PROMEDCO MANAGEMENT CO
8-K, 1997-05-07
OFFICES & CLINICS OF DOCTORS OF MEDICINE
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                         SECURITIES AND EXCHANGE COMMISSION
                               Washington, D.C. 20549




                                      FORM 8-K

                                   CURRENT REPORT


                       Pursuant to Section 13 or 15(d) of the
                         Securities and Exchange Act of 1934


         Date of Report (date of earliest event reported): April 23, 1997



                             PROMEDCO MANAGEMENT COMPANY
               (Exact name of Registrant as specified in its charter)


     DELAWARE                      0-21373                   75-2529809
    (State of              (Commission File No.)           (IRS Employer
   Incorporation)                                         Identification No.)


                            801 CHERRY STREET, SUITE 1450
                               FORT WORTH, TEXAS 76102
            (Address of principal executive offices, including zip code)


                                    (817)335-5035
                (Registrant's telephone number, including area code)





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<PAGE>






Item 2.  Acquisition or Disposition of Assets

     On April 23, 1997, ProMedCo Management Company ("ProMedCo" or the
"Company"), acquired substantially all of the operating assets of Naples Medical
Center, P.A. ("NMC") and Naples Obstetrics & Gynecology, M.D., P.A. ("NOB"),
including accounts receivable and furniture and equipment. Simultaneous with
closing, the operations of NOB were merged into NMC, and ProMedCo of Southwest
Florida, Inc. ("ProMedCo-SW"), a wholly-owned subsidiary of ProMedCo, entered
into a long-term service agreement (the "Service Agreement") with NMC, effective
March 1, 1997. The combined groups total 36 physicians serving the Naples,
Florida, market. The total consideration for the transaction was approximately
$19.9 million, which consisted of a combination of cash and deferred cash
payments, the issuance of notes and the assumption of certain liabilities. The
consideration was determined through arm's length negotiations among
representatives of ProMedCo, NMC and NOB. The factors considered in determining
the purchase price included information with respect to the financial condition,
assets, liabilities, businesses and operations of each entity on both a
historical and prospective basis. The cash portion of the purchase price was
funded with proceeds from the March 1997 public offering of the Company's Common
Stock.

     Assets acquired will be used by ProMedCo-SW to provide administrative and
medical support services to NMC pursuant to the terms of the Service Agreement.

Item 7.  Financial Statements and Exhibits

      Financial Statements

     (a) It is impractical to provide the required financial statements at this
time. The required financial statements will be filed as an amendment to this
report as soon as practicable in accordance with Item 7(a)(4) of Form 8-K.

         (b) It is impractical to provide the required pro forma financial
information at this time. The required pro forma financial information will be
filed as an amendment to this report as soon as practicable in accordance with
Item 7(a)(4) of Form 8-K.

         Exhibits

         Exhibit 2.3 -- Asset Purchase Agreements as of April 23, 1997 by and 
between ProMedCo Management Company, ProMedCo of Southwest Florida, Inc., 
Naples Medical Center, P.A. and Naples Obstetrics & Gynecology, M.D., P.A. 
Included as Appendix 2.9A to the Agreement is the Service Agreement by and 
between ProMedCo of Southwest Florida and Naples Medical Center, P.A.




2




<PAGE>





                             SIGNATURE


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.




                               PROMEDCO MANAGEMENT COMPANY




                               By:     /s/ H. WAYNE POSEY
                                              H. Wayne Posey
                                    President and Chief Executive Officer


Date:  May 7, 1997


3



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                            ASSET PURCHASE AGREEMENTS

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                           PROMEDCO MANAGEMENT COMPANY
                       PROMEDCO OF SOUTHWEST FLORIDA, INC.

                                       AND

                           NAPLES MEDICAL CENTER, P.A.
                   NAPLES OBSTETRICS & GYNECOLOGY, M.D., P.A.




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                                 APRIL 14, 1997

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<PAGE>



                                TABLE OF CONTENTS

DRAMATIS PERSONAE

NMC ASSET PURCHASE AGREEMENT

NOB ASSET PURCHASE AGREEMENT

COMMON PROVISIONS ATTACHMENT

APPENDIX 2.2 UNDERTAKING

APPENDIX 2.3 EXCLUDED ASSETS

APPENDIX 2.9A FORM OF SERVICE AGREEMENT

APPENDIX 2.9B FORM OF MEDICAL PROFESSIONAL EMPLOYMENT AGREEMENT

APPENDIX 2.9C LIST OF REAL ESTATE LEASES TO BE ASSUMED BY PROMEDCO-SW

APPENDIX 2.9D SPLIT-DOLLAR AGREEMENT

APPENDIX 2.9E COLLATERAL ASSIGNMENT

APPENDIX 2.9F ESCROW AGREEMENT

APPENDIX 7.2 OPINION OF COUNSEL TO PROMEDCO-SW

APPENDIX 8.3 OPINION OF COUNSEL TO NMC

APPENDIX 11.4 MEMORANDUM OF UNDERSTANDING


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                                                      -1-

                            ASSET PURCHASE AGREEMENT

         ASSET PURCHASE AGREEMENT dated as of April 14, 1997, among Naples
Medical Center, P.A. a Florida professional corporation ("SELLER"), ProMedCo
Management Company, a Delaware corporation ("ProMedCo") and ProMedCo of
Southwest Florida, Inc., a Florida corporation ("ProMedCo-SW"), a wholly owned
subsidiary of ProMedCo.

         RECITAL:

         SELLER owns the Assets described in the Common Provisions Attachment
attached hereto. ProMedCo, through its subsidiaries, including ProMedCo-SW is
engaged in the business of providing medical practice facilities, nonmedical
personnel and medical practice management and administrative services.

         SELLER desires to sell the Assets to ProMedCo-SW in exchange for the
Consideration described herein.

         The parties hereby agree as follows:

ARTICLE 1 DEFINITIONS

"CONSIDERATION" means $3,636,656, as adjusted pursuant to ss. 2.10.

All other definitions set forth in Article 1 of the Common Provisions Attachment
are incorporated herein by reference.

         Capitalized terms not otherwise defined herein shall have the meanings
ascribed thereto in the Common Provisions Attachment.

ARTICLE 2 SALE AND TRANSFER OF ASSETS: CONSIDERATION; CLOSING

         2.1  SALE AND TRANSFER OF ASSETS.           }
         2.2  ASSETS FREE AND CLEAR; UNDERTAKING.             }
         2.3  EXCLUDED ASSETS.                       }

Sections  2.2 and 2.3 of the Common Provisions  Attachment are incorporated 
herein by reference.

         2.4  CONSIDERATION FOR SALE AND TRANSFER.  At the Closing, in 
consideration for the sale of the Assets to ProMedCo-SW, the following will 
occur:



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                                                      -2-

     (a) ProMedCo-SW will deliver to SELLER cash via wire transfer in the amount
of  $2,949,325  (such cash  referred  to as the  "Initial  Portion  of  Purchase
Consideration").

     (b) ProMedCo-SW  will execute and deliver to SELLER an executed copy of the
Under  taking  assuming  the  liabilities  of  SELLER  set forth  therein  (such
liabilities  to in clude,  without  limitation,  the accounts  payable,  accrued
expenses,  accrued  payroll,  real estate  lease  obligations,  equipment  lease
obligations   relating  to  useable  equipment  and  other  current  liabilities
determined  in accordance  with GAAP  (collectively  the "Assumed  Balance Sheet
Liabilities") and shall  specifically  exclude any mortgage or other liabilities
related to real estate owned by SELLER and any other long term debt  obligations
of SELLER except for equipment leases pertaining to equipment currently utilized
by SELLER.

     (c) As soon as the Definitive  Closing  Statement is prepared in accordance
with ss. 2.10(a),  ProMedCo-SW shall deliver to SELLER additional  consideration
of $687,331, as adjusted pursuant to ss. 2.10 hereof (the "Second Portion of the
Purchase Consideration").

         2.5  EXCLUDED LIABILITIES.                                    }
         2.6  ALLOCATION OF CONSIDERATION.                    }
         2.7  CLOSING.                                                 }
         2.8  FURTHER ACTS AND ASSURANCES.                             }
         2.9  OTHER TRANSACTIONS AT THE CLOSING.              }
         2.10  PURCHASE CONSIDERATION ADJUSTMENTS.
         (a)      DEFINITIVE CLOSING STATEMENTS.              }
         (b)      CLOSING FINANCIAL CONDITION.                }

 Sections 2.5, 2.6, 2.7, 2.8, 2.9 and 2.10(a) and (b)of the Common Provisions
Attachment are incorporated herein by reference.

         (c)      DISTRIBUTION FUNDS ADJUSTMENTS. If the aggregate of
                  Distribution Funds for SELLER for the year ended December 31,
                  1996 (based on the assumption that the Service Agreement had
                  been in place during such periods) is more or less than
                  $9,776,855 ("Targeted Distribution Funds") the Consideration
                  shall be increased or decreased, as the case may be, at the
                  rate of $1.56 for each $1 of difference.

         (d)      ACCOUNTS RECEIVABLE ADJUSTMENT. To the extent that ProMedCo-SW
                  is unable to collect $2,065,227 from SELLER's Accounts
                  Receivable within 120 days after the Closing, the Cash
                  Consideration shall be reduced on a dollar for dollar basis.


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                                                      -3-

Any reduction in the Consideration resulting from this ss. 2.10 shall be
accomplished by first reducing the Balance of the Consideration as provided in
clauses (b), (c) and (d) hereof, and if such reductions exhaust the Balance of
the Consideration, then SELLER shall return, or cause its shareholders to
return, within 10 days after a demand therefor by ProMedCo-SW, sufficient cash
from the Initial Portion of the Consideration to satisfy the adjustment.

ARTICLE  3 REPRESENTATIONS AND WARRANTIES OF SELLER

         3.1 ORGANIZATION, CORPORATE POWER AND QUALIFICATION.              }

Section 3.1 of the Common Provisions Attachment is hereby incorporated by
reference.

         3.2 CAPITALIZATION OF SELLER. The authorized capital stock of SELLER
consists of 10,000 shares of $1.00 par value common stock, of which as of the
date hereof, 2,800 shares are validly issued and outstanding. There are no
voting trusts, proxies, or any other agreements or understandings with respect
to the voting stock of SELLER other than the Stockholder Agreement dated October
1, 1992, among SELLER and its Stockholders.

Sections 3.3 through 3.36 of the Common Provisions Attachment are hereby
incorporated by reference.

ARTICLE  4 REPRESENTATIONS AND WARRANTIES OF                               }
PROMEDCO AND PROMEDCO-SW                                                   }

ARTICLE  5 COVENANTS OF PROMEDCO AND PROMEDCO-SW                           }

ARTICLE  6 COVENANTS OF SELLER                                             }

ARTICLE  7 CONDITIONS PRECEDENT TO THE OBLIGATIONS                         }
OF SELLER                                                                  }

ARTICLE  8 CONDITIONS PRECEDENT TO THE OBLIGATIONS                         }
OF PROMEDCO AND PROMEDCO-SW                                                }



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                                                      -4-

ARTICLE  9  TERMINATION                                                    }

ARTICLE 10 INDEMNIFICATION                                                 }

Articles 3, 4, 5, 6, 7, 8, 9 and 10 of the Common Provisions Attachment are
hereby incorporated by reference.

ARTICLE 11 MISCELLANEOUS

         11.1  EXPENSES.                                                   }
         11.2 EMPLOYEE TRANSITION.                                         }
         11.3 OCCASIONAL SALE.                                             }

Sections 11.1, 11.2 and 11.3 of the Common Provisions Attachment are hereby
incorporated by reference.

         11.4 COLLECTION OF SELLER'S ACCOUNTS RECEIVABLE. From and after the
Closing, ProMedCo-SW shall use commercially reasonable efforts, consistent with
the Memorandum of Understanding attached hereto as Appendix 11.4, to collect
SELLER's Accounts Receivable. ProMedCo-SW shall be entitled and shall retain the
first $2,065,227 of SELLER's Accounts Receivable collected, and thereafter shall
have no right to any portion of SELLER's Accounts Receivable. If, and to the
extent, ProMedCo-SW receives payments on SELLER's Accounts Receivable in excess
of $2,065,227 on a cumulative basis, ProMedCo-SW shall remit such payments to
SELLER at the end of the month in which they are received.

         11.5  NON-ASSIGNABLE PROPERTY INTERESTS.
         11.6  COOPERATION BY PROMEDCO AND PROMEDCO-SW.
         11.7  COOPERATION BY SELLER.
         11.8  NOTICES.
         11.9  ENTIRE AGREEMENT.
         11.10  ALTERNATIVE DISPUTE RESOLUTION.
         11.11  GOVERNING LAW.
         11.12 LEGAL FEES AND COSTS.
         11.13  TIME.
         11.14  SECTION HEADINGS.
         11.15  WAIVER.
         11.16  NATURE AND SURVIVAL OF REPRESENTATIONS.
         11.17  EXHIBITS.
         11.18  ASSIGNMENT.


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                                                      -5-

         11.19  BINDING ON SUCCESSORS AND ASSIGNS.
         11.20  PARTIES IN INTEREST.
         11.21  AMENDMENTS.
         11.22  DRAFTING PARTY.
         11.23  COUNTERPARTS.
         11.24  REPRODUCTION OF DOCUMENTS.
         11.25  PRESS RELEASES.

Sections 11.5 through 11.25 of the Common Provisions Attachment are hereby
incorporated by reference.

         IN WITNESS WHEREOF, the parties hereto have duly executed this
Agreement as of the day and year first above written.

         PROMEDCO MANAGEMENT COMPANY



         By
         Its
         Name

         PROMEDCO OF SOUTHWEST FLORIDA, INC.



         By
         Its
         Name

         NAPLES MEDICAL CENTER, P.A.



         By
         Its
         Name


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<PAGE>


                                                      -6-


                         UNANIMOUS CONSENT OF DIRECTORS

         The undersigned constituting all of the directors of Naples Medical
Center, P.A., a Florida corporation (the "Company"), hereby unanimously (i)
consent to, and approve, the foregoing Asset Purchase Agreement and the various
Appendices and Exhibits thereto (collectively the "Agreement") and to the
transactions contemplated thereby; (ii) ratify the actions of officers of the
Company in negotiating, executing and delivering the Agreement; (iii) recommend
that the shareholders of the Company authorize the sale of substantially all of
the assets of the Company pursuant to the Agreement and (iv) contingent upon
authorization of such sale by the shareholders of the Company, authorize the
officers of the Company to carry into effect the transactions contemplated by
the Agreement, including the taking of any action and the delivery of any
document reasonably in furtherance thereof.




Paul J. Shields, M.D.


Dale B. Adamson, M.D.


Douglas L. Boynton, M.D.


Robert W. Wilson, D.O.


Gary D. Case, M.D.


Charles J. Buysse, M.D.


Daniel J. Morris. M.D.


Michael T. Seals, M.D.




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<PAGE>


                                                      -7-

                        UNANIMOUS CONSENT OF SHAREHOLDERS

         The undersigned constituting all of the shareholders of Naples Medical
Center, P.A., a Florida corporation (the "Company"), hereby unanimously
authorize the sale of substantially all of the assets of the Company pursuant to
the foregoing Asset Purchase Agreement and the various Appendices and Exhibits
thereto.

         EFFECTIVE as of the latest date set forth below.

         Shareholder



Edwin J. Dean, M.D.
Date:



Paul J. Shields, M.D.
Date:



Dale B. Adamson, M.D.
Date:



Douglas L. Boynton, M.D.
Date:



Joseph Richichi, M.D.
Date:



C. Richard Underwood, M.D.
Date:


Raymond L. Duncan, M.D.
Date:



Robert W. Wilson, D.O.
Date:



Gary C. Courville, M.D.
Date:



Alan S. Galbut, M.D.
Date:



Matthew P. Powers, M.D.
Date:




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                                                      -8-


William R. Cook, M.D.
Date:


Ralph J. Dotson, M.D.
Date:



James M. Venable, III, M.D.
Date:



Gary D. Case, M.D.
Date:



Charles J. Buysse, M.D.
Date:



Carolyn T. Venable, M.D.
Date:



Francis D. Hussey, M.D.
Date:



Charles S. Eytel, M.D.
Date:



Albert L. Kerns, M.D.
Date:

Daniel J. Morris, M.D.
Date:



Jill V. Hickey, D.P.M.
Date:



Catherine N. Kowal, M.D.
Date:



Terrance A. Havig, M.D.
Date:



Michael T. Seals, M.D.
Date:



Leslie J. Schultzel, M.D.
Date:



Eugene F. Burke, M.D.
Date:





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<PAGE>


                                                      -9-

Kendall L. Wise, M.D.
Date:



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<PAGE>


                                                      -1-

                            ASSET PURCHASE AGREEMENT

         ASSET PURCHASE AGREEMENT dated as of April 14, 1997, among Naples
Obstetrics & Gynecology, M.D., P.A., a Florida professional corporation
("SELLER"), ProMedCo Management Company, a Delaware corporation ("ProMedCo") and
ProMedCo of Southwest Florida, Inc., a Florida corporation ("ProMedCo-SW"), a
wholly owned subsidiary of ProMedCo.

         RECITAL:

         SELLER owns the Assets described in the Common Provisions Attachment
attached hereto. ProMedCo, through its subsidiaries, including ProMedCo-SW is
engaged in the business of providing medical practice facilities, nonmedical
personnel and medical practice management and administrative services.

         SELLER desires to sell the Assets to ProMedCo-SW in exchange for the
Consideration described herein.

         The parties hereby agree as follows:

ARTICLE 1 DEFINITIONS

"CONSIDERATION" means $859,455, as adjusted pursuant to ss. 2.10.

All other definitions set forth in Article 1 of the Common Provisions Attachment
are incorporated herein by reference.

         Capitalized terms not otherwise defined herein shall have the meanings
ascribed thereto in the Common Provisions Attachment.

ARTICLE 2 SALE AND TRANSFER OF ASSETS: CONSIDERATION; CLOSING

         2.1  SALE AND TRANSFER OF ASSETS.           }
         2.2  ASSETS FREE AND CLEAR; UNDERTAKING.             }
         2.3  EXCLUDED ASSETS.                       }

Sections  2.2 and 2.3 of the Common Provisions  Attachment are incorporated 
herein by reference.

         2.4  CONSIDERATION FOR SALE AND TRANSFER.  At the Closing, in 
consideration for the sale of the Assets to ProMedCo-SW, the following will 
occur:



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<PAGE>


                                                      -2-

     (a) ProMedCo-SW will deliver to SELLER cash via wire transfer in the amount
of  $687,564  (such  cash  referred  to as  the  "Initial  Portion  of  Purchase
Consideration").

     (b) ProMedCo-SW  will execute and deliver to SELLER an executed copy of the
Under  taking  assuming  the  liabilities  of  SELLER  set forth  therein  (such
liabilities  to in clude,  without  limitation,  the accounts  payable,  accrued
expenses,  accrued  payroll,  real estate  lease  obligations,  equipment  lease
obligations   relating  to  useable  equipment  and  other  current  liabilities
determined  in accordance  with GAAP  (collectively  the "Assumed  Balance Sheet
Liabilities") and shall  specifically  exclude any mortgage or other liabilities
related to real estate owned by SELLER and any other long term debt  obligations
of SELLER except for equipment leases pertaining to equipment currently utilized
by SELLER.

     (c) As soon as the Definitive  Closing  Statement is prepared in accordance
with ss. 2.10(a),  ProMedCo-SW shall deliver to SELLER additional  consideration
of $171,891, as adjusted pursuant to ss. 2.10 hereof (the "Second Portion of the
Purchase Consideration").

         2.5  EXCLUDED LIABILITIES.                                    }
         2.6  ALLOCATION OF CONSIDERATION.                    }
         2.7  CLOSING.                                                 }
         2.8  FURTHER ACTS AND ASSURANCES.                             }
         2.9  OTHER TRANSACTIONS AT THE CLOSING.              }
         2.10  PURCHASE CONSIDERATION ADJUSTMENTS.
         (a)      DEFINITIVE CLOSING STATEMENTS.              }
         (b)      CLOSING FINANCIAL CONDITION.                }

 Sections 2.5, 2.6, 2.7, 2.8, 2.9 and 2.10(a) and (b)of the Common Provisions
Attachment are incorporated herein by reference.

         (c)      DISTRIBUTION FUNDS ADJUSTMENTS. If the aggregate of
                  Distribution Funds for SELLER for the twelve months ended
                  December 31, 1996 (based on the assumption that the Service
                  Agreement had been in place during such periods) is more or
                  less than $2,305,965 ("Targeted Distribution Funds") the
                  Consideration shall be increased or decreased, as the case may
                  be, at the rate of $1.56 for each $1 of difference.

         (d)      ACCOUNTS RECEIVABLE ADJUSTMENT. To the extent that ProMedCo-SW
                  is unable to collect $530,236 from SELLER's Accounts
                  Receivable within 120 days after the Closing, the Cash
                  Consideration shall be reduced on a dollar for dollar basis.


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                                                      -3-

Any reduction in the Consideration resulting from this ss. 2.10 shall be
accomplished by first reducing the Balance of the Consideration as provided in
clauses (b), (c) and (d) hereof, and if such reductions exhaust the Balance of
the Consideration, then SELLER shall return, or cause its shareholders to
return, within 10 days after a demand therefor by ProMedCo-SW, sufficient cash
from the Initial Portion of the Consideration to satisfy the adjustment.

ARTICLE  3 REPRESENTATIONS AND WARRANTIES OF SELLER

         3.1 ORGANIZATION, CORPORATE POWER AND QUALIFICATION.              }

Section 3.1 of the Common Provisions Attachment is hereby incorporated by
reference.

         3.2 CAPITALIZATION OF SELLER. The authorized capital stock of SELLER
consists of 12,000 shares of $1.00 par value common stock, of which as of the
date hereof, 6,000 shares are validly issued and outstanding. There are no
voting trusts, proxies, or any other agreements or understandings with respect
to the voting stock of SELLER other than the Stockholder Agreement, as amended
through September 29, 1992, among SELLER and its Stockholders.

Sections 3.3 through 3.36 of the Common Provisions Attachment are hereby
incorporated by reference.

ARTICLE  4 REPRESENTATIONS AND WARRANTIES OF                               }
PROMEDCO AND PROMEDCO-SW                                                   }

ARTICLE  5 COVENANTS OF PROMEDCO AND PROMEDCO-SW                           }

ARTICLE  6 COVENANTS OF SELLER                                             }

ARTICLE  7 CONDITIONS PRECEDENT TO THE OBLIGATIONS                         }
OF SELLER                                                                  }

ARTICLE  8 CONDITIONS PRECEDENT TO THE OBLIGATIONS                         }
OF PROMEDCO AND PROMEDCO-SW                                                }



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                                                      -4-

ARTICLE  9  TERMINATION                                                    }

ARTICLE 10 INDEMNIFICATION                                                 }

Articles 3, 4, 5, 6, 7, 8, 9 and 10 of the Common Provisions Attachment are
hereby incorporated by reference.

ARTICLE 11 MISCELLANEOUS

         11.1  EXPENSES.                                                   }
         11.2 EMPLOYEE TRANSITION.                                         }
         11.3 OCCASIONAL SALE.                                             }

Sections 11.1, 11.2 and 11.3 of the Common Provisions Attachment are hereby
incorporated by reference.

         11.4 COLLECTION OF SELLER'S ACCOUNTS RECEIVABLE. From and after the
Closing, ProMedCo-SW shall use commercially reasonable efforts, consistent with
the Memorandum of Understanding attached hereto as Appendix 11.4, to collect
SELLER's Accounts Receivable. ProMedCo-SW shall be entitled and shall retain the
first $530,236 of SELLER's Accounts Receivable collected, and thereafter shall
have no right to any portion of SELLER's Accounts Receivable. If, and to the
extent, ProMedCo-SW receives payments on SELLER's Accounts Receivable in excess
of $530,236 on a cumulative basis, ProMedCo-SW shall remit such payments to
SELLER at the end of the month in which they are received.

         11.5  NON-ASSIGNABLE PROPERTY INTERESTS.
         11.6  COOPERATION BY PROMEDCO AND PROMEDCO-SW.
         11.7  COOPERATION BY SELLER.
         11.8  NOTICES.
         11.9  ENTIRE AGREEMENT.
         11.10  ALTERNATIVE DISPUTE RESOLUTION.
         11.11  GOVERNING LAW.
         11.12 LEGAL FEES AND COSTS.
         11.13  TIME.
         11.14  SECTION HEADINGS.
         11.15  WAIVER.
         11.16  NATURE AND SURVIVAL OF REPRESENTATIONS.
         11.17  EXHIBITS.
         11.18  ASSIGNMENT.


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                                                      -5-

         11.19  BINDING ON SUCCESSORS AND ASSIGNS.
         11.20  PARTIES IN INTEREST.
         11.21  AMENDMENTS.
         11.22  DRAFTING PARTY.
         11.23  COUNTERPARTS.
         11.24  REPRODUCTION OF DOCUMENTS.
         11.25  PRESS RELEASES.

Sections 11.5 through 11.25 of the Common Provisions Attachment are hereby
incorporated by reference.

         IN WITNESS WHEREOF, the parties hereto have duly executed this
Agreement as of the day and year first above written.

         PROMEDCO MANAGEMENT COMPANY



         By
         Its
         Name

         PROMEDCO OF SOUTHWEST FLORIDA, INC.



         By
         Its
         Name

         NAPLES OBSTETRICS & GYNECOLOGY, M.D., P.A.



         By
         Its
         Name


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                                                      -6-


                 UNANIMOUS CONSENT OF SHAREHOLDERS AND DIRECTORS

         The undersigned constituting all of the directors and shareholders of
Naples Obstetrics & Gynecology, M.D., P.A., a Florida corporation (the
"Company"), hereby unanimously (i) consent to, and approve, the foregoing Asset
Purchase Agreement and the various Appendices and Exhibits thereto (collectively
the "Agreement") and to the transactions contemplated thereby; (ii) ratify the
actions of officers of the Company in negotiating, executing and delivering the
Agreement; (iii) recommend that the shareholders of the Company authorize the
sale of substantially all of the assets of the Company pursuant to the Agreement
and (iv) authorize the officers of the Company to carry into effect the
transactions contemplated by the Agreement, including the taking of any action
and the delivery of any document reasonably in furtherance thereof.




Wallace W. McLean, M.D.


Stephen W. Thompson, M.D.


Thomas A. Beckett, M.D.

Frank J. Adiutori, M.D.


Kevin J. Collins, M.D.




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                                                      -1-










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                          COMMON PROVISIONS ATTACHMENT

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                                TABLE OF CONTENTS

 ARTICLE 1 DEFINITIONS......................................................1
         Affiliate..........................................................1
         Agreement..........................................................1
         Assets   ..........................................................1
         Assumed Balance Sheet Liabilities..................................1
         Binding Allocation.................................................1
         Consideration......................................................1
         COBRA    ..........................................................2
         Clinic Facility....................................................2
         Closing  ..........................................................2
         Closing Date.......................................................2
         Collateral Assignment..............................................2
         Code     ..........................................................2
         Contracts..........................................................2
         CPA Firm ..........................................................2
         Definitive Closing Statements......................................2
         Distribution Funds.................................................2
         ERISA    ..........................................................2
         Escrow Agreement...................................................2
         Excluded Assets....................................................2
         Excluded Liabilities...............................................2
         Exhibit Volume.....................................................2
         Final Closing Statement............................................2
         GAAP     ..........................................................2
         Initial Portion of Purchase Consideration..........................2
         Inventory..........................................................2
         IRS      ..........................................................3
         Medical Professional...............................................3
         NMC      ..........................................................3
         NOB      ..........................................................3
         Pension Plan.......................................................3
         Person   ..........................................................3
         Physician Shareholder..............................................3
         ProMedCo-SW Distribution...........................................3
         ProMedCo Management Company........................................3
         ProMedCo-SW........................................................3
         Second Portion of the Purchase Consideration.......................3
         SELLER Financial Statements........................................3
         SELLER's Accounts Receivable.......................................3


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         Service Agreement...................................................3
         Split Dollar Agreement..............................................3
         Undertaking.........................................................3

ARTICLE 2 SALE AND TRANSFER OF ASSETS: CONSIDERATION; CLOSING................4
         2.1  Sale and Transfer of Assets....................................4
         2.2  Assets Free and Clear; Undertaking.............................4
         2.3  Excluded Assets................................................4
         2.4  Consideration for Sale and Transfer............................4
         2.5  Excluded Liabilities...........................................4
         2.6  Allocation of Consideration....................................5
         2.7  Closing........................................................5
         2.8  Further Acts and Assurances....................................5
         2.9  Other Transactions at the Closing..............................5
         2.10  Purchase Consideration Adjustments............................6

ARTICLE  3 REPRESENTATIONS AND WARRANTIES OF SELLER .........................7
         3.1  Organization, Corporate Power and Qualification................7
         3.2  Capitalization of SELLER.......................................8
         3.3  Subsidiaries, Affiliates, Affiliated Companies 
              and Joint Venture..............................................8
         3.4  Financial Statements............................................8
         3.5  Absence of Undisclosed Liabilities..............................8
         3.6  Absence of Certain Recent Changes...............................8
         3.7  Title to Assets................................................10
         3.8  Contracts......................................................11
         3.9  Burdensome Agreements..........................................12
         3.10  Absence of Related Party Transactions.........................12
         3.11  Defaults......................................................13
         3.12  Inventory.....................................................13
         3.13  Equipment.....................................................13
         3.14  Receivables...................................................14
         3.15  Permits and Licenses..........................................14
         3.16  Litigation, etc...............................................14
         3.17  Court Orders, Decrees and Laws................................14
         3.18  Taxes.........................................................15
         3.19  Immigration Act...............................................15
         3.20  Program Compliance............................................15
         3.21  Environmental Matters.........................................16
         3.22  ERISA.........................................................16


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         3.23  Pension, etc. ................................................17
         3.24  Employee Matters..............................................17
         3.25  Insurance and Bonds...........................................18
         3.26  Labor Matters.................................................18
         3.27  Healthcare Compliance.........................................18
         3.28  Facility Compliance...........................................19
         3.29  Improper Payments.............................................19
         3.30  Books of Account; Reports.....................................19
         3.31  No Finders or Brokers.........................................19
         3.32  Review of Information.........................................19
         3.33  Authority; Binding Effect.....................................19
         3.34  Consents and Approvals of Governmental Authorities............19
         3.35  No Adverse Effect.............................................20
         3.36  Disclosure....................................................20

ARTICLE  4 REPRESENTATIONS AND WARRANTIES OF PROMEDCO AND PROMEDCO-
         SW..................................................................20
         4.1  Organization and Standing of ProMedCo and ProMedCo-SW..........20
         4.2  Authority; Binding Effect......................................20
         4.3  No Finders or Brokers..........................................21
         4.4  Consents and Approvals of Governmental Authorities.............21
         4.5  Pending Litigation.............................................21

ARTICLE  5 COVENANTS OF PROMEDCO AND PROMEDCO-SW ............................21
         5.1  Best Efforts to Secure Consents................................21
         5.2  Corporate Action...............................................21
         5.3  Handling of Documents..........................................21
         5.4  Non-Disclosure.................................................21
         5.5 Director........................................................22

ARTICLE  6 COVENANTS OF SELLER ..............................................22
         6.1  Access and Information.........................................22
         6.2  Conduct of Business............................................23
         6.3  Compliance with Agreement......................................23
         6.4  Best Efforts to Secure Consents................................23
         6.5  Unusual Events.................................................23
         6.6  Interim Financial Statements...................................24
         6.7  Departmental Violations........................................24
         6.8  Assessments....................................................24


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         6.9  Insurance Ratings..............................................24
         6.10  Maintain Insurance Coverage...................................24
         6.11  Exclusive Dealings............................................24

ARTICLE  7 CONDITIONS PRECEDENT TO THE OBLIGATIONS OF SELLER ................25
         7.1  Representations and Warranties True............................25
         7.2  Opinions of Counsel............................................25
         7.3  Authority......................................................25
         7.4  No Obstructive Proceeding......................................25
         7.5  Delivery of Certain Certified Documents........................26
         7.6  Proceedings and Documents Satisfactory.........................26
         7.7  No Agency Proceedings..........................................26
         7.8  Closing Transactions...........................................26
         7.9  Whittemore Employment Agreement................................26

ARTICLE  8 CONDITIONS PRECEDENT TO THE OBLIGATIONS OF PROMEDCO AND
         PROMEDCO-SW.........................................................26
         8.1  Representations and Warranties True............................27
         8.2  No Obstructive Proceeding......................................27
         8.3  Opinion of SELLER Counsel......................................27
         8.4  Whittemore Employment Agreement................................27
         8.5  Consents and Approvals.........................................27
         8.6  Proceedings and Documents Satisfactory.........................28
         8.7  No Adverse Change..............................................28
         8.8  Delivery of Certain Documents..................................28
         8.9  Closing Transactions...........................................28

ARTICLE  9  TERMINATION......................................................28
         9.1  Optional Termination...........................................28
         9.2  Notice of Abandonment. ........................................29
         9.3  Mandatory Termination..........................................29
         9.4  Termination....................................................29

ARTICLE 10 INDEMNIFICATION ..................................................29
         10.1  Grant of Indemnity............................................29
         10.2  Representation, Cooperation and Settlement....................30
         10.3  Remedies Cumulative...........................................31

ARTICLE 11 MISCELLANEOUS.....................................................31


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         11.1  Expenses......................................................31
         11.2  Employee Transition...........................................31
         11.3  Occasional Sale...............................................33
         11.4 Collection of Accounts Receivable..............................33
         11.5  Non-Assignable Property Interests.............................33
         11.6  Cooperation by ProMedCo and ProMedCo-SW.......................33
         11.7  Cooperation by SELLER.........................................34
         11.8  Notices. .....................................................34
         11.9  Entire Agreement..............................................34
         11.10  Alternative Dispute Resolution...............................35
         11.11  Governing Law................................................35
         11.12 Legal Fees and Costs..........................................35
         11.13  Time.........................................................35
         11.14  Section Headings.............................................35
         11.15  Waiver.......................................................35
         11.16  Nature and Survival of Representations.......................35
         11.17  Exhibits.....................................................36
         11.18  Assignment...................................................36
         11.19  Binding on Successors and Assigns............................36
         11.20  Parties in Interest..........................................36
         11.21  Amendments...................................................36
         11.22  Drafting Party...............................................37
         11.23  Counterparts.................................................37
         11.24  Reproduction of Documents....................................37
         11.25  Press Releases...............................................37

APPENDIX 2.2 UNDERTAKING

APPENDIX 2.3 EXCLUDED ASSETS

APPENDIX 2.9A FORM OF SERVICE AGREEMENT

APPENDIX 2.9B FORM OF MEDICAL PROFESSIONAL EMPLOYMENT AGREEMENT

APPENDIX 2.9C LIST OF REAL ESTATE LEASES TO BE ASSUMED BY PROMEDCO-SW

APPENDIX 2.9D SPLIT-DOLLAR AGREEMENT

APPENDIX 2.9E COLLATERAL ASSIGNMENT


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APPENDIX 2.9F ESCROW AGREEMENT

APPENDIX 7.2 OPINION OF COUNSEL TO PROMEDCO-SW

APPENDIX 8.3 OPINION OF COUNSEL TO NMC

APPENDIX 11.4 MEMORANDUM OF UNDERSTANDING




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                          COMMON PROVISIONS ATTACHMENT

 ARTICLE 1 DEFINITIONS

"AFFILIATE" means with respect to any Party, any entity which controls, is
         controlled by, or is under common control with such party all as more
         fully set forth in the rules and regulations of the Securities and
         Exchange Commission under the Securities Act of 1933, as amended.

"AGREEMENT" means the Asset Purchase Agreement dated April 14, 1997 among
         SELLER, ProMedCo-SW and ProMedCo Management Company

"ASSETS" means the following assets pertaining to SELLER:

         (a)      All furnishings, fixtures and equipment owned by SELLER 
                  wherever situated;

         (b)      All of SELLER's rights, benefits and interests under all
                  contracts and agreements related to the operation of the
                  business of SELLER which are to be assumed by ProMedCo-SW
                  (collectively, the "Contracts"), including without limitation
                  certain real estate leases described in Exhibit 3.8 hereof.

         (c)      All licenses and intangible rights related to the business of 
                  SELLER;

         (d)      All books, records, documents and other writings used in
                  connection with the oper ation of SELLER's business other than
                  Excluded Assets;

         (e)      Subject to the limitation set forth in ss. 11.4 of the
                  Agreement, all accounts receivable of SELLER with an age of 75
                  days or less as of the Closing Date("SELLER's Accounts
                  Receivable").

         (f)      All cash (but only to the extent of current liabilities),
                  inventories described in ss. 3.12 hereof and prepaid expenses
                  of SELLER that will accrue to the benefit of ProMedCo-SW; and

         (g)      All other assets, personal or mixed, tangible or intangible,
                  used in connection with the operation of SELLER's business
                  other than the Excluded Assets.

"ASSUMED BALANCE SHEET LIABILITIES" is defined in ss. 2.4(b) of the Agreement.

"BINDING ALLOCATION" is defined in ss. 2.6.

"CONSIDERATION" is defined in Article 1 of the Agreement.


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"COBRA" means Title X of the Consolidated Omnibus Budget Reconciliation Act of 
1985, 26 U.S.C. ss. 162 et seq.

"CLINIC  FACILITY" means the clinic facilities located at (i) 400 Eight Street,
         North, Naples, FL 34102, (ii) 11121 Health Park Boulevard, Suites 800
         and 900, Naples, FL 34110, (iii) 775 1st Ave., North, Naples, FL 34102,
         and (iv) 11181 Health Park Blvd., Suites 1165 and 1170, Naples, FL
         34110, and any future clinic facilities established by ProMedCo-SW or
         NMC.

"CLOSING" and "CLOSING DATE" are defined in ss. 2.7.

"COLLATERAL ASSIGNMENT" is defined in ss. 2.9(e).

"CODE" means the Internal Revenue Code of 1986, as amended.

"CONTRACTS" is defined in the definition of "Assets" above.

"CPA FIRM" is defined in ss. 2.10(a).

"DEFINITIVE CLOSING STATEMENTS" is defined in ss. 2.10.

"DISTRIBUTION FUNDS" shall have the meaning ascribed thereto in the Service 
Agreement.

"ERISA" means the Employee Retirement Income Security Act of 1974, as amended.

"ESCROW AGREEMENT" is defined in ss. 2.9(f).

"EXCLUDED ASSETS" is defined in ss. 2.3.

"EXCLUDED LIABILITIES" is defined in ss. 2.5.

"EXHIBIT VOLUME" means the volume of Exhibits referred to in this Agreement
         prepared and delivered by SELLER.

"FINAL CLOSING STATEMENT" is defined in ss. 2.10.

"GAAP" means generally accepted accounting principles.

"INITIAL PORTION OF PURCHASE CONSIDERATION" is defined in ss. 2.4(a) of the 
Agreement.



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"INVENTORY" means the inventory of SELLER.

"IRS" means the Internal Revenue Service.

"MEDICAL PROFESSIONAL" shall have the meaning ascribed thereto in the Service 
Agreement.

"NMC" means Naples Medical Center, P.A., a Florida professional corporation.

"NOB" means Naples Obstetrics & Gynecology, M.D., P.A., a Florida professional
corporation.

"PENSION PLAN" and "PENSION PLANS" means any "employee pension benefit plan"
         listed in Exhibit 3.22.

"PERSON" means any individual, corporation, partnership, joint venture,
         association, joint stock company, trust or unincorporated organization.

"PHYSICIAN SHAREHOLDER" shall have the meaning ascribed thereto in the Service 
Agreement.

"PROMEDCO-SW DISTRIBUTION" shall have the meaning ascribed thereto in the 
Service Agreement.

"PROMEDCOMANAGEMENT COMPANY" means ProMedCo Management Company, a Delaware
         corporation which is the sole shareholder of ProMedCo-SW.

"PROMEDCO-SW" means ProMedCo of Southwest Florida, Inc., a Florida corporation.

"SECOND PORTION OF THE PURCHASE CONSIDERATION" is defined in ss. 2.4(c) of the 
Agreement.

"SELLER FINANCIAL STATEMENTS" is defined in ss. 3.4 hereof.

"SELLER'S ACCOUNTS RECEIVABLE" is defined in the definition of "Assets" above.

"SERVICE AGREEMENT" means the Services Agreement effective March 1, 1997 between
         ProMedCo-SW and Naples Medical Center, P.A., a Florida professional
         association

"SPLIT DOLLAR AGREEMENT" is defined in ss. 2.9(d).

"UNDERTAKING" is defined in ss. 2.2 hereof.



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ARTICLE 2 SALE AND TRANSFER OF ASSETS: CONSIDERATION; CLOSING

         2.1 SALE AND TRANSFER OF ASSETS. At the Closing, ProMedCo-SW agrees to
purchase from SELLER and SELLER agrees to sell to ProMedCo-SW, the Assets, but
not the Excluded Assets.

         2.2 ASSETS FREE AND CLEAR; UNDERTAKING. The Assets shall be sold free
and clear of all liabilities, liens and encumbrances except those liabilities of
SELLER expressly assumed or agreed to be discharged by ProMedCo-SW in the
Undertaking in the form attached hereto as Appendix 2.2. (the "Undertaking")
Except as provided in the Undertaking, ProMedCo-SW shall not assume any other
liability or obligation of SELLER fixed or contingent, disclosed or undisclosed,
and SELLER agrees to satisfy, when due, all of its liabilities, indebtedness and
obligations not assumed by ProMedCo-SW pursuant to this Agreement and the
Undertaking; provided, however, that SELLER shall be entitled to contest in good
faith any of such liabilities, indebtedness or obligations by appropriate legal
proceedings. ProMedCo-SW will pay, perform and discharge in due course in
accordance with their terms all obligations, indebtedness and liabilities of
SELLER assumed by it pursuant to the Undertaking; provided, however, that
ProMedCo-SW shall be entitled to contest in good faith any of such obligations,
indebtedness or liabilities by appropriate legal proceedings.

     2.3  EXCLUDED  ASSETS.  SELLER  is  not  selling  and  ProMedCo-SW  is  not
purchasing or assuming  obligations with respect to the following  (collectively
the "Excluded Assets"):

         (a)      any real estate owned by SELLER;

         (b)      SELLER's corporate and fiscal records and patient medical 
                  records and other records that SELLER is required by law to 
                  retain in its possession; and

         (c)      Any other assets described on Appendix 2.3.

         2.4  CONSIDERATION FOR SALE AND TRANSFER.  See Section 2.4 of the 
Agreement.

         2.5 EXCLUDED LIABILITIES. Except as provided in the Undertaking, SELLER
shall remain liable and responsible for the payment or performance as the case
may be, of all contracts, leases and other obligations of any nature.
Additionally, SELLER shall remain liable and responsible for all suits, claims,
indemnities, judgments, stipulation agreements, mortgages, taxes, contingent
liabilities and other obligations of SELLER, including, without limitation, any
and all investment tax credit recapture, depreciation recapture; recapture or
prior period adjustments under Blue Cross, Medicare and Medicaid; all
impositions of income tax and other taxes for all time periods prior to and
including the Closing; all employee wages, salaries and benefits (excluding
accrued vacation and sick leave which shall be assumed by ProMedCo-SW)
including, without limitation, retirement


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                                                      -5-

payments, COBRA obligations, other accrued employee benefits and rights of
SELLER's retirees to participate in SELLER's medical plans. The obligations
described in this Section 2.5 are referred to collectively as the "Excluded
Liabilities."

         2.6 ALLOCATION OF CONSIDERATION. The parties agree that the
consideration paid pursuant to ss. 2.2 shall be allocated among the Assets by
ProMedCo-SW within 120 days after the Closing or by such time as is reasonable
under the circumstances; if SELLER agrees with the allocation made by
ProMedCo-SW, such allocation shall be binding on the parties as set forth below
and if SELLER notifies ProMedCo-SW within 30 days of its disagreement with the
allocation, the parties shall engage a mutually agreeable "big six" accounting
firm to make the allocation, and the findings of such firm shall be binding on
the parties (the allocation which is ultimately binding on the parties pursuant
to this sentence is referred to herein as the "Binding Allocation") . The
Binding Allocation shall be used by the parties for all purposes including tax,
reimbursement and other purposes. Each party hereto agrees that it will report
the transaction in accordance with the Binding Allocation, including under
Section 1060 of the Code, and that it will not take a position inconsistent with
the Binding Allocation except with the written consent of the other party
hereto. Each party agrees to cooperate with the other so that the information
shown on Form 8594 filed with the IRS by such party will be consistent with the
information on the other party's Form 8594. Each party shall pay 50% of the fees
and expenses of the accounting firm which makes the Binding Allocation.

         2.7 CLOSING. The sale, purchase, and other activities provided for
herein (the "Closing") shall take place on April 21, 1997 (the "Closing Date"),
at a site designated by ProMedCo-SW. In case the Closing does not take place on
the Closing Date, the Closing Date shall be set by mutual agreement between
ProMedCo-SW and SELLER; provided, however, that in no event shall the Closing
take place later than April 30, 1997 unless extended by mutual agreement.

         2.8 FURTHER ACTS AND ASSURANCES. SELLER shall, at any time and from
time to time at and after the Closing, upon request of ProMedCo-SW, take any and
all steps reasonably necessary to place ProMedCo-SW in possession and operating
control of the Assets and the business to be transferred hereunder and will do,
execute, acknowledge and deliver, or will cause to be done, executed,
acknowledged and delivered, all such further acts, deeds, assignments,
transfers, conveyances, powers of attorney and assurances as may be reasonably
required for the transferring and confirming to ProMedCo-SW or to its successors
or assigns, or for reducing to possession, any or all of the Assets.

         2.9 OTHER TRANSACTIONS AT THE CLOSING. In addition to the transaction
set forth above, the following additional transactions shall occur at the
Closing:



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         (a)      NMC and ProMedCo-SW shall enter into a Service Agreement in 
                  the form attached hereto as Appendix 2.9A.

         (b)      NMC shall enter into employment agreements in the form
                  attached as Appendix 2.9B hereto (the "Medical Professional
                  Employment Agreements") with each of the Medical Professionals
                  associated with SELLER.

         (c)      ProMedCo-SW shall formally assume the real property leases
                  described on Appendix 2.9C relating to offices used by SELLER,
                  subject to such having commercially reasonable rentals and
                  other terms. If necessary, ProMedCo shall guaranty such
                  leases.

         (d)      ProMedCo-SW shall enter into a Split-Dollar Agreement in the
                  form attached hereto as Appendix 2.9D (the "Split-Dollar
                  Agreement") with each of the shareholders of SELLER.

         (e)      Each shareholder of SELLER and ProMedCo-SW shall execute a
                  Collateral Assignment (the "Collateral Assignment") in the
                  form attached hereto as Appendix 2.9E pertaining to the Life
                  Insurance Policy contemplated by the Split-Dollar Agreement.

         (f)      ProMedCo-SW, each shareholder of SELLER and an escrow agent
                  mutually agreeable to ProMedCo-SW and SELLER shall enter into
                  an Escrow Agreement (the "Escrow Agreement") in the form
                  attached hereto as Appendix 2.9F.

         2.10  PURCHASE CONSIDERATION ADJUSTMENTS.

     (a) DEFINITIVE CLOSING STATEMENTS.  Within 120 days after the Closing or by
such time as is reasonable under the  circumstances,  ProMedCo-SW  shall prepare
and deliver to SELLER a final closing statement  ("Final Closing  Statement") of
SELLER as of the Closing  Date.  ProMedCo-SW  covenants  that the Final  Closing
Statement  shall be true,  complete and  accurate  and will  present  fairly the
assets and  liabilities  items set forth  inss.ss.  2.1 and 2.2 hereof as at the
Closing,  calculated in a manner consistent with the SELLER Financial Statements
(as defined  inss.3.4),  and the requirements of this Agreement.  SELLER and its
representatives shall be provided access to the books and records of ProMedCo-SW
as necessary to verify the accuracy of such calculations.  If within 30 business
days of  receipt  of the Final  Closing  Statement,  SELLER  fails to deliver to
ProMedCo-SW  written notice  specifying  any unac ceptable  entries on the Final
Closing Statements and the reasons therefor, then such


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                                                      -7-

                  Final Closing Statement shall constitute the Definitive
                  Closing Statements. If SELLER timely and duly delivers such
                  notice within 30 business days of receipt thereof, the parties
                  shall attempt in good faith to resolve the differences, and if
                  they are unable to do so, within 20 days thereafter either
                  party may deliver the Final Closing Statement to a "big six"
                  accounting firm chosen by ProMedCo-SW (the "CPA Firm"), who
                  shall have 20 business days to review the Final Closing
                  Statement and make such adjustments thereto as it deems
                  necessary to ensure that the Final Closing Statement has been
                  prepared in a manner consistent with the SELLