of the By-Law states that the exact number of directors to form the board shall be determined from time to time by the directors of the Company entitled to vote at regular meetings. A quorum of the board shall be a majority of the board. No business shall be transacted at a meeting unless a quorum is present.

    Section 3.01 of the By-Law states that the board may, without the authorization of the shareholders:

    i)

    borrow money upon the credit of the Company;

    ii)

    issue, reissue, sell or pledge debt obligations of the Company, including bonds, debentures, notes or other evidences of indebtedness or guarantees, whether secured or unsecured;



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    iii)

    subject to section 44 of the Act, give a guarantee on behalf of the Company to secure performance of an obligation of any person; and

    iv)

    mortgage, hypothecate, pledge or otherwise create a security interest in all or any property of the Company, owned or subsequently acquired, to secure any obligation of the Company.

    The borrowing powers of the directors can be varied by amending the By-Law of the Company.


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    There is no provision in the By-Law imposing a requirement for retirement or non-retirement of directors under an age limit requirement.

    Section 4.02 states that a director need not be a shareholder to be qualified as a director.

    3.    Shares

    The Articles of the Company provide that the Company is authorized to issue an unlimited number of shares designated as Common Shares, Class A Common Shares and Preferred Shares. Except for meetings at which only holders of another specified class or series of shares of the Company are entitled to vote separately as a class or series, each holder of the Common and Class A shares is entitled to receive notice of, to attend and to vote at all meetings of the shareholders of the Company. Subject to the rights, privileges, restrictions and conditions attached to any other class of shares of the Company, the holders of the Common and Class A shares are also entitled to receive dividends if, as and when declared by the directors of the Company and are entitled to share equally in the remaining property of the Company upon liquidation, dissolution or winding-up of the Company.

    The Preferred Shares may from time to time be issued in one or more series and, subject to the following provisions, and subject to the sending of articles of amendment in respect thereof, the directors may fix from time to time and before issue a series of Preferred Shares, the number of shares which are to comprise that series and the designation, rights, privileges, restrictions and conditions to be attached to that series of Preferred Shares including, without limiting the generality of the foregoing, the rate or amount of dividends or the method of calculating dividends, the dates of payment of dividends, the redemption, purchase and/or conversion, and any sinking fund or other provisions.

    The Preferred Shares of each series shall, with respect to the payment of dividends and the distribution of assets or return of capital in the event of liquidation, dissolution or winding-up of the Company, whether voluntary or involuntary, or any other return of capital or distribution of the assets of the Company among its shareholders for the purpose of winding-up its affairs, rank on a parity with the Preferred Shares of every other series and be entitled to preference over the Common and Class A Common Shares and over any other shares of the Company ranking junior to the Preferred Shares. The Preferred Shares of any series may also be given other preferences, not inconsistent with these articles, over the Common Shares and Class A Common Shares and any other shares of the Company ranking junior to the Preferred Shares of a series as may be fixed in accordance with terms outlined above.

    If any cumulative dividends or amounts payable on the return of capital in respect of a series of Preferred Shares are not paid in full, all series of Preferred Shares shall participate rateably in respect of accumulated dividends and return of capital.

    Unless the directors otherwise determine in the articles of amendment designating a series of Preferred Shares, the holder of each share or a series of Preferred Shares shall not, as such, be entitled to receive notice of or vote at any meeting of shareholders, except as otherwise specifically provided in the Act.


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    4.    Rights of Shareholders

    Under the Act, shareholders of the Company are entitled to examine, during its usual business hours, the Company’s articles and by-laws, notices of directors and change of directors, any unanimous shareholder agreements, the minutes of meetings and resolutions of shareholders and the list of shareholders.

    Shareholders of the Company may obtain a list of shareholders upon payment of a reasonable fee and sending an affidavit to the Company or its transfer agent stating, among other things, that the list of shareholders will not be used by any person except in connection with an effort to influence the voting of shareholders of the Company, an offer to acquire shares of the Company or any other matter relating to the affairs of the Company.


    65

    Under the Act, shareholders of the Company may apply to a court having jurisdiction directing an investigation to be made of the Company. If it appears to the court that the formation, business or affairs of the Company were conducted for fraudulent or unlawful purposes, or that the powers of the directors were exercised in a manner that is oppressive or unfairly disregards the interests of the shareholders, the court may order an investigation to be made of the Company.

    To change the rights of holders of stock, where such rights are attached to an issued class or series of shares, requires the consent by a separate resolution of the holders of the class or series of shares, as the case may be, requiring a majority of two-thirds of the votes cast.

    The Company is organized under the laws of Canada. The majority of the Company’s directors, officers, and affiliates of the Company, as well as the experts named in this registration statement, are residents of Canada and, to the best of the Company’s knowledge, all or a substantial portion of their assets and all of the Company’s assets are located outside of the United States. As a result, it may be difficult for shareholders of the Company in the United States to effect service of process on the Company or these persons above within the United States, or to realize in the United States upon judgments rendered against the Company or such persons. Additionally, a shareholder of the Company should not assume that the courts of Canada (i) would enforce judgments of U.S. courts obtained in actions against the Company or such persons predicated upon the civil liability provisions of the U.S. federal securities laws or other laws of the United States, or (ii) would enforce, in original actions, liabilities against the Company or such persons predicated upon the U.S. federal securities laws or other laws of the United States.

    Laws in the United States and judgments of U.S. courts would generally be enforced by a court of Canada unless such laws or judgments are contrary to public policy in Canada, are or arise from foreign penal laws or laws that deal with taxation or the taking of property by a foreign government and are not in compliance with applicable laws in Canada regarding the limitation of actions. Further, a judgment obtained in a U.S. court would generally be recognized by a court of Canada, except under the following examples:

    i)

    the judgment was rendered in a U.S. court that had no jurisdiction according to applicable laws in Canada;

    ii)

    the judgment was subject to ordinary remedy (appeal, judicial review and any other judicial proceeding which renders the judgment not final, conclusive or enforceable under the laws of the applicable state) or not final, conclusive or enforceable under the laws of the applicable state;

    iii)

    the judgment was obtained by fraud or in any manner contrary to natural justice or rendered in contravention of fundamental principles of procedure; and

    iv)

    a dispute between the same parties, based on the same subject matter has given rise to a judgment rendered in a court of Canada or has been decided in a third country and the judgment meets the necessary conditions for recognition in a court of Canada.



    62

    5.    Meetings

    Subject to the provisions of the Act, the annual general meeting of the shareholders shall be on such date in each year as the board of directors may determine, and a special meeting of the shareholders may be convened at any time by order of the President or by the board on their own motion or on the requisition of shareholders as provided for in the Act. Notice of the time and place of each meeting of shareholders shall be given not less than 21 days nor more than 60 days before the date of the meeting to each director and shareholder.


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    A meeting of shareholders may be held without notice at any time and at any place provided a waiver of notice is obtained in accordance with section 136 of the Act. The quorum for the transaction of business at meetings of the shareholders shall consist of not less than one (1) shareholder present or represented by proxy and holding in all not less than five (5%) percent of the issued capital of the Company carrying voting rights. At any meeting of shareholders, every person shall be entitled to vote who, at the time of the taking of a vote (or, if there is a record date for voting, at the close of business on such record date) is entered in the register of shareholders as the holder of one or more shares carrying the right to vote at such meeting, subject to the provisions of the Act.

    6.    Ownership of Securities

    There are no limitations on the right to own securities, imposed by foreign law or by the By-Law or other constituent document of the Company.

    7.    Change in Control of Company

    No provision of the Company’s articles of association, charter or By-Law would have the effect of delaying, deferring, or preventing a change in control of the Company, and operate only with respect to a merger, acquisition or corporate restructuring of the Company or any of its subsidiaries. The Company does have a shareholder rights plan as outlined in Item 3.D – Risk Factors.

    8.    Ownership Threshold

    The Manitoba and OntarioSecurities Acts provide that a person that has direct or indirect beneficial ownership of, control or direction over, or a combination of direct or indirect beneficial ownership of, and control or direction over, securities of the issuer carrying more than 10% of the voting rights attached to all the issuer's outstanding voting securities must, within 10 days of becoming an "insider", file an insider report in the required form effective the date on which the person became an insider, disclosing any direct or indirect beneficial ownership of, or control or direction over, securities of the reporting issuer. The Manitoba and OntarioSecurities Acts also provide for the filing of a report by an "insider" of a reporting issuer who acquires or transfers securities of the issuer. This insider report must be filed within 5 days after the change takes place.

    The U.S. rules governing the ownership threshold above which shareholder ownership must be disclosed are more stringent than those discussed above. Section 13 of the Exchange Act imposes reporting requirements on persons who acquire beneficial ownership (as such term is defined in the Rule 13d-3 under the Exchange Act) of more than 5 per cent of a class of an equity security registered under Section 12 of the Exchange Act. In general, such persons must file, within 10 days after such acquisition, a report of beneficial ownership with the Securities and Exchange Commission containing the information prescribed by the regulations under Section 13 of the Exchange Act. This information is also required to be sent to the issuer of the securities and to each exchange where the securities are traded.


    63

    C. Material Contracts

    The following are the material contracts of the Company, other than those mentioned elsewhere in this Form, to which the Company or any member of the group is a party, for the two years immediately preceding publication of this registration statement.

     a)

    Management services agreement with Genesys Venture Inc., dated October 1, 20102010.

    b)

    Debt settlement agreement between Birmingham Associates Ltd. And the Company dated July 18, 2011.

    c)

    Royalty and guarantee agreement between Birmingham Associates Ltd. And the Company dated July 18, 2011.



    67

    D. Exchange Controls

    There is no law or government decree of regulation in Canada that restricts the export or import of capital, or that affects the remittance of dividends, interest or other payments to a non-resident holder of Common Shares, other than withholding tax requirements. See "Item 7 Taxation."

    There is no limitation imposed by Canadian law or by the articles or other charter documents of the Company on the right of a non-resident to hold or vote the Common Shares or the Class A common shares of the Company, other than as provided in the Investment Canada Act, as amended (the "Investment Act").

    The Investment Act generally prohibits implementation of a reviewable investment by an individual, government or agency thereof, corporation, partnership, trust or joint venture that is a "non-Canadian" as defined in the Investment Act (a "non-Canadian"), unless, after review the Minister responsible for the Investment Act is satisfied that the investment is likely to be of net benefit to Canada. If an investment by a non-Canadian is not a reviewable investment, it nevertheless requires the filing of a short notice which may be given at any time up to 30 days after the implementation of the investment.

    An investment in Common Shares of the Company by a non-Canadian that is a "WTO investor" (an individual or other entity that is a national of, or has the right of permanent residence in, a member of the World Trade Organization, current members of which include the European Community, Germany, Japan, Mexico, the United Kingdom and the United States, or a WTO investor-controlled entity, as defined in the Investment Act) would be reviewable under the Investment Act if it were an investment to acquire direct control, through a purchase of assets or voting interests, of the Company and the value of the assets of the Company equalled or exceeded $184 million, the threshold established for 1999, as indicated on the financial statements of the Company for its fiscal year immediately preceding the implementation of the investment. In subsequent years, such threshold amount may be increased or decreased in accordance with the provisions of the Investment Act.

    An investment in Common Shares of the Company by a non-Canadian, other than a WTO investor, would be reviewable under the Investment Act if it were an investment to acquire direct control of the Company and the value of the assets were $5.0 million or more, as indicated on the financial statements of the Company for its fiscal year immediately preceding the implementation of the investment.

    A non-Canadian, whether a WTO investor or otherwise, would acquire control of the Company for the purposes of the Investment Act if he, she or it acquired a majority of the Common Shares of the Company or acquired all or substantially all of the assets used in conjunction with the Company's business. The acquisition of less than a majority, but one-third or more of the Common Shares of the Company, would be presumed to be an acquisition of control of the Company unless it could be established that the Company was not controlled in fact by the acquirer through the ownership of the Common Shares.


    64

    The Investment Act would not apply to certain transactions in relation to Common Shares of the Company, including:

     (a)

    an acquisition of Common Shares of the Company by any person if the acquisition were made in the ordinary course of that person's business as a trader or dealer in securities;

       
     (b)

    an acquisition of control of the Company in connection with the realization of security granted for a loan or other financial assistance and not for any purpose related to the provisions of the Investment Act; and



    68

     (c)

    an acquisition of control of the Company by reason of an amalgamation, merger, consolidation or corporate reorganization following which the ultimate direct or indirect control in fact of the Company, through the ownership of voting interests, remains unchanged.

    E. Taxation

    U.S. Federal Income Tax Consequences

    The following is a summary of the anticipated material U.S. federal income tax consequences to a U.S. Holder (as defined below) arising from and relating to the acquisition, ownership, and disposition of common shares of (“Common Shares”).

    This summary is for general information purposes only and does not purport to be a complete analysis or listing of all potential U.S. federal income tax consequences that may apply to a U.S. Holder as a result of the acquisition, ownership, and disposition of Common Shares. In addition, this summary does not take into account the individual facts and circumstances of any particular U.S. Holder that may affect the U.S. federal income tax consequences of the acquisition, ownership, and disposition of Common Shares. Accordingly, this summary is not intended to be, and should not be construed as, legal or U.S. federal income tax advice with respect to any U.S. Holder. Each U.S. Holder should consult its own financial advisor, legal counsel, or accountant regarding the U.S. federal income, U.S. state and local, and foreign tax consequences of the acquisition, ownership, and disposition of Common Shares.

    Scope of this Summary

    Authorities

    This summary is based on the Internal Revenue Code of 1986, as amended (the “Code”), Treasury Regulations (whether final, temporary, or proposed), published rulings of the Internal Revenue Service (the “IRS”), published administrative positions of the IRS, the Convention Between Canada and the United States of America with Respect to Taxes on Income and on Capital, signed September 26, 1980, as amended (the “Canada-U.S. Tax Convention”), and U.S. court decisions that are applicable and, in each case, as in effect and available, as of the date of this Annual Report. Any of the authorities on which this summary is based could be changed in a material and adverse manner at any time, and any such change could be applied on a retroactive basis. This summary does not discuss the potential effects, whether adverse or beneficial, of any proposed legislation that, if enacted, could be applied on a retroactive basis.


    65

    U.S. Holders

    For purposes of this summary, a “U.S. Holder” is a beneficial owner of Common Shares that, for U.S. federal income tax purposes, is (a) an individual who is a citizen or resident of the U.S., (b) a corporation, or any other entity classified as a corporation for U.S. federal income tax purposes, that is created or organized in or under the laws of the U.S. or any state in the U.S., including the District of Columbia, (c) an estate if the income of such estate is subject to U.S. federal income tax regardless of the source of such income, or (d) a trust if (i) such trust has validly elected to be treated as a U.S. person for U.S. federal income tax purposes or (ii) a U.S. court is able to exercise primary supervision over the administration of such trust and one or more U.S. persons have the authority to control all substantial decisions of such trust.


    69

    Non-U.S. Holders

    For purposes of this summary, a “non-U.S. Holder” is a beneficial owner of Common Shares other than a U.S. Holder. This summary does not address the U.S. federal income tax consequences of the acquisition, ownership, and disposition of Common Shares to non-U.S. Holders. Accordingly, a non-U.S. Holder should consult its own financial advisor, legal counsel, or accountant regarding the U.S. federal income, U.S. state and local, and foreign tax consequences (including the potential application of and operation of any tax treaties) of the acquisition, ownership, and disposition of Common Shares.

    U.S. Holders Subject to Special U.S. Federal Income Tax Rules Not Addressed

    This summary does not address the U.S. federal income tax consequences of the acquisition, ownership, and disposition of Common Shares to U.S. Holders that are subject to special provisions under the Code, including the following U.S. Holders: (a) U.S. Holders that are tax-exempt organizations, qualified retirement plans, individual retirement accounts, or other tax-deferred accounts; (b) U.S. Holders that are financial institutions, insurance companies, real estate investment trusts, or regulated investment companies; (c) U.S. Holders that are dealers in securities or currencies or U.S. Holders that are traders in securities that elect to apply a mark-to-market accounting method; (d) U.S. Holders that have a “functional currency” other than the U.S. dollar; (e) U.S. Holders that are liable for the alternative minimum tax under the Code; (f) U.S. Holders that own Common Shares as part of a straddle, hedging transaction, conversion transaction, constructive sale, or other arrangement involving more than one position; (g) U.S. Holders that acquired Common Shares in connection with the exercise of employee stock options or otherwise as compensation for services; (h) U.S. Holders that hold Common Shares other than as a capital asset within the meaning of Section 1221 of the Code; (i) U.S. Holders who are U.S. expatriates or former long-term residents of the United States.; or (j) U.S. Holders that own (directly, indirectly, or by attribution) 10% or more of the total combined voting power of the outstanding shares of the Company. U.S. Holders that are subject to special provisions under the Code, including U.S. Holders described immediately above, should consult their own financial advisor, legal counsel or accountant regarding the U.S. federal income, U.S. state and local, and foreign tax consequences of the acquisition, ownership, and disposition of Common Shares.

    If an entity that is classified as a partnership (or “pass-through” entity) for U.S. federal income tax purposes holds Common Shares, the U.S. federal income tax consequences to such partnership (or “pass-through” entity) and the partners of such partnership (or owners of such “pass-through” entity) generally will depend on the activities of the partnership (or “pass-through” entity) and the status of such partners (or owners). Partners of entities that are classified as partnerships (or owners of “pass-through” entities) for U.S. federal income tax purposes should consult their own financial advisor, legal counsel or accountant regarding the U.S. federal income tax consequences of the acquisition, ownership, and disposition of Common Shares.


    66

    Tax Consequences Other than U.S. Federal Income Tax Consequences Not Addressed

    This summary does not address the U.S. state and local, U.S. federal estate and gift, or foreign tax consequences to U.S. Holders of the acquisition, ownership, and disposition of Common Shares. Each U.S. Holder should consult its own financial advisor, legal counsel, or accountant regarding the U.S. state and local, U.S. federal estate and gift, and foreign tax consequences of the acquisition, ownership, and disposition of Common Shares. (See “Taxation—Canadian Federal Income Tax Consequences” above).


    70

    U.S. Federal Income Tax Consequences of the Acquisition, Ownership, and Disposition of Common Shares

    Distributions on Common Shares

    General Taxation of Distributions

    A U.S. Holder that receives a distribution, including a constructive distribution, with respect to the Common Shares will be required to include the amount of such distribution in gross income as a dividend (without reduction for any Canadian income tax withheld from such distribution) to the extent of the current or accumulated “earnings and profits” of the Company. To the extent that a distribution exceeds the current and accumulated “earnings and profits” of the Company, such distribution will be treated (a) first, as a tax-free return of capital to the extent of a U.S. Holder’s tax basis in the Common Shares and, (b) thereafter, as gain from the sale or exchange of such Common Shares. (See more detailed discussion at “Disposition of Common Shares” below).

    Reduced Tax Rates for Certain Dividends

    For taxable years beginning before January 1, 2011, a dividend paid by the Company generally will be taxed at the preferential tax rates applicable to long-term capital gains if (a) the Company is a “qualified foreign corporation” (as defined below), (b) the U.S. Holder receiving such dividend is an individual, estate, or trust, and (c) such dividend is paid on Common Shares that have been held by such U.S. Holder for at least 61 days during the 121-day period beginning 60 days before the “ex-dividend date.” The Company generally will be a “qualified foreign corporation” under Section 1(h)(11) of the Code (a “QFC”) if (a) the Company is eligible for the benefits of the Canada-U.S. Tax Convention, or (b) the Common Shares are readily tradable on an established securities market in the U.S. However, even if the Company satisfies one or more of such requirements, the Company will not be treated as a QFC if the Company is a “passive foreign investment Company” (as defined below) for the taxable year during which the Company pays a dividend or for the preceding taxable year.

    As discussed below, the Company does not believe that it was a “passive foreign investment Company” for the taxable year ended May 31, 2010, and does not expect that it will be a “passive foreign investment Company” for the taxable year ending May 31, 2011. (See more detailed discussion at “Additional Rules that May Apply to U.S. Holders” below). However, there can be no assurance that the IRS will not challenge the determination made by the Company concerning its “passive foreign investment Company” status or that the Company will not be a “passive foreign investment Company” for the current taxable year or any subsequent taxable year. Accordingly, although the Company expects that it may be a QFC for the taxable year ending May 31, 2011, there can be no assurances that the IRS will not challenge the determination made by the Company concerning its QFC status, that the Company will be a QFC for the taxable year ending May 31, 2011 or any subsequent taxable year, or that the Company will be able to certify that it is a QFC in accordance with the certification procedures issued by the Treasury and the IRS.


    67

    If the Company is not a QFC, a dividend paid by the Company to a U.S. Holder, including a U.S. Holder that is an individual, estate, or trust, generally will be taxed at ordinary income tax rates (and not at the preferential tax rates applicable to long-term capital gains). The dividend rules are complex, and each U.S. Holder should consult its own financial advisor, legal counsel, or accountant regarding the dividend rules.


    71

    Distributions Paid in Foreign Currency

    The amount of a distribution paid to a U.S. Holder in foreign currency generally will be equal to the U.S. dollar value of such distribution based on the exchange rate applicable on the date of receipt. A U.S. Holder that does not convert foreign currency received as a distribution into U.S. dollars on the date of receipt generally will have a tax basis in such foreign currency equal to the U.S. dollar value of such foreign currency on the date of receipt. Such a U.S. Holder generally will recognize ordinary income or loss on the subsequent sale or other taxable disposition of such foreign currency (including an exchange for U.S. dollars).

    Dividends Received Deduction

    Dividends paid on the Common Shares generally will not be eligible for the “dividends received deduction.” The availability of the dividends received deduction is subject to complex limitations that are beyond the scope of this discussion, and a U.S. Holder that is a corporation should consult its own financial advisor, legal counsel, or accountant regarding the dividends received deduction.

    Disposition of Common Shares

    A U.S. Holder will recognize gain or loss on the sale or other taxable disposition of Common Shares in an amount equal to the difference, if any, between (a) the amount of cash plus the fair market value of any property received and (b) such U.S. Holder’s tax basis in the Common Shares sold or otherwise disposed of. Any such gain or loss generally will be capital gain or loss, which will be long-term capital gain or loss if the Common Shares are held for more than one year. Gain or loss recognized by a U.S. Holder on the sale or other taxable disposition of Common Shares generally will be treated as “U.S. source” for purposes of applying the U.S. foreign tax credit rules unless the gain is subject to tax in Canada and resourced as “foreign source” under the U.S.-Canada Tax Convention and the U.S. Holder elects to treat such gain as “foreign source”.

    Preferential tax rates apply to long-term capital gains of a U.S. Holder that is an individual, estate, or trust. There are currently no preferential tax rates for long-term capital gains of a U.S. Holder that is a corporation. Deductions for capital losses are subject to significant limitations under the Code.

    The amount realized on a sale or other disposition of Common Shares for an amount in foreign currency will generally be the U.S. dollar value of this amount on the date of sale or disposition. On the settlement date, the U.S. Holder will recognize U.S. source foreign currency gain or loss (taxable as ordinary income or loss) equal to the difference (if any) between the U.S. dollar value of the amount received based on the exchange rates in effect on the date of sale or other disposition and the settlement date.

    Foreign Tax Credit

    A U.S. Holder that pays (whether directly or through withholding) Canadian income tax with respect to dividends paid on the Common Shares generally will be entitled, at the election of such U.S. Holder, to receive either a deduction or a credit for such Canadian income tax paid. Generally, a credit will reduce a U.S. Holder’s U.S. federal income tax liability on a dollar-for-dollar basis, whereas a deduction will reduce a U.S. Holder’s income subject to U.S. federal income tax. This election is made on a year-by-year basis and applies to all foreign taxes paid (whether directly or through withholding) by a U.S. Holder during a year.


    7268

    Complex limitations apply to the foreign tax credit, including the general limitation that the credit cannot exceed the proportionate share of a U.S. Holder’s U.S. federal income tax liability that such U.S. Holder’s “foreign source” taxable income bears to such U.S. Holder’s worldwide taxable income. In applying this limitation, a U.S. Holder’s various items of income and deduction must be classified, under complex rules, as either “foreign source” or “U.S. source.” In addition, this limitation is calculated separately with respect to specific categories of income. Dividends paid by the Company generally will constitute “foreign source” income and generally will be categorized as “passive income.” The foreign tax credit rules are complex, and each U.S. Holder should consult its own financial advisor, legal counsel, or accountant regarding the foreign tax credit rules.

    Information Reporting; Backup Withholding Tax

    Payments made within the U.S., or by a U.S. payor or U.S. middleman, of dividends on, or proceeds arising from the sale or other taxable disposition of, Common Shares generally will be subject to information reporting and backup withholding tax, at the rate of 28%, if a U.S. Holder (a) fails to furnish such U.S. Holder’s correct U.S. taxpayer identification number (generally on Form W-9), (b) furnishes an incorrect U.S. taxpayer identification number, (c) is notified by the IRS that such U.S. Holder has previously failed to properly report items subject to backup withholding tax, or (d) fails to certify, under penalty of perjury, that such U.S. Holder has furnished its correct U.S. taxpayer identification number and that the IRS has not notified such U.S. Holder that it is subject to backup withholding tax. However, U.S. Holders that are corporations generally are excluded from these information reporting and backup withholding tax rules. Any amounts withheld under the U.S. backup withholding tax rules will be allowed as a credit against a U.S. Holder’s U.S. federal income tax liability, if any, or will be refunded, if such U.S. Holder furnishes required information to the IRS. Each U.S. Holder should consult its own financial advisor, legal counsel, or accountant regarding the information reporting and backup withholding tax rules.

    Additional Rules that May Apply to U.S. Holders

    If the Company is a “passive foreign investment Company” (as defined below), the preceding sections of this summary may not describe the U.S. federal income tax consequences to U.S. Holders of the acquisition, ownership, and disposition of Common Shares.

    Passive Foreign Investment Company

    The Company generally will be a “passive foreign investment Company” under Section 1297 of the Code (a “PFIC”) if, for a taxable year, (a) 75% or more of the gross income of the Company for such taxable year is passive income or (b) 50% or more of the assets held by the Company either produce passive income or are held for the production of passive income, based on the fair market value of such assets (or on the adjusted tax basis of such assets, if the Company is not publicly traded and either is a “controlled foreign corporation” or makes an election). “Passive income” includes, for example, dividends, interest, certain rents and royalties, certain gains from the sale of stock and securities, and certain gains from commodities transactions.


    69

    For purposes of the PFIC income test and asset test described above, if the Company owns, directly or indirectly, 25% or more of the total value of the outstanding shares of another foreign corporation, the Company will be treated as if it (a) held a proportionate share of the assets of such other foreign corporation and (b) received directly a proportionate share of the income of such other foreign corporation. In addition, for purposes of the PFIC income test and asset test described above, “passive income” does not include any interest, dividends, rents, or royalties that are received or accrued by the Company from a “related person” (as defined in Section 954(d)(3) of the Code), to the extent such items are properly allocable to the income of such related person that is not passive income.


    73

    In addition, if the Company is a PFIC and owns shares of another foreign corporation that also is a PFIC, under certain indirect ownership rules, a disposition of the shares of such other foreign corporation or a distribution received from such other foreign corporation generally will be treated as an indirect disposition by a U.S. Holder or an indirect distribution received by a U.S. Holder, subject to the rules of Section 1291 of the Code discussed below. To the extent that gain recognized on the actual disposition by a U.S. Holder of Common shares or income recognized by a U.S. Holder on an actual distribution received on Common Shares was previously subject to U.S. federal income tax under these indirect ownership rules, such amount generally should not be subject to U.S. federal income tax.

    If the Company is a PFIC, the U.S. federal income tax consequences to a U.S. Holder of the acquisition, ownership, and disposition of Common Shares will depend on whether such U.S. Holder makes an election to treat the Company as a “qualified electing fund” or “QEF” under Section 1295 of the Code (a “QEF Election”) or a mark-to-market election under Section 1296 of the Code (a “Mark-to-Market Election”). A U.S. Holder that does not make either a QEF Election or a Mark-to-Market Election will be referred to in this summary as a “Non-Electing U.S. Holder.”

    Under Section 1291 of the Code, any gain recognized on the sale or other taxable disposition of Common Shares, and any “excess distribution” (as defined in Section 1291(b) of the Code) paid on the Common Shares, must be ratably allocated to each day in a Non-Electing U.S. Holder’s holding period for the Common Shares. The amount of any such gain or excess distribution allocated to prior years of such Non-Electing U.S. Holder’s holding period for the Common Shares generally will be subject to U.S. federal income tax at the highest tax applicable to ordinary income in each such prior year. A Non-Electing U.S. Holder will be required to pay interest on the resulting tax liability for each such prior year, calculated as if such tax liability had been due in each such prior year.

    A U.S. Holder that makes a QEF Election generally will not be subject to the rules of Section 1291 of the Code discussed above. However, a U.S. Holder that makes a QEF Election generally will be subject to U.S. federal income tax on such U.S. Holder’s pro rata share of (a) the “net capital gain” of the Company, which will be taxed as long-term capital gain to such U.S. Holder, and (b) and the “ordinary earnings” of the Company, which will be taxed as ordinary income to such U.S. Holder. A U.S. Holder that makes a QEF Election will be subject to U.S. federal income tax on such amounts for each taxable year in which the Company is a PFIC, regardless of whether such amounts are actually distributed to such U.S. Holder by the Company.

    A U.S. Holder that makes a Mark-to-Market Election generally will not be subject to the rules of Section 1291 of the Code discussed above. A U.S. Holder may make a Mark-to-Market Election only if the Common Shares are “marketable stock” (as defined in Section 1296(e) of the Code). A U.S. Holder that makes a Mark-to-Market Election will include in gross income, for each taxable year in which the Company is a PFIC, an amount equal to the excess, if any, of (a) the fair market value of the Common Shares as of the close of such taxable year over (b) such U.S. Holder’s tax basis in such Common Shares. A U.S. Holder that makes a Mark-to-Market Election will, subject to certain limitations, be allowed a deduction in an amount equal to the excess, if any, of (a) such U.S. Holder’s adjusted tax basis in the Common Shares over (b) the fair market value of such Common Shares as of the close of such taxable year.


    7470

    The Company does not believe that it was a PFIC for the taxable year ended May 31, 2010, and, based on current operations and financial projections, does not expect that it will be a PFIC for the taxable year ending May 31, 2011. The determination of whether the Company was, or will be, a PFIC for a taxable year depends, in part, on the application of complex U.S. federal income tax rules, which are subject to differing interpretations. In addition, whether the Company will be a PFIC for the taxable year ending May 31, 2009 and each subsequent taxable year depends on the assets and income of the Company over the course of each such taxable year and, as a result, cannot be predicted with certainty as of the date of this Annual Report. Accordingly, there can be no assurance that the IRS will not challenge the determination made by the Company concerning its PFIC status or that the Company was not, or will not be, a PFIC for any taxable year.

    The PFIC rules are complex, and each U.S. Holder should consult its own financial advisor, legal counsel, or accountant regarding the PFIC rules and how the PFIC rules may affect the U.S. federal income tax consequences of the acquisition, ownership, and disposition of Common Shares.

    Canadian Federal Income Tax Considerations for United States Residents

    The following, as of the date hereof, is a summary of the principal Canadian federal income tax considerations generally applicable to the holding and disposition of Common Shares by a holder, (a) who for the purposes of the Income Tax Act (Canada) (the “Tax Act”) at all relevant times, is not resident, or deemed to be resident in Canada, deals at arm’s length and is not affiliated with the Company for the purpose of the Tax Act, holds the Common Shares as capital property and does not use or hold, and is not deemed to use or hold, the Common Shares in the course of carrying on, or otherwise in connection with, a business in Canada, and (b) who, for the purposes of theCanada - United States Income Tax Convention(the “Convention”) at all relevant times, is a resident of the United States, has never been a resident of Canada, has not held or used (and does not hold or use) Common Shares in connection with a permanent establishment or fixed base in Canada, and who otherwise qualifies for the full benefits of the Convention. Common Shares will generally be considered to be capital property to a holder unless such shares are held in the course of carrying on a business, or in an adventure or concern in the nature of trade. Holders who meet all the criteria in clauses (a) and (b) are referred to herein as a “U.S. Holder” or “U.S. Holders” and this summary only addresses the tax considerations to such U.S. Holders. The summary does not deal with special situations, such as the particular circumstances of traders or dealers, limited liability companies, tax exempt entities, insurers or financial institutions. Such holders should consult their own tax advisors.

    This summary is based upon the current provisions of the Tax Act, the regulations thereunder in force at the date hereof (“Regulations”), all specific proposals to amend the Tax Act and Regulations publicly announced by or on behalf of the Minister of Finance (Canada) prior to the date hereof and the current provisions of the Convention and the current administrative practices of the Canada Revenue Agency published in writing prior to the date hereof. This summary does not otherwise take into account or anticipate any changes in law or administrative practices whether by legislative, governmental or judicial decision or action, nor does it take into account tax laws of any province or territory of Canada or of the United States or of any other jurisdiction outside Canada.

    For the purposes of the Tax Act, all amounts relating to the acquisition, holding or disposition of the Common Shares must be converted into Canadian dollars based on the relevant exchange rate applicable thereto.


    71

    This summary is of a general nature only and is not intended to be, nor should it be construed to be, legal or tax advice to any particular U.S. Holder and no representation with respect to the federal income tax consequences to any particular U.S. Holder or prospective U.S. Holder is made. The tax liability of a U.S. Holder will depend on the holder’s particular circumstances. Accordingly, U.S.Holders should consult with their own tax advisors for advice with respect to their own particular circumstances.


    75

    Dividends

    Amounts paid or credited or deemed to be paid or credited to a U.S. Holder as, on account or in lieu of payment, or in satisfaction of, dividends on Common Shares will be subject to Canadian withholding tax on the gross amount of the dividends. Under the Convention, the rate of Canadian withholding tax on dividends paid or credited by the Company to a U.S. Holder that beneficially owns such dividends is generally 15% unless the beneficial owner is a Company which owns at least 10% of the voting stock of the Company at that time in which case the rate of Canadian withholding tax is reduced to 5%.

    Dispositions

    A U.S. Holder will generally not be subject to tax under the Tax Act on any capital gain realized on a disposition of Common Shares, unless the shares constitute “taxable Canadian property” to the U.S. Holder at the time of disposition and the U.S. Holder is not entitled to relief under the Convention. Generally, Common Shares will not constitute taxable Canadian property to a U.S. Holder provided that such shares are listed on a designated stock exchange (which currently includes the NEX at the time of the disposition and, during the 60-month period immediately preceding the disposition, the U.S. Holder, persons with whom the U.S. Holder does not deal at arm’s length, or the U.S. Holder together with such persons has not owned 25% or more of the issued shares of any series or class of the Company’s capital stock.

    If the Common Shares constitute taxable Canadian property to a particular U.S. Holder, any capital gain arising on their disposition may be exempt from Canadian tax under the Convention if at the time of disposition the Common Shares do not derive their value principally from real property situated in Canada.

    Canadian Federal Income Tax Consequences

    The following is a summary of the principal Canadian federal income tax considerations, as of the date hereof, generally applicable to Security holders who deal at arm's length with the Company, who, for purposes of the Income Tax Act (Canada) (the "Canadian Tax Act") and any applicable tax treaty or convention, have not been and will not be resident or deemed to be resident in Canada at any time while they have held shares of the Company, to whom such shares are capital property, and to whom such shares are not "taxable Canadian property" (as defined in the Canadian Tax Act). This summary does not apply to a non-resident insurer.

    Generally, shares of the Company will be considered to be capital property to a holder thereof provided that the holder does not use such shares in the course of carrying on a business or has not acquired them in one or more transactions considered to be an adventure in the nature of trade. All security holders should consult their own tax advisors as to whether, as a matter of fact, they hold shares of the Company as capital property for the purposes of the Canadian Tax Act.


    72

    Under the current provisions of the Canadian Tax Act, as modified by the Proposed Amendments (see below), one-half of capital gains (‘‘taxable capital gains’’) must be included in computing the income of a holder in the year of disposition. One-half of capital losses (‘‘allowable capital losses’’) may generally be deducted against taxable capital gains for the year of disposition subject to and in accordance with the provisions of the Canadian Tax Act.


    76

    Allowable capital losses in excess of a holder’s taxable capital gains of a taxation year may generally be carried back three years and carried forward indefinitely for deduction against taxable capital gains realized in those years, to the extent and under circumstances permitted under the Canadian Tax Act.

    This discussion takes into account specific proposals to amend the Canadian Tax Act and the regulations thereunder publicly announced by or on behalf of the Minister of Finance (Canada) prior to the date hereof (the "Proposed Amendments") and assumes that all such Proposed Amendments will be enacted in their present form. No assurances can be given that the Proposed Amendments will be enacted in the form proposed, if at all; however the Canadian federal income tax considerations generally applicable to security holders described herein will not be different in a material adverse way if the Proposed Amendments are not enacted.

    Except for the foregoing, this discussion does not take into account or anticipate any changes in law, whether by legislative, administrative or judicial decision or action, nor does it take into account provincial, territorial or foreign income tax legislation or considerations, which may differ from the Canadian federal income tax considerations described herein.

    Generally, shares of the Company will not be taxable Canadian property at a particular time provided that such shares are listed on a prescribed stock exchange (which exchanges currently include the Toronto Stock Exchange), the holder does not use or hold, and is not deemed to use or hold, the shares of the Company in connection with carrying on a business in Canada and the holder, persons with whom such holder does not deal at arm's length, or the holder and such persons, have not owned (or had under option) 25% or more of the issued shares of any class or series of the capital stock of the Company at any time within five years preceding the particular time.

    A holder of shares of the Company that are not taxable Canadian property will not be subject to tax under the Canadian Tax Act on the sale or other disposition of shares.

    While intended to address all material Canadian Federal Income Tax considerations, this summary is for general information purposes only, and is not intended to be, nor should it be construed to be, legal or tax advice to any holder or prospective holder of common shares. No opinion was requested by the Company, or is provided by its legal counsel and/or auditors. Additionally, this summary does not consider the effects of United States federal, state, local or foreign income tax consequences.

    Accordingly, holders and prospective holders of common shares should consult their own tax advisors about the consequences of purchasing, owning, and disposing of common shares of the Company.

    F. Dividends and Paying Agents

    Not applicable


    73

    G. Statement by Experts

    Not applicable

    H. Documents on Display

    The documents described herein may be inspected at the head office of Company at 2 – 1250 Waverley Street, Winnipeg, Manitoba, Canada R3T 6C6, during normal business hours.


    77

    I. Subsidiary Information

    Not applicable

    ITEM 11. QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK

    INTEREST RATE RISK

    The primary objective of the Company’s investment activities is to preserve principal by maximizing the income the Company receives from such activities without significantly increasing risk. Securities that the Company invests in are generally highly liquid short-term investments such as term deposits with terms to maturity of less than one year.

    Due to the short-term nature of these investments, the Company believes there is no material exposure to interest rate risk arising from such investments and accordingly, no quantitative tabular disclosure is required.

    FOREIGN EXCHANGE RISK

    The Company’s primary currency of operations is the Canadian dollar. However, the Company has expenditures and holds investments denominated in a foreign currency. In fiscal 2010,2011, it is estimated that approximately 72%85% of the Company’s expenditures were denominated in a foreign currency, primarily being the US dollar and 100% of the CompanysCompany’s product revenues were denominated in the US dollar. To date the Company has not entered into any future or forward contracts, or other derivative instruments, for either hedging or speculative purposes, to mitigate the impact of foreign exchange fluctuations on these costs, revenues or on U.S. dollar denominated debt. A 10% change in foreign exchange rates for fiscal 20102011 would have impacted loss for the year by 13%10%.

    ITEM 12. DESCRIPTION OF SECURITIES OTHER THAN EQUITY SECURITIES

    Not applicable

    PART II

    ITEM 13. DEFAULTS, DIVIDEND ARREARAGES AND DELINQUENCIES

    Not applicable


    74

    ITEM 14. MATERIAL MODIFICATIONS TO THE RIGHTS OF SECURITY HOLDERS ANDUSE OF PROCEEDS

    Not applicable

    ITEM 15. CONTROLS AND PROCEDURES

    Disclosure Controls and Procedures

    The Company’s disclosure controls and procedures (“DCP”), as such term is defined in Rules 13(a)-13(e) and 15(d)-15(e) of the Exchange Act are designed to provide reasonable assurance that all relevant information is communicated to senior management, including the Chief Executive Officer (“CEO”) and the Chief Financial Officer (“CFO”), to allow timely decisions regarding required disclosure.


    78

    We carried out an evaluation, under the supervision and with the participation of our management, including our CEO and CFO. Based on this evaluation carried out by the CEO and CFO, these officers concluded that as of the end of the period covered by this Annual Report on Form 20-F, our disclosure controls and procedures were not effective to ensure that the information required to be disclosed by our company in reports it files or submits under the Exchange Act is recorded, processed, summarized and reported within the time periods specified in the rules and forms of the Securities and Exchange Commission. These disclosure controls and procedures include controls and procedures designed to ensure that such information is accumulated and communicated to the Company’s management, including our company’s principal executive officer and principal financial officer, to allow timely decisions regarding required disclosure. The conclusion that the disclosure controls and procedures were not effective was due to the presence of material weaknesses in internal control over financial reporting as identified below under the heading “Internal Controls over Financial Reporting Procedures” Management anticipates that such disclosure controls and procedures will not be effective until the material weaknesses are remediated.

    Management’s Annual Report on Internal Control over Financial Reporting

    The management of the Company is responsible for establishing and maintaining adequate internal controls over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act). The Company’s internal control system was designed to provide reasonable assurance to the Company’s management and the board of directors regarding the reliability of financial reporting and preparation and fair presentation of published financial statements for external purposes in accordance with GAAP. Internal control over financial reporting includes those policies and procedures that:

     1.

    pertain to the maintenance of records that in reasonable detail accurately and fairly reflect the transactions and dispositions of the assets of the Company;

       
     2.

    provide reasonable assurance that transactions are recorded as necessary to permit preparation of financial statements in accordance with GAAP, and that receipts and expenditures of the Company are being made only in accordance with authorizations of management and directors of the Company; and

       
     3.

    provide reasonable assurance regarding prevention or timely detection of unauthorized acquisition, use or disposition of the Company’s assets that could have a material effect on the financial statements.

    All internal control systems, no matter how well designed, have inherent limitations. Therefore, even those systems determined to be effective can provide only reasonable assurance with respect to financial statement preparation and presentation. Because of its inherent limitations, internal control over financial reporting may not prevent or detect misstatements. Projections of any evaluation of effectiveness to future periods are subject to the risk that controls may become inadequate because of changes in conditions or that the degree of compliance with the policies or procedures may deteriorate.


    The Company,75

    Under the supervision and with the participation of theour management, including our CEO and the CFO, haswe conducted an evaluation of the design and operation of internal control over financial reporting as of May 31, 2010,2011, based on the framework set forth in Internal Control – Integrated Framework, issued by the Committee of Sponsoring Organizations of the Treadway Commission (COSO). This evaluation included review of the documentation of controls, evaluation of the design effectiveness of controls, testing of the operating effectiveness of controls and a conclusion on this evaluation. Based on this evaluation, management concluded that the Company’s ICFR was not effective as at May 31, 20102011 due to the following material weaknesses:

     1.

    The Company did not maintain sufficient personnel with an appropriate level of technical accounting knowledge, experience, and training in the application of United States GAAP to allow for the independent preparation and review of the reconciliation from Canadian GAAP to United States GAAP as disclosed in Note 1617 to the annual financial statements; andstatements.



    79

     2.

    Due to the limited number of staff and the inability to attract outside expert advice on a cost effective basis, there is a risk of material misstatements related to the accounting and reporting for complex transactions.

    3.

    Due to the resignation of the Chief Financial Officer subsequent to year-end, procedures over the year end close process, including detailed reviews and verification of inputs related to the analysis and reconciliation of accounts and schedules supporting financial statements amounts and notes were not operating effectively.

    These control deficiencies, did not resultresulted in any adjustments to the Company’s annual audited or interim unaudited consolidated financial statements. However, the control deficiencies result instatements prior to their issuance and creates a reasonable possibility that a material misstatement inof the annual financial statements may occur andwould not behave been prevented or detected onin a timely basis.manner.

    Attestation Report of the Registered Public Accounting Firm

    This annual report does not include an attestation report of the Company's registered public accounting firm regarding internal control over financial reporting. Management's report is not subject to attestation by the Company's registered public accounting firm pursuant to temporary rules of the Securities and Exchange Commission that permit the Company to provide only management's report in this annual report.

    Changes in Internal Control over Financial Reporting and Planned Remediation Activities

    During the year the Chief Financial Officer resigned and was replaced. In addition, in connection with ongoing efforts to reduce operating costs, the Company transferred the accounting and administrative responsibilities to a company controlled by the CEO of the Company. As a result of outsourcing accounting and administrative responsibilities, certain procedural controls have been amended to better reflect changes in task assignments.

    Other than as discussed above, thereThere have been no changes in the Company's internal controls identified in connection with the evaluation described in the preceding paragraph that occurred during the period covered by this Annual Report on Form 20-F which have materially affected, or are reasonably likely to materially affect, the Company's internal controls over financial reporting.

    Other than as discussed above,the appointment of a new Chief Financial Officer on September 22, 2011, no other remediation activities have been undertaken in fiscal 2010 due2012. Due to costresource constraints and the present stage of the Company’s development, including the Company’s focus on its capital restructuring.restructuring, the Company does not have sufficient size and scale to warrant the hiring of additional staff to correct these material weaknesses at this time.

    ITEM 16. RESERVED

    Not applicable


    76

    ITEM 16A. AUDIT COMMITTEE FINANCIAL EXPERT

    As of May 31, 2010,2011, Mr. Gerald McDole, a non-employee director, was a member of the audit committee of the Company. The board of directors of the Company has determined that Mr. McDole (i) qualifies as an audit committee financial expert pursuant to Items 16A(b) and (c) of Form 20-F and (ii) is independent as defined by Rule 121A of the NYSE Amex Company Guide and Rule 10A-3 of the Exchange Act. In addition, all members of the audit committee are considered financially literate under applicable Canadian laws.


    80

    ITEM 16B. CODE OF ETHICS

    On August 23, 2004, the Company adopted a written Code of Business Conduct and Ethics (“Code of Ethics”) that applies to the Company’s principal executive officer, principal financial officer and to all its other employees. These standards are a guide to help ensure that all of the Company’s employees live up to high ethical standards. A copy of the Code of Ethics is maintained on the Company’s website at www.medicure.com.

    The Company intends to disclose any amendment to or waiver from any provision in the Code of Ethics, that has occurred during the past fiscal year and that applies to the principal executive officer, principal financial officer, principal accounting officer or controller, or persons performing similar functions, either in its Exchange Act annual report or on the Company’s Internet website.

    ITEM 16C. PRINCIPAL ACCOUNTANT FEES AND SERVICES

    In accordance with the requirements of the Sarbanes-Oxley Act of 2002 and the Audit Committee’s charter, all audit and audit-related work and all non-audit work performed by the chartered accountants, KPMG LLP, is approved in advance by the Audit Committee, including the proposed fees for such work. The Audit Committee is informed of each service actually rendered that was approved through its pre-approval process.

    (a) Audit fees

     2010  2009 
    $87,500 $154,000 
    (a) Audit fees20112010
     $109,000$87,500

    Audit fees consist of fees billed for the audit of the Company’s annual financial statements.

    (b) Audit-related fees

     2010  2009 
    $8,900 $12,500 
    (b) Audit-related fees20112010
    $-$8,900

    Audit-related fees consist of fees billed for accounting consultations and services associated with the issuance of securities filings and prospectuses, if any.prospectuses.

    (c) Tax fees - No compensation was paid to KPMG for tax compliance, tax advice and tax planning in fiscal 20102011 or 2009.

    (d) All other fees2010.

    (d) All other fees201120102009
    $- $-$-

    (e) Audit Committee’s Pre-approval Policies

    All KPMG services and fees are approved by the Audit Committee.


    77

    ITEM 16D. EXEMPTIONS FROM THE LISTING STANDARDS FOR AUDIT COMMITTEES

    Not applicable

    ITEM 16E. PURCHASES OF EQUITY SECURITIES BY THE ISSUER AND AFFILIATEDPURCHASERS

    Not applicable


    8178

    PART III

    ITEM 17. FINANCIAL STATEMENTS

    The consolidated financial statements were prepared in accordance with Canadian GAAP and are presented in Canadian dollars. There are material measurement differences between United States and Canadian GAAP. A reconciliation of the consolidated financial statements to United States GAAP is set forth in Note 1617 of the notes to the consolidated financial statements.

    The consolidated financial statements are in the following order:

     1.

    Report of Independent Registered Public Accounting Firm;

     2.

    Consolidated Balance Sheets;

     3.

    Consolidated Statements of Operations and Comprehensive loss;

     4.

    Consolidated Statements of Shareholders’ Equity (Deficiency)

     5.

    Consolidated Statements of Cash Flows; and

     6.

    Notes to Consolidated Financial Statements.



    Consolidated Financial Statements
    Consolidated Financial Statements
    (Expressed in Canadian Dollars)
    MEDICURE INC.
    Year ended May 31, 2010

    (Expressed in Canadian Dollars)

    MEDICURE INC.

    Year ended May 31, 2011


    MANAGEMENT REPORT

    The accompanying financial statements have been prepared by management and approved by the boardBoard of directorsDirectors of Medicure Inc. (the “Company”"Company"). Management is responsible for the information and representations contained in these financial statements.

    These financial statements have been prepared in accordance with Canadian generally accepted accounting principles. The significant accounting policies, which management believes are appropriate for the Company, are described in note 2 to these financial statements. The Company maintains a system of internal control and processes intended to provide assurance that assets are safeguarded and to assist in preparation of relevant and reliable financial information.

    The boardBoard of directorsDirectors is responsible for reviewing and approving these financial statements and overseeing management’smanagement's performance of its financial reporting responsibilities. An audit committeeAudit Committee of three non-management directorsDirectors is appointed by the board.Board. The audit committeeAudit Committee reviews the financial statements, audit process and financial reporting with management and with the external auditors and reports to the boardBoard of directorsDirectors prior to the approval of the audited consolidated financial statements for publication.

    KPMG LLP, the Company’sCompany's external auditors, who are appointed by the shareholders, audited the financial statements in accordance with Canadian generally accepted auditing standards to enable them to express to the shareholders their opinion on these financial statements. Their report follows.

    /s/ Albert Friesen /s/ Eric JohnstoneJames Kinley
       
    Dr. Albert D. Friesen Mr. Eric R. Johnstone,James F. Kinley CA
    President & CEO Chief Financial Officer



    KPMG LLPTelephone(204) 957-1770
    Chartered AccountantsFax(204) 957-0808
    Suite 2000 – One Lombard PlaceInternetwww.kpmg.ca
    Winnipeg MB R3B 0X3
    Canada

    REPORT OF INDEPENDENT REGISTERED PUBLIC ACCOUNTING FIRM

    To the Shareholders of Medicure Inc.

    We have audited the accompanying consolidated balance sheets of Medicure Inc. and subsidiaries as at May 31, 2011 and May 31, 2010 and the related consolidated statements of operations and comprehensive loss, shareholders’ deficiency and cash flows for each of the years in the three-year period ended May 31, 2011. These consolidated financial statements are the responsibility of Medicure Inc.’s management. Our responsibility is to express an opinion on these consolidated financial statements based on our audits.

    We conducted our audits in accordance with Canadian Generally accepted auditing standards and 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 financial statements are free of material misstatement. An audit includes examining, on a test basis, evidence supporting the amounts and disclosures in the financial statements. An audit also includes assessing the accounting principles used and significant estimates made by management, as well as evaluating the overall financial statement presentation. We believe that our audits provide a reasonable basis for our opinion.

    In our opinion, the consolidated financial statements referred to above present fairly, in all material respects, the consolidated financial position of Medicure Inc. and subsidiaries as at May 31, 2011 and May 31, 2010 and their consolidated results of operations and their consolidated cash flows for each of the years in the three-year period ended May 31, 2011 in conformity with Canadian generally accepted accounting principles.

    The accompanying consolidated financial statements have been prepared assuming that Medicure Inc. will continue as a going concern. As discussed in note 1 to the consolidated financial statements, Medicure Inc. has experienced operating losses since incorporation that raises significant doubt about its ability to continue as a going concern. Management’s plans in regard to this matter are also described in note 1. The consolidated financial statements do not include any adjustments that might result from the outcome of this uncertainty.


    Chartered Accountants

    September 27, 2011
    Winnipeg, Canada

    KPMG LLP, is a Canadian limited liability partnership and a member firm of the KPMG
    network of independent member firms affiliated with KPMG International Cooperative
    (“KPMG International”), a Swiss entity.
    KPMG Canada provides services to KPMG LLP



    MEDICURE INC.
    Consolidated Balance Sheets
    (Expressed in Canadian dollars)
    May 31, 20102011 and 20092010

     2010  2009  2011  2010 
                
                
                
    Assets            
    Current assets:            
    Cash$ 371,262 $ 1,978,725 
    Cash and cash equivalents$ 750,184 $ 371,262 
    Accounts receivable (Note 4) 390,923  551,697  365,490  390,923 
    Inventories (Note 5) 550,975  631,303  460,886  550,975 
    Prepaid expenses 176,280  357,884  248,065  176,280 
                
     1,489,440  3,519,609  1,824,625  1,489,440 
                
    Property and equipment (Note 6) 68,752  93,532  50,996  68,752 
    Intangible assets (Note 7) 4,414,882  5,936,819  3,298,286  4,414,882 
                
          $ 5,173,907 $ 5,973,074 
    $ 5,973,074 $ 9,549,960       
                
                
          
    Liabilities and Shareholders' Deficiency            
    Current liabilities:            
    Accounts payable and accrued liabilities$ 1,320,185 $ 1,512,377 $ 1,729,517 $ 1,320,185 
    Accrued interest on long-term debt (Note 8) 5,469,343  2,542,560  7,869,577  5,469,343 
    Long-term debt (Note 8) 24,140,199  -  22,468,518  24,140,199 
                
     30,929,727  4,054,937  32,067,612  30,929,727 
                
    Long-term debt (Note 8) -  25,041,982 
          
    Shareholders’ deficiency:      
    Shareholders' deficiency:      
    Capital stock (Note 9(b)) 116,014,623  116,014,623  116,014,623  116,014,623 
    Warrants (Note 9(d)) 9,065,720  9,065,720  5,010,222  9,065,720 
    Contributed surplus 4,044,810  3,921,998  8,177,365  4,044,810 
    Deficit (154,081,806) (148,549,300) (156,095,915) (154,081,806)
                
     (24,956,653) (19,546,959) (26,893,705) (24,956,653)
    Nature of operations and going concern (Note 1)            
    Commitments and contingencies (Note 11)            
    Subsequent events (Notes 8, 9 and 16)      
                
    $ 5,973,074 $ 9,549,960 $ 5,173,907 $ 5,973,074 

    On behalf of the Board:

    /s/"Dr. Albert FriesenD. Friesen"/s/"Mr. Gerald McDoleMcDole"
    DirectorDirector

    See accompanying notes to consolidated financial statements.

    - F-1-



    MEDICURE INC.
    Consolidated Statements of Operations and Comprehensive Loss
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

     2010  2009  2008 
              2011  2010  2009 
                      
    Revenue:                  
    Product sales, net$ 3,317,073 $ 4,792,513 $ 2,247,129 $ 3,628,274 $ 3,317,073 $ 4,792,513 
                      
    Expenses:                  
    Cost of goods sold, excluding amortization 571,688  377,079  605,623 
    Cost of goods sold, excluding amortization (Note 5) 673,522  571,688  377,079 
    Selling, general and administrative (Note 12) 4,474,825  9,255,219  12,072,596  2,818,159  4,474,825  9,255,219 
    Research and development (Note 11(a)) 393,385  22,706  28,660,250  204,690  393,385  22,706 
    Investment tax credits (306,692) (565,932) -  -  (306,692) (565,932)
    Write-down of fixed and intangible assets 769,335  1,755,955  13,056,697  280,235  769,335  1,755,955 
    Amortization 919,215  938,733  2,652,566  898,931  919,215  938,733 
                      
     6,821,756  11,783,760  57,047,732  4,875,537  6,821,756  11,783,760 
                      
             
    Loss before the undernoted (3,504,683) (6,991,247) (54,800,603) (1,247,263) (3,504,683) (6,991,247)
                      
    Other expenses (income):                  
    Interest and other income (4,913) (255,713) (1,149,574) (473) (4,913) (255,713)
    Interest expense 3,279,608  4,944,682  3,830,838  3,122,364  3,279,608  4,944,682 
    Foreign exchange loss (gain), net (1,246,872) 1,635,611  (79,346)
    Foreign exchange (gain) loss, net (2,355,045) (1,246,872) 1,635,611 
                      
     2,027,823  6,324,580  2,601,918  766,846  2,027,823  6,324,580 
                      
    Loss and comprehensive loss$ (5,532,506)$(13,315,827)$(57,402,521)$ (2,014,109)$ (5,532,506)$ (13,315,827)
                      
    Basic and diluted loss per share$ (0.04)$ (0.10)$ (0.46)$ (0.02)$ (0.04)$ (0.10)
    Weighted average number of common shares used in computing basic and diluted loss per share 130,307,552  130,307,552  125,476,086  130,307,552  130,307,552  130,307,552 

    See accompanying notes to consolidated financial statements.

    - F-2-



    MEDICURE INC.
    Consolidated Statements of Shareholders’ Equity (Deficiency)Shareholders' Deficiency
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

     2010  2009  2008 
              2011  2010  2009 
                      
    Capital stock:                  
    Balance, beginning of year$ 116,014,623 $ 116,014,623 $ 109,102,397 $ 116,014,623 $ 116,014,623 $ 116,014,623 
    Reclassification of warrants -  -  (6,425,336)
    Exercise of options for cash -  -  90,241 
    Private placement on October 5, 2007, net of issue costs         
    of $714,445 -  -  13,247,321 
             
    Balance, end of year 116,014,623  116,014,623  116,014,623  116,014,623  116,014,623  116,014,623 
             
    Warrants:                  
    Balance, beginning of year 9,065,720  9,094,635  -  9,065,720  9,065,720  9,094,635 
    Warrants expired during period -  (28,915) - 
    Reclassification of warrants -  -  6,425,336 
    Warrants granted with long-term debt -  -  809,344 
    Private placement on October 5, 2007, net of issue costs of $104,795 -  -  1,859,955 
             
    Warrants expired during year (4,055,498) -  (28,915)
    Balance, end of year 9,065,720  9,065,720  9,094,635  5,010,222  9,065,720  9,065,720 
             
    Contributed surplus:                  
    Balance, beginning of year 3,921,998  3,568,055  3,035,024  4,044,810  3,921,998  3,568,055 
    Stock-based compensation 122,812  325,028  563,272  77,057  122,812  325,028 
    Warrants expired during period -  28,915  - 
    Options exercised - transferred to capital stock -  -  (30,241)
             
    Warrants expired during year 4,055,498  -  28,915 
    Balance, end of year 4,044,810  3,921,998  3,568,055  8,177,365  4,044,810  3,921,998 
             
    Deficit:                  
    Balance, beginning of year (148,549,300) (135,233,473) (77,830,952) (154,081,806) (148,549,300) (135,233,473)
    Loss and comprehensive loss for the period (5,532,506) (13,315,827) (57,402,521)
             
    Loss and comprehensive loss for the year (2,014,109) (5,532,506) (13,315,827)
    Balance, end of year (154,081,806) (148,549,300) (135,233,473) (156,095,915) (154,081,806) (148,549,300)
             
    Shareholders’ deficiency$ (24,956,653)$ (19,546,959)$ (6,556,160)
    Shareholders' deficiency$ (26,893,705)$ (24,956,653)$ (19,546,959)

    See accompanying notes to consolidated financial statements.

    - F-3-



    MEDICURE INC.
    Consolidated Statement of Cash Flows
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

     2010  2009  2008  2011  2010  2009 
                      
                      
    Cash provided by (used in):                  
    Operating activities:                  
    Loss and comprehensive loss for the year$ (5,532,506)$(13,315,827)$(57,402,521)$ (2,014,109)$ (5,532,506)$ (13,315,827)
    Adjustments for:                  
    Amortization of property and equipment 22,969  42,907  78,222  20,243  22,969  42,907 
    Amortization of intangible assets 896,244  895,826  2,574,344  878,688  896,244  895,826 
    Amortization of deferred debt issue expense 198,192  383,445  327,484  200,675  198,192  383,445 
    Accretion on long-term debt 285,818  426,521  216,853  -  285,818  426,521 
    Stock-based compensation 122,812  325,028  563,272  77,057  122,812  325,028 
    Write-down of inventory -  92,985  428,822  292,950  -  92,985 
    Write-down of property and equipment 4,041  -  -  -  4,041  - 
    Write-down of intangible assets 765,294  1,755,955  13,056,697  280,235  765,294  1,755,955 
    Unrealized foreign exchange (gain) loss (1,372,970) 1,657,142  634,336  (1,818,613) (1,372,970) 1,657,142 
    Change in the following:                  
    Accounts receivable 160,774  332,646  1,163,917  25,433  160,774  332,646 
    Inventories 80,328  (407,929) (105,177) (202,861) 80,328  (407,929)
    Prepaid expenses 181,604  739,220  71,499  (71,785) 181,604  739,220 
    Research advance -  200,000  -  -  -  200,000 
    Accounts payable and accrued liabilities (192,192) (4,338,798) (2,685,694) 409,332  (192,192) (4,338,798)
    Accrued interest on long-term debt 2,926,783  792,740  1,106,446  2,400,234  2,926,783  792,740 
                      
    Cash flows from (used in) operating activities 477,479  (1,452,809) (10,418,139)
     (1,452,809) (10,418,139) (39,971,500)         
    Investing activities:                  
    Acquisition of property and equipment (2,230) (3,552) (14,588) (2,487) (2,230) (3,552)
    Acquisition of intangible assets (139,601) (234,990) (572,520) (42,327) (139,601) (234,990)
                      
    Cash flows used in investing activities (44,814) (141,831) (238,542)
     (141,831) (238,542) (587,108)         
    Financing activities:                  
    Issuance of common shares and warrants, net of share issue costs -  -  15,167,276 
    Proceeds from issuance of long-term debt and warrants -  -  25,022,600 
    Repayments of long-term debt -  (14,454,000) (3,959,616) -  -  (14,454,000)
    Debt issue expenses -  -  (1,727,902)
    Cash released from restriction -  14,454,000  (11,916,000) -  -  14,454,000 
                      
    Cash flows used in financing activities -  -  - 
     -  -  22,586,358          
    Foreign exchange gain (loss) on cash held in foreign currency (12,823) 730,476  (1,893,140) (53,743) (12,823) 730,476 
                      
    Decrease in cash (1,607,463) (9,926,205) (19,865,390)
    Cash, beginning of year 1,978,725  11,904,930  31,770,320 
    Increase (decrease) in cash and cash equivalents 378,922  (1,607,463) (9,926,205)
    Cash and cash equivalents, beginning of year 371,262  1,978,725  11,904,930 
                      
    Cash, end of year$ 371,262 $ 1,978,725  11,904,930 
    Cash and cash equivalents, end of year$ 750,184 $ 371,262  1,978,725 
                      
                      
    Supplementary information:                  
    Cash transactions:                  
    Interest paid$ - $ 3,341,975 $ 2,353,130 $ - $ - $ 3,341,975 
    Interest received 14,350  542,761  1,023,347  527  14,350  542,761 

    See accompanying notes to consolidated financial statements.

    - F-4-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    1.

    Nature of operations and going concern:

    Medicure Inc. (the Company) is a biopharmaceutical company engaged in the research and development and commercialization of human therapeutics. The Company has the U.S. rights to the commercial product, AGGRASTAT®Injection (tirofiban hydrochloride) in the United States and its territories (Puerto Rico, U.S. Virgin Islands, and Guam). AGGRASTAT®, a glycoprotein GP IIb/IIIa receptor antagonist, is used for the treatment of acute coronary syndrome (ACS) including unstable angina, which is characterized by chest pain when one is at rest, and non-Q-wave myocardial infarction.

    The Company’s lead research and development program is TARDOXALTM(product previously referred to as AVASTREMTM). This program grew out of Medicure’s effort to reposition MC-1, pyridoxal 5’ phosphate (P5P), a naturally occurring small molecule, for new chronic medical conditions.

    These consolidated financial statements have been prepared on a going concern basis in accordance with Canadian generally accepted accounting principles. The going concern basis of presentation assumes that the Company will continue in operation for the foreseeable future and be able to realize its assets and discharge its liabilities and commitments in the normal course of business. There is significant doubt about the appropriateness of the use of the going concern assumption because the Company has experienced operating losses and cash outflows from operations since incorporation and has significant debt servicing obligations that it does not have the ability to repay without refinancing or restructuring. At May 31, 2010, the Company was in default of the terms of its long-term debt financing obligations, and continues to be in default. Under an event of default, the lender can exercise its security rights under the agreement, and accordingly the long-term debt obligation has been classified as a current liability as at May 31, 2010 (note 8).

    The Company has experienced a loss of $5,532,506 and negative cash flows from operations of $1,452,809 in the year ending May 31, 2010, and has accumulated a deficit of $154,081,806 as at May 31, 2010. The Company continues to monitor staff and corporate expenses to the extent deemed appropriate in order to more closely align expenses with net revenue. Based on the Company’s operating plan, its existing working capital is not sufficient to fund its planned operations, capital requirements, debt servicing obligations, and commitments through the end of the fiscal 2011 year without restructuring of its debt and raising additional capital. The Company is in ongoing discussions with its senior lender to restructure its debt, and in January 2010, retained advisors to assist in the evaluation of financial alternatives and fundraising options, and to assist in the partnership, license or sale of AGGRASTAT®. No agreements with the lender or other potential lenders or investors have been reached yet and there can be no assurance that such agreements will be reached. Further, the Company’s financing agreement includes certain restrictive covenants on commercial and developmental products including intellectual property. Therefore the ability of the Company to execute on its operating plan and/or obtain additional capital is likely to be contingent on having collaborative relationships with its senior lender. The Company is currently evaluating expressions of interest regarding the potential partnership, license, or sale of AGGRASTAT®and/or an investment in the Company, and may also consider conversion of all or a portion of its long term debt into equity instruments. Such transactions, if completed, could have a significant dilutive effect on existing shareholders. If the Company is unable to restructure its debt, complete other strategic alternatives, and/or secure additional funds, the Company will have to consider additional strategic alternatives which may include, among other strategies, asset divestitures, monetization of certain intangibles, and/or the winding up, dissolution or liquidation of the Company.

    The ability of the Company to continue as a going concern and to realize the carrying value of its assets and discharge its liabilities when due is dependent on many factors, including, but not limited to the actions taken or planned, some of which are described above, which are intended to mitigate the adverse conditions and events which raise doubt about the validity of the going concern assumption used in preparing these financial statements. There is no certainty that these and other strategies will be sufficient to permit the Company to continue as a going concern.

    The financial statements do not reflect adjustments that would be necessary if the “going concern” assumption were not appropriate. If the “going concern” basis was not appropriate for these financial statements, then adjustments would be necessary in the carrying value of assets and liabilities, the reported revenues and expenses, and the balance sheet classifications used.

    F-5



    MEDICURE INC.
    Notes

    Medicure Inc. (the Company) is a biopharmaceutical company engaged in the research, development and commercialization of human therapeutics. Through its subsidiary Medicure International Inc., the Company has rights to the Consolidated Financial Statementscommercial product, AGGRASTAT®Injection (tirofiban hydrochloride) in the United States and its territories (Puerto Rico, U. S. Virgin Islands, and Guam). AGGRASTAT®, a glycoprotein GP IIb/IIIa receptor antagonist, is used for the treatment of acute coronary syndrome (ACS) including unstable angina, which is characterized by chest pain when one is at rest, and non-Q-wave myocardial infarction.

    (Expressed in Canadian dollars)
    Years ended

    The Company's primary ongoing research and development activity is the development and implementation of a new regulatory, brand and life cycle management strategy for AGGRASTAT®. The Company's primary, non-AGGRASTAT®research and development activity is TARDOXALTMfor the treatment of Tardive Dyskinesia (TD). This program evolved from the Company's extensive clinical experience with MC-1, a naturally occurring small molecule, for new chronic medical conditions. The Company is also pursuing licensing opportunities for its library of small molecule anti thrombotic drugs.

    These consolidated financial statements have been prepared on a going concern basis in accordance with Canadian generally accepted accounting principles. The going concern basis of presentation assumes that the Company will continue in operation for the foreseeable future and be able to realize its assets and discharge its liabilities and commitments in the normal course of business. There is significant doubt about the appropriateness of the use of the going concern assumption because the Company has experienced operating losses since incorporation.

    The Company has experienced a loss of $2,014,109 for the year ending May 31, 2011, and has accumulated a deficit of $156,095,915 as at May 31, 2011. The Company's future operations are dependent upon its ability to maintain or grow sales of AGGRASTAT®, and/or secure additional capital, which may not be available under favourable terms. Should these objectives not be achieved, the Company will have to consider additional strategic alternatives which may include, among other strategies, asset divestitures and/or monetization of certain intangibles.

    As at May 31, 2011 the Company had significant debt servicing obligations that it did not have the ability to repay without refinancing or restructuring and the Company was in default of the terms of its long-term debt financing obligations. Under an event of default, the lender could have exercised its security rights under the agreement, and accordingly the long-term debt obligation has been classified as a current liability as at May 31, 2011 and 2010 2009as described in note 8. On July 18, 2011, the long-term debt was settled as described in Note 16.

    The ability of the Company to continue as a going concern and 2008to realize the carrying value of its assets and discharge its liabilities when due is dependent on many factors, including, but not limited to the actions taken or planned, some of which are described above, which are intended to mitigate the adverse conditions and events which raise doubt about the validity of the going concern assumption used in preparing these financial statements. There is no certainty that these and other strategies will be sufficient to permit the Company to continue as a going concern.


    The financial statements do not reflect adjustments that would be necessary if the going concern assumption were not appropriate. If the going concern basis was not appropriate for these financial statements, then adjustments would be necessary to the carrying value of assets and liabilities, the reported revenues and expenses, and the balance sheet classifications used.

    2.

    Significant accounting policies:

       

    (a)

    Basis of presentation:

       

    These consolidated financial statements have been prepared in accordance with accounting principles generally accepted in Canada (Canadian GAAP). The measurement principles applied are also in conformity, in all material respects, with accounting principles generally accepted in the United States of America (U.S. GAAP) except as described in note 1617 to the consolidated financial statements.

    - F-5-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 and 2009

    2.

    Significant accounting policies (continued):


    (a)

    Basis of presentation (continued):

       

    These financial statements have been prepared on a consolidated basis to include the accounts of the Company and its wholly-owned subsidiaries, Medicure International Inc., Medicure Pharma Inc., and Medicure Europe Limited. All significant inter-company transactions and balances have been eliminated.

       
    (b)

    Revenue recognition:

       

    The Company recognizes product revenue when substantially all of the risks and rewards of ownership have transferred to the customer and collection is reasonably assured. Revenue is recognized upon product delivery, and when no significant contractual obligations remain. Net sales reflect a reduction of gross sales at the time of initial sales recognition for estimated wholesaler chargebacks, discounts, allowances for product returns, and other rebates. Interest income is recognized as earned.

       
    (c)

    Inventories:

       

    Inventories of raw materials and packaging materials are valued at the lower of cost and replacement cost.net realizable value. Inventories of finished goods are valued at the lower of cost and net realizable value. Cost is determined under the first-in,first- in, first-out method.

       
    (d)

    Cash:Cash and cash equivalents:

       

    Cash and cash equivalents include cash on hand and balances with banks, as well as highly liquid term deposits and commercial paper. The Company considers all highly liquid term deposits and commercial paper with terms to maturity when acquired of three months or less to be cash equivalents.

       
    (e)

    Property and equipment:

       

    Property and equipment are stated at cost. Amortization is recorded over the estimated useful life of the assets at the following rates:


    AssetBasisAnnual rate
       
    Computer equipmentStraight-line25%
    Furniture, fixtures and equipmentDiminishing balance20% to 25%
    Leasehold improvementsStraight-line20%

     (f)

    Intangible assets:

       
     

    Costs incurred in obtaining patents are capitalized and amortized upon issuance on a straight-line basis over the remaining legal life of the respective patents, being approximately twenty years, or their economic life, if shorter. The cost of servicing the Company’sCompany's patents is expensed as incurred.

       
     

    Intangible assets are recorded at acquisition cost and are amortized on a straight-line basis based on the following estimated useful lives:


    Patents5 - 20 years
    Trademark10 years
    Technology license8 years
    Customer list10 years

    - F-6-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    2.

    Significant accounting policies (continued):

    (f)Intangible assets (continued):

    Patents5 - 20 years
    Trademark10 years
    Technology license8 years
    Customer list10 years

     (g)

    Deferred debt issue expenses:

       
     

    Costs incurred to obtain financing are deferred and amortized over the term of the associated debt using the effective interest method. Amortization is a non-cash charge to interest expense.

       
     (h)

    Impairment of long-lived assets:

       
     

    The carrying amount of long-lived assets which includes property and equipment and intangible assets to be held and used is reviewed for impairment on an ongoing basis whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. An impairment is recognized when the carrying amount of an asset to be held and used exceeds the projected undiscounted future net cash flows expected from its use and disposal, and is measured as the amount by which the carrying amount of the asset exceeds its fair value.

       
     (i)

    Stock-based compensation:

       
     

    The Company has a stock option plan [note 9(c)] for its directors, management, employees and consultants. The Company uses the fair value method of accounting for stock options granted. The fair value of the options is expensed over their vesting period. The Company estimates forfeitures for each grant and incorporates this estimate into the calculation of compensation cost recorded each period.

       
     (j)

    Government assistance and investment tax credits:

       
     

    Government assistance toward current expenses is recorded as a reduction of the related expenses in the period the expenses are incurred. Government assistance towards property and equipment is deducted from the cost of the related property and equipment. The benefits of investment tax credits for scientific research and experimental development expenditures (SR&ED) incurred directly by the Company are recognized in the period the qualifying expenditure is made, providing there is reasonable assurance of recoverability. SR&ED investment tax credits receivable are recorded at their net realizable value.

       
     (k)

    Research and development:

       
     

    All costs of research activities are expensed in the period in which they are incurred. Development costs are charged as an expense in the period incurred unless a development project meets criteria for cost deferral and amortization. No development costs have been deferred to date. Tangible and intangible assets acquired for use in research and development projects are accounted for as described in note 2(e) and (f).

       
     (l)

    Clinical trial expenses:

       
     

    Clinical trial expenses are a component of the Company’sCompany's research and development costs. These expenses include fees paid to contract research organizations, clinical sites, and other organizations who conduct development activities on the Company’sCompany's behalf. The amount of clinical trial expenses recognized in a period related to clinical agreements are based on estimates of the work performed using an accrual basis of accounting. These estimates incorporate factors such as patient enrolment, services provided, contractual terms, and prior experience with similar contracts.

    F-7



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2010, 2009 and 2008

    2.

    Significant accounting policies (continued):

       
    (m)

    Income taxes:

       

    The Company follows the asset and liability method of accounting for income taxes. Under this method, future income tax assets and liabilities are recognized for the future tax consequences attributable to differences between the financial statement carrying amounts of existing assets and liabilities and their respective tax bases. Future income tax assets and liabilities are measured using enacted or substantively enacted tax rates expected to apply to taxable income in the years in which those temporary differences are expected to be recovered or settled. The effect on future tax assets and liabilities of a change in tax rates is recognized in income in the period that includes the date of substantive enactment. When realization of future income tax assets does not meet the more likely than not criterion, a valuation allowance is provided for the difference.

    - F-7-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 and 2009
     

    2.

    Significant accounting policies (continued):


     
    (n)

    Earnings (loss) per share:

       

    Basic earnings (loss) per share is computed using the weighted average number of shares outstanding during the year including contingently issuable shares where the contingency has been resolved. The treasury stock method requires that diluted per share amounts be calculated as if all the common share equivalents, such as options and warrants where the average market price for the period exceeds the exercise price, had been exercised at the beginning of the reporting period or at the date of issue, if later, and that the funds obtained thereby were used to purchase common shares of the Company at the average trading price of the common shares during the period. For all periods presented, all common share equivalents have been excluded from the calculation of dilutive loss per share as their effect is anti-dilutive.anti- dilutive.

       
    (o)

    Foreign currency translation:

       

    Current assets and current liabilities in foreign currencies have been translated into Canadian dollars at the rates of exchange in effect at the balance sheet date. Income and expense transactions are translated at actual rates of exchange during the year. Exchange gains and losses are included in loss for the period.

       

    The operations of the Company’sCompany's foreign subsidiaries are considered to be integrated foreign operations and, accordingly, are converted to Canadian dollars using the temporal method. Under this method, monetary assets and liabilities are translated at the rate of exchange prevailing at the balance sheet date, non-monetary assets and liabilities are translated at the rate in effect when the assets were acquired or liabilities were assumed and items included in the statements of operations at the average exchange rates in effect at the date of such transactions with resulting exchange gains or losses included in the determination of earnings.

       
    (p)

    Use of estimates:

       

    The preparation of financial statements requires management to make estimates and assumptions that affect the reported amounts of assets and liabilities, the disclosure of contingent assets and liabilities at the date of the financial statements and the reported amounts of revenues and expenses during the year. Estimates are used when accounting for items and matters such as revenue recognition and allowances for estimated returns and other rebates, inventory provisions, estimated useful lives of intangible assets and property and equipment, impairment assessments, taxes and related valuation allowances and provisions, share-based compensation, contingencies, and fair values assigned to warrants issued in connection with share and debt issuances. Actual results could differ from those estimates.

       
    (q)

    Financial instruments:

       

    Financial assets and financial liabilities, including derivatives are initially recognized at fair value. Subsequent measurement is determined by the classification of each financial asset and liability. The fair value of financial assets designated as held-for-trading is determined based on quoted prices in active markets for identical assets, per Level I of the fair value hierarchy. When the carrying value of a financial asset exceeds its fair value on a basis that is other than temporary, the carrying value is reduced to the fair value. The Company has designated its financial instruments as follows:


      
  • Cash and cash equivalents are classified as held-for-trading. They are measured at fair value and the gains or losses resulting from re-measurement at the end of each period are recognized in net loss for the period.

    F-8



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2010, 2009 and 2008

    2.

    Significant accounting policies (continued):

        
    (q)

    Financial instruments (continued):

  • Accounts receivable are classified as loans and receivables. They are measured at amortized cost using the effective interest rate method.

        
  • Accounts payable and accrued liabilities, accrued interest on long-term debt and long-term debt are classified as other financial liabilities. They are measured at amortized cost using the effective interest rate method.

        

    Transaction costs that are directly attributable to the acquisition or issuance of financial assets or liabilities not classified as held-for-trading are accounted for as part of the respective asset or liability’sliability's carrying value at inception and amortized over the expected life of the financial instrument using the effective interest method.

    - F-8-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 and 2009

    2.

    Significant accounting policies (continued):


     (r)

    Changes in accounting policy:

    Goodwill and intangible assets:

    Effective June 1, 2009, the Company adopted CICA Handbook Section 3064, which replaces Section 3062, Goodwill and Other Intangible Assets, and Section 3450, Research & Development Costs, and establishes standards for the recognition, measurement and disclosure of goodwill and intangible assets. The provisions relating to the definition and initial recognition of intangible assets, including internally generated intangible assets, are equivalent to the corresponding provisions of International Accounting Standard 38, Intangible Assets. There was no impact on the Company's financial position and results of operations on adoption of this standard.

    (s)

    Recent accounting pronouncements not yet adopted:adopted

       
     

    In January 2009, the CICACanadian Institute of Charter Accountants (CICA) issued Handbook Section 1582, Business Combinations, Section 1601, Consolidated Financial Statements, and Section 1602, Non-controlling Interests. These Sections apply to interim and annual financial statements relating to fiscal years beginning on or after January 1, 2011. Earlier adoption is permitted as of the beginning of a fiscal year. An entity adopting Section 1582 also must adopt Sections 1601 and 1602 at the same time.

       
     

    Section 1582 requires business acquisitions to be measured at fair value on the acquisition date, acquisition-related costs to be expensed, gains from bargain purchases to be recorded in net earnings, and expands the definition of a business. Section 1601 establishes standards for the preparation of consolidated financial statements and Section 1602 requires that non-controlling interest be presented as part of equity and that transactions between the Company and the non-controlling interests be reported as equity transactions. Section 1582 will apply to any business combinations in the period following adoption. The Company is in the process of assessing the impact of adoption of Section 1601 and Section 1602 on its financial statements.June 1, 2011.


    3.

    Convergence to International Financial Reporting Standards ("IFRS"):

      

    In 2006, the Canadian Accounting Standards Board (AcSB) published a new strategic plan that will significantly affectaffects financial reporting requirements for Canadian companies. The AcSB's strategic plan outlinesoutlined the convergence of Canadian GAAP with IFRS over a five-year transitional period. In February 2008, the AcSB announced that 2011 is the changeover date for publicly-listed companies to use IFRS, replacing Canada's own GAAP. The date is for interim and annual financial statements relating forto fiscal years beginning on or after January 1, 2011. The Company's first year end under IFRS will be May 31, 2012. The transition date for the Company will be June 1, 2011 and will require restatement for comparative purposes of amounts reported by the Company for the year ended May 31, 2011. WhileThe Company is in the Company has begun assessingprocess of determining the impact of adoption of IFRS for fiscal 2012, theon its financial reporting impact of the transition to IFRS has not been estimated at this time.statements.

    4.

    Accounts receivable:


       May 31, 2011  May 31, 2010 
            
     Trade accounts receivable$ 353,473 $ 375,228 
     Interest receivable -  54 
     Other 12,017  15,641 
            
      $ 365,490 $ 390,923 

    As at May 31, 2011, the trade accounts receivable consists of amounts owing from three customers which represent approximately 100 percent (May 31, 2010 - 90 percent) of trade accounts receivable.

    - F-9-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    4.

    Accounts receivable:


       May 31, 2010  May 31, 2009 
            
     Trade accounts receivable$ 375,228 $ 448,563 
     Interest receivable 54  10,352 
     Other 15,641  92,782 
            
      $ 390,923 $ 551,697 

    As at May 31, 2010, the trade accounts receivable consists of amounts owing from three customers which represent approximately 90 percent (May 31, 2009 - 95 percent) of trade accounts receivable.

    5.

    Inventories:


       May 31, 2010  May 31, 2009 
     Raw materials and packaging materials$ 120,035 $ 145,146 
     Finished goods 430,940  486,157 
      $ 550,975 $ 631,303 

    During the year ending May 31, 2010, the Company wrote-off unusable inventory of nil (May 31, 2009 - $92,985, May 31, 2008 - nil). Inventory expensed as part of cost of goods sold during the year ended May 31, 2010 was $218,702 (May 31, 2009 - $279,872, May 31,2008 - $130,850)
       May 31, 2011  May 31, 2010 
     Raw materials and packaging materials$ 74,902 $ 120,035 
     Finished goods 385,984  430,940 
      $ 460,886 $ 550,975 

    During the year ending May 31, 2011, the Company wrote-off unusable inventory of $292,950 (May 31, 2010 - nil, May 31,2009 - $92,985). Inventory expensed as part of cost of goods sold during the year ended May 31, 2011 was $268,572 (May 31, 2010 - $218,702, May 31, 2009 - $279,872).

    6.

    Property and equipment:


          Accumulated  Net book 
     May 31, 2010 Cost  amortization  value 
     Computer equipment$ 36,377 $ 13,704 $ 22,673 
     Furniture, fixtures and equipment 136,429  90,350  46,079 
      $ 172,806 $ 104,054 $ 68,752 
          Accumulated  Net book 
     May 31, 2009 Cost  amortization  value 
     Computer equipment$ 155,958 $ 143,919 $ 12,039 
     Furniture, fixtures and equipment 184,056  102,563  81,493 
      $ 340,014 $ 246,482 $ 93,532 
          Accumulated  Net book 
     May 31, 2011 Cost  amortization  value 
               
     Computer equipment$ 37,916 $ 22,145 $ 15,771 
     Furniture, fixtures and equipment 136,851  101,626  35,225 
               
      $ 174,767 $ 123,771 $ 50,996 

          Accumulated  Net book 
     May 31, 2010 Cost  amortization  value 
               
     Computer equipment$ 36,377 $ 13,704 $ 22,673 
     Furniture, fixtures and equipment 136,429  90,350  46,079 
               
      $ 172,806 $ 104,054 $ 68,752 

    Included in general and administration expenses is a gain on sale of property and equipment of nil (2010 - $7,193, (2009 - nil, 2008 - nil)2009 -nil) and the Company also recorded a write-down of property and equipment of nil (2010 - $4,041, (2009 - nil, 20082009 - nil).

    - F-10-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    7.

    Intangible assets:


       Cost, net of  Accumulated  Net book 
     May 31, 2010 impairments  amortization  value 
               
     Patents$ 8,872,044 $ 5,304,021 $ 3,568,023 
     Trademarks 1,534,440  814,610  719,830 
     Customer list 270,784  143,755  127,029 
               
      $ 10,677,268 $ 6,262,386 $ 4,414,882 
               
       Cost, net of  Accumulated  Net book 
     May 31, 2009 impairments  amortization  value 
               
     Patents$ 9,654,175 $ 4,696,494 $ 4,957,681 
     Trademarks 1,534,440  702,173  832,267 
     Customer list 270,784  123,913  146,871 
               
      $ 11,459,399 $ 5,522,580 $ 5,936,819 
       Cost, net of  Accumulated  Net book 
     May 31, 2011 impairments  amortization  value 
               
     Patents$ 8,555,292 $ 5,971,585 $ 2,583,707 
     Trademarks 1,534,440  927,048  607,392 
     Customer list 270,784  163,597  107,187 
               
      $ 10,360,516 $ 7,062,230 $ 3,298,286 

       Cost, net of  Accumulated  Net book 
     May 31, 2010 impairments  amortization  value 
               
     Patents$ 8,872,044 $ 5,304,021 $ 3,568,023 
     Trademarks 1,534,440  814,610  719,830 
     Customer list 270,784  143,755  127,029 
               
      $ 10,677,268 $ 6,262,386 $ 4,414,882 

    As part of its ongoing review of all intellectual property, the Company recorded an impairment write-down during the year ended May 31, 2011 of $280,235 (May 31, 2010 - $765,294, (MayMay 31, 2009 - $1,755,955, May 31, 2008 - $13,056,697)$1,755,955). The Company also reviewed the remaining intangible assets for impairments as at May 31, 20102011 and has determined no further write-downs were necessary.

    During the year ended May 31, 2008, conditions had arisen which triggered the need to review the Company’s long-lived assets for impairment. As a result, the Company recorded an impairment write-down of $13,056,697 to the carrying value of value of patents, trademark, technology license, and customer list which exceeded their fair value based on discounted future cash flows and market prices for similar assets.

    As described in Note 8, certain intangible assets are pledged as security against long-term debt.

    8.

    Long-term debt:


       May 31, 2010  May 31, 2009 
     Birmingham long-term debt$ 24,140,199 $ 25,041,982 
     Current portion of long-term debt (24,140,199) - 
      $ - $ 25,041,982 
       May 31, 2011  May 31, 2010 
     Birmingham long-term debt$ 22,468,518 $ 24,140,199 
     Current portion of long-term debt (22,468,518) (24,140,199)
      $ - $ - 

    Principal repayments to maturity by fiscal year are as follows:

     2012$ 869,071 
     2013 1,816,021 
     2014 2,604,853 
     2015 3,555,073 
     2016 4,694,581 
     Thereafter 12,615,401 
         
       26,155,000 
     Less deferred debt issue expenses (net of accumulated amortization of $559,837) (2,014,801)
         
      $ 24,140,199 
     2012$ 804,775 
     2013 1,681,668 
     2014 2,412,141 
     2015 3,292,062 
     2016 4,347,266 
     Thereafter 11,682,088 
         
       24,220,000 
     Less deferred debt issue expenses (net of accumulated amortization of $760,512) (1,751,482)
         
      $ 22,468,518 

    On July 18, 2011, the Company settled the above long-term debt as described in Note 16.

    - F-11-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    8.

    Long-term debt (continued):

    In September 2007, the Company entered into a debt financing agreement with Birmingham Associates Ltd. (Birmingham), an affiliate of Elliott Associates, L.P. (Elliott) for proceeds of US$25 million. Under the terms of the agreement, Birmingham receives payments based on a percentage of AGGRASTAT®net sales. Birmingham is entitled to a return of 20 percent on the first US$15 million in AGGRASTAT®revenues, 17.5 percent on the next US$10 million, 15 percent on the next US$5 million and 5 percent thereafter, subject to an escalating minimum annual return, until May 31, 2020. The minimum annual payments start at US$2.5 million in 2008 and escalate to US$6.9 million in 2017. The total minimum payments over the life of the agreement in aggregate are US$49.7 million. The annual minimum payments are reflected in the effective interest rate calculation of the debt.

    As at May 31, 2011, the Company was in default of the terms of its debt financing obligations. The portion of the minimum payments that are past due included in the accrued interest on long-term debt is $4,804,788, or US$4,933,471 (May 31, 2010 - $4,540,151 or US$4,339,659). Of this amount, US$1,739,659 was originally due July 15, 2009; US$180,811 was originally due October 15, 2009; US$195,550 was originally due January 15, 2010; US$160,359 was originally due April 15, 2010; US$2,063,280 was originally due on July 15, 2010, US$168,085 was originally due October 15, 2010, US$167,025 was originally due January 15, 2011, and US$258,703 was originally due April 15, 2011. The debt agreement contains no express provisions to accelerate debt payments in an event of default, however under the agreement the lender can exercise its security rights at any time while in default. Accordingly, for financial reporting purposes, based on the guidance in "EIC-59 Long Term Debt With Covenant Violations", the outstanding long term debt of US$25 million that is in default has been classified as a current liability as at May 31, 2011 and 2010 (Note 1).

    As disclosed in (Note 9(d)), the Company issued 1,000,000 warrants associated with the debt financing agreement. The warrants were valued at fair value of $809,344 at the date of issuance using the Black-Scholes option pricing model. The warrants have been recorded in shareholders' equity and the Company recorded a long-term debt liability of $24,213,256. The Company also incurred debt issuance costs of $1,727,902, which it has recorded as a discount on the debt. The imputed effective interest rate is 13.3 percent.

    Birmingham has the option to convert its rights based on AGGRASTAT®to MC-1 (products that contains pyridoxal 5'- phosphate (P5P)) within six months after MC-1's commercialization, if achieved. Upon conversion to MC-1, Birmingham would be entitled to a return of 10 percent on the first US$35 million in MC-1 revenues, 5 percent on the next US$40 million in MC-1 revenues and 3 percent thereafter, subject to a minimum annual return of US$2.6 million until May 31, 2020. Birmingham would receive payments based on MC-1 revenues until December 31, 2024, unless a novel patent is obtained for MC-1, which could extend the period of payments.

    Birmingham's participation rights are secured by a first security interest in the intellectual property rights of the Company in AGGRASTAT®and MC-1 (subject to certain specified MC-1 lien release terms), the proceeds derived from the commercialization of AGGRASTAT®and MC-1 (including without limitation any royalties receivable derived from any licensing of AGGRASTAT®and MC-1 to any third party and accounts receivable from the sale of AGGRASTAT®and MC-1 products), all intellectual, proprietary and other rights (including without limitation to contractual promotion and licensing rights and benefits) associated with, or derived from, AGGRASTAT®and MC-1, as well as shares in Medicure Pharma Inc. and Medicure International Inc.

    During the 30 day period following the date on which the U.S. Food and Drug Administration shall have first approved MC-1 for sale to the public, the Company may elect to terminate AGGRASTAT®or MC-1 Debt Payment rights with the payment, prior to the end of such 30 day period, of US$70 million to Birmingham.

    In addition, upon the approval of MC-1 for a second indication, the Company may once again elect to terminate AGGRASTAT®or MC-1 debt payment rights with the payment, prior to the end of such 30 day period, of US$120 million to Birmingham. The termination options represent an embedded derivative as defined in CICA Handbook Section 3855, Financial Instruments - Recognition and Measurement. As of May 31, 2011, the estimated fair value of the termination options is nil.

    In September 2007, the Company entered into a debt financing agreement with Birmingham Associates Ltd. (Birmingham), an affiliate of Elliott Associates, L.P. (Elliott) for proceeds of US$25 million. Under the terms of the agreement, Birmingham receives payments based on a percentage of AGGRASTAT®net sales. Birmingham is entitled to a return of 20 percent on the first US$15 million in AGGRASTAT®revenues, 17.5 percent on the next US$10 million, 15 percent on the next US$5 million and 5 percent thereafter, subject to an escalating minimum annual return, until May 31, 2020. The minimum annual payments start at US$2.5 million in 2008 and escalate to US$6.9 million in 2017. The total minimum payments over the life of the agreement aggregate US$49.7 million. The annual minimum payments are reflected in the effective interest rate calculation of the debt.

    As at May 31, 2010, the Company was in default of the terms of its debt financing obligations and continues to be in default. The current portion of the minimum payments that are past due included in the accrued interest on long-term debt is $4,540,151, or US $4,339,659 (May 31, 2009 - $1,899,186). Of this amount, US$1,739,659 was originally due July 15, 2009; US$180,811 was originally due October 15, 2009; US$195,550 was originally due January 15, 2010; US$160,359 was originally due April 15, 2010; and $2,063,280 was originally due July 15, 2010. The debt agreement contains no express provisions to accelerate debt payments in an event of default, however under the agreement the lender can exercise its security rights at any time while in default. Accordingly, for financial reporting purposes, based on the guidance in “EIC-59 Long Term Debt With Covenant Violations”, the outstanding long term debt of US$25 million that is in default has been classified as a current liability as at May 31, 2010 (see Note 1).

    As disclosed in (Note 9(d)), the Company issued 1,000,000 warrants associated with the debt financing agreement. The warrants were valued at CDN$809,344 based on the fair value of the options at the date of issue using the Black-Scholes option pricing model. The warrants have been recorded in shareholders’ equity and the Company recorded a long-term debt liability of CDN$24,213,256. The Company also incurred debt issuance costs of CDN$1,727,902, which it has recorded as a discount on the debt. The imputed effective interest rate is 13.3 percent.

    Birmingham has the option to convert its rights based on AGGRASTAT®to MC-1 (products that contains P5P) within six months after MC-1’s commercialization, if achieved. Upon conversion to MC-1, Birmingham would be entitled to a return of 10 percent on the first US$35 million in MC-1 revenues, 5 percent on the next US$40 million in MC-1 revenues and 3 percent thereafter, subject to a minimum annual return of US$2.6 million until May 31, 2020. Birmingham would receive payments based on MC-1 revenues until December 31, 2024, unless a novel patent is obtained for MC-1, which could extend the period of payments.

    Birmingham’s participation rights are secured by a first security interest in the intellectual property rights of the Company in AGGRASTAT®and MC-1 (subject to certain specified MC-1 lien release terms), the proceeds derived from the commercialization of AGGRASTAT®and MC-1 (including without limitation any royalties receivable derived from any licensing of AGGRASTAT®and MC-1 to any third party and accounts receivable from the sale of AGGRASTAT®and MC-1 products), all intellectual, proprietary and other rights (including without limitation to contractual promotion and licensing rights and benefits) associated with, or derived from, AGGRASTAT®and MC-1, as well as shares in Medicure Pharma Inc. and Medicure International Inc.

    During the 30 day period following the date on which the U.S. Food and Drug Administration shall have first approved MC-1 for sale to the public, the Company may elect to terminate AGGRASTAT®or MC-1 Debt Payment rights with the payment, prior to the end of such 30 day period, of US$70 million to Birmingham.

    In addition, upon the approval of MC-1 for a second indication, the Company may once again elect to terminate AGGRASTAT®or MC-1 debt payment rights with the payment, prior to the end of such 30 day period, of US$120 million to Birmingham. The termination options represent an embedded derivative as defined in CICA Handbook Section 3855, Financial Instruments F-12- Recognition and Measurement. As of May 31, 2010, the estimated fair value of the termination options is nil.

    F-12



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    9.

    Capital stock:

       
    (a)

    Authorized:

       

    The Company has authorized share capital of an unlimited number of common voting shares, an unlimited number of class A common shares and an unlimited number of preferred shares. The preferred shares may be issued in one or more series, and the directors may fix prior to each series issued, the designation, rights, privileges, restrictions and conditions attached to each series of preferred shares.

       
    (b)

    Shares issued and outstanding:

       

    Shares issued and outstanding are as follows:


      Number of Common SharesAmount
     Balance, May 31, 2008130,307,552$ 116,014,623
     Balance, May 31, 2009130,307,552116,014,623
     Balance, May 31, 2010130,307,552$ 116,014,623
       Number of Common Shares  Amount 
     Balance, May 31, 2009 130,307,552 $ 116,014,623 
     Balance, May 31, 2010 130,307,552 $ 116,014,623 
     Balance, May 31, 2011 130,307,552 $ 116,014,623 

     (c)

    Options:

       
     

    The Company has a stock option plan which is administered by the Board of Directors of the Company with stock options granted to directors, management, employees and consultants as a form of compensation. The number of common shares reserved for issuance of stock options is limited to a maximum of ten percent of the outstanding common shares of the Company at any time. The stock options generally are subject to vesting over a period up to three years and have a maximum term of ten years.

       
     

    Changes in the number of options outstanding during the year ended May 31, 20102011 and 20092010 are as follows:


          May 31, 2010     May 31, 2009 
                  
          Weighted     Weighted 
          average     average 
          exercise     exercise 
       Shares  price  Shares  price 
                  
     Balance, beginning of year 7,272,807 $ 0.57  6,717,683 $ 0.87 
     Granted -  -  2,905,000  0.04 
     Forfeited, cancelled or expired (2,240,615) 0.26  (2,349,876) 0.82 
                  
     Balance, end of year 5,032,192 $ 0.71  7,272,807 $ 0.57 
          ��       
     Options exercisable, end of year 4,311,349     3,313,339    
                  
     Weighted average fair value per unit of options granted during the year at market value on grant date  $ -   $ 0.02 
          May 31, 2011     May 31, 2010 
                  
          Weighted     Weighted 
          average     average 
          exercise     exercise 
       Shares  price  Shares  price 
                  
     Balance, beginning of period 5,032,192 $ 0.71  7,272,807 $ 0.57 
     Forfeited, cancelled or expired (2,710,000) 0.64  (2,240,615) 0.26 
                  
     Balance, end of period 2,322,192 $ 0.74  5,032,192 $ 0.71 
                  
     Options exercisable, end of period 2,322,192 $ 0.74  4,311,349 $ 0.74 

    - F-13-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    9.

    Capital stock (continued):

       
    (c)

    Options (continued):

       

    Options outstanding at May 31, 20102011 consist of the following:


       Weighted averageOptions outstanding 
     Range ofNumberremainingweighted averageNumber
     exercise pricesoutstandingcontractual lifeexercise priceexercisable
          
     $0.03 - $1.003,665,0257.96 years$0.312,965,849
     $1.01 - $2.001,217,1675.92 years$1.651,195,500
     $2.01 - $2.64150,0000.02 years$2.64150,000
          
     $0.03 - $2.645,032,1927.23 years$0.714,311,349
      Weighted averageOptions outstanding 
    Range ofNumberremainingweighted averageNumber
    exercise pricesoutstandingcontractual lifeexercise priceexercisable
         
    $0.03 - $0.501,080,0007.29 years$0.051,080,000
    $0.51 - $1.00470,0256.52 years$0.85470,025
    $1.01 - $1.68772,1674.88 years$1.63772,167
         
    $0.03 - $1.682,322,1926.33 years$0.742,322,192

    The compensation expense related to stock options granted in previous periods under the stock option plan for the year ended May 31, 20102011 was $77,057 (2010 - $122,812, (20092009 - $325,028, 2008 - $563,272)$325,028).

    The compensation expense was determined based on the fair value of the options at the date of measurement using the Black-Scholes option pricing model with the following weighted average assumptions.model. There were no stock options granted during the yearyears ended May 31, 2011 and 2010.

    May 31, 2010May 31, 2009
    Expected option life-6.8 years
    Risk free interest rate-3.55%
    Dividend yield-nil
    Expected volatility-73.55%

    The cost of stock-based payments that are fully vested and non-forfeitable at the grant date is measured and recognized at that date. For awards that vest at the end of the vesting period, compensation cost is recognized on a straight-line basis over the vesting period. For awards that vest on a graded basis, compensation cost is recognized on a pro-rata basis over the vesting period from the date of issuance. For the year ended May 31, 2010, the Company recognized compensation expense of $122,812 (2009 - $325,028, 2008 - $563,272).

     (d)

    Warrants:

    Changes in the number of warrants outstanding during the years ended May 31, 2010, 2009 and 2008 are as follows:


       Exercise Granted Granted 
     IssueOriginalpriceMay 31,(Exercised)May 31,(Exercised)May 31,
     (Expiry date)grantedper share2008(Cancelled)2009(Cancelled)2010
             
             
    104,110 units
    (August 19, 2008)

    104,110

    $1.18

    104,110

    (104,110)

    -

    -

    -
             
    2,602,750 units
    (August 19, 2010)

    2,602,750

    $1.18

    2,602,750

    -

    2,602,750

    -

    2,602,750
             
    4,000,000 units
    (May 9, 2011)

    4,000,000

    USD $2.10

    4,000,000

    -

    4,000,000

    -

    4,000,000

    Changes in the number of warrants outstanding during years ended May 31, 2011, 2010 and 2009 are as follows:

         Exercise                
    Issue Original  price  May 31,  Granted  May 31,  Granted  May 31, 
    (Expiry date) granted  per share  2009  (Expired)  2010  (Expired)  2011 
                          
    2,602,750 units (August 19, 2010) 2,602,750 $1.18  2,602,750  -  2,602,750  (2,602,750) - 
                          
    4,000,000 units (May 9, 2011) 4,000,000  USD $2.10  4,000,000  -  4,000,000  (4,000,000) - 
                          
    3,984,608 units (December 22, 2011) 3,984,608  USD $1.70  3,984,608  -  3,984,608  -  3,984,608 
                          
    1,000,000 units (December 31, 2016) 1,000,000  USD $1.26  1,000,000  -  1,000,000  -  1,000,000 
                          
    4,373,913 units (October 5, 2012) 4,373,913  USD $1.50  4,373,913  -  4,373,913  -  4,373,913 

    The warrants, with the exception of the warrants expiring on December 31, 2016, were issued together with common shares either under prospectus offerings or private placements with the net proceeds allocated to common shares and warrants based on their relative fair values using the Black-Scholes model. The warrants expiring on December 31, 2016 were issued with the debt financing agreement in September 2007, as disclosed in note 8.

    The warrants expiring on December 22, 2011, October 5, 2012, and December 31, 2016 may be exercised, upon certain conditions being met, on a cashless basis based on a formula described in the warrant agreements.

    - F-14-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    9.

    Capital stock (continued):


    (d)Warrants (continued):

       Exercise Granted Granted 
     IssueOriginalpriceMay 31,(Exercised)May 31,(Exercised)May 31,
     (Expiry date)grantedper share2008(Cancelled)2009(Cancelled)2010
             
             
     3,984,608 units
    (December 22, 2011)

    3,984,608

    USD $1.70

    3,984,608

    -

    3,984,608

    -

    3,984,608
             
     1,000,000 units
    (December 31, 2016)

    1,000,000

    USD $1.26

    1,000,000

    -

    1,000,000

    -

    1,000,000
             
     4,373,913 units
    (October 5, 2012)

    4,373,913

    USD $1.50

    4,373,913

    -

    4,373,913

    -

    4,373,913

    The warrants, with the exception of the warrants expiring on December 31, 2016, were issued together with common shares either under prospectus offerings or private placements with the net proceeds allocated to common shares and warrants based on their relative fair values using the Black-Scholes model. The warrants expiring on December 31, 2016 were issued with the debt financing agreement in September 2007, as disclosed in note 8.

       

    The warrants expiring on May 9, 2011, December 22, 2011, October 5, 2012, and December 31, 2016 may be exercised, upon certain conditions being met, on a cashless basis based on a formula described in the warrant agreements.

    (e)

    Shareholder rights plan:

       

    The Company has a shareholder rights plan, the primary objective of which is to ensure, to the extent possible, that all shareholders of the Company are treated fairly in connection with any takeover offer for the Company and to ensure that the Board of Directors is provided with sufficient time to evaluate unsolicited takeover bids and to explore and develop alternatives to maximize shareholder value.


    10.

    Income taxes:

      

    Significant components of the Company's future tax assets (liabilities) are as follows:


       2010  2009 
            
     Future tax assets:      
            Non-capital loss carry-forwards$ 5,984,000 $ 4,956,000 
            Scientific research and experimental development 3,793,000  3,793,000 
            Share issue costs 249,000  632,000 
            Other 737,000  720,000 
            
       10,763,000  10,101,000 
     less: Valuation allowance (10,763,000) (10,101,000)
            
      $ - $ - 
       2011  2010 
            
     Future tax assets:      
            Non-capital loss carry-forwards$ 7,008,000 $ 5,984,000 
            Scientific research and experimental development 3,793,000  3,793,000 
            Share issue costs 99,000  249,000 
            Other 701,000  737,000 
            
       11,601,000  10,763,000 
     less: Valuation allowance (11,601,000) (10,763,000)
            
      $ - $ - 

    F-15The reconciliation of the Canadian statutory rate to the income tax provision is as follows:



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2010, 2009 and 2008

    10.

    Income taxes (continued):

    The reconciliation of the Canadian statutory rate to the income tax provision is as follows:


       2010  2009  2008 
               
     Loss for the year:         
            Canadian$ 1,250,420 $ 3,777,652 $ 5,111,984 
            Foreign 4,282,086  9,538,175  52,290,537 
               
      $ 5,532,506 $ 13,315,827 $ 57,402,521 
               
               
     Canadian federal and provincial income taxes at 27.00% (2009 - 27.00%; (2008 - 27.00%)$ 1,494,000 $ 3,595,000 $ 15,499,000 
     Change in rates -  -  (964,000)
     Permanent differences and other items 59,000  (64,000) (126,000)
     Foreign tax rate in foreign jurisdiction (932,000) (2,256,000) (12,914,000)
     Change in valuation allowance (662,000) (759,000) (1,888,000)
     Other 41,000  (516,000) 393,000 
               
      $ - $ - $ - 
      2011  2010  2009 
              
    Loss for the year:         
           Canadian$ 1,564,488 $ 1,250,420 $ 3,777,652 
           Foreign 449,621  4,282,086  9,538,175 
              
     $ 2,014,109 $ 5,532,506 $ 13,315,827 
              
              
    Canadian federal and provincial income taxes at 27.00% (2010 - 27.00%; 2009 - 27.00%)$ 544,000 $ 1,494,000 $ 3,595,000 
    Permanent differences and other items (42,000) 59,000  (64,000)
    Foreign tax rate in foreign jurisdiction (120,000) (932,000) (2,256,000)
    Change in valuation allowance (838,000) (662,000) (759,000)
    Other 456,000  41,000  (516,000)
              
     $ - $ - $ - 

    The foreign tax rate differential is the difference between the Canadian federal and provincial statutory income tax rate and the tax rates in Barbados (2.5 percent) and the United States (34(38 percent) that are applicable to losses incurred by the Company's wholly-owned subsidiaries, Medicure International Inc. and Medicure Pharma Inc.

    At May 31, 2010, the Company has the following available for application in future years:
    Unutilized Canadian non-capital loss carried-forward balances for income tax purposes of $10,536,865 (2009 - $7,900,396; 2008 - $10,876,162), with expiry dates ranging from 2011 to 2030;
    Unutilized foreign non-capital loss carried-forward balances for income tax purposes of $108,978,814 (2009 - $104,421,816; 2008 - $97,770,849), with no expiry;
    Scientific research and development tax credits of $3,826,000 (2009 - $3,826,000; 2008 - $1,983,000), which can be applied against income taxes otherwise payable, with expiry by 2028.

    11.

    Commitments and contingencies:

    (a)

    Commitments:

    As at May 31, 2010 and in the normal course of business we have obligations to make future payments, representing contracts and other commitments that are known and committed.


     Purchase agreement 
       commitments 
         
     Contractual obligations payment due by fiscal period ending May 31: (USD $)   
     2011 644,000 
     2012 805,000 
     2013 403,000 
         
         
                                                                                                                                                                            &nbs p;                                                                $1,852,000 

    F-16- F-15-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    10.Income taxes (continued):

     At May 31, 2011, the Company has the following available for application in future years:
  • Unutilized Canadian non-capital loss carried-forward balances for income tax purposes of $12,595,458 (2010 - $10,536,865; 2009 - $7,900,396), with expiry dates ranging from 2012 to 2031;

  • Unutilized foreign non-capital loss carried-forward balances for income tax purposes of $112,106,328 (2010 - $108,978,814; 2009 - $104,421,816), with no expiry;

  • Scientific research and development tax credits of $3,826,000 (2010 - $3,826,000; 2009 - $3,826,000), which can be applied against income taxes otherwise payable, with expiry by 2028.


    11.

    Commitments and contingencies:


    (a)

    Commitments:

    As at May 31, 2011 and in the normal course of business the Company has obligations to make future payments, representing contracts and other commitments that are known and committed.


       Purchase 
       agreement 
       commitments 
         
     Contractual obligations payment due by fiscal period ending May 31:   
     2012 759,000 
     2013 64,000 
         
     $ 823,000 

    The Company entered into manufacturing and supply agreements, as amended, to purchase a minimum quantity of AGGRASTAT®from a third party totaling a minimum of $823,000 or US$849,000 (based on current pricing) over the term of the agreement, which expires in fiscal 2013.

    In addition, as described in note 8 the Company has entered into a debt financing agreement for a US$25 million upfront cash payment. The minimum annual payments start at US$2.5 million in 2008 and escalate to US$6.9 million in 2017 and continue until May 31, 2020. The cumulative minimum annual payments (from 2008 to 2020) under the agreement in aggregate are US$49.7 million. On July 18, 2011, the Company settled its long-term as described in Note 16.

    Effective October 1, 2009, the Company entered into a business and administration services agreement with Genesys Venture Inc. (GVI), a company controlled by the Chief Executive Officer (Note 12) under which the Company committed to pay $25,000 per month or $300,000 per annum. On October 1, 2010, an amendment was made to the agreement thereby reducing the fees to $15,000 per month, or $180,000 per year effective November 1, 2010. The agreement shall be automatically renewed for succeeding terms of one year on terms to be mutually agreed upon by the parties. The Company may terminate this agreement at any time upon 60 days written notice.

    In addition to the contractual obligations disclosed above, the Company and its wholly-owned subsidiaries have ongoing research and development agreements with third parties in the ordinary course of business.

    Contracts with contract research organizations (CROs) are payable over the terms of the trials and timing of payments is largely dependent on various milestones being met, such as the number of patients recruited, number of monitoring visits conducted, the completion of certain data management activities, trial completion, and other trial-related activities. As at May 31, 2011, the Company has committed to fund a further $3,000,000 research and development activities under development agreements with CROs. The timing of expenditures and payments is largely at the discretion of the Company and the agreements may be terminated at any time provided 30 days notice is provided.

    - F-16-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 and 2009

    11.

    Commitments and contingencies (continued):

       

    The Company entered into manufacturing and supply agreements, as amended, to purchase a minimum quantity of AGGRASTAT®from a third party totaling a minimum of USD $1,852,000 (based on current pricing) over the term of the agreement, which expires in fiscal 2013.

    In addition, as described in note 8 the Company has entered into a debt financing agreement for a US$25 million upfront cash payment. The minimum annual payments start at US$2.5 million in 2008 and escalate to US$6.9 million in 2017 and continue until May 31, 2020. The cumulative minimum annual payments (from 2008 to 2020) under the agreement aggregate US$49.7 million.

    Effective October 1, 2009, the Company entered into a business and administration services agreement with Genesys Venture Inc. (GVI), a company controlled by the CEO, (Note 12) under which the Company is committed to pay $25,000 per month or $300,000 per annum. The agreement shall be automatically renewed for succeeding terms of one year on terms to be mutually agreed upon by the parties. The Company may terminate this agreement at any time upon 60 days written notice.

    Effective January 8, 2010, the Company entered into two agreements under which the Company may be committed to pay success fees for investment banking and advisory services related to the ongoing evaluation of expressions of interest from third parties regarding the potential partnership, license, or sale of AGGRASTAT®and/or an investment in the Company. Fees payable under these agreements are contingent on successful completion of one or more of the above mentioned alternatives and accordingly have not been accrued at May 31, 2010,

    In addition to the contractual obligations disclosed above, the Company and its wholly-owned subsidiaries have ongoing research and development agreements with third parties in the ordinary course of business. The agreements include the research and development of MC-1 and its related compounds.


    (i)

    Contracts with clinical research organizations (CROs) are payable over the terms of the trials and timing of payments is largely dependent on various milestones being met, such as the number of patients recruited, number of monitoring visits conducted, the completion of certain data management activities, trial completion, and other trial-related activities. As at May 31, 2010, the Company has no outstanding commitments related to clinical research agreements with CROs.

    (ii)

    As at May 31, 2010, the Company has committed to fund a further $3,000,000 in research and development activities under a development agreement with a research organization. The timing of expenditures and payments is largely at the discretion of the Company and the agreements may be terminated at any time provided 30 days notice is provided.


    (b)

    Guarantees:

       

    The Company periodically enters into research agreements with third parties that include indemnification provisions customary in the industry. These guarantees generally require the Company to compensate the other party for certain damages and costs incurred as a result of claims arising from research and development activities undertaken on behalf of the Company. In some cases, the maximum potential amount of future payments that could be required under these indemnification provisions could be unlimited. These indemnification provisions generally survive termination of the underlying agreement. The nature of the indemnification obligations prevents the Company from making a reasonable estimate of the maximum potential amount it could be required to pay. Historically, the Company has not made any indemnification payments under such agreements and no amount has been accrued in the accompanying financial statements with respect to these indemnification obligations.

       
    (c)

    Royalties:

       

    The Company is obligated to pay royalties to third parties based on any future commercial sales of MC-1, aggregating up to 3.9 percent on net sales. To date, no royalties are due and/or payable.

       

    These royalty commitments exclude any obligations to Birmingham pursuant to the debt financing agreement (Note 8).

    F-17



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2010, 2009(notes 8 and 2008

    11.

    Commitments and contingencies (continued):16).

       
    (d)

    Contingencies:

       

    In the ordinarynormal course of operatingbusiness the Company’s business itCompany may from time to time be subject to various claims or possible claims. Although management currently believes there are no claims or possible claims that if resolved would either individually or collectively result in a material adverse impact on the Company’sCompany's financial position, results of operations, or cash flows, these matters are inherently uncertain and management’smanagement's view of these matters may change in the future.


    12.

    Related party transactions:

      

    Related parties consist of certain officers and shareholders, companies with significant influence, and companies in which certain directors, officers, or shareholders have interests. These transactions are in the normal course of operations and are measured at the exchange amount, which is the amount of consideration established and agreed upon by the related parties.

      

    Related party transactions incurred during the years ended May 31, 2011, 2010 2009 and 20082009 are as follows:


       2010  2009  2008 
               
     Rent 45,477  69,012  76,268 
     Business and administrative services 431,000  281,000  272,249 
     Clinical research services 88,918  -  - 

    In accordance with the above noted contract (Note 11(a)), the Chief Financial Officer's services are provided through a consulting agreement with GVI. In addition, intellectual property, accounting, payroll, human recourses and information technology services are provided to the Company through the GVI agreement.

    Clinical research services are provided through a consulting agreement with GVI Clinical Development Solutions ("GVI CDS"). In addition, pharmacovigilance and safety, regulatory support, quality control and clinical support are provided to the Company through the GVI CDS agreement.

    13.

    Financial instruments:

    The Company has classified its financial instruments as follows:


       May 31, 2010  May 31, 2009 
            
     Financial assets:      
            Cash and cash equivalents (held-for-trading) 371,262  1,978,725 
            Accounts receivable (loans and receivables) 390,923  551,697 
            
       762,185  2,530,422 
            
            
     Financial liabilities:      
            Accounts payable and accrued liabilities (other financial liabilities) 1,320,185  1,512,377 
            Accrued interest on long-term debt (other financial liabilities) 5,469,343  2,542,560 
            Long-term debt (other financial liabilities) 24,140,199  25,041,982 
            
       30,929,727  29,096,919 
       2011  2010  2009 
               
     Rent 17,671  45,477  69,012 
     Business and administrative services 426,000  431,000  281,000 
     Clinical research services 169,762  88,918  - 

    F-18In accordance with the above noted contract (Note 11(a)), the Chief Financial Officer's services are provided through a consulting agreement with GVI. In addition, intellectual property, accounting, payroll, human resources and information technology services are provided to the Company through the GVI agreement.

    Also, included in business and administrative service are amounts paid to the Chief Executive Officer. On July 18, 2011, the Company renewed its consulting agreement with its Chief Executive Officer for a term of five years, at a rate of $180,000 annually.

    Clinical research services are provided through a consulting agreement with GVI Clinical Development Solutions ("GVI CDS"), a company controlled by the Chief Executive Officer. Pharmacovigilance and safety, regulatory support, quality control and clinical support are provided to the Company through the GVI CDS agreement.

    On July 18, 2011, the Company issued 20,000,000 common shares of the Company to the Chief Executive Officer of the Company and entities controlled by the Chief Executive Officer for consideration relating to the guarantee of a loan obtained subsequent to May 31, 2011, as described in Note 16.

    - F-17-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    13.

    Financial instruments (continued):instruments:

      

    The Company has determined that the carrying values ofclassified its short-term financial assets and liabilities, including cash and cash equivalents, accounts receivable and accounts payable and accrued liabilities, approximates their fair value because of the relatively short periods to maturity of these instruments. Management cannot reasonably estimate the fair value of the long term debt due to the financial condition of the Company (Note 1) and underlying terms and conditions of the debt agreement (Note 8). The Company has not entered into future or forward contractsinstruments as at May 31, 2010.follows:

    The Company’s


       May 31, 2011  May 31, 2010 
            
     Financial assets:      
            Cash and cash equivalents (held-for-trading) 750,184  371,262 
            Accounts receivable (loans and receivables) 365,490  390,923 
            
       1,115,674  762,185 
            
     Financial liabilities:      
            Accounts payable and accrued liabilities (other financial liabilities) 1,729,517  1,320,185 
            Accrued interest on long-term debt (other financial liabilities) 7,869,577  5,469,343 
            Long-term debt (other financial liabilities) 22,468,518  24,140,199 
            
       32,067,612  30,929,727 

    The Company has determined that the carrying values of its short-term financial assets and liabilities, including cash, accounts receivable and accounts payable and accrued liabilities, approximates their fair value because of the relatively short periods to maturity of these instruments. Management cannot reasonably estimate the fair value of the long term debt and the associated accrued interest on long-term debt due to the financial condition of the Company (note 1) and the underlying terms and conditions of the debt agreement (note 8). Subsequent to May 31, 2011, the Company settled its long-term debt as described in Note 16. The Company has not entered into future or forward contracts as at May 31, 2011.

    The Company's financial instruments are exposed to certain financial risks, including credit risk, liquidity and market risk.


     (a)

    Credit risk:

       
     

    Credit risk is the risk of financial loss to the Company if a partner or counterparty to a financial instrument fails to meet its contractual obligation and arises principally from the Company’sCompany's cash and cash equivalents, restricted cash and accounts receivable. The carrying amounts of the financial assets representrepresents the maximum credit exposure.

       
     

    The Company limits its exposure to credit risk on cash and cash equivalents by placing these financial instruments with high-credit quality financial institutions.

       
     

    The Company is subject to a concentration of credit risk related to its accounts receivable as amounts are owing primarily from three customers. At May 31, 2010,2011, the outstanding accounts receivable were within normal payment terms and the Company had recorded no allowance for doubtful accounts.

       
     (b)

    Liquidity risk:

       
     

    Liquidity risk is the risk that the Company will not be able to meet its financial obligations as they come due. The Company manages its liquidity risk by continuously monitoring forecasted and actual cash flows, as well as anticipated investing and financing activities and to ensure, as far as possible, that it will have sufficient liquidity to meet its liabilities when due and to fund future operations. The Company assessed liquidity risk as high because at May 31, 2010, the Company was in default of the terms of its debt financing obligations (Note 8). The Company continues ongoing discussions with its senior lender to restructure its debt. Based on the Company’s operating plan, its existing working capital is not sufficient to fund its planned operations, capital requirements, debt servicing obligations, and commitments through the end of the fiscal 2011 year without restructuring of its debt and raising additional capital. Depending on the outcome of these negotiations the Company may not have sufficient working capital to maintain operations (see note 1).

       
     

    The majority of the Company’sCompany's accounts payable and accrued liabilities are due within the current operating period. For long-term debt repayments see Note 8.

       

    On July 18, 2011, the Company settled its long-term as described in Note 16.

    - F-18-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 and 2009

    13.

    Financial instruments (continued):

     
    (c)

    Market risk:

        

    Market risk is the risk that changes in market prices, such as foreign currency and interest rates, will affect the Company’sCompany's earnings or the value of the financial instruments held.

        
    (i)

    Currency risk:

        

    Currency exchange rate risk is the risk that the fair value of future cash flows for financial instruments will fluctuate because of the change in foreign exchange rates. The Company is exposed to currency risks primarily due to its U.S. dollar denominated cash and cash equivalents, restricted cash,accounts receivable, accounts payable and accrued liabilities accrued interest on long-term debt and long-term debt. The Company has not entered into any forward foreign exchange contracts.

    F-19



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2010, 2009 and 2008

    13.

    Financial instruments (continued):

    (c)

    Market risk (continued):

    (i)

    Currency risk (continued):

        

    The Company is exposed to U.S. dollar currency risk through the following U.S. denominated financial assets and liabilities:


     (Expressed in USD $) May 31, 2010  May 31, 2009 
            
     Cash$ 256,883 $ 1,151,509 
     Accounts receivable 344,406  410,885 
     Accounts payable and accrued liabilities (972,472) (934,099)
     Accrued interest on long-term debt (5,227,817) (2,328,992)
     Long term debt (25,000,000) (25,000,000)
            
      $ (30,599,000)$ (26,700,697)
     (Expressed in USD $) May 31, 2011  May 31, 2010 
            
     Cash and cash equivalents$ 694,351 $ 256,883 
     Accounts receivable 362,235  344,406 
     Accounts payable and accrued liabilities (673,066) (972,472)
     Accrued interest on long-term debt (8,123,015) (5,227,817)
     Long term debt (25,000,000) (25,000,000)
            
      $ (32,739,495)$ (30,599,000)

     

    Based on the above net exposures as at May 31, 2010,2011, assuming that all other variables remain constant, a 5 percent appreciation or deterioration of the Canadian dollar against the U.S. dollar would result in a corresponding decrease or increase of approximately $1,600,000 (May 31, 2010 - $1,600,000, May 31, 2009 - $1,500,000, May 31, 2008 - $1,800,000)$1,500,000) in the Company’sCompany's net loss.

       
     (ii)

    Interest rate risk:

       
     

    Interest rate risk is the risk that the future cash flows of a financial instrument will fluctuate because of changes in market interest rates.

       
     

    The Company is exposed to interest rate risk arising primarily from fluctuations in interest rates on its cash and cash equivalents.

       
     

    An increase in 100 basis points in interest rates during the year ended May 31, 2010,2011, with all other variables held constant, would have decreased the shareholders’ deficiency and decreased the net loss by approximately $2,900 (May 31, 2010 - $2,300, (MayMay 31, 2009 - $13,000, May 31, 2008 - $70,000)$13,000). The Birmingham debt has been excluded due to the nature of the interest payments as described in Note 8.

    - F-19-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 and 2009

    14.

    Management of capital:

      

    The Company’sCompany's objectives when managing capital are to safeguard the Company’sCompany's ability to continue as a going concern (Note(note 1) and to provide capital to pursue the development and commercialization of its products.

      

    In the management of capital, the Company includes cash and cash equivalents, long-term debt, capital stock, stock options, warrants and contributed surplus.

      

    The Company manages its capital structure and makes adjustments to it in light of economic conditions. The Company, upon approval from its Board of Directors, will balance its overall capital structure through new share issuances, granting of stock options, the issue of debt or by undertaking other activities as deemed appropriate under the specific circumstance. The Company’sCompany's overall strategy with respect to capital risk management remains unchanged for the year ended May 31, 2010.2011.

    F-20



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2010, 2009 and 2008

    15.

    Segmented information:

      

    The Company operates in one business segment, the biopharmaceutical industry. Substantially all of the Company’sCompany's assets and operations are located in three locations; Canada, the United States and Barbados. During the year ended May 31, 2010,2011, 100 percent of product revenues were generated from sales of AGGRASTAT®in the United States, which was to seven customers. Customer A accounted for 3632 percent, Customer B accounted for 2831 percent, Customer C accounted for 26 percent, and the remaining four customers accounted for 1011 percent of revenues.

      

    Property and equipment and intangible assets are located in the following countries:


       May 31, 2010  May 31, 2009 
            
     Canada$ 40,871 $ 129,430 
     Barbados 4,397,819  5,837,505 
     United States 44,944  63,416 
       May 31, 2011  May 31, 2010 
            
     Canada$ 32,218 $ 40,871 
     Barbados 3,284,196  4,397,819 
     United States 32,868  44,944 

    16.

    Subsequent events:

    (a)

    Sale of inventory:

    On July 6, 2011, the Company entered into an agreement with Iroko Cardio, LLC ("Iroko") to advance AGGRASTAT®in each of Medicure and Iroko's respective territories. Iroko owns rights to AGGRASTAT®outside of the Company's territory. Under the terms of the agreement, the Company transferred to Iroko AGGRASTAT®drug substance from inventory on hand and the rights to purchase additional quantities from a third party. In turn, Iroko paid Medicure International Inc. US$1,059,000 on July 6, 2011 and will pay an additional US$850,000 on or before November 1, 2011, subject to certain conditions. In addition, Iroko made available to the Company certain analytical methods for testing of AGGRASTAT®drug product and provided the Company the option to obtain certain data used by Iroko to obtain changes to the approved use of AGGRASTAT®in Europe. If the Company exercises its option to obtain the data and is successful in getting changes to the approved use of AGGRASTAT®in the United States, Iroko will be entitled to receive a royalty of up to US$3,500,000 on future AGGRASTAT®sales based on a percentage of sales.

    - F-20-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 and 2009

    16.

    Subsequent events (continued):

    (b)

    Debt settlement and related transactions:

    On July 18, 2011, the Company settled the long-term debt (note 8) in exchange for; i) $4,750,000 in cash; ii) 32,640,043 common shares of the Company; and iii) a royalty on future AGGRASTAT®sales until 2023. The royalty is based on four percent of the first $2,000,000 of quarterly AGGRASTAT®sales and increases on sales exceeding that amount.

    In addition, the Company borrowed $5,000,000 from the Government of Manitoba, under the Manitoba Industrial Opportunities Program, to assist in the settlement of the long-term debt. The loan bears interest annually at the crown company borrowing rate and matures on July 1, 2016. The loan is payable interest only for the first 24 months, with blended principal and interest payments made monthly thereafter until maturity. The loan is secured by the Company's assets and guaranteed by the Chief Executive Officer of the Company and entities controlled by the Chief Executive Officer. The Company issued 20,000,000 common shares of the Company in consideration for the guarantee to the Company's Chief Executive Officer and entities controlled by the Chief Executive Officer. The Company relied on the financial hardship exemption from the minority approval requirement of Multilateral Instrument (MI) 61-101. Specifically, pursuant to MI 61-101, minority approval is not required for a related party transaction in the event of financial hardship in specified circumstances.

    Additionally, the Company renewed its consulting agreement with its Chief Executive Officer for a term of five years, at a rate of $180,000 annually.

    (c)

    Stock options:

    On July 18, 2011, the Company issued 12,542,000 stock options to employees and consultants of the Company, including the Chief Executive Officer and Chief Operating Officer, at an exercise price of $0.10 per common share. The options vested immediately and expire after ten years.

    17.

    Reconciliation of generally accepted accounting principles:

       

    The Company prepares its consolidated financial statements in accordance with Canadian GAAP, the measurement principles of which, as applied in these consolidated financial statements, conform in all material respects with U.S. GAAP except as follows:

       
    (a)

    Intangible assets:

       

    Under Canadian GAAP, the patent costs and acquired technologies which relate to products which are subject to research and development activities and have not yet received regulatory approval are included as an asset on the balance sheet. Under U.S. GAAP, amounts paid for intangible assets used solely in research and development activities with no alternative future use should be expensed as incurred. As a result of this difference in treatment, under U.S. GAAP, certain patent costs and acquired technologies would have been recorded as a component of research and development expense in the year of incurrence.

       

    The effect of this difference is that for the year ended May 31, 2010,2011, research and development expense would have increased by $42,327 (May 31, 2010 - $139,601 (year endedand May 31, 2009 - $234,990 and May 31, 2008 - $572,520)$234,990). Under U.S. GAAP, the related reduction in amortization expense is $65,153$44,741 for the year ended May 31, 2011 (May 31, 2010 (year ended- $65,153 and May 31, 2009 - $61,821 and May 31, 2008 - $179,587)$61,821). During the year ended May 31, 2010,2011, the Company wrote-down its patent asset related to research and development activities by $280,235 (May 31, 2010 - $765,294 respectively (year endedand May 31, 2009 - $1,755,955 and May 31, 2008 - $883,784)$1,755,955). This asset was expensed previously under U.S. GAAP, resulting in an adjustment to decrease net loss of $280,235 (May 31, 2010 - $765,294 (year endedand May 31, 2009 - $1,755,955 and May 31, 2008 - $883,784)$1,755,955).

    (b)

    Change in accounting policies

    In November 2007, the Emerging Issues Task Force issued EITF Issue 07-01, Accounting for Collaborative Arrangements (EITF 07-01). EITF 07-01 requires collaborators to present the results of activities for which they act as the principal on a gross basis and report any payments received from (made to) other collaborators based on other applicable GAAP or, in the absence of other applicable GAAP, based on analogy to authoritative accounting literature or a reasonable, rational, and consistently applied accounting policy election. Further, EITF 07-01 clarified that the determination of whether transactions within a collaborative arrangement are part of a vendor-customer (or analogous) relationship subject to Issue 01-9, Accounting for Consideration Given by a Vendor to a Customer. EITF 07-01 is effective for fiscal years beginning after December 15, 2008. On June 1, 2009, the Company adopted the currently effective provisions of EITF 07-01. The adoption of this standard did not have a material impact on the Company’s consolidated financial statements.

    - F-21-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    16.17.

    Reconciliation of generally accepted accounting principles (continued):

       
    (b)

    Change in accounting policies (continued):Warrants

    In December 2007, the FASB issued SFAS No. 141 (Revised 2007), Business Combinations (SFAS 141R). SFAS 141R will change the accounting for business combinations. Under SFAS 141R, an acquiring entity will be required to recognize all the assets acquired and liabilities assumed in a transaction at the acquisition-date fair value with limited exceptions. SFAS 141R will change the accounting treatment and disclosure for certain specific items in a business combination. SFAS 141R applies prospectively to business combinations for which the acquisition date is on or after the beginning of the first annual reporting period beginning on or after December 15, 2008. On June 1, 2009, the Company adopted the currently effective provisions of SFAS 141R. The adoption of this standard did not have a material impact on the Company’s consolidated financial statements.

    In December 2007, the FASB issued SFAS No. 160, Non-controlling Interests in Consolidated Financial Statements - An Amendment of ARB No. 51 (SFAS 160). SFAS 160 establishes new accounting and reporting standards for the non-controlling interest in a subsidiary and for the deconsolidation of a subsidiary. SFAS 160 is effective for fiscal years beginning on or after December 15, 2008. On June 1, 2009, the Company adopted the currently effective provisions of SFAS 160. The adoption of this standard did not have a material impact on the Company’s consolidated financial statements.

    In March 2008, the FASB issued SFAS No. 161, Disclosures about Derivative Instruments and Hedging Activities - An Amendment of FASB Statement No. 133 (SFAS 161). SFAS 161 revises the disclosure requirements for derivative instruments and hedging activities. SFAS 161 is effective for financial years beginning on or after November 15, 2008. On June 1, 2009, the Company adopted the currently effective provisions of SFAS 161. The adoption of this standard did not have a material impact on the Company’s consolidated financial statements.

    In May 2008, the FASB issued SFAS 162, The Hierarchy of Generally Accepted Accounting Principles (SFAS 162). SFAS 162 identifies the sources of accounting principles and the framework for selecting the principles to be used in the preparation of financial statements. This statement is effective 60 days following the SEC’s approval of the Public Company Accounting Oversight Board amendments to AU Section 411, The Meaning of Present Fairly in Conformity with Generally Accepted Accounting Principles. On June 1, 2009, the Company adopted the currently effective provisions of SFAS 162. The adoption of this standard did not have a material impact on the Company’s consolidated financial statements.

    In June 2008, the Emerging Issues Task Force issued EITF Issue No. 07-5, Determining Whether an Instrument (or an Embedded Feature) is Indexed to an Entity’s Own Stock (EITF 07-5).

    The instruments affected by this issue may contain contract terms that call into question whether the instrument or embedded feature is indexed to the entity’s own stock. A derivative instrument or embedded derivative feature that is deemed indexed to an entity’s own stock may be exempt from the requirements of Statement 133 for derivatives. In addition, a freestanding instrument that is indexed to a company’s own stock remains eligible for equity classification under EITF Issue 00-19.

    The consensus addresses the following issues:

  • How an entity should evaluate whether an instrument (or embedded feature) is indexed to its own stock.

  • How the currency in which the strike price of an equity-linked financial instrument (or embedded equity-linked feature) is denominated affects the determination of whether the instrument is indexed to an entity’s own stock.

  • How an issuer should account for market-based employee stock option valuation instruments.

       

    On June 1, 2009, the Company adopted the currently effective provisions of EITF 07-5.the Accounting Standards Codification (ASC) 815, Derivatives and Hedging, Subtopic 40. As a result of the adoption of EITF 07-5,ASC 815, the Company reclassified its issued warrants out of equity classification to a liability classification and the warrants wereare marked-to-market each period with changes in fair value going through the statement of operations. The consensus is effective for fiscal years and interim periods beginning after December 15, 2008. The consensus must bewas applied to outstanding instruments as of the beginning of the fiscal year in which the Issue isStandard was adopted as a cumulative-effectcumulative effect adjustment to the opening balance of retained earnings for that fiscal year. The effect of this difference is that the fair value of warrants equal to $107,322 as at June 1, 2009 was classified as a liability with the related $8,958,398 adjustment to fair value on adoption recorded as a decrease to opening deficit as at that date.

    F-22



    MEDICURE INC.
    Notes to

    The effect of this difference is that for the Consolidated Financial Statements

    (Expressed in Canadian dollars)
    Yearsyear ended May 31, 2011, change in fair value of warrants would have decreased $27,374 (May 31, 2010 - $69,351 and May 31, 2009 and 2008

    16.

    Reconciliation of generally accepted accounting principles (continued):- nil).

       
    (b)(c)

    Change in accounting policies (continued):

       

    In May 2009, the FASB issued FAS No. 165, "Subsequent Events". This pronouncement establishes standards for accounting for and disclosing subsequent event (events which occur after the balance sheet date but before financial statements are issued or are available to be issued). FAS 165 required an entity to disclose the date subsequent events were evaluated and whether that evaluation took place on the date financial statements were issued or were available to be issued. On September 1, 2009, the Company adopted the currently effective provisions of SFAS 165. The adoption of FAS 165 did not have a material impact on the Company's financial condition or results of operations.

    In February 2010, the FASB issued ASU 2010-09, which amends ASC 855 to address certain implementation issued related to an entity's requirement to perform and disclose subsequent event procedures. ASU 2010-09 requires entities to make filings with the Securities Exchange Commission (SEC) to evaluate subsequent events through the date the financial statements are issued. The new guidance became effective immediately for financial statements that are issued or available to be issued.

    (c)

    Summary:

    The impact of the measurement differences to U.S. GAAP on the consolidated statements of operations and deficit are as follows:


       2010  2009  2008 
               
     Loss for the year, Canadian GAAP$ (5,532,506)$(13,315,827)$(57,402,521)
     Adjustments for the following:         
          Intangible assets(a) (139,601) (234,990) (572,520)
          Amortization of intangible assets(a) 65,153  61,821  179,587 
          Impairment of intangible assets(a) 765,294  1,755,955  883,784 
          Change in fair value of warrants(b) 69,351  -  - 
               
               
     Loss for the year, U.S. GAAP$ (4,772,309)$(11,733,041)$(56,911,670)
               
               
     Basic and diluted loss per share, U.S. GAAP$ (0.04)$ (0.09)$ (0.45)
               
     Weighted average number of common shares 130,307,552  130,307,552  125,476,086 
               
               
     The impact of the measurement differences to U.S. GAAP would result in the consolidated statements of cash flow items as follows:
               
               
       2010  2009  2008 
               
     Operating activities$ (1,592,410)$(10,653,129)$(40,544,020)
     Investing activities (2,230) (3,552) (14,588)
     Financing activities -  -  22,586,358 

    F-23



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2010, 2009 and 2008

    16.

    Reconciliation of generally accepted accounting principles (continued):

    (c)

    Summary (continued):

    The impact of the measurement differences to U.S. GAAP described above would result in the consolidated balance sheet items as follows:


       2010  2009  2008 
               
     Deferred debt issue expenses$ 2,014,801 $ 2,250,518 $ 2,554,081 
     Long-term debt 26,155,000  27,292,500  36,741,000 
     Warrant liability 37,971  -  - 
     Intangible assets 3,845,916  4,676,656  5,510,661 
     Capital stock and contributed surplus 136,304,087  145,246,995  144,921,967 
     Deficit (161,867,677) (166,053,766) 154,320,725 

    (d)

    Recent accounting pronouncements:

    The following accounting standards were issued recently by the FASB. The Company is currently evaluating the impact of these new standards on its consolidated financial statements.

    Codification and Hierarchy of Generally Accepted Accounting Principles

    In June 2009, the Financial Accounting Standards Board (“FASB”) issued Accounting Standards Update (“ASU”) No. 2009-01, “Topic 105 - Generally Accepted Accounting Principles (formerly SFAS 168, “The FASB Accounting Standards Codification TM and the Hierarchy of Generally Accepted Accounting Principles”).” Accounting Standards Codification (“ASC”) Topic 105 establishes the FASB Accounting Standards Codification®(“Codification”) as the source of authoritative accounting principles recognized by the FASB to be applied by non-governmental entities in the preparation of financial statements in conformity with US GAAP for Securities and Exchange Commission (“SEC”) registrants. All guidance contained in the Codification carries an equal level of authority. The Codification supersedes all existing non-SEC accounting and reporting standards. The FASB will no longer issue new standards in the form of Statements, FASB Staff Positions or Emerging Issues Task Force Abstracts. The FASB will instead issue new standards in the form of ASUs. The FASB will not consider ASUs as authoritative in their own right and ASUs will serve only to update the Codification, provide background information about the guidance and provide the basis for conclusions on the changes in the Codification. These changes and the Codification itself do not change US GAAP. The adoption of these changes has only impacted the manner in which new accounting guidance under US GAAP is referred and did not impact the Company's consolidated financial statements.

    Consolidation of Variable Interest Entities

    In December 2009, the FASB issued ASU 2009-17, “Consolidations"Consolidations (Topic 810), Improvements to Financial Reporting by Enterprises Involved with Variable Interest Entities (formerly SFAS 167, “Amendments"Amendments to FASB Interpretation No. 46(R)")," which amends the consolidation guidance for variable interest entities (“VIE”)(VIE). The changes include the elimination of the exemption for qualifying special purpose entities and a new approach for determining who should consolidate a VIE. In addition, changes to when it is necessary to reassess who should consolidate a VIE have also been made. On June 1, 2010, the Company adopted the currently effective provisions of ASU 2009-17. The adoption of this standard did not have a material impact on the Company's consolidated financial statements.

       

    In determiningJanuary 2010, the primary beneficiary, or entity requiredFASB issued ASU 2010-06, "Fair Value Measurements and Disclosures (Topic 810) Improving Disclosures About Fair Value Measurements." This ASU provides further disclosure requirements for recurring and non-recurring fair value measurements. These disclosure requirements include transfers in and out of Level 1 and 2 and additional information relating to consolidate a VIE, quantitative analysisactivity in Level 3 fair value measurements. The ASU also provides clarification on the level of who absorbs the majoritydisaggregation for disclosure of the expected losses or receives a majority of the expected residual returns or both of the VIE is no longer required. Under ASU 2009-17, an entity is required to assess whether its variable interest or interestsfair value measurement. The new disclosures and clarifications are effective for interim and annual periods beginning after December 15, 2009, except for disclosures about activity in an entity give it a controlling financial interest in the VIE,Level 3 fair value measurements, which involves more qualitative analysis.are effective for fiscal years beginning after December 15, 2010 and for interim periods within those fiscal years.

    F-24- F-22-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 2009 and 20082009

    16.17.

    Reconciliation of generally accepted accounting principles (continued):


     (d)

    RecentSummary:

    The impact of the measurement differences to U.S. GAAP on the consolidated statements of operations and deficit are as follows::


       2011  2010  2009 
               
     Loss for the period, Canadian GAAP$ (2,014,109)$ (5,532,506)$ (13,315,827)
     Adjustments for the following:         
          Intangible assets (42,387) (139,601) (234,990)
          Amortization of intangible assets 44,741  65,153  61,821 
          Impairment of intangible assets 280,235  765,294  1,755,955 
          Change in fair value of warrants 27,374  69,351  - 
               
      $ (1,704,146)$ (4,772,309)$ (11,733,041)
               
     Basic and diluted loss per share, U.S. GAAP$ (0.01)$ (0.04)$ (0.09)
     Weighted average number of common shares 130,307,552  130,307,552  130,307,552 

    The impact of the measurement differences to U.S. GAAP would result in the consolidated statements of cash flow items as follows:

       2011  2010  2009 
               
     Operating activities$ 435,152 $ (1,592,410)$ (10,653,129)
     Investing activities (2,487) (2,230) (3,552)
     Financing activities -  -  - 

    The impact of the measurement differences to U.S. GAAP described above would result in the consolidated balance sheet items as follows:

       May 31, 2011  May 31, 2010 
            
     Deferred debt issue expenses$ 1,751,482 $ 2,014,801 
     Long-term debt 24,220,000  26,155,000 
     Warrant liability 10,597  37,971 
     Intangible assets 3,011,909  3,845,916 
     Capital stock and contributed surplus 136,381,144  136,304,087 
     Deficit (163,571,823) (161,867,677)

    - F-23-



    MEDICURE INC.
    Notes to the Consolidated Financial Statements
    (Expressed in Canadian dollars)
    Years ended May 31, 2011, 2010 and 2009

    17.

    Reconciliation of generally accepted accounting pronouncementsprinciples (continued):

    (e)

    Recent accounting pronouncements:

    The following accounting standards were issued recently by the FASB. The Company is currently evaluating the impact of these new standards on its consolidated financial statements.

    Multiple-Deliverable Arrangements

    In October 2009, the FASB provided amendments to the criteria for separating consideration in multiple-deliverable arrangements, established a selling price hierarchy for determining the selling price of a deliverable, and eliminated the residual method of allocation of consideration by requiring that the arrangement consideration be allocated at the inception of the arrangement to all deliverables using the relative selling price method. FASB also requires expanded disclosures related to multiple-deliverable revenue arrangements, including information about the significant judgments made and changes to those judgments, as well as how the application of the relative selling-price method affects the timing and amount of revenue recognition. These amendments will be effective prospectively for revenue arrangements entered into or materially modified in the fiscal years beginning on or after June 15, 2010.

    Revenue Recognition for Research and Development Transactions

    In April 2010, the FASB published guidance on defining a milestone and determining when it may be appropriate to apply the milestone method of revenue recognition for research or development transactions. Consideration that is contingent on achievement of a milestone in its entirety may be recognized as revenue in the period in which the milestone is achieved only if the milestone is judged to meet certain criteria to be considered substantive. Milestones should be considered substantive in their entirety and may not be bifurcated. An arrangement may contain both substantive and non-substantive milestones that should be evaluated individually. The amendments are effective on a prospective basis for milestones achieved in fiscal years, and interim periods within those years, beginning on or after June 15, 2010. Early adoption is permitted.

    Stock Compensation

    In April 2010, the FASB issued ASU No. 2010-13, Stock Compensation. ASU 2010-13 amends FASB ASC Topic 718, Effect of Denominating the Exercise Price of a Share-Based Payment Award in the Currency of the Market in Which the Underlying Equity Security Trades-a consensus of the FASB Emerging Issues Task Force, to clarify that an employee share-based payment award with an exercise price denominated in the currency of a market in which a substantial portion of the entity's equity securities trades should not be considered to contain a condition that is not a market, performance, or service condition. Therefore, an entity would not classify such an award as a liability if it otherwise qualifies as equity. The amendments are effective on a prospective basis for milestones achieved in fiscal years, and interim periods within those years, beginning on or after December 15, 2010. Early adoption is permitted.

    Business Combinations

    In December 2010, the FASB issued ASU No. 2010-29, Business Combinations, which amends ASC 805, Disclosure of Supplementary Pro Forma Information for Business Combinations. This amendment requires that a public corporation that enters into business combinations that are material on an individual or aggregate basis disclose certain pro forma information for the current and the immediately preceding fiscal year. This amendment also expands the supplemental pro forma disclosures to include a description of the nature and amount of material, non-recurring pro forma adjustments directly attributable to such business combination or business combinations. This amendment is effective prospectively for business combinations consummated on or after the first annual reporting period beginning on or after December 15, 2010. Early application is permitted.

    Fair Value Measurements

    In May 2011, the FASB issued ASU No. 2011-04, Amendments to Achieve Common Fair Value Measurement and Disclosure Requirements in US GAAP and IFRS, to provide largely identical guidance about fair value measurement and disclosure requirements for IFRS and US GAAP. These standards complete a major joint project of the FASB and International Accounting Standards Board (IASB) to improve and converge IFRS and US GAAP. The new standards do not extend the use of fair value but rather provide guidance about how fair value should be determined where it already is required or permitted under IFRS or US GAAP. This amendment is effective prospectively for interim and annual reporting periods beginning after December 15, 2011.

    Additional disclosures will be required under this ASU to provide more transparent information regarding an entity’s involvement with a VIE. The provisions of this ASU are to be applied for years beginning after November 15, 2009, for interim periods within those years, and for interim and annual reporting periods thereafter. Early adoption is not permitted.

    Accounting for Transfers of Financial Assets

    In December 2009, the FASB issued ASU 2009-16, “Transfers and Servicing (Topic 860), an Amendment of the Accounting for Transfers of Financial Assets, (formerly SFAS 166, “Accounting for Transfers of Financial Assets”).” This ASU significantly changes how companies account for transfers of financial assets. The ASU provides revised guidance in a number of areas including the elimination of the qualifying special purpose entity concept, the introduction of a new “participating interest” definition that must be met for transfers of portions of financial assets to be eligible for sale accounting, clarification and amendments to the derecognition criteria for a transfer to be accounted for as a sale, a change to the amount of recognized gain or loss on a transfer accounted for as a sale when beneficial interests are received by the transferor, and extensive new disclosures. The provisions of this ASU are to be applied to transfers of financial assets occurring in years beginning after November 15, 2009.

    Fair Value Measurements and Disclosures

    In January 2010, the FASB issued ASU 2010-06, “Fair Value Measurements and Disclosures (Topic 810) Improving Disclosures About Fair Value Measurements.” This ASU provides further disclosure requirements for recurring and non-recurring fair value measurements. These disclosure requirements include transfers in and out of Level 1 and 2 and additional information relating to activity in Level 3 fair value measurements. The ASU also provides clarification on the level of disaggregation for disclosure of fair value measurement. The new disclosures and clarifications are effective for interim and annual periods beginning after December 15, 2009, except for disclosures about activity in Level 3 fair value measurements, which are effective for fiscal years beginning after December 15, 2010 and for interim periods within those fiscal years.

    Multiple-Deliverable Arrangements

    In October 2009, the FASB provided amendments to the criteria for separating consideration in multiple-deliverable arrangements, established a selling price hierarchy for determining the selling price of a deliverable, and eliminated the residual method of allocation of consideration by requiring that the arrangement consideration be allocated at the inception of the arrangement to all deliverables using the relative selling price method. FASB also requires expanded disclosures related to multiple-deliverable revenue arrangements, including information about the significant judgmental made and changes to those judgments, as well as how the application of the relative selling-price method affects the timing and amount of revenue recognition. These amendments will be effective prospectively for revenue arrangements entered into or materially modified in the fiscal years beginning on or after June 15, 2010.

    Revenue Recognition for Research and Development Transactions

    In April 2010, FASB published guidance on defining a milestone and determining when it may be appropriate to apply the milestone method of revenue recognition for research or development transactions. Consideration that is contingent on achievement of a milestone in its entirety may be recognized as revenue in the period in which the milestone is achieved only if the milestone is judged to meet certain criteria to be considered substantive. Milestones should be considered substantive in their entirety and may not be bifurcated. An arrangement may contain both substantive and non-substantive milestones that should be evaluated individually. The amendments are effective on a prospective basis for milestones achieved in fiscal years, and interim periods within those years, beginning on or after June 15, 2010. Early adoption is permitted.

    F-25- F-24-


    8279

    Other Schedules

    Information required pursuant to Schedule 21.12 -04 of Regulation S-X has been disclosed on page 6.See Item 3A – Selected Financial Information.

    Information required pursuant to Schedule 21.12 -09 of Regulation S-X is not applicable.

    ITEM 18. FINANCIAL STATEMENTS

    Not applicable.

    ITEM 19. EXHIBITS

    NumberExhibit
      
    1.Articles of Incorporation and Bylaws:
      
    1.1Medicure’s Articles of Incorporation dated September 15, 1997 [1];
    1.2

    Lariat’s Articles of Incorporation dated June 3, 1997 [1];

    1.3

    Medicure’s Certificate of Continuance from Manitoba to Alberta dated December 3, 1999 [1];

    1.4

    Certificate of Amalgamation for Medicure and Lariat dated December 22, 1999 [1];

    1.5

    Medicure’s Certificate of Continuance from Alberta to Canada dated February 23, 2000 [1]2000[1];

    1.6

    Amended Certificate of Continuance and Articles of Continuance dated February 20, 2003 [3];

    1.7

    Bylaws [5];

    1.8

    Bylaw No. 2 **

      

    4.4. 

    Material Contracts and Agreements:

      

    4.1

    Transfer Agency Agreement between Montreal Trust Company of Canada and the Company dated as of January 26, 2000, whereby Montreal Trust Company of Canada agreed to act as transfer agent and registrar with respect to the Shares [1];

      

    4.2

    Medicure International Licensing Agreement between the Company and Medicure International Inc. dated June 1, 2000, wherein the Company granted Medicure International, IncInc. a license with regard to certain intellectual property [1];

      

    4.3

    Development Agreement between Medicure International, Inc. and CanAm Bioresearch Inc. dated June 1, 2000, wherein CanAm Bioresearch Inc. agreed to conduct research and development activities for Medicure International, Inc. [1];

      

    4.4

    Amendment to the Consulting Services Agreement dated February 1, 2002 between A.D. Friesen Enterprises Ltd. and the Company whereby consulting services will be provided to the Company by Dr. Albert D. Friesen [2];

      

    4.5

    Stock Option Plan approved February 4, 2002 [3];

      

    4.5

    Amendment dated March 1, 2002 to the Development Agreement between Medicure International, Inc. and CanAm Bioresearch IncInc. [5];



    8380

    4.7

    Amendment dated August 7, 2003 to the Development Agreement between Medicure International, Inc. and CanAm Bioresearch IncInc. [3];

      
    4.8

    Amendment to the Consulting Services Agreement dated October 1, 2003 between A.D. Friesen Enterprises Ltd. and the Company whereby consulting services will be provided to the Company by Dr. Albert D. Friesen [4];

      
    4.9

    Employment Agreement with Dawson Reimer dated October 1, 2001 [4];

      
    4.10

    Amendment to Employment Agreement dated April 5, 2005 between A.D. Friesen Enterprises Ltd. and the Company [5];

      
    4.11

    Amendment to Employment Agreement dated April 5, 2005 between Dawson Reimer and the Company [5];

      
    4.12

    Amendment to Employment Agreement dated April 5, 2005 between Derek Reimer and the Company [5];

      
    4.13

    Amendment dated July 8, 2005 to the Development Agreement between Medicure International, Inc. and CanAm Bioresearch IncInc. [5];

      
    4.14

    Amendment to Employment Agreement dated October 1, 2005 between A.D. Friesen Enterprises Ltd. and the Company [6];

      
    4.15

    Amendment to Development Agreement dated June 1, 2000 between CanAm Bioresearch Inc. and Medicure International, Inc. dated July 4, 2006 [6];

      
    4.16

    Amended Stock Option Plan approved October 25, 2005 [6];

      
    4.17

    Amendment to Employment Agreement dated October 1, 2006 between A.D. Friesen Enterprises Ltd. and the Company [7];

      
    4.18

    Amended License Agreement between Medicure and the University of Manitoba dated November 24, 2006, originally dated August 30, 1999, wherein the University of Manitoba granted to Medicure an exclusive license with regard to certain intellectual property (the “U of M Licensing Agreement”) [7];

      
    4.19

    Amendment to Employment Agreement dated October 1, 2007 between A.D. Friesen Enterprises Ltd. and the Company [8];

      
    4.20

    Amended Stock Option Plan approved October 2, 2007 as filed on October 9, 2007 Form S-8 #333-146574

      
    4.21

    Employment Agreement with Dwayne Henley June 10, 2008 [8]

      
    4.22

    Debt financing agreement between Birmingham Associates Ltd. and the Company dated September 17, 2007 [8].

      
    4.23

    Business and administration services agreement between Genesys Venture Inc. and the Company dated October 1, 2010.



    8481

    4.24

    Master services agreement between GVI Clinical Development Solutions Inc. and the Company dated June 9, 2009.

      

    4.25

    Debt settlement agreement between Birmingham Associates Ltd. And the Company dated July 18, 2011.

    4.26

    Royalty and guarantee agreement between Birmingham Associates Ltd. And the Company dated July 18, 2011.

    11.

    Code of Ethics [4].

      

    12.1

    Certification of CEO pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 **.

      

    12.2

    Certification of CFO pursuant to Section 302 of the Sarbanes-Oxley Act of 2002 **.

      

    13.1

    Certification of CEO and CFO pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002 **.

      

    [1] Herein incorporated by reference as previously included in the Company’s Form 20-F registration statement filed on January 30, 2001.

      

    [2] Herein incorporated by reference as previously included in the Company’s Form 20-F annual report filed on December 31, 2002.

      

    [3] Herein incorporated by reference as previously included in the Company’s Form 20-F annual report filed on October 20, 2003.

      

    [4] Herein incorporated by reference as previously included in the Company’s Form 20-F annual report filed on September 15, 2004.

      

    [5] Herein incorporated by reference as previously included in the Company’s Form 20-F annual report filed on August 19, 2005.

      

    [6] Herein incorporated by reference as previously included in the Company’s Form 20-F annual report filed on August 10, 2006.

      

    [7] Herein incorporated by reference as previously included in the Company’s Form 20-F annual report filed on August 22, 2007.

      

    [8] Herein incorporated by reference as previously included in the Company’s Form 20-F annual report filed on August 27, 2008.

      

    [9] Herein incorporated by reference as previously included in the Company’s Form 20-F annual report filed on September 2, 2009.

      

    [10] Herein incorporated by reference as previously included in the Company’s Form 20-F annual report filed on September 28, 2010.

    23.1

    Consent of Independent Registered Pubic Accounting Firm **

    ** Filed Herewith



    8582

    SIGNATURE PAGE

    Pursuant to the requirements of Section 12 of theSecurities Exchange Act of 1934,the Company certifies that it meets all of the requirements for filing on Form 20-F and has duly caused this annual report to be signed on its behalf by the undersigned, thereunto duly authorized.

    Dated: September 28, 20102011

    ON BEHALF OF THE CORPORATION,
    MEDICURE INC.

    per:
    /s/ Albert Friesen
    Albert D. Friesen, Ph.D.
    Chairman, President & CEO

    per:

    /s/ Albert Friesen                                                                                   
    Albert D. Friesen, Ph.D.
    Chairman, & CEO