MEDPARTNERS INC
8-K, 1999-01-15
SPECIALTY OUTPATIENT FACILITIES, NEC
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<PAGE>   1
                       SECURITIES AND EXCHANGE COMMISSION

                              WASHINGTON, DC 20549

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

                                    FORM 8-K

                                 CURRENT REPORT

                     PURSUANT TO SECTION 13 OR 15(D) OF THE
                         SECURITIES EXCHANGE ACT OF 1934

       Date of Report (Date of earliest event reported): January 14, 1999
                                                         ----------------

                                MedPartners, Inc.
             ------------------------------------------------------
             (Exact name of registrant as specified in its charter)


                                    Delaware
                 ---------------------------------------------
                 (State or other jurisdiction of incorporation)


                                     0-27276
                            -----------------------
                            (Commission File Number)


                                   63-1151076
                      -----------------------------------
                      (IRS Employer Identification Number)


           3000 Galleria Tower, Suite 1000, Birmingham, Alabama 35244
           ----------------------------------------------------------
                    (Address of principal executive offices)


       Registrant's telephone number, including area code: (205) 733-8996
                                                           ---------------

                                 Not applicable
          -------------------------------------------------------------
          (Former Name or Former Address, if Changed Since Last Report)

                                            Exhibit Index Located on Page:
                                                                           ----
                                                    Total Number of Pages:
                                                                           ----



<PAGE>   2



Item 5.           Other Events

         On January 14, 1999, MedPartners, Inc., a Delaware corporation (the
"Company"), issued a press release (the "Press Release") announcing that, on
January 14, 1999, the Company completed the second of two amendments to its
Amended and Restated Credit Agreement dated as of June 9, 1998 (the "Credit
Agreement"). The amendments require the Company to use 75% of the proceeds
obtained from asset sales to reduce the outstanding debt under the Company's
term loans. In addition, the amendments permit certain discontinued operations
charges to be taken and revises the Company's financial covenants. The revised
financial covenants include the maximum indebtedness to cash flow measurement,
the minimum fixed-charge coverage test, the minimum cash flow to interest ratio
and the maximum level of capital expenditures.

         In November 1998, the Company announced its strategy to separate from
its physician services business to focus on its pharmacy benefits management
division, Caremark. Caremark provides pharmaceutical services to corporations,
managed care organizations, insurance companies, governmental agencies, and
unions through a network of over 53,000 affiliated pharmacies, mail-order
distribution centers and home delivery methods.

         The Press Release is filed herewith as Exhibit 99.1 and is incorporated
herein by reference thereto.


Item 7.           Financial Statements, Pro Forma
                  Financial Information and Exhibits

         (c)      Exhibits

10.1     Amendment and Waiver No. 1 to the Loan Documents

10.2     Amendment and Waiver No. 2 to the Loan Documents

99.1     Text of Press Release of MedPartners, Inc., dated January 14, 1999.



                                        1

<PAGE>   3



                                   Signatures


                  Pursuant to the requirements of the Securities Exchange Act of
1934, the registrant has duly caused this report to be signed on its behalf by
the undersigned hereunto duly authorized.




Date: January 15, 1999



                                    MEDPARTNERS, INC.



                               By:  /s/ Howard A. McLure          
                                    -------------------------------------------
                                    Howard A. McLure
                                    Senior Vice President and Chief Accounting
                                    Officer


                                        2

<PAGE>   4



                                  EXHIBIT INDEX



<TABLE>
<CAPTION>
Exhibit                                                             Page No.
- -------                                                             --------

<S>      <C>                                                        <C>  
10.1     Amendment and Waiver No. 1 to the Loan Documents

10.2     Amendment and Waiver No. 2 to the Loan Documents

99.1     Text of Press Release of MedPartners, Inc., dated 
         January 14, 1999.
</TABLE>

















                                        3

<PAGE>   1




                                                                    EXHIBIT 10.1


                AMENDMENT AND WAIVER NO. 1 TO THE LOAN DOCUMENTS

                  AMENDMENT AND WAIVER dated as of December 4, 1998 to the
Amended and Restated Credit Agreement dated as of June 9, 1998 (the "CREDIT
AGREEMENT") among MedPartners, Inc., a Delaware corporation (the "BORROWER"),
the Lenders party thereto, NationsBank, N.A., as the Initial Issuing Bank and
the Swing Line Bank thereunder, Credit Lyonnais New York Branch, The First
National Bank of Chicago and Morgan Guaranty Trust Company of New York, as the
Syndication Agents therefor, NationsBanc Montgomery Securities LLC, as the
Arranger therefor, and NationsBank, N.A., as the Administrative Agent for the
Lender Parties thereunder. Capitalized terms not otherwise defined in this
Amendment and Waiver have the same meanings as specified therefor in the Credit
Agreement.


                             PRELIMINARY STATEMENTS

                  (1) The Borrower has requested that the Lender Parties agree
to amend the Credit Agreement in order, among other things, (a) to permit the
sale and assignment from time to time on a limited recourse basis by Caremark
Inc., a wholly owned Domestic Subsidiary of the Borrower, of its accounts
receivable to MP Receivables Company, a Delaware corporation and a wholly owned
Subsidiary of Caremark Inc. ("MP RECEIVABLES"), and, in turn, by MP Receivables
of such accounts receivables or interests therein to Park Avenue Receivables
Corporation and one or more financial institutions for an aggregate Net
Investment (as defined in the Caremark Receivables Securitization Documents (as
hereinafter defined)) of not more than $75,000,000, the proceeds of which would
be retained by the Borrower and its Subsidiaries for use in their businesses and
operations in the ordinary course, (b) to permit the sale for Fair Market Value
of all of the Equity Interests in, or all of the property and assets of, Team
Health and Government Services (each as hereinafter defined), to permit the sale
for Fair Market Value, in one or more transactions, of any or all of the
property and assets of the physician practice management businesses of the
Borrower and its Subsidiaries, and to permit a portion of the Net Cash Proceeds
from such asset sales to also be retained by the Borrower and its Subsidiaries
for use in their businesses and operations in the ordinary course, and (c) to
waive the requirements of the financial covenants set forth in Section 5.04 of
the Credit Agreement for the Measurement Period ending December 31, 1998 and for
a period of time thereafter to be agreed so that the independent public
accountants of the Borrower can determine the necessary cash and noncash charges
to be taken by the Borrower and its Subsidiaries in accordance with GAAP during
the Fiscal Quarters ending December 31, 1998 and March 31, 1999 for the
discontinuation of their physician practice management businesses.

                  (2) The Lender Parties have indicated their willingness to
agree to amend the Credit Agreement in order, among other things, to permit the
consummation of the transactions described above in Preliminary Statement (1) on
the terms and subject to the satisfaction of the conditions set forth herein.

                  NOW, THEREFORE, in consideration of the premises and of the
mutual covenants and agreements contained herein and in the Loan Documents, the
parties hereto hereby agree as follows:

                  SECTION 1. Amendments of Certain Provisions of the Credit
Agreement. The Credit Agreement is, upon the occurrence of the Amendment
Effective Date (as hereinafter defined), hereby amended to read as follows:



<PAGE>   2


                                       -2-

                  (a)      Section 1.01 of the Credit Agreement is hereby
         amended to restate the following definitions set forth therein in their
         entirety to read as follows:

                           "CONSOLIDATED INTEREST EXPENSE" means, with respect
                  to any Person for any period, the gross interest expense
                  accrued on all Indebtedness of such Person and its
                  Subsidiaries during such period, determined on a Consolidated
                  basis and in accordance with GAAP for such period, including,
                  without limitation, (a) in the case of the Borrower, (i)
                  interest expense accrued in respect of Indebtedness resulting
                  from Advances, (ii) all fees paid or payable pursuant to
                  Section 2.08(a) and (iii) all interest accrued with respect to
                  the Eligible Subordinated Indebtedness and all subordinated
                  yield enhancement payments made to the TAPS Investors pursuant
                  to the TAPS Purchase Contract, (b) the interest component of
                  all Obligations in respect of Capitalized Leases, (c)
                  commissions, discounts and other fees and charges paid or
                  payable in connection with letters of credit (including,
                  without limitation, the Letters of Credit), (d) all
                  amortization of original issue discount in respect of all
                  Indebtedness of such Person and its Subsidiaries, (e) the net
                  payment, if any, paid or payable in connection with Hedge
                  Agreements less the net credit, if any, received in connection
                  with Hedge Agreements, (f) the aggregate Discount on all
                  Transferred Interests (each as defined in Schedule A to the
                  Caremark Receivables Securitization Documents) purchased under
                  the Caremark Receivables Securitization on or prior to such
                  date and (g) all Placement Agent Fees (as defined in Schedule
                  A to the Caremark Receivables Securitization Documents) and
                  all other program fees, facility fees, commitment fees and
                  other similar fees paid or payable under or in respect of the
                  Caremark Receivables Securitization.

                           "LEVERAGE RATIO" means, with respect to the Borrower
                  and its Subsidiaries at any date of determination, the ratio
                  of (a) (i) all Indebtedness of the Borrower and its
                  Subsidiaries outstanding on such date that would (or would be
                  required to) appear on the Consolidated balance sheet of the
                  Borrower and its Subsidiaries plus (ii) to the extent not
                  otherwise included in subclause (a)(i) of this definition, (A)
                  the face amount of all letters of credit (including, without
                  limitation, all Letters of Credit) issued for the account of
                  the Borrower or any of its Subsidiaries and (B) the aggregate
                  Net Investment in respect of all Transferred Interests (each
                  as defined in Schedule A to the Caremark Receivables
                  Securitization Documents) purchased under the Caremark
                  Receivables Securitization on or prior to such date less (iii)
                  the aggregate principal amount of all Eligible Subordinated
                  Indebtedness outstanding on such date, to (b) Consolidated
                  EBITDA of the Borrower and its Subsidiaries for the most
                  recently completed Measurement Period prior to such date.

                           "NET CASH PROCEEDS" means, with respect to any sale,
                  lease, transfer or other disposition of any property or
                  assets, or the incurrence or issuance of any Indebtedness, or
                  the sale or issuance of any Equity Interests in any Person, or
                  any Extraordinary Receipt received by or paid to or for the
                  account of any Person, as the case may be, the aggregate
                  amount of cash received from time to time (whether as initial
                  consideration or through payment or disposition of deferred
                  consideration) by or on behalf of such Person for its own
                  account in connection with any such transaction, after
                  deducting therefrom (without duplication) only:


<PAGE>   3


                                       -3-


                                    (a) reasonable and customary brokerage
                           commissions, underwriting fees and discounts, legal
                           fees, accounting fees, finder's fees and other
                           similar fees and commissions and reasonable and
                           customary printing expenses and, solely in the case
                           of any sale, lease, transfer or other disposition of
                           any property or assets, other reasonable and
                           customary costs and expenses incurred in connection
                           with such sale, lease, transfer or other disposition,
                           in each case under this clause (a) to the extent, but
                           only to the extent, that the amounts so deducted are
                           actually paid (i) at the time of the receipt of such
                           cash or (ii) if later, within 30 days after the
                           consummation of such transaction (based on such
                           Person's reasonable estimate of the aggregate amount
                           of all such commissions, discounts, fees, costs and
                           expenses therefor at the time of the consummation of
                           such transaction);

                                    (b) the amount of taxes payable in
                           connection with or as a result of such transaction to
                           the extent, but only to the extent, that the amounts
                           so deducted are actually paid at the time of receipt
                           of such cash or, so long as such Person is not
                           otherwise indemnified therefor, are reserved for in
                           accordance with GAAP at the time of receipt of such
                           cash based upon such Person's reasonable estimate of
                           such taxes;

                                    (c) in the case of the sale, lease, transfer
                           or other disposition of any property or asset, the
                           outstanding principal amount of, the premium or
                           penalty, if any, on, and any accrued and unpaid
                           interest on, any Indebtedness (other than the
                           Indebtedness under or in respect of the Loan
                           Documents) that is secured by a Lien on the property
                           and assets subject to such sale, lease, transfer or
                           other disposition and is required to be repaid under
                           the terms thereof as a result of such sale, lease,
                           transfer or other disposition, in each case under
                           this clause (c) to the extent, but only to the
                           extent, that the amounts so deducted are actually
                           paid at the time of the receipt of such cash;

                                    (d) in the case of the sale, lease, transfer
                           or other disposition of any property or asset, the
                           amount required to be reserved, in accordance with
                           GAAP as in effect on the date on which the Net Cash
                           Proceeds from such sale, lease, transfer or other
                           disposition are determined, and so reserved, against
                           liabilities related to environmental matters or
                           employee matters or other similar contingent
                           liabilities associated with the property, assets and
                           businesses subject to such sale, lease, transfer or
                           other disposition that are required to be assumed,
                           retained or indemnified for by such Person as
                           consideration for, and under the terms of the
                           documentation for, such sale, lease, transfer or
                           other disposition; provided that the aggregate amount
                           of all such reserves established in connection with
                           all sales, leases, transfers and other dispositions
                           of property, assets and businesses of the Borrower
                           and its Subsidiaries and so deducted from the
                           determination of Net Cash Proceeds pursuant to this
                           clause (d) shall not exceed $20,000,000; and provided
                           further that, in each case under this clause (d), (i)
                           the amounts so reserved shall be based upon such
                           Person's reasonable estimate of all such contingent
                           liabilities at the time of the consummation of such
                           sale, lease, transfer or other disposition and (ii)
                           neither the person effecting such sale, lease,
                           transfer or other disposition nor any of its


<PAGE>   4


                                                        -4-

                           Affiliates shall be otherwise indemnified for the
                           contingent liabilities giving rise to such reserve;
                           and

                                    (e) in the case of the sale, lease, transfer
                           or other disposition of Team Health or Government
                           Services, the aggregate amount of all insurance
                           premiums payable by the Borrower or any of its
                           Subsidiaries for one or more policies of insurance
                           covering medical malpractice liabilities of Team
                           Health or Government Services, as the case may be,
                           arising prior to the date of consummation of the
                           sale, lease, transfer or other disposition thereof in
                           accordance with Section 5.02(d)(vii) or 5.02(d)(viii)
                           and assumed or retained by the Borrower and its
                           Subsidiaries in consideration for, and under the
                           terms of, such sale, lease, transfer or other
                           disposition; provided that the aggregate amount of
                           all such insurance premiums, together with the
                           aggregate principal amount of all Indebtedness
                           incurred by the Borrower and its Subsidiaries under
                           Section 5.02(b)(xv), shall not exceed $40,000,000;
                           and provided further that all such insurance premiums
                           shall be actually paid at the time of, or within ten
                           days after, the receipt of such cash;

                  provided, however, that, notwithstanding any of the foregoing
                  provision of this definition, (A) any and all amounts so
                  deducted by any such Person pursuant to clauses (a) through
                  (e) of this definition shall be properly attributable to the
                  transaction or to the property or assets that are the subject
                  thereof and shall be payable solely to one or more Persons
                  that are not Affiliates of such Person or of any of the Loan
                  Parties or any Affiliate of any of the Loan Parties and (B)
                  if, at the time any of the commissions, discounts, fees,
                  costs, expenses, taxes, contingent liabilities or insurance
                  premiums referred to in clauses (a), (b), (d) or (e) of this
                  definition are actually paid or otherwise satisfied, the
                  reserve therefor or the amount otherwise retained by such
                  Person for the payment or satisfaction thereof exceeds the
                  amount so paid or otherwise satisfied, then the amount of such
                  excess reserve or retained amount, as the case may be, shall
                  constitute "Net Cash Proceeds" on and as of the date of such
                  payment or other satisfaction for all purposes of this
                  Agreement and, to the extent required under Sections
                  2.05(b)(vi) and 2.06(b), the Borrower shall reduce the
                  Commitments on such date in accordance with the terms of
                  Section 2.05(b)(vi), and shall prepay the outstanding Advances
                  on such date in accordance with the terms of Section 2.06(b),
                  in an amount equal to the amount of such excess reserve or
                  retained amount.

                           "PERFORMANCE LEVEL DETERMINATION DATE" means the date
                  of receipt of the Required Financial Information for the
                  Measurement Period ending June 30, 1999.

                           "PERMITTED RECEIVABLES SECURITIZATIONS" means (a) the
                  Caremark Receivables Securitization (with the maximum face
                  amount of accounts receivable which may be sold and the
                  minimum price which may be paid for such accounts receivables
                  pursuant to the Caremark Receivables Securitization being such
                  face amount as may be sold from time to time and such price as
                  may be paid from time to time pursuant to the Caremark
                  Receivables Securitization Documents, as in effect on the
                  Amendment No. 1 Effective Date) and (b) one or more other
                  limited recourse or nonrecourse sales and assignments of
                  accounts receivable of the Borrower or any of its Subsidiaries
                  to a Special Purpose Vehicle or any other Person that is not
                  an Affiliate of the Borrower or any of its Subsidiaries that,
                  in the case of such sales and assignments effected pursuant to
                  this clause (b), are consummated after the


<PAGE>   5


                                       -5-

                  Amendment No. 1 Effective Date and have an aggregate maximum
                  face amount of all accounts receivable so sold and assigned of
                  not more than $10,000,000 and a minimum price paid for any
                  such accounts receivable of not less than 70% of the face
                  amount thereof; provided that, in the case of this clause (b),
                  any recourse of the purchasers of any such accounts receivable
                  to the Borrower or any of its Subsidiaries shall be on terms
                  reasonably satisfactory to the Required Lenders.

                           "SPECIAL PURPOSE VEHICLE" means (a) in the case of
                  the Caremark Receivables Securitization, MP Receivables and
                  (b) in the case of any other Permitted Receivables
                  Securitization, any Person that is not a Material Subsidiary
                  (i) which has been organized for the sole purpose of effecting
                  one or more Permitted Receivables Securitizations, (ii) which
                  has no property, assets or liabilities other than those
                  directly acquired or incurred in connection with such
                  Permitted Receivables Securitizations, (iii) all of the
                  liabilities and other Obligations of which are nonrecourse for
                  the payment or performance thereof to the Borrower or any of
                  its Subsidiaries other than reasonable and customary
                  liabilities for the breach of representations and warranties
                  of the Borrower or any of its Subsidiaries that are not
                  related to the creditworthiness of the accounts receivable of
                  the Borrower or any of its Subsidiaries and (iv) the legal
                  structure (if other than a corporation, limited partnership or
                  limited liability company organized under the laws of any
                  state of the United States of America) and the capitalization
                  of which have been approved by the Administrative Agent, such
                  approval not to be unreasonably withheld or delayed."

                  (b)      Section 1.01 of the Credit Agreement is hereby 
         further amended to add the following new definitions in their
         appropriate alphabetical order:

                           "AMENDMENT NO. 1 EFFECTIVE DATE" means the first
                  date on which all of the conditions precedent to the
                  effectiveness of Amendment No. 1 to the Loan Documents were
                  satisfied.

                           "CAREMARK RECEIVABLES PURCHASE AGREEMENT" means the
                  Receivables Purchase Agreement dated as of December 4, 1998
                  between Caremark Inc., as seller, and MP Receivables, as
                  buyer, as such agreement may be amended, supplemented or
                  otherwise modified hereafter from time to time in accordance
                  with the terms thereof, but solely to the extent permitted
                  under the terms of the Loan Documents.

                           "CAREMARK RECEIVABLES SECURITIZATION" means limited
                  recourse sales and assignments from time to time by Caremark
                  Inc. of its accounts receivable to MP Receivables and by MP
                  Receivables of such accounts receivables or interests therein
                  to Park Avenue Receivables Corporation and one or more
                  financial institutions; provided, however, that (a) the
                  aggregate principal amount paid by Park Avenue Receivables
                  Corporation and such financial institutions for all such
                  accounts receivable or interests therein and to be recovered
                  from all such accounts receivable or interests therein shall
                  not exceed $75,000,000 at any time outstanding, (b) the price
                  paid for any such accounts receivable shall be as set forth in
                  the Caremark Receivables Securitization Documents, as in
                  effect on the Amendment No. 1 Effective Date, and (c) each
                  such sale and assignment of such accounts receivable or
                  interests therein shall otherwise be effected on the terms and
                  conditions set forth in the Caremark Receivables
                  Securitization Documents.


<PAGE>   6


                                       -6-

                           "CAREMARK RECEIVABLES SECURITIZATION DOCUMENTS"
                  means, collectively, the Caremark Receivables Purchase
                  Agreement, the Caremark Receivables Transfer Agreement and all
                  of the other agreements, instruments and other documents
                  evidencing or otherwise setting forth the terms of the
                  Caremark Receivables Securitization, in each case as such
                  agreement, instrument or other document may be amended,
                  supplemented or otherwise modified hereafter from time to time
                  in accordance with the terms thereof, but solely to the extent
                  permitted under the terms of the Loan Documents.

                           "CAREMARK RECEIVABLES TRANSFER AGREEMENT" means the
                  Receivables Transfer Agreement dated as of December 4, 1998
                  among MP Receivables, as transferor thereunder, Caremark Inc.,
                  as originator and collection agent of the accounts receivable
                  sold and assigned as part of the Caremark Receivables
                  Securitization, Park Avenue Receivables Corporation and The
                  Chase Manhattan Bank, as agent for Park Avenue Receivables
                  Corporation and the APA Banks (as defined therein), as such
                  agreement may be amended, supplemented or otherwise modified
                  hereafter from time to time in accordance with the terms
                  thereof, but solely to the extent permitted under the terms of
                  the Loan Documents.

                           "GOVERNMENT SERVICES" means EMSA Government Services,
                  Inc. (formerly known as Inphynet Government Services, Inc.)
                  and each of its Subsidiaries comprising part of the Government
                  Services Division of the Borrower.

                           "MP RECEIVABLES" means MP Receivables Company, a
                  Delaware corporation and a wholly owned Subsidiary of Caremark
                  Inc. organized by the Borrower in connection with the Caremark
                  Receivables Securitization.

                           "TEAM HEALTH" means Team Health, Inc. and each of its
                  Subsidiaries comprising part of the Contract Services Division
                  of the Borrower."

                  (c)      The definition of "Affiliate" set forth in Section
         1.01 of the Credit Agreement is hereby amended to add the following
         proviso clause at the end of the first sentence thereof:

                  "; provided, however, that, solely for purposes of the
                  definition of "Net Cash Proceeds" set forth below in this
                  Section 1.01, any Person in which the Borrower or any of its
                  Subsidiaries maintains a minority common Equity Interest
                  pursuant to Section 5.02(e)(v)(A) shall not constitute an
                  Affiliate of the Borrower or any of its Subsidiaries."

                  (d)      The definition of "Applicable Margin" set forth in
         Section 1.01 of the Credit Agreement is hereby amended to restate
         clause (a) thereof in its entirety to read as follows:

                  "(a) at any time during the period from the date of Amendment
                  No.1 to the Loan Documents through the Performance Level
                  Determination Date, (i) 2.25% per annum for Base Rate Advances
                  and 3.25% per annum for Eurodollar Rate Advances outstanding
                  under the Term A Facility and the Revolving Credit Facility
                  and (ii) 2.50% per annum for Base Rate Advances and 3.50% per
                  annum for Eurodollar Rate Advances outstanding under the Term
                  B Facility and".



<PAGE>   7


                                       -7-

                  (e)      The definition of "Fair Market Value" set forth in
         Section 1.01 of the Credit Agreement is hereby amended to delete the
         amount "15,000,000" in the last line of clause (c) thereof and to
         substitute therefor the new amount "50,000,000".

                  (f)      The definition of "Restricted Subsidiary" set forth
         in Section 1.01 of the Credit Agreement is hereby amended to add at the
         end of the parenthetical in the second line thereof after the words
         "other than MPN" the phrase "or any Special Purpose Vehicle".

                  (g)      Section 2.05(b) of the Credit Agreement is hereby
         amended (i) to restate the parenthetical to subclause (vi)(A) thereof
         in its entirety to read as follows:

                  "(other than any property or assets expressly permitted to be
                  sold, leased, transferred or disposed of under clause (i),
                  (ii), (iii), (iv), (vi) or (x) of Section 5.02(d) and, except
                  to the extent such reduction is expressly required thereunder,
                  under clause (v) of Section 5.02(d) and, except to the extent
                  such reduction is expressly required pursuant to the last
                  sentence of Section 5.02(d), under clause (vii), (viii) or
                  (xi) of Section 5.02(d) and , except to the extent such
                  reduction is expressly required thereunder, under clause (f)
                  of the definition of "Permitted Sale-Leaseback Transaction"
                  set forth in Section 1.01)",

         (ii) to add at the end of the parenthetical to subclause (vi)(B)
         thereof after the words "of Section 5.02(b)" the new language "and,
         solely in the case of the Caremark Receivables Securitization, clause
         (x) of Section 5.02(b)" and (iii) to restate the final proviso clause
         to Section 2.05(b) in its entirety to read as follows:

                  "provided, however, that, notwithstanding anything to the
                  contrary set forth in Section 5.02(d), so long as no Default
                  under Section 6.01(a) or 6.01(f) or Event of Default shall
                  have occurred and be continuing, if on any date on which a
                  reduction of the Term Facilities would otherwise be required
                  to be made pursuant to subclause (vi)(A) of this Section
                  2.05(b) and the applicable clause of Section 5.02(d), the
                  aggregate Net Cash Proceeds or other amounts otherwise
                  required thereunder to reduce the Term Commitments (and to
                  prepay the Term Advances with a corresponding amount) on such
                  date are less than $10,000,000, such reduction of the Term
                  Commitments may be deferred (and the Borrower shall not be
                  obligated to make the corresponding prepayment of the
                  outstanding Term Advances) until the earlier of (1) two
                  Business Days after the end of the calendar month in which any
                  such Net Cash Proceeds or other amounts are received by the
                  Borrower or any of its Subsidiaries and (2) two Business Days
                  after the aggregate Net Cash Proceeds or other amounts
                  otherwise required thereunder to reduce the Term Commitments
                  (and to prepay the Term Advances with a corresponding amount)
                  and not previously so applied equals at least $10,000,000."

                  (h)      Section 5.02(a) of the Credit Agreement is hereby
         amended (i) to delete the word "and" at the end of clause (vi) thereof,
         (ii) to add the following new clause (vii) thereto:

                  "(vii) Liens on the accounts receivables of Caremark Inc. and
                  MP Receivables, on the contracts and other property and assets
                  related thereto and on the proceeds thereof arising solely in
                  connection with the Caremark Receivables Securitization; and",



<PAGE>   8


                                       -8-

         and (iii) to renumber the existing clause (vii) of Section 5.02(a) of
         the Credit Agreement as clause (viii) thereof.

                  (i)      Section 5.02(b) of the Credit Agreement is hereby
         amended (i) to delete the cross-reference "or 5.02(e)(iii)(D)" at the
         end of subclause (iv) thereof and to substitute therefor the new
         cross-references ", 5.02(e)(iii)(D) or 5.02(e)(iii)(E)(2)", (ii) to
         delete the word "and" at the end of clause (xii) thereof, (iii) to add
         the following new clauses (xiii), (xiv) and (xv) thereto:

                           "(xiii)  Indebtedness comprised of reasonable and
                  customary indemnities given by the Borrower or any of its
                  Subsidiaries, or guarantees or other similar undertakings by
                  the Borrower entered into in lieu thereof, in favor of the
                  purchaser of property and assets of the Borrower and its
                  Subsidiaries being sold, leased transferred or otherwise
                  disposed of in accordance with Section 5.02(d)(vii) or
                  5.02(d)(viii) and covering liabilities incurred by the
                  Borrower or its applicable Subsidiary in respect of such
                  property and assets prior to the date of consummation of the
                  sale, lease, transfer or other disposition thereof, which
                  indemnities, guarantees or undertakings are required under the
                  terms of the documentation for such sale, lease, transfer or
                  other disposition;

                           (xiv)    Indebtedness comprised of liabilities or
                  other Obligations assumed or retained by the Borrower or any
                  of its Subsidiaries from Subsidiaries of the Borrower that
                  are, or all or substantially all of the property and assets of
                  which are, sold, leased, transferred or otherwise disposed of
                  pursuant to Section 5.02(d)(vii) or 5.02(d)(viii); provided
                  that such liabilities or other Obligations were not created or
                  incurred in contemplation of the related sale, lease, transfer
                  or other disposition; and provided further that the assumption
                  or retention of such liabilities or other Obligations was
                  agreed to by management of the Borrower in good faith and in
                  connection with determining the Fair Market Value of the
                  related property and assets at the time of the sale, lease,
                  transfer or other disposition thereof;

                           (xv)     Indebtedness comprised of insurance premiums
                  payable in installments by the Borrower or any of its
                  Subsidiaries under one or more policies of insurance covering
                  the medical malpractice liabilities of Team Health or
                  Government Services, as the case may be, arising prior to the
                  date of consummation of the sale, lease, transfer or other
                  disposition thereof in accordance with Section 5.02(d)(vii) or
                  5.02(d)(viii), which medical malpractice liabilities shall
                  have been assumed or retained by the Borrower and its
                  Subsidiaries in consideration for, and under the terms of,
                  such sale, lease, transfer or other disposition; provided that
                  the aggregate amount of all such insurance premiums, together
                  with the aggregate amount deducted from the determination of
                  Net Cash Proceeds for the payment of similar insurance
                  premiums pursuant to clause (e) of the definition of "Net Cash
                  Proceeds" set forth in Section 1.01 at or prior to such time,
                  shall not exceed $40,000,000; and",

         and (iv) to renumber the existing clause (xiii) of Section 5.02(b) of
         the Credit Agreement as clause (xvi) thereof.

                  (j)      Section 5.02(d) of the Credit Agreement is hereby
         amended (i) to delete clauses (vii), (viii), (ix), (x) and (xi) thereof
         in their entirety and to substitute therefor the following:


<PAGE>   9


                                       -9-

                           "(vii)   the Borrower and its Subsidiaries may sell,
                  lease, transfer or otherwise dispose of all (but not less than
                  all) of their Equity Interests in, or all of the property and
                  assets (other than an immaterial portion) of, any of the
                  Subsidiaries of the Borrower, and any of the other property
                  and assets, identified on Schedule 5.02(d) hereto; provided
                  that:

                                    (A) the gross proceeds received from any
                           such sale, lease, transfer or other disposition shall
                           be at least equal to the Fair Market Value of the
                           property and assets so sold, leased, transferred or
                           otherwise disposed of, determined at the time of such
                           sale, lease, transfer or other disposition;

                                    (B) at least 90% of the value of the
                           aggregate consideration received from any such sale,
                           lease, transfer or other disposition shall be in
                           cash; provided, however, that the percentage of
                           noncash consideration that the Borrower or any of its
                           Subsidiaries is permitted to receive in connection
                           with any sale, lease, transfer or other disposition
                           of its property or assets pursuant to this subclause
                           (vii)(B) may be further increased so long as the
                           aggregate amount of all such additional noncash
                           consideration (i.e., the amount of noncash
                           consideration in excess of the percentage set forth
                           above in this subclause (vii)(B)) received in
                           connection with one or more sales, leases, transfers
                           or other dispositions of property and assets of the
                           Borrower and its Subsidiaries effected pursuant to
                           this clause (vii) does not exceed $20,000,000; and

                                    (C) immediately before and immediately after
                           giving pro forma effect to any such sale, lease,
                           transfer or other disposition, no Default shall have
                           occurred and be continuing;

                           (viii)   the Borrower and its Subsidiaries may sell,
                  lease, transfer or otherwise dispose of property and assets
                  not otherwise permitted to be sold, leased, transferred or
                  disposed of pursuant to this Section 5.02(d) (other than
                  Equity Interests in Restricted Subsidiaries, bulk sales of
                  Inventory and sales of accounts or notes receivable) so long
                  as the aggregate book value of all of the property and assets
                  of the Borrower and its Subsidiaries sold, leased, transferred
                  or otherwise disposed of pursuant to this clause (viii) does
                  not exceed $50,000,000; provided that:

                                    (A) the gross proceeds received from any
                           such sale, lease, transfer or other disposition shall
                           be at least equal to the Fair Market Value of the
                           property and assets so sold, leased, transferred or
                           otherwise disposed of, determined at the time of such
                           sale, lease, transfer or other disposition;

                                    (B) at least 90% of the value of the
                           aggregate consideration received from any such sale,
                           lease, transfer or other disposition shall be in
                           cash; and

                                    (C) immediately before and immediately after
                           giving pro forma effect to any such sale, lease,
                           transfer or other disposition, no Default shall have
                           occurred and be continuing;



<PAGE>   10


                                      -10-

                           (ix)     the Borrower and its Subsidiaries may
                  consummate one or more Permitted Sale-Leaseback Transactions;

                           (x)      the Borrower and its Subsidiaries may
                  consummate the Caremark Receivables Securitization;

                           (xi)     the Borrower and its Subsidiaries may sell,
                  transfer or otherwise dispose of property and assets to any
                  health care provider or provider group, or any Person formed
                  thereby, upon the disassociation of such health care provider
                  or provider group from the businesses and operations of the
                  Borrower and its Subsidiaries in a manner that is consistent
                  with the past business practices of the Borrower and its
                  Subsidiaries, and so long as such property and assets are used
                  solely in the business and operation of such health care
                  provider or provider group; provided that immediately before
                  and immediately after giving pro forma effect to any such
                  sale, transfer or other disposition, no Default shall have
                  occurred and be continuing; and

                           (xii)    so long as no Default has occurred and is
                  continuing, the Borrower and its Subsidiaries may grant any
                  option or other right to purchase any property or asset in a
                  transaction that is otherwise permitted under clause (vii),
                  (viii) or (xi) of this Section 5.02(d).

         Notwithstanding any of the other provisions of this Section 5.02(d),
         the Borrower and its Subsidiaries may retain up to 25% of the Net Cash
         Proceeds received from time to time on or after the Amendment No. 1
         Effective Date from one or more sales, leases, transfers or other
         dispositions expressly permitted under clauses (vii), (viii) or (xi) of
         this Section 5.02(d) for use in their businesses and operations in the
         ordinary course so long as the aggregate amount of all such Net Cash
         Proceeds so retained by the Borrower and its Subsidiaries does not
         exceed $75,000,000. All of the Net Cash Proceeds received by the
         Borrower or any of its Subsidiaries from any sale, lease, transfer or
         other disposition of their respective property and assets pursuant to
         clause (vii), (viii) or (xi) of this Section 5.02(d) and not otherwise
         permitted to be retained by the Borrower and its Subsidiaries under the
         immediately preceding sentence shall be applied to reduce the Term
         Commitments in accordance with, and to the extent required under,
         Section 2.05(b)(vi) and to prepay the Term Advances outstanding at such
         time in accordance with, and to the extent required under, Section
         2.06(b)."

                  (k)      Section 5.02(e) of the Credit Agreement is hereby
         amended (i) to add the following new subclause (iii)(E) thereto:

                  ", (E) Caremark Inc. in MP Receivables (1) constituting
                  capital contributions of its accounts receivables and related
                  property and assets to MP Receivables pursuant to, and in
                  accordance with the requirements of, the Caremark Receivables
                  Securitization Documents or (2) evidenced by the Subordinated
                  Note (as defined in Section 3.2(b) of the Caremark Receivables
                  Purchase Agreement)",

         (ii) to reletter the existing subclause (iii)(E) of Section 5.02(e) of
         the Credit Agreement as subclause (iii)(F) thereof and (iii) to restate
         clause (v) thereof in its entirety to read as follows:



<PAGE>   11


                                      -11-

                  "(v) (A) the acceptance of promissory notes, contingent
                  payment obligations and other noncash consideration received
                  as partial payment of the purchase price of any property or
                  assets sold, leased, transferred or otherwise disposed of in
                  accordance with Section 5.02(d)(vii) or 5.02(d)(viii) and (B)
                  the maintenance of common Equity Interests in Subsidiaries of
                  the Borrower that cease to constitute Subsidiaries thereof as
                  a result of the sale, lease, transfer or other disposition of
                  at least 85% of the common Equity Interests in such Subsidiary
                  pursuant to, and in accordance with the terms of, Section
                  5.02(d)(vii) or 5.02(d)(viii) or the redemption and issuance
                  and sale of at least 85% of the common Equity Interests in
                  such Subsidiary to a Person other than the Borrower or any of
                  its Affiliates pursuant to, and in accordance with the terms
                  of, Section 5.02(f)(iv);".

                  (l)      Section 5.02(f) of the Credit Agreement is hereby
         amended (i) to delete the word "and" at the end of clause (ii) thereof,
         (ii) to delete the punctuation "." at the end of clause (iii) thereof
         and to substitute therefor the new language "; and" and (iii) to add
         the following new clause (iv) thereto:

                  "(iv)    any of the Subsidiaries of the Borrower may redeem 
                  its outstanding common Equity Interests and promptly
                  thereafter issue and sell at least 85% of its common Equity
                  Interests to a Person other than the Borrower or any of its
                  Affiliates for at least the Fair Market Value thereof in order
                  to effect the sale, lease, transfer or other disposition of
                  such property and assets pursuant to, and in accordance with
                  the terms of, Section 5.02(d)(vii) or 5.02(d)(viii)."

                  (m)      Section 5.02(h) of the Credit Agreement is hereby
         amended (i) to restate subclause (i)(B) thereof in its entirety to read
         as follows:

                  "(B)     so long as no Default under Section 6.01(a) or 6.01
                  (f) or Event of Default shall have occurred and be continuing
                  or shall occur as a result thereof, (1) any regularly
                  scheduled or required redemption, repurchase or repayment of
                  Surviving Indebtedness or (2) any required payment of Deemed
                  Collections (as defined in Schedule A to the Caremark
                  Receivables Securitization Documents) pursuant to, and in
                  accordance with the terms of, the Caremark Receivables
                  Securitization Documents, as in effect on the Amendment No.1
                  Effective Date;",

         (ii) to delete the word "and" at the end of subclause (i)(D) thereof,
         (iii) to add the word "and" at the end of subclause (i)(E) thereof,
         (iii) to add the following new subclause (i)(F) thereto:

                  "(F)     the required payment from time to time by MP 
                  Receivables of amounts owing to Park Avenue Receivables
                  Corporation under, and in accordance with the terms of, the
                  Caremark Receivables Transfer Agreement;",

         and (iv) to restate clause (ii) thereof in its entirety to read as
         follows:

                           "(ii) Amend, modify or change in any manner any of
                  the terms or conditions of (A) the Senior Notes Documents, the
                  TAPS Indenture or the TAPS Purchase Contract, (B) any of the
                  other Surviving Indebtedness, except (1) as otherwise
                  permitted under Section 5.02(b)(xiii) or (2) on terms and
                  conditions no less favorable to the Borrower and its


<PAGE>   12


                                      -12-

                  Subsidiaries or to the Lender Parties than the terms of the
                  Loan Documents, or (C) the Caremark Receivables Securitization
                  Documents, except as, either individually or in the aggregate,
                  is not reasonably expected to have a Material Adverse Effect
                  or to adversely affect the rights or interest of the
                  Guaranteed Parties; or".

                  (n)      Section 5.02(i) of the Credit Agreement is hereby
         amended (i) to delete the word "and" at the end of clause (iv) thereof,
         (ii) to delete the punctuation "." at the end of clause (v) thereof and
         to substitute therefor the new language "; and" and (iii) to add the
         following new clause (vi) thereto:

                  "(vi)    any such agreement set forth in Section 2.1(d) or
                  Section 4.2(j) of the Caremark Receivables Purchase Agreement
                  or Section 5.2(a) or Section 9.10 of the Caremark Receivables
                  Transfer Agreement, as in effect on the Amendment No. 1
                  Effective Date."

                  (o)      Section 5.02(j) of the Credit Agreement is hereby
         amended (i) to delete the word "and" at the end of subclause (F)
         thereof, (ii) to delete the punctuation "." at the end of subclause (G)
         thereof and to substitute therefor the new language "; and" and (iii)
         to add the following new subclause (H) thereto:

                  "(H)     any such agreements of Caremark Inc. or MP
                  Receivables set forth in the Caremark Receivables
                  Securitization Documents, as in effect on the Amendment No.1
                  Effective Date."

                  (p)      Section 5.02(k) of the Credit Agreement is hereby
         amended to add in the first line thereof after the phrase "or acquire
         any Subsidiary" the new language "other than a Special Purpose
         Vehicle".

                  (q)      Section 5.03 of the Credit Agreement is hereby
         amended (i) to add the following new subsections (q) and (r) thereto:

                           "(q)     Permitted Receivables Securitizations.  As 
                  soon as possible and in any event within five Business Days 
                  after:

                                    (i)      a Responsible Officer of the 
                           Borrower or any of its Subsidiaries knows or has
                           reason to know of the occurrence of each Termination
                           Event or Potential Termination Event (each as defined
                           in the Caremark Receivables Securitization Documents)
                           (or any similar event or circumstance under any
                           instrument, agreement or other document evidencing or
                           otherwise setting forth the terms and conditions of
                           any other Permitted Receivables Securitization),
                           continuing on the date of such statement, a statement
                           of such Responsible Officer or a Responsible Officer
                           of the Borrower setting forth the details of such
                           Termination Event, Potential Termination Event or
                           similar event or circumstance (including, without
                           limitation, the anticipated effect thereof), the
                           period of time such Termination Event, Potential
                           Termination Event or similar event or circumstance
                           has existed and been continuing and the actions that
                           the Borrower and/or any of its Subsidiaries have
                           taken and/or propose to take with respect thereto;
                           and



<PAGE>   13


                                      -13-

                                    (ii)     the furnishing or receipt thereof,
                           copies of any statement or report furnished to or
                           received from the agent, originator or servicer for,
                           or any purchaser under, the Caremark Receivables
                           Securitization (or any similar Person under or
                           related to any other Permitted Receivables
                           Securitization) pursuant to the terms of any of the
                           Caremark Receivables Securitization Documents (or any
                           similar instruments, agreements or other documents
                           evidencing or otherwise setting forth the terms and
                           conditions of any other Permitted Receivables
                           Securitization) (including, without limitation, any
                           amendments, waivers or consents given or requested in
                           respect thereof, but excluding any statements or
                           reports regarding the aging of, or collection on, any
                           of the accounts receivable subject thereto or any
                           interests therein, the ordinary course application of
                           proceeds therefrom (including any Settlement
                           Statements and Deposit Reports (each as defined in
                           the Caremark Receivables Securitization Documents)),
                           the selection, conversion or continuation of tranche
                           periods or tranche rates and other statements and
                           reports regarding the ongoing administration of the
                           Caremark Receivables Securitization in the ordinary
                           course of business) and not otherwise required to be
                           furnished to the Administrative Agent and the Lender
                           Parties pursuant to any other clause of this Section
                           5.03.

                           (r)      Asset Sales. As soon as possible and in any
                  event within two Business Days after the consummation of each
                  sale, lease, transfer or other disposition of any property or
                  assets of the Borrower or any of its Subsidiaries that is
                  required to reduce the Commitments of the Lender Parties under
                  Section 2.05(b)(vi) or to prepay any outstanding Advances
                  under Section 2.06(b), a certificate of a Responsible Officer
                  of the Borrower, in form and substance reasonably satisfactory
                  to the Administrative Agent, setting forth in reasonable
                  detail (A) the aggregate consideration received for, and the
                  calculation of the Net Cash Proceeds received from, such sale,
                  lease, transfer or other disposition, (B) a description
                  (including, without limitation, the amount) of all noncash
                  consideration comprising part of the aggregate consideration
                  for such sale, lease, transfer or other disposition, (C) a
                  description (including, without limitation, the amount) of all
                  amounts deducted in determining the Net Cash Proceeds received
                  from such sale, lease, transfer or other disposition pursuant
                  to the terms of the definition of "Net Cash Proceeds" set
                  forth in Section 1.01 and, to the extent reasonably
                  ascertainable, the estimated date for the actual payment of
                  all amounts so deducted from such Net Cash Proceeds and not
                  paid on the date of receipt thereof and (D) the aggregate
                  amount of Net Cash Proceeds from such sale, lease, transfer or
                  other disposition permitted to be retained by the Borrower and
                  its Subsidiaries under the terms of the Loan Documents.",

         and (ii) to reletter the existing subsection (q) of Section 5.03 of the
         Credit Agreement as subsection (s) thereof.

                  (r)      Section 6.01 of the Credit Agreement is hereby 
         amended (i) to add the word "or" at the end of subsection (o) thereof
         and (ii) to add the following new subsection (p) thereto:

                           "(p)     a "Termination Event" (as defined in the
                  Caremark Receivables Securitization Documents (or any similar
                  event or circumstance under any instrument, agreement or other
                  document evidencing or otherwise setting forth the terms and
                  conditions of any other Permitted Receivables Securitization))
                  shall have occurred and be continuing


<PAGE>   14


                                      -14-

                  under the Caremark Receivables Securitization Documents (or
                  any such similar instruments, agreements or other
                  documents);".

                  (s)      All cross-references in the Credit Agreement to the
         existing Sections 5.02(a)(vii), 5.02(b)(iii), 5.02(d)(x),
         5.02(e)(iii)(E) and 5.03(q) thereof are, upon the occurrence of the
         Amendment Effective Date, hereby deleted in their entirety and replaced
         with new references to Sections 5.02(a)(viii), 5.02(b)(xvi),
         5.02(d)(xi), 5.02(e)(iii)(F) and 5.03(s) thereof, respectively.

                  (t)      Schedule 5.02(d) to the Credit Agreement is, upon the
         occurrence of the Amendment Effective Date, hereby deleted in its
         entirety and replaced with the new Schedule 5.02(d) to the Credit
         Agreement attached hereto as Annex A.

                  SECTION 2. Conditional Waiver of Certain Provisions of the
Credit Agreement. Any and all requirements of the Borrower to comply with
Section 5.04 of the Credit Agreement for the Measurement Period ending on
December 31, 1998 and at any time thereafter until January 15, 1999 are, solely
for the period commencing on the Amendment Effective Date and ending on January
15, 1999 (the "WAIVER TERMINATION DATE"), waived by the Lender Parties. On the
Waiver Termination Date, without any further action by or notice to or from any
Agent or any Lender Party, all of the terms and provisions set forth in the Loan
Documents with respect to the requirements of Section 5.04 that are waived under
this Section 2 and not modified or further waived prior to such time shall be
and become in full force and effect, and the Agents and the other Guaranteed
Parties shall have all of the rights and remedies afforded to them under the
Loan Documents with respect to any and all such requirements as though no waiver
had been granted under this Section 2.

                  SECTION 3. Conditions Precedent to the Effectiveness of this
Amendment and Waiver. This Amendment and Waiver shall become effective as of the
first date (the "AMENDMENT EFFECTIVE DATE") on which, and only if, each of the
following conditions precedent shall have been satisfied:

                  (a)      The Administrative Agent shall have received (i)
         counterparts of this Amendment and Waiver executed by the Borrower and
         the Required Lenders or, as to any of the Lender Parties, advice
         satisfactory to the Administrative Agent that such Lender Party has
         executed this Amendment and Waiver and (ii) the Consent attached hereto
         shall have been executed and delivered by each of the Restricted
         Subsidiaries.

                  (b)      The Lender Parties shall have received a copy, 
         certified by a Responsible Officer of the Borrower or Caremark Inc., of
         a summary of terms setting forth all material terms and conditions of
         the Caremark Receivables Securitization. The Caremark Receivables
         Securitization shall have been consummated or shall be consummated
         concurrently with the effectiveness of this Amendment and Waiver in
         accordance with the terms of the Caremark Receivables Securitization
         Documents, without the inclusion therein or omission therefrom of, or
         any waiver or amendment of, any material term or condition thereof not
         consented to by the Required Lenders and in compliance with all
         applicable Requirements of Law.




<PAGE>   15


                                      -15-

                  (c)      All of the Governmental Authorizations, and all of
         the consents, approvals and authorizations of, and notices and filings
         to or with, and other actions by, any other Person necessary in
         connection with the Caremark Receivables Securitization, any of the
         Loan Documents or the Caremark Receivables Securitization Documents or
         any of the other transactions contemplated hereby or thereby shall have
         been obtained (without the imposition of any conditions that are not
         reasonably acceptable to the Required Lenders) and shall remain in full
         force and effect.

                  (d)      The representations and warranties set forth in each
         of the Loan Documents shall be correct in all material respects on and
         as of the Amendment Effective Date, before and after giving effect to
         this Amendment and Waiver, as though made on and as of such date
         (except (i) for any such representation and warranty that, by its
         terms, refers to a specific date other than the Amendment Effective
         Date, in which case as of such specific date, (ii) that the
         Consolidated financial statements of the Borrower and its Subsidiaries
         referred to in Sections 4.01(f) and 4.01(g) of the Credit Agreement
         shall be deemed to refer to the Consolidated financial statements of
         the Borrower and its Subsidiaries comprising part of the Required
         Financial Information most recently delivered to the Administrative
         Agent and the Lender Parties pursuant to Sections 5.03(b) and 5.03(c),
         respectively, on or prior to the Amendment Effective Date and (iii)
         that the forecasted Consolidated financial statements of the Borrower
         and its Subsidiaries referred to in Section 4.01(h) of the Credit
         Agreement shall be deemed to refer to the forecasted Consolidated
         financial statements of the Borrower and its Subsidiaries most recently
         delivered to the Administrative Agent and the Lender Parties prior to
         the Amendment Effective Date).

                  (e)      No event shall have occurred and be continuing, or
         shall result from the effectiveness of this Amendment and Waiver, that
         constitutes a Default.

                  (f)      The Administrative Agent shall have received on or
         before the Amendment Effective Date a favorable opinion of King &
         Spalding, special counsel for the Loan Parties, dated the Amendment
         Effective Date and in form and substance reasonably satisfactory to the
         Required Lenders.

                  (g)      The Borrower shall have paid to the Administrative
         Agent, for the account of each of the Lenders that has executed and
         delivered a counterpart of this Amendment and Waiver to the
         Administrative Agent on or prior to the Amendment Effective Date (or
         advised the Administrative Agent in a manner satisfactory to it that
         such Lender has executed this Amendment and Waiver on or prior to the
         Amendment Effective Date), an amendment fee of 0.25% on the aggregate
         Commitments of such Lender.

                  (h)      All of the accrued fees and expenses of the
         Administrative Agent, the Arranger and the Lender Parties (including
         the accrued fees and expenses of counsel for the Administrative Agent)
         shall have been paid in full.

The effectiveness of this Amendment and Waiver is further conditioned upon the
accuracy of all of the factual matters described herein. This Amendment and
Waiver is subject to the provisions of Section 8.01 of the Credit Agreement.




<PAGE>   16


                                      -16-

         SECTION 4. Reference to and Effect on the Loan Documents. (a) On and
after the Amendment Effective Date, each reference in the Credit Agreement to
"this Agreement", "hereunder", "hereof" or words of like import referring to the
Credit Agreement, and each reference in the Notes and each of the other Loan
Documents to "the Credit Agreement", "thereunder", "thereof" or words of like
import referring to the Credit Agreement, shall mean and be a reference to the
Credit Agreement, as amended and otherwise modified by this Amendment and
Waiver.

                  (b)      The Credit Agreement, the Notes and each of the other
Loan Documents, except to the extent of the amendments and waivers specifically
provided above, are and shall continue to be in full force and effect and are
hereby in all respects ratified and confirmed. The execution, delivery and
effectiveness of this Amendment and Waiver shall not, except as expressly
provided herein, operate as a waiver of any right, power or remedy of any of the
Guaranteed Parties or the Administrative Agent under any of the Loan Documents,
nor constitute a waiver of any provision of any of the Loan Documents.

                  SECTION 5. Costs and Expenses. The Borrower hereby agrees to
pay, upon demand, all of the reasonable costs and expenses of the Administrative
Agent and the Arranger (including, without limitation, the reasonable fees and
expenses of counsel for the Administrative Agent) in connection with the
preparation, execution, delivery, administration, modification and amendment of
this Amendment and Waiver and all of the agreements, instruments and other
documents delivered or to be delivered in connection herewith, all in accordance
with the terms of Section 8.04 of the Credit Agreement.

                  SECTION 6. Execution in Counterparts. This Amendment and
Waiver may be executed in any number of counterparts and by different parties
hereto in separate counterparts, each of which when so executed shall be deemed
to be an original and all of which taken together shall constitute one and the
same agreement. Delivery of an executed counterpart of a signature page to this
Amendment and Waiver by telecopier shall be effective as delivery of a manually
executed counterpart of this Amendment and Waiver.

                  SECTION 7.  Governing Law.  This Amendment and Waiver shall be
governed by, and construed in accordance with, the laws of the State of New
York.

                  IN WITNESS WHEREOF, the parties hereto have caused this
Amendment and Waiver to be executed by their respective officers, thereunto duly
authorized, as of the date first written above.

                                              THE BORROWER

                                              MEDPARTNERS, INC.


                                              By /s/ Peter J. Clemens, IV 
                                                 ------------------------------
                                                 Name:
                                                 Title:




<PAGE>   17


                                      -17-
                                           
                                           THE ADMINISTRATIVE AGENT
                                           NATIONSBANK, N.A.


                                           By /s/ Philip Durand  
                                              ---------------------------------
                                              Name:
                                              Title: VP


                                           THE LENDER PARTIES

                                           NATIONSBANK, N.A., as a Lender,
                                           the Swing Line Bank and the Issuing 
                                           Bank


                                           By /s/ Philip Durand                 
                                              ---------------------------------
                                              Name:
                                              Title: VP


                                           AMSOUTH BANK


                                           By /s/ Allison J. Sanders            
                                              ---------------------------------
                                              Name: Allison J. Sanders
                                              Title: Vice President


                                           BANK OF AMERICA NATIONAL TRUST
                                              AND SAVINGS ASSOCIATION

                                           By /s/ Philip Durand                 
                                              ---------------------------------
                                              Name:
                                              Title: VP

                                           THE CHASE MANHATTAN BANK

                                           By /s/ Dawn Lee Lum                  
                                              ---------------------------------
                                              Name: Dawn Lee Lum
                                              Title: Vice President

                                           CREDIT LYONNAIS NEW YORK BRANCH


                                           By /s/ F. Tavangar                   
                                              ---------------------------------
                                              Name: Farboud Tavangar
                                              Title: First Vice President


<PAGE>   18


                                      -18-



                                           DEBT STRATEGIES FUND, INC.


                                           By/s/ Colleen M. Cunniffe            
                                              ---------------------------------
                                              Name: Colleen M. Cunniffe
                                              Title: Authorized Signatory


                                           THE FIRST NATIONAL BANK OF CHICAGO


                                           By /s/ L. Richard Schiller           
                                              ---------------------------------
                                              Name: L. Richard Schiller
                                              Title: Vice President


                                           FIRST UNION NATIONAL BANK


                                           By /s/ M Boyle                       
                                              ---------------------------------
                                              Name: M. Boyle
                                              Title: Sr. V.P.


                                           FLOATING RATE PORTFOLIO
                                              BY:   INVESCO Senior Secured 
                                                    Management, Inc., as 
                                                    attorney in fact


                                           By /s/ Kathleen Lenarcic             
                                              ---------------------------------
                                              Name: Kathleen A. Lenarcic
                                              Title:Authorized Signatory


                                           MERRILL LYNCH, PIERCE, FENNER &
                                              SMITH INCORPORATED


                                           By /s/ Neil Birsson                  
                                              ---------------------------------
                                              Name: Neil Brisson
                                              Title:Director




<PAGE>   19


                                      -19-

                                           MERRILL LYNCH DEBT STRATEGIES
                                            PORTFOLIO, INC.
                                            BY:  MERRILL LYNCH ASSET
                                                 MANAGEMENT L.P., as Investment
                                                 Advisor


                                           By /s/ Colleen M. Cunniffe           
                                              ---------------------------------
                                              Name: Colleen M. Cunniffe
                                              Title: Authorized Signatory


                                           MERRILL LYNCH GLOBAL INVESTMENT
                                            SERIES:INCOME STRATEGIES PORTFOLIO
                                            BY: MERRILL LYNCH ASSET
                                                MANAGEMENT, L.P., as Investment
                                                Advisor

                                           By /s/ Colleen M. Cunniffe           
                                              ---------------------------------
                                              Name: Colleen M. Cunniffe
                                              Title: Authorized Signatory

                                           ML CBO IV (CAYMAN) LTD.
                                             BY:   HIGHLAND CAPITAL MANAGEMENT,
                                                   L.P., as Collateral Manager

                                           By                                   
                                              ---------------------------------
                                              Name:
                                              Title:


                                           MORGAN GUARANTY TRUST COMPANY OF
                                           NEW YORK


                                           By                                   
                                              ---------------------------------
                                              Name:
                                              Title:


                                           PAM CAPITAL FUNDING, LP
                                             BY:  HIGHLAND CAPITAL MANAGEMENT,
                                                  L.P.,
                                                  as Collateral Manager

                                           By                                   
                                              ---------------------------------
                                              Name:
                                              Title:



<PAGE>   20


                                      -20-


                                           PAMCO CAYMAN, LTD.
                                             BY:  HIGHLAND CAPITAL MANAGEMENT,
                                                  L.P.,
                                                  as Collateral Manager


                                           By                                   
                                              ---------------------------------
                                              Name:
                                              Title:



                                           SALOMON BROTHERS HOLDING
                                           COMPANY, INC.


                                           By /s/ Mavis Taintor                 
                                              ---------------------------------
                                              Name Mavis Taintor
                                              Title: Managing Director


                                           SCOTIABANC INC.


                                           By /s/ Dana Maloney                  
                                              ---------------------------------
                                              Name: Dana Maloney
                                              Title: Relationship Manager


                                           STEIN ROE & FARNHAM INCORPORATED,
                                              as Agent for KEYPORT LIFE 
                                              INSURANCE COMPANY


                                           By /s/ Brian W. Good                 
                                              ---------------------------------
                                              Name: Brian W. Good
                                              Title: Vice President & 
                                                     Portfolio Manager



                                           VAN KAMPEN AMERICAN CAPITAL PRIME
                                           RATE INCOME TRUST

                                           By /s/Jeffrey W. Maillet             
                                              ---------------------------------
                                              Name:Jeffrey W. Maillet
                                              Title: Senior Vice President & 
                                                     Director


<PAGE>   21


                                      -21-


                                           VAN KAMPEN AMERICAN CAPITAL
                                           SENIOR INCOME TRUST


                                           By /s/Jeffrey W. Maillet             
                                              ---------------------------------
                                              Name:Jeffrey W. Maillet
                                              Title: Senior Vice President 
                                                     & Director


                                           VAN KAMPEN CLO II, LIMITED
                                              BY:  VAN KAMPEN AMERICAN CAPITAL
                                                   MANAGEMENT, INC.,
                                                   as Collateral Manager


                                           By /s/Jeffrey W. Maillet             
                                              ---------------------------------
                                              Name:Jeffrey W. Maillet
                                              Title: Senior Vice President 
                                                     & Director


                                           WACHOVIA BANK, N.A.


                                           By /s/ John C. Canty                 
                                              ---------------------------------
                                              Name: John C. Canty
                                              Title: Assistant Vice President






<PAGE>   22


                                      -22-

                                           TORONTO DOMINION (TEXAS), INC.


                                           By /s/ Anne C. Favoriti              
                                              ---------------------------------
                                              Name: Anne C. Favoriti
                                              Title: Vice President


<PAGE>   23


                                      -23-

                                           PILGRIM PRIME RATE TRUST
                                             BY: PILGRIM INVESTMENTS, INC., as
                                             Investment Manager


                                           By /s/ Charles E. LeMieux            
                                              ---------------------------------
                                              Name: Charles E. LeMieux, CFA
                                              Title: Assistant Vice President


                                           ML CLO XX PILGRIM AMERICA
                                            (CAYMAN) LTD.
                                               BY: PILGRIM INVESTMENTS, INC., as
                                               Investment Manager


                                           By /s/ Charles E. LeMieux            
                                              ---------------------------------
                                              Name: Charles E. LeMieux, CFA
                                              Title: Assistant Vice President




<PAGE>   1



                                                                   EXHIBIT 10.2

                      AMENDMENT NO. 2 TO THE LOAN DOCUMENTS

                  AMENDMENT dated as of January 13, 1999 to the Amended and
Restated Credit Agreement dated as of June 9, 1998 (as amended and otherwise
modified by Amendment No. 1 to the Loan Documents dated as of December 4, 1998,
the "CREDIT AGREEMENT") among MedPartners, Inc., a Delaware corporation (the
"BORROWER"), the Lenders party thereto, NationsBank, N.A., as the Initial
Issuing Bank and the Swing Line Bank thereunder, Credit Lyonnais New York
Branch, The First National Bank of Chicago and Morgan Guaranty Trust Company of
New York, as the Syndication Agents therefor, NationsBanc Montgomery Securities
LLC, as the Arranger therefor, and NationsBank, N.A., as the Administrative
Agent for the Lender Parties thereunder. Capitalized terms not otherwise defined
in this Amendment and Waiver have the same meanings as specified therefor in the
Credit Agreement.


                             PRELIMINARY STATEMENTS

                  (1)      The Borrower has requested that the Lender Parties
agree to amend the Credit Agreement in order, among other things, (a) to delete
the requirement set forth in Section 5.04(a) of the Credit Agreement that the
Borrower have maintained a minimum Consolidated EBITDA as of the last day of the
Fiscal Quarter ended December 31, 1998 of at least $88,100,000, (b) to modify
the requirements of Sections 5.04(b) and 5.04(c) of the Credit Agreement that
the Borrower maintain a maximum Leverage Ratio and a minimum Fixed Charge
Coverage Ratio for the Fiscal Quarter ended December 31, 1998 and at all times
thereafter, among other things, to exclude the cash and noncash charges that
will be taken by the Borrower and its Subsidiaries in accordance with GAAP in
connection with the reclassification of the physician practice management
businesses of the Borrower and its Subsidiaries as "discontinued operations",
and the sale, lease, transfer or other disposition of the property and assets
comprising such businesses, all in accordance with the terms of the Loan
Documents, (c) to permit the Borrower and its Subsidiaries to deduct from the
Net Cash Proceeds received from one or more sales, leases, transfers or other
dispositions of their property and assets pursuant to Sections 5.02(d)(vii) and
5.02(d)(viii) of the Credit Agreement such amounts as are necessary to satisfy
the current accruals and medical claims payable and other accounts payable
retained by the Borrower or its applicable Subsidiary under the terms of such
sale, lease, transfer or other disposition and payable within 90 days of the
consummation thereof and (d) to increase the aggregate portion of Net Cash
Proceeds from one or more sales, leases, transfers or other dispositions of
property and assets of the Borrower and its Subsidiaries effected pursuant to
Sections 5.02(d)(vii), 5.02(d)(viii) and 5.02(d)(xi) of the Credit Agreement
that may be retained by the Borrower and its Subsidiaries for use in their
businesses and operations in the ordinary course to $125,000,000.

                  (2)      The Lender Parties have indicated their willingness
to agree to amend the Credit Agreement in order, among other things, to permit
the modifications thereto described above in Preliminary Statement (1) on the
terms and subject to the satisfaction of the conditions set forth herein.

                  NOW, THEREFORE, in consideration of the premises and of the
mutual covenants and agreements contained herein and in the Loan Documents, the
parties hereto hereby agree as follows:

                  SECTION 1. Amendments of Certain Provisions of the Credit
Agreement. The Credit Agreement is, upon the occurrence of the Amendment
Effective Date (as hereinafter defined), hereby amended to read as follows:


<PAGE>   2


                                       -2-

                  (a)      Section 1.01 of the Credit Agreement is hereby 
         amended to restate the following definitions set forth therein in their
         entirety to read as follows:

                           "APPLICABLE MARGIN" means (a) in the case of the Term
                  A Facility, (i) at any time during the period from the date of
                  Amendment No. 1 to the Loan Documents to September 30, 1999,
                  2.250% per annum for Base Rate Advances and 3.250% per annum
                  for Eurodollar Rate Advances, (ii) at any time during the
                  period from September 30, 1999 to December 31, 1999, 2.500%
                  per annum for Base Rate Advances and 3.500% per annum for
                  Eurodollar Rate Advances and (iii) at any time and from time
                  to time on and after December 31, 1999, 2.750% per annum for
                  Base Rate Advances and 3.750% per annum for Eurodollar Rate
                  Advances, (b) in the case of the Term B Facility, (i) at any
                  time during the period from the date of Amendment No. 1 to the
                  Loan Documents to September 30, 1999, 2.500% per annum for
                  Base Rate Advances and 3.500% per annum for Eurodollar Rate
                  Advances, (ii) at any time during the period from September
                  30, 1999 to December 31, 1999, 2.750% per annum for Base Rate
                  Advances and 3.750% per annum for Eurodollar Rate Advances and
                  (iii) at any time and from time to time on and after December
                  31, 1999, 3.000% per annum for Base Rate Advances and 4.000%
                  per annum for Eurodollar Rate Advances, and (c) in the case of
                  the Revolving Credit Facility, (i) at any time during the
                  period from the date of Amendment No. 1 to the Loan Documents
                  through the Performance Level Determination Date, 2.250% per
                  annum for Base Rate Advances and 3.250% per annum for
                  Eurodollar Rate Advances and (ii) at any time and from time to
                  time thereafter, a percentage per annum equal to the
                  applicable percentage set forth below for the Performance
                  Level set forth below:


<TABLE>
<CAPTION>
                                                          REVOLVING
                             REVOLVING CREDIT               CREDIT
      PERFORMANCE                BASE RATE             EURODOLLAR RATE
         LEVEL                   ADVANCES                  ADVANCES
      <S>                    <C>                       <C>   
            I                     0.125%                    1.125%
           II                     0.250%                    1.250%
           III                    0.375%                    1.375%
           IV                     0.625%                    1.625%
            V                     1.000%                    2.000%
           VI                     1.375%                    2.375%
           VII                    1.750%                    2.750%
          VIII                    2.000%                    3.000%
           IX                     2.250%                    3.250%
</TABLE>

                  For purposes of subclause (c)(ii) of the immediately preceding
                  sentence, the Applicable Margin for each Base Rate Advance
                  shall be determined by reference to the Performance


<PAGE>   3


                                       -3-

                  Level in effect from time to time and the Applicable Margin
                  for each Eurodollar Rate Advance shall be determined by
                  reference to the Performance Level in effect on the first day
                  of each Interest Period for such Eurodollar Rate Advance.

                           "CONSOLIDATED EBITDA" means, with respect to any
                  Person for any period, (a) the Consolidated Net Income of such
                  Person and its Subsidiaries for such period plus (b) the sum
                  of each of the following expenses that have been deducted from
                  the determination of the Consolidated Net Income of such
                  Person and its Subsidiaries for such period: (i) the
                  Consolidated Interest Expense of such Person and its
                  Subsidiaries for such period, (ii) all income tax expense
                  (whether federal, state, local, foreign or otherwise) of such
                  Person and its Subsidiaries for such period, (iii) all
                  depreciation expense of such Person and its Subsidiaries for
                  such period, (iv) all amortization expense of such Person and
                  its Subsidiaries for such period, (v) all extraordinary
                  noncash losses deducted in determining the Consolidated Net
                  Income of such Person and its Subsidiaries for such period
                  less all extraordinary noncash gains added in determining the
                  Consolidated Net Income of such Person and its Subsidiaries
                  for such period, and (vi) solely to the extent otherwise
                  deducted from the determination of the Consolidated Net Income
                  of the Borrower and its Subsidiaries for the period ended
                  December 31, 1998, all expenses incurred for premiums on the
                  AIC Insurance Policy during such period, in each case
                  determined on a Consolidated basis and in accordance with GAAP
                  for such period; provided, however, that, solely with respect
                  to any determination of Consolidated EBITDA of the Borrower
                  and its Subsidiaries for the first four Measurement Periods
                  following the Effective Date, Consolidated EBITDA will be
                  adjusted to exclude (A) the restructuring and merger related
                  charges taken by the Borrower and its Subsidiaries during the
                  Fiscal Quarter ended March 31, 1998 in an aggregate amount of
                  $42,400,000 and (B) the additional restructuring charges taken
                  by the Borrower and its Subsidiaries during the Fiscal Quarter
                  ending June 30, 1998 in an aggregate amount of $41,200,000;
                  and provided further, however, that Consolidated EBITDA of the
                  Borrower and the Restricted Subsidiaries for any Fiscal
                  Quarter ending on or after December 31, 1998 will be further
                  adjusted to exclude all of the charges set forth on Schedule
                  II hereto.

                           "LOAN PARTIES" means, collectively, the Borrower,
                  each of the Restricted Subsidiaries and each of the Excluded
                  Subsidiaries that is a party to the Subsidiaries Guarantee.

                           "RESTRICTED SUBSIDIARY" means any of the wholly owned
                  Domestic Subsidiaries (other than any of the Excluded
                  Subsidiaries, MP Receivables or any of the other Special
                  Purpose Vehicles), any of the Persons created, purchased or
                  otherwise acquired by the Borrower or any of its Subsidiaries
                  after the Amendment No. 2 Effective Date pursuant to Section
                  5.02(e)(vi) or, at the option of the Borrower, any of the
                  other Subsidiaries of the Borrower that does not constitute an
                  Excluded Subsidiary and that, in each case, (a) executes and
                  delivers the Subsidiaries Guarantee or a Guarantee Supplement
                  and (b) delivers such other agreements, opinions, certificates
                  and other documents required or requested under Section
                  5.02(k).




<PAGE>   4


                                       -4-

                           "UNUSED REVOLVING CREDIT COMMITMENT" means, with
                  respect to any of the Revolving Credit Lenders at any time,
                  (a) the Revolving Credit Commitment of such Revolving Credit
                  Lender at such time less (b) the sum of:

                                    (i)      the aggregate principal amount of 
                           all Revolving Credit Advances, Swing Line Advances 
                           and Letter of Credit Advances made by such Revolving
                           Credit Lender (in its capacity as a Lender) and
                           outstanding at such time; and

                                    (ii)     such Revolving Credit Lender's Pro 
                           Rata Share of (A) the aggregate Available Amount of
                           all Letters of Credit outstanding at such time, (B)
                           the aggregate principal amount of all Letter of
                           Credit Advances made by the Issuing Bank (in its
                           capacity as the Issuing Bank) pursuant to Section
                           2.03(c)(i) and outstanding at such time, (C) the
                           aggregate principal amount of all Swing Line Advances
                           made by the Swing Line Bank (in its capacity as the
                           Swing Line Bank) pursuant to Section 2.01(d) and
                           outstanding at such time and (D) for all purposes
                           other than the definition of "Required Lenders" set
                           forth in this Section 1.01 and Sections 2.08(a) and
                           7.05, the aggregate amount of all Holdback Reserves
                           established in connection with the sale, lease,
                           transfer or other disposition of the property and
                           assets of the Borrower and its Subsidiaries in
                           accordance with Section 5.02(d)(vii) or 5.02(d)(viii)
                           and in effect at such time."

                  (b)      Section 1.01 of the Credit Agreement is hereby 
         further amended to add the following new definitions in their
         appropriate alphabetical order:

                           "AIC INSURANCE POLICY" means the Excess Catastrophe
                  Equity Protection Coverage for Pending Actions issued by
                  American International Specialty Lines Insurance Company, an
                  affiliate of American Insurance Companies, as of September
                  30,1998 insuring the Borrower and its officers, directors and
                  employees against liabilities, costs and expenses arising out
                  of the actions and proceedings comprising part of the
                  Disclosed Litigation and described under the caption
                  "Securities Cases" on Schedule 3.01(d) hereto and other
                  claims, actions, litigation and proceedings asserting similar
                  claims for violations of the Securities Act, the Exchange Act
                  and other state securities laws, a complete and accurate copy
                  of which has been delivered to the Lender Parties prior to the
                  Amendment No. 2 Effective Date.

                           "AMENDMENT NO. 2 EFFECTIVE DATE" means the first date
                  on which all of the conditions precedent to the effectiveness
                  of Amendment No. 2 to the Loan Documents were satisfied.

                           "EXCLUDED SUBSIDIARIES" means, collectively, Team
                  Health, Government Services, MPN and each of the other
                  Subsidiaries of the Borrower the property and assets of which,
                  or the businesses and operations of which, comprise part of
                  the physician practice management businesses of the Borrower
                  and its Subsidiaries or otherwise are part of the operations
                  to be classified as "discontinued operations" in the
                  Consolidated financial statements of the Borrower and its
                  Subsidiaries for the Fiscal Year ended December 31, 1998, all
                  of which Subsidiaries as of the Amendment No. 2 Effective Date
                  are set forth on Part B of Schedule 4.01(b) hereto.


<PAGE>   5


                                       -5-

                           "HOLDBACK RESERVE" means, with respect to any sale,
                  lease, transfer or other disposition of any property or assets
                  of the Borrower or any of its Subsidiaries pursuant to Section
                  5.02(d)(vii) or 5.02(d)(viii), an amount equal to the
                  aggregate amount of all current accruals and medical claims
                  payable and other accounts payable of the Borrower or its
                  applicable Subsidiary that (a) are associated with the
                  property and assets of the Borrower or such Subsidiary being
                  sold, leased, transferred or otherwise disposed of in such
                  transaction and (b) are required to be retained by the
                  Borrower or such Subsidiary as consideration for, and under
                  the terms of the documentation for, such sale, lease, transfer
                  or other disposition, as such amount may be reduced from time
                  to time pursuant to Section 2.01(c)(ii) or 2.05(b)(vii);
                  provided that (i) the aggregate amount of all such current
                  accruals and medical claims payable and other accounts payable
                  of the Borrower or any its Subsidiaries comprising any such
                  Holdback Reserve shall not exceed the lesser of (A) the
                  aggregate cash consideration received by the Borrower and its
                  Subsidiaries for their own account on the date on which such
                  Holdback Reserve is established for the accounts receivables
                  sold, transferred or otherwise disposed of in such transaction
                  and (B) the aggregate Unused Revolving Credit Commitments of
                  the Revolving Credit Lenders on the date of such sale, lease,
                  transfer or other disposition and (ii) each Holdback Reserve
                  shall be eliminated on the date that is 90 days after the date
                  on which the Borrower or any of its Subsidiaries consummated
                  the sale, lease, transfer or other disposition of any of its
                  property and assets that gave rise to the establishment of
                  such Holdback Reserve, regardless of whether the related
                  current accruals and medical claims payable and other accounts
                  payable of the Borrower or any its Subsidiaries have been paid
                  or otherwise satisfied by or on behalf of the Borrower or any
                  of its Subsidiaries on or prior to such date; and provided
                  further that the aggregate amount of all Holdback Reserves in
                  effect on any date of determination shall not exceed (1)
                  $30,000,000 at any time prior to the date on which the
                  aggregate Term Commitments are reduced to, and the aggregate
                  principal amount of all outstanding Term Advances is, less
                  than $300,000,000 and (2) $50,000,000 at any time thereafter.

                           "INTEREST COVERAGE RATIO" means, with respect to the
                  Borrower and its Subsidiaries for any period, the ratio of (a)
                  Consolidated EBITDA of the Borrower and the Restricted
                  Subsidiaries for such period to (b) Consolidated Interest
                  Expense of the Borrower and its Subsidiaries for such period."

                  (c)      The definition of "Consolidated Net Income" set forth
         in Section 1.01 of the Credit Agreement is hereby amended (i) to add
         the word "and" at the end of clause (e) thereof, (ii) to delete the
         language "; and" at the end of clause (f) thereof and substitute
         therefore the punctuation "." and (iii) to delete clause (g) thereof in
         its entirety.

                  (d)      The definition of "Fixed Charge Coverage Ratio" set 
         forth in Section 1.01 of the Credit Agreement is hereby amended (i) to
         delete the phrase "the Borrower and its Subsidiaries" in subclauses
         (a)(i), (a)(ii) and (b)(iii) thereof and to substitute therefor the new
         phrase "the Borrower and the Restricted Subsidiaries" and (ii) to
         restate subclause (b)(iv) thereof in its entirety to read as follows:

                  "(iv) the aggregate amount of all outstanding Advances
                  scheduled to be repaid during such period pursuant to Section
                  2.04(a), 2.04(b) or 2.04(c)".



<PAGE>   6


                                       -6-

                  (e)      The definition of "Leverage Ratio" set forth in 
         Section 1.01 of the Credit Agreement is hereby amended to delete the
         phrase "the Borrower and its Subsidiaries" in clause (b) thereof and to
         substitute therefor the new phrase "the Borrower and the Restricted
         Subsidiaries".

                  (f)      The definition of "Net Cash Proceeds" set forth in 
         Section 1.01 of the Credit Agreement is hereby amended (i) to restate
         clause (d) thereof in its entirety to read as follows:

                  "(d)     the amount of the Holdback Reserve, if any, 
         established for such sale, lease, transfer or other disposition;",

         (ii) to add the following new clauses (f) and (g) thereto:

                           "(f)     in the case of the sale, lease, transfer or
                  other disposition of any property and assets, the aggregate
                  amount of all reasonable and customary post-closing purchase
                  price adjustments to the cash consideration received by the
                  Borrower or any of its Subsidiaries for one or more prior
                  sales, leases, transfers or other dispositions of their
                  property and assets pursuant to Section 5.02(d)(vii) or
                  5.02(d)(viii) to the extent (and only to the extent) that such
                  purchase price adjustments are for working capital
                  reconciliations determined on the basis of actual (as opposed
                  to estimated) financial statement information delivered
                  pursuant to the terms of the documentation for such prior
                  sale, lease, transfer or other disposition; and

                           (g)      in the case of the sale, lease, transfer or 
                  other disposition of any property and assets, the amount of
                  all notes and deferred payment obligations comprising part of
                  the Surviving Indebtedness and owing to one or more of the
                  physicians associated with any of the clinics or practice
                  groups being so sold, leased, transferred or otherwise
                  disposed of, in each case under this clause (g) to the extent,
                  but only to the extent, that the amounts so deducted are
                  actually paid (i) at the time of the receipt of such cash or
                  (ii) if later, within 15 days after the consummation of such
                  transaction;",

         (iii) to add in subclause (A) of the final proviso clause thereto after
         the phrase "clauses (a) through (e)" the new language "or clause (g)",
         (iv) to delete the language "or insurance premiums referred to in
         clause (a), (b), (d) or (e) of this definition" in subclause (B) of the
         final proviso clause thereto and to substitute therefor the new
         language ", insurance premiums, notes or deferred payment obligations
         referred to "in clause (a), (b), (d), (e) or (g) of this definition",
         (v) to add in subclause (B) of the final proviso clause thereto after
         the phrase "under Sections 2.05(b)(vi)" the new language ",
         2.05(b)(vii)" and (vi) to add in subclause (B) of the final proviso
         clause thereto after the phrase "in accordance with the terms of
         Section 2.05(b)(vi)" the new language "or 2.05(b)(vii), as
         applicable,".

                  (g)      Section 2.01(c) of the Credit Agreement is hereby 
         amended (i) to add the reference "(i)" prior to the first sentence
         thereof, (ii) to add at the end of the fourth sentence of such newly
         created subparagraph (i) thereto after the phrase "of such Revolving
         Credit Lender at such time" the new parenthetical "(other than as
         expressly provided for in subparagraph (ii) of this Section 2.01(c))"
         and (iii) to add the following new subparagraph (ii) thereto:




<PAGE>   7


                                       -7-

                  "(ii)    Holdback Reserves. The Revolving Credit Commitment of
         each of the Revolving Credit Lenders shall be deemed utilized at any
         time and from time to time by such Lender's Pro Rata Share of the
         aggregate amount of all Holdback Reserves established in connection
         with all sales, leases, transfers or other dispositions of the property
         and assets of the Borrower and its Subsidiaries pursuant to Section
         5.02(d)(vii) or 5.02(d)(viii) and in effect at such time; provided,
         however, that a Holdback Reserve may not be established at any time in
         an amount that exceeds the aggregate Unused Revolving Credit
         Commitments of the Revolving Credit Lenders at such time. The amount of
         each Holdback Reserve shall, notwithstanding any of the other
         provisions of this Agreement, be available to be borrowed solely for
         purposes of paying the current accruals and medical claims payable and
         other accounts payable of the Borrower or any its Subsidiaries in
         respect of which each such Holdback Reserve was established within 90
         days after the establishment of such Holdback Reserve. Each Holdback
         Reserve shall be reduced on each date on which (A) all or a portion of
         the current accruals and medical claims payable and other accounts
         payable of the Borrower or any its Subsidiaries for which such Holdback
         Reserve was established have been paid or otherwise satisfied by or on
         behalf of the Borrower or any of its Subsidiaries by an amount equal to
         such payment or other satisfaction and (B) the amount of such Holdback
         Reserve, when aggregated with (1) the amount of all other Holdback
         Reserves in effect on such date, (2) the aggregate principal amount of
         all Revolving Credit Advances, all Swing Line Advances and all Letter
         of Credit Advances outstanding on such date and (3) the aggregate
         Available Amount of all Letters of Credit outstanding on such date
         (after giving effect to any reduction or elimination of one or more
         other Holdback Reserves on such date and any prepayment of any such
         outstanding Advances pursuant to Section 2.06 on such date) exceeds the
         Revolving Credit Facility on such date (after giving effect to any
         permanent reduction thereof pursuant to Section 2.05 on such date), by
         an amount equal to such excess amount. Furthermore, each Holdback
         Reserve shall be eliminated in full on the date that is 90 days after
         the date on which the Borrower or any of its Subsidiaries consummated
         the sale, lease, transfer or other disposition of any of its property
         and assets that gave rise to the establishment of such Holdback
         Reserve, regardless of whether the related current accruals and medical
         claims payable and other accounts payable of the Borrower or any its
         Subsidiaries have been paid or otherwise satisfied by or on behalf of
         the Borrower or any of its Subsidiaries on or prior to such date."

                  (h)      Section 2.01(e) of the Credit Agreement is hereby 
         amended to delete the phrase "under Section 5.02(e)(iii)(C)," in the
         seventh and eighth lines thereof and to substitute therefor the new
         phrase "under Section 5.02(e)(iii)(C) or 5.02(e)(iii)(D),".

                  (i)      Section 2.05(b) of the Credit Agreement is hereby 
         amended to add the following new clause (vii):

                           "(vii)   The Term Facilities shall be automatically 
                  and permanently reduced on the date that is 90 days after the
                  date on which the Borrower or any of its Subsidiaries
                  consummated the sale, lease, transfer or other disposition of
                  any of its property and assets that gave rise to the
                  establishment of any Holdback Reserve (regardless of whether
                  the related current accruals and medical claims payable and
                  other accounts payable of the Borrower or any its Subsidiaries
                  have been paid or otherwise satisfied by or on behalf of the
                  Borrower or any of its Subsidiaries on or prior to such date)
                  by the remaining amount of


<PAGE>   8


                                       -8-

                  such Holdback Reserve. Each reduction of the Term Facilities
                  pursuant to this clause (vii) shall be applied in the manner
                  set forth in Section 2.05(c)(i)."

                  (j)      Section 2.05(c) of the Credit Agreement is hereby 
         amended to delete the phrase "clause (v) or (vi) of Section 2.05(b)" in
         the second line thereof and to substitute therefor the new phrase
         "clause (v), (vi) or (vii) of 2.05(b)".

                  (k)      Section 2.06(b) of the Credit Agreement is hereby 
         amended to delete the phrase "by the Borrower for use in its businesses
         and operations in the ordinary course" in the third sentence thereof
         after the phrase "may be retained" and to substitute therefor the new
         phrase "by the Borrower and the Restricted Subsidiaries for use in
         their businesses and operations in the ordinary course".

                  (l)      Section 4.01(b) of the Credit Agreement is hereby 
         amended (i) to delete the phrase "set forth on Schedule 4.01(b) hereto"
         in each of the first and seventh lines thereof and to substitute
         therefor the new phrase "set forth on Part A of Schedule 4.01(b)
         hereto" and (ii) to add the following new sentence at the end of such
         subsection:

                  "Set forth on Part B of Schedule 4.01(b) hereto is a complete
                  and accurate list of all of the Excluded Subsidiaries as of
                  the Amendment No. 2 Effective Date, showing, as to each such
                  Excluded Subsidiary, the correct legal name thereof and
                  stating, as of September 30, 1998, whether or not such
                  Excluded Subsidiary constitutes a Material Subsidiary."

                  (m)      Section 5.02(b) of the Credit Agreement is hereby 
         amended (i) to delete the phrase "expressly permitted under
         5.02(e)(iii)(C), 5.02(e)(iii)(D) or 5.02(e)(iii)(E)(2)" at the end of
         subclause (iv)(C) thereof and to substitute therefor the new phrase
         "expressly permitted under 5.02(e)(iii)(D), 5.02(e)(iii)(E) or
         5.02(iii)(F)(2)" and (ii) to delete the phrase "pursuant to Section
         5.02(e)(iii)(C)" in subclause (viii)(B)(1) thereof and to substitute
         therefor the new phrase "pursuant to Section 5.02(e)(iii)(D)".

                  (n)      Section 5.02(c) of the Credit Agreement is hereby 
         amended to delete the phrase "the Borrower and its Subsidiaries in the
         ordinary course" in subclause (1) of the second proviso clause to
         clause (iv) thereof and to substitute therefor the new phrase "the
         Borrower and the Restricted Subsidiaries in the ordinary course".

                  (o)      Section 5.02(d) of the Credit Agreement is hereby 
         amended to delete the amount "$75,000,000" at the end of the
         penultimate sentence thereof and to substitute therefor the new amount
         "$125,000,000".

                  (p)      Section 5.02(e) of the Credit Agreement is hereby 
         amended (i) to restate clause (iii) thereof in its entirety to read as
         follows:

                           "(iii) Investments by (A) the Borrower in any of the
                  Restricted Subsidiaries, (B) any of the Subsidiaries of the
                  Borrower in the Borrower or any of the Restricted
                  Subsidiaries, (C) the Borrower or any of the Restricted
                  Subsidiaries in one or more of the Excluded Subsidiaries that
                  are party to the Subsidiaries Guarantee so long as the
                  proceeds of any such Investment are used solely to fund the
                  working capital requirements of such Excluded Subsidiary
                  (including, without limitation, Capital Expenditures made by
                  or on


<PAGE>   9


                                       -9-

                  behalf of any such Excluded Subsidiary to the extent otherwise
                  permitted under Section 5.02(g)) in the ordinary course of
                  business, (D) the Borrower or any of the Restricted
                  Subsidiaries in one or more Unrestricted Subsidiaries in an
                  aggregate amount for all such Investments not to exceed (1)
                  $5,000,000 at any time less (2) the sum of (x) the aggregate
                  amount of all Contingent Obligations of the Borrower
                  guaranteeing one or more Obligations of the Unrestricted
                  Subsidiaries pursuant to Section 5.02(b)(viii) in existence at
                  such time and (y) the aggregate face amount of all Letters of
                  Credit issued in support of the Obligations of one or more of
                  the Unrestricted Subsidiaries in accordance with Section 2.03
                  and outstanding at such time, (E) the Borrower in MPN in an
                  aggregate amount not to exceed (1) the statutory reserve
                  requirements for managed care entities generally under the
                  Knox-Keene Act (or similar Requirements of Law) plus (2) such
                  amounts as are reasonably anticipated to be necessary to
                  satisfy claims against MPN relating to patient care in the
                  ordinary course of business, (F) Caremark Inc. in MP
                  Receivables (1) constituting capital contributions of its
                  accounts receivables and related property and assets to MP
                  Receivables pursuant to, and in accordance with the
                  requirements of, the Caremark Receivables Securitization
                  Documents or (2) evidenced by the Subordinated Note (as
                  defined in Section 3.2(b) of the Caremark Receivables Purchase
                  Agreement), and (G) any of the Unrestricted Subsidiaries in
                  any of the other Unrestricted Subsidiaries;",

         (ii) to delete the phrase "in accordance with Section 5.02(d)(vii) or
         5.02(d)(viii)" in subclause (v)(A) thereof and to substitute therefor
         the new phrase "in accordance with Section 5.02(d)(vii), 5.02(d)(viii)
         or 5.02(d)(xi)", (iii) to delete the phrase "the Borrower and its
         Subsidiaries in the ordinary course" in subclause (vi)(B) thereof and
         to substitute therefor the new phrase "the Borrower and the Restricted
         Subsidiaries in the ordinary course", (iv) to delete the language ";
         and" at the end of clause (vii) thereof and to substitute therefor the
         punctuation "." and (v) to delete clause (viii) thereof in its
         entirety.

                  (q)      Section 5.02(g) of the Credit Agreement is hereby 
         amended and restated in its entirety to read as follows:

                           "(g) Capital Expenditures. Make, or permit any of its
                  Subsidiaries to make, any Capital Expenditures that would
                  cause the aggregate amount of all such Capital Expenditures
                  made by the Borrower and its Subsidiaries in any Fiscal Year
                  to exceed the amount set forth below opposite such Fiscal
                  Year:


<TABLE>
<CAPTION>
           FISCAL YEAR
            ENDING IN                                 AMOUNT
          -------------                              -------
          <S>                                      <C>         
          December 1998                            $150,000,000

          December 1999                              75,000,000

          December 2000                              40,000,000

          December 2001
          and thereafter                             40,000,000
</TABLE>




<PAGE>   10


                                      -10-

                  ; provided, however, that, notwithstanding the foregoing
                  provisions of this Section 5.02(g), none of the Excluded
                  Subsidiaries shall make any Capital Expenditures, and neither
                  the Borrower nor any of the Restricted Subsidiaries shall make
                  any Capital Expenditures on behalf of any of the Excluded
                  Subsidiaries or their respective property, assets or
                  businesses, that would cause the aggregate amount of all such
                  Capital Expenditures made by or on behalf of (i) KS-PSI of
                  Texas, L.P. located in Houston, Texas or its property, assets
                  or businesses after December 31, 1998 to exceed $20,000,000 or
                  (ii) one or more of the other Excluded Subsidiaries or their
                  property, assets or businesses after December 31, 1998 to
                  exceed $24,000,000."

                  (r)      Section 5.02(l) of the Credit Agreement is hereby 
         amended to add the following new parenthetical at the end of such
         Section 5.02(l):

                           "(other than solely as a result of the
                  discontinuation of the physician practice management
                  businesses of the Borrower and its Subsidiaries, and the sale,
                  lease, transfer or the disposition of the property and assets
                  of the Borrower and its Subsidiaries comprising part of such
                  businesses, in accordance with the terms of the Loan
                  Documents)".

                  (s)      Section 5.03(a) of the Credit Agreement is hereby 
         amended to delete the phrase "five Business Days" in the first line
         thereof and to substitute therefor the new phrase "one Business Day".

                  (t)      Section 5.03(d) of the Credit Agreement is hereby 
         amended to delete the language "and (B)" in clause (iv) thereof after
         the words "of such financial statements from GAAP" and to substitute
         therefor the following new language:

                  ", (B) a statement of reconciliation, in form reasonably
                  satisfactory to the Administrative Agent, setting forth
                  adjustments to Consolidated net assets and Consolidated net
                  income for the exclusion of the Excluded Subsidiaries and the
                  reclassification of the physician practice management
                  businesses of the Borrower and its Subsidiaries as
                  "discontinued operations" and (C)".

                  (u)      Section 5.03(q) of the Credit Agreement is hereby 
         amended to delete the phrase "five Business Days" in the first line
         thereof and to substitute therefor the new phrase "one Business Day".

                  (v)      Section 5.03 of the Credit Agreement is hereby 
         further amended (i) to add the following new subsection (s):

                           "(s)     Holdback Reserves. Promptly and in any event
                  within 15 days after the end of each calendar month, a
                  certificate of a Senior Financial Officer, in form and
                  substance reasonably satisfactory to the Administrative Agent,
                  setting forth in reasonable detail (i) the amount of each of
                  the Holdback Reserves in effect as of the last day of such
                  calendar month and of the immediately preceding calendar month
                  and the sale, lease, transfer or other disposition of property
                  and assets of the Borrower and its Subsidiaries for which such
                  Holdback Reserve was established, (ii) the date on which each
                  such Holdback Reserve was established, (iii) the aggregate
                  cash consideration received by the Borrower and its


<PAGE>   11


                                      -11-

                  Subsidiaries for their own account on the date on which each
                  such Holdback Reserve is established for the accounts
                  receivables sold, transferred or otherwise disposed of in each
                  such transaction and (iv) the aggregate amount, by clinic or
                  by practice group, of all of the current accruals and medical
                  claims payable and other accounts payable of the Borrower or
                  any its Subsidiaries that are the subject of each such
                  Holdback Reserve during such calendar month.",

         and (ii) to reletter the existing subsection (s) of Section 5.03 of the
         Credit Agreement as subsection (t) thereof.

                  (w)      Section 5.04 of the Credit Agreement is hereby 
         amended and restated in its entirety to read as follows:

                           "SECTION 5.04. Financial Covenants. So long as any of
                  the Advances or any of the other Obligations of any Loan Party
                  under or in respect of any of the Loan Documents shall remain
                  unpaid, any of the Letters of Credit shall remain outstanding
                  or any of the Lender Parties shall have any Commitment
                  hereunder, the Borrower will:

                                    (a)     Leverage Ratio.  Maintain a Leverage
                           Ratio at all times of not more than the amount set
                           forth below for the period set forth below:

<TABLE>
<CAPTION>
                                             PERIOD                    RATIO  
                                    ---------------------------      --------
                                    <S>                              <C>   
                                    December 31, 1998 through                 
                                    March 30, 1999                    9.85:1  
                                                                              
                                    March 31, 1999 through                    
                                    June 29, 1999                     7.35:1  

                                    June 30, 1999 through                     
                                    September 29, 1999                6.50:1  

                                    September 30, 1999 through                
                                    December 30, 1999                 5.85:1  

                                    December 31, 1999 through                 
                                    June 29, 2000                     5.50:1  
                                                                              
                                    June 30, 2000 through                     
                                    December 30, 2000                 5.00:1  

                                    December 31, 2000 and  
                                    thereafter                        4.25:1
</TABLE>
                                    


<PAGE>   12


                                      -12-

                                    (b) Fixed Charge Coverage Ratio. Maintain a
                           Fixed Charge Coverage Ratio as of the last day of
                           each Measurement Period of not less than the amount
                           set forth below for each Measurement Period set forth
                           below:

<TABLE>
<CAPTION>
                                      MEASUREMENT PERIOD               
                                        ENDING IN                 RATIO  
                                    --------------------          -----
                                    <S>                           <C>
                                    December 1998                 1.10:1  
                                                                          
                                    March 1999                    1.10:1  

                                    June 1999                     1.20:1  

                                    September 1999                1.25:1  

                                    December 1999                 1.35:1  

                                                                          
                                    June 2000                     1.60:1  

                                    December 2000 and 
                                    thereafter                    2.00:1
</TABLE>

                                    (c) Interest Coverage Ratio. Maintain an
                           Interest Coverage Ratio as of the last day of each
                           Measurement Period of not less than the amount set
                           forth below for each Measurement Period set forth
                           below:


<TABLE>
<CAPTION>
                                     MEASUREMENT PERIOD                 
                                        ENDING IN                 RATIO 
                                    -------------------           -----
                                    <S>                           <C>   
                                    December 1998                 1.15:1 
                                                                         
                                    March 1999                    1.15:1 

                                    June 1999                     1.25:1 

                                    September 1999                1.30:1 

                                    December 1999                 1.50:1 
                                                                         
                                    June 2000                     1.75:1 

                                    December 2000 and
                                    thereafter                    2.25:1"       
</TABLE>
                                    



<PAGE>   13


                                      -13-

                  (x)      Section 6.01(f) of the Credit Agreement is hereby
         amended to delete the phrase "at least 60 consecutive days" in the
         tenth and eleventh lines thereof and to substitute therefor the new
         phrase "at least 45 consecutive days".

                  (y)      Section 8.07(a) of the Credit Agreement is hereby
         amended to delete the amount "$5,000,000" in subclause (B) thereof
         after the phrase "in no event be less than" and to substitute therefor
         the new amount "$2,500,000".

                  (z)      Schedule 4.01(b) to the Credit Agreement is hereby
         deleted in its entirety and replaced with the new Schedule 4.01(b) to
         the Credit Agreement attached hereto as Annex A.

                  (aa)     Schedule 5.02(d) to the Credit Agreement is hereby
         deleted in its entirety and replaced with the new Schedule 5.02(d) to
         the Credit Agreement attached hereto as Annex B.

                  (bb)     The Credit Agreement is hereby further amended to add
         the new Schedule II to the Credit Agreement attached hereto as Annex C.

                  SECTION 2. Conditions Precedent to the Effectiveness of This
Amendment. This Amendment shall become effective as of the first date (the
"AMENDMENT EFFECTIVE DATE") on which, and only if, each of the following
conditions precedent shall have been satisfied:

                  (a)      The Administrative Agent shall have received (i)
         counterparts of this Amendment executed by the Borrower and the
         Required Lenders or, as to any of the Lender Parties, advice
         satisfactory to the Administrative Agent that such Lender Party has
         executed this Amendment and (ii) the Consent attached hereto shall have
         been executed and delivered by each of the Loan Parties (other than the
         Borrower).

                  (b)      The representations and warranties set forth in each
         of the Loan Documents shall be correct in all material respects on and
         as of the Amendment Effective Date, before and after giving effect to
         this Amendment, as though made on and as of such date (except (i) for
         any such representation and warranty that, by its terms, refers to a
         specific date other than the Amendment Effective Date, in which case as
         of such specific date, (ii) that the Consolidated financial statements
         of the Borrower and its Subsidiaries referred to in Sections 4.01(f)
         and 4.01(g) of the Credit Agreement shall be deemed to refer to the
         Consolidated financial statements of the Borrower and its Subsidiaries
         comprising part of the Required Financial Information most recently
         delivered to the Administrative Agent and the Lender Parties pursuant
         to Sections 5.03(b) and 5.03(c), respectively, on or prior to the
         Amendment Effective Date and (iii) that the forecasted Consolidated
         financial statements of the Borrower and its Subsidiaries referred to
         in Section 4.01(h) of the Credit Agreement shall be deemed to refer to
         the forecasted Consolidated financial statements of the Borrower and
         its Subsidiaries most recently delivered to the Administrative Agent
         and the Lender Parties prior to the Amendment Effective Date).

                  (c)      No event shall have occurred and be continuing, or
         shall result from the effectiveness of this Amendment, that constitutes
         a Default.

                  (d)      The Borrower shall have paid to the Administrative
         Agent, for the account of each of the Lenders that has executed and
         delivered a counterpart of this Amendment to the


<PAGE>   14


                                      -14-

         Administrative Agent on or prior to the Amendment Effective Date (or
         advised the Administrative Agent in a manner satisfactory to it that
         such Lender has executed this Amendment on or prior to the Amendment
         Effective Date), an amendment fee of 0.25% on the aggregate Commitments
         of such Lender.

                  (e)      All of the accrued fees and expenses of the
         Administrative Agent, the Arranger and the Lender Parties (including
         the accrued fees and expenses of counsel for the Administrative Agent)
         shall have been paid in full.

The effectiveness of this Amendment is further conditioned upon the accuracy of
all of the factual matters described herein. This Amendment is subject to the
provisions of Section 8.01 of the Credit Agreement.

                  SECTION 3. Reference to and Effect on the Loan Documents. (a)
On and after the Amendment Effective Date, each reference in the Credit
Agreement to "this Agreement", "hereunder", "hereof" or words of like import
referring to the Credit Agreement, and each reference in the Notes and each of
the other Loan Documents to "the Credit Agreement", "thereunder", "thereof" or
words of like import referring to the Credit Agreement, shall mean and be a
reference to the Credit Agreement, as amended by this Amendment.

                  (b)      The Credit Agreement, the Notes and each of the other
Loan Documents, except to the extent of the amendments specifically provided
above, are and shall continue to be in full force and effect and are hereby in
all respects ratified and confirmed. The execution, delivery and effectiveness
of this Amendment shall not, except as expressly provided herein, operate as a
waiver of any right, power or remedy of any of the Guaranteed Parties or the
Administrative Agent under any of the Loan Documents, nor constitute a waiver of
any provision of any of the Loan Documents.

                  SECTION 4. Costs and Expenses. The Borrower hereby agrees to
pay, upon demand, all of the reasonable costs and expenses of the Administrative
Agent and the Arranger (including, without limitation, the reasonable fees and
expenses of counsel for the Administrative Agent) in connection with the
preparation, execution, delivery, administration, modification and amendment of
this Amendment and all of the agreements, instruments and other documents
delivered or to be delivered in connection herewith, all in accordance with the
terms of Section 8.04 of the Credit Agreement.

                  SECTION 5. Execution in Counterparts. This Amendment may be
executed in any number of counterparts and by different parties hereto in
separate counterparts, each of which when so executed shall be deemed to be an
original and all of which taken together shall constitute one and the same
agreement. Delivery of an executed counterpart of a signature page to this
Amendment by telecopier shall be effective as delivery of a manually executed
counterpart of this Amendment.

                  SECTION 6. Governing Law. This Amendment shall be governed by,
and construed in accordance with, the laws of the State of New York.

                  IN WITNESS WHEREOF, the parties hereto have caused this
Amendment to be executed by their respective officers, thereunto duly
authorized, as of the date first written above.




<PAGE>   15


                                      -15-

                                           THE BORROWER
                                           MEDPARTNERS, INC.


                                           By /s/ Peter J. Clemens, IV          
                                              ---------------------------------
                                              Name:
                                              Title:

                                           THE ADMINISTRATIVE AGENT

                                           NATIONSBANK, N.A.


                                           By /s/ Philip Durand                 
                                              ---------------------------------
                                              Name:
                                              Title: VP


                                           THE LENDER PARTIES

                                           NATIONSBANK, N.A., as a Lender,
                                           the Swing Line Bank and the Issuing 
                                           Bank


                                           By /s/ Philip Durand                 
                                              ---------------------------------
                                              Name:
                                              Title: VP


                                           AMSOUTH BANK


                                           By /s/ Allison J. Sanders            
                                              ---------------------------------
                                              Name: Allison J. Sanders
                                              Title: Vice President


                                           BANK OF AMERICA NATIONAL TRUST
                                              AND SAVINGS ASSOCIATION


                                           By /s/ Philip Durand                 
                                              ---------------------------------
                                              Name:
                                              Title: VP




<PAGE>   16


                                      -16-

                                           THE CHASE MANHATTAN BANK


                                           By /s/ Dawn Lee Lum                  
                                              ---------------------------------
                                              Name: Dawn Lee Lum
                                              Title: Vice President


                                           CREDIT LYONNAIS NEW YORK BRANCH


                                           By /s/ John Oberle                   
                                              ---------------------------------
                                              Name: John Oberle
                                              Title: Vice President


                                           DEBT STRATEGIES FUND, INC.


                                           By /s/ Colleen M. Cunniffe           
                                              ---------------------------------
                                              Name:
                                              Title:


                                           THE FIRST NATIONAL BANK OF CHICAGO


                                           By /s/ L. Richard Schiller           
                                              ---------------------------------
                                              Name: L. Richard Schiller
                                              Title: Vice President


                                           FIRST UNION NATIONAL BANK


                                           By /s/ Joseph H. Towell              
                                              ---------------------------------
                                              Name: Joseph H. Towell
                                              Title: Senior Vice President


                                           FLOATING RATE PORTFOLIO
                                              BY: INVESCO Senior Secured
                                                  Management, Inc., as attorney
                                                  in fact


                                           By /s/ Kathleen Lenarcic             
                                              ---------------------------------
                                              Name: Kathleen A. Lenarcic
                                              Title:Authorized Signatory


<PAGE>   17


                                      -17-


                                           MERRILL LYNCH, PIERCE, FENNER &
                                              SMITH INCORPORATED


                                           By /s/ Neil Birsson                  
                                              ---------------------------------
                                              Name: Neil Brisson
                                              Title:Director


                                           MERRILL LYNCH DEBT STRATEGIES
                                              PORTFOLIO, INC.
                                              BY:MERRILL LYNCH ASSET
                                                 MANAGEMENT L.P., as Investment
                                                 Advisor


                                           By /s/ Colleen M. Cunniffe           
                                              ---------------------------------
                                              Name:
                                              Title:


                                           MERRILL LYNCH GLOBAL INVESTMENT
                                             SERIES: INCOME STRATEGIES PORTFOLIO
                                             BY:     MERRILL LYNCH ASSET
                                                     MANAGEMENT, L.P., as
                                                     Investment Advisor


                                           By /s/ Colleen M. Cunniffe           
                                              ---------------------------------
                                              Name:
                                              Title:


                                           ML CBO IV (CAYMAN) LTD.
                                              BY:    HIGHLAND CAPITAL
                                                     MANAGEMENT, L.P.,
                                                     as Collateral Manager


                                           By /s/ James Dondero                 
                                              ---------------------------------
                                              Name:James Dondero
                                              Title:President
                                                  Highland Capital Managment LP.




<PAGE>   18


                                      -18-

                                         ML CLO XX PILGRIM AMERICA
                                          (CAYMAN) LTD.
                                          BY:  PILGRIM INVESTMENTS, INC.,
                                               as Investment Manager


                                         By /s/ Daniel A. Norman              
                                            ------------------------------------
                                            Name: Daniel A. Norman
                                            Title: Senior Vice President


                                         MORGAN GUARANTY TRUST COMPANY
                                            OF NEW YORK


                                         By /s/ Unn Boucher                   
                                            ------------------------------------
                                            Name:
                                            Title: Vice President


                                         PAM CAPITAL FUNDING, LP
                                            BY:  HIGHLAND CAPITAL MANAGEMENT,
                                                 L.P.,
                                                 as Collateral Manager


                                         By /s/ James Dondero                 
                                            ------------------------------------
                                            Name:James Dondero
                                            Title:President
                                                  Highland Capital Managment
                                                  LP.


                                         PAMCO CAYMAN, LTD.
                                            BY:  HIGHLAND CAPITAL MANAGEMENT,
                                                 L.P.,
                                                 as Collateral Manager


                                         By /s/ James Dondero
                                            ------------------------------------
                                            Name:James Dondero
                                            Title:President
                                                  Highland Capital Managment LP.




<PAGE>   19


                                      -19-

                                           PILGRIM PRIME RATE TRUST
                                              BY:  PILGRIM INVESTMENTS, INC.,
                                                   as Investment Manager


                                           By /s/ Daniel A. Norman              
                                              ---------------------------------
                                              Name: Daniel A. Norman
                                              Title: Senior Vice President


                                           Citibank, N.A.


                                           By /s/ Townsend W. Weefes Jr.        
                                              ---------------------------------
                                              Name Townsend W. Weefes, Jr. :
                                              Title: Attorney-in-fact


                                           SCOTIABANC INC.


                                           By /s/ Dana Maloney                  
                                              ---------------------------------
                                              Name: Dana Maloney
                                              Title: Relationship Manager


                                           STEIN ROE & FARNHAM INCORPORATED,
                                              as Agent for KEYPORT LIFE 
                                              INSURANCE COMPANY


                                           By /s/ Brian W. Good                 
                                              ---------------------------------
                                              Name: Brian W. Good
                                              Title: Vice President & 
                                                      Portfolio Manager


                                           TORONTO DOMINION (TEXAS), INC.


                                           By                                   
                                              ---------------------------------
                                              Name:
                                              Title:




<PAGE>   20


                                      -20-

                                            VAN KAMPEN PRIME RATE INCOME TRUST


                                            By /s/Jeffrey W. Maillet            
                                              ---------------------------------
                                              Name:
                                              Title:


                                            VAN KAMPEN SENIOR INCOME TRUST


                                            By /s/Jeffrey W. Maillet            
                                              ---------------------------------
                                              Name:
                                              Title:


                                            VAN KAMPEN CLO II, LIMITED
                                               BY:  VAN KAMPEN MANAGEMENT,
                                                    INC.,
                                                    as Collateral Manager


                                            By /s/Jeffrey W. Maillet            
                                               ---------------------------------
                                               Name:
                                               Title:


                                            WACHOVIA BANK, N.A.


                                            By /s/ John C. Canty                
                                               ---------------------------------
                                               Name: John C. Canty
                                               Title: Assistant Vice President




<PAGE>   1



                                                                    EXHIBIT 99.1






CONTACT:          Tadd McVay                        Robert Mead
                  MedPartners, Inc.                 Gavin Anderson & Co.
                  Birmingham: 205-982-4265          York: 212-373-0226




                              MEDPARTNERS ANNOUNCES
                    COMPLETION OF CREDIT AGREEMENT AMENDMENTS


BIRMINGHAM, AL, JANUARY 14, 1999 - MedPartners, Inc. (NYSE: MDM) announced today
that it has completed its second amendment to its credit agreement, bringing it
in line with the Company's new corporate strategy of separating its physician
services business to focus on its pharmaceutical services business.

The credit agreement now provides for 75% of net cash proceeds received from
asset sales to be used to reduce MedPartners' outstanding debt under its term
loans. The remaining 25% of net asset sales proceeds, up to a maximum of $125
million, is available to the Company for general corporate purposes. Prior to
the Company's November 1998 change in business strategy, the credit facility
required 100% of asset sales proceeds to reduce the term loans.

Previously agreed upon modifications to the credit agreement allow for a $75
million accounts receivable securitization, which was successfully funded in
December 1998. That program, coupled with the retention of up to $125 million in
asset sales proceeds, allows the Company up to an additional $200 million in
capital for general corporate purposes as it executes its new corporate
strategy. The amendments also permit certain discontinued operations charges to
be taken and revises the Company's financial covenants.


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The revised financial covenants include a maximum indebtedness to cash flow
measurement, a minimum fixed-charge coverage test, a minimum cash flow to
interest ratio and a maximum level of capital expenditures.

"We are pleased to have finalized the amendments to our credit agreement, which
give us financial flexibility as we implement our new business strategy," said
Mac Crawford, Chairman and CEO of MedPartners, Inc. "Our success in modifying
our credit agreement reflects our bank lenders' support for our strategy going
forward."

In November 1998, MedPartners, Inc. announced its strategy to separate from its
physician services business to focus on its PBM division, Caremark. Caremark is
a national leader in providing innovative pharmaceutical solutions and
therapeutic pharmaceutical services to corporations, managed care organizations,
insurance companies, government agencies, and unions through a network of over
53,000 affiliated pharmacies, mail-order distribution centers and home delivery
methods. In the first nine months of 1998, Caremark filled over 32 million
prescriptions.

Certain statements contained in this press release constitute forward-looking
statements contemplated under the Private Securities Litigation Reform Act of
1995. As such, they involve risks and uncertainties. A discussion of a number of
important factors and assumptions regarding these statements and risks involved
is contained in the Company's most recent filings with the Securities and
Exchange Commission and also in the Company's Quarterly report filed with the
Securities and Exchange Commission on November 16, 1998. The Company intends to
file the amendments to its credit agreement with the Securities and Exchange
Commission on a current report on form 8-K.




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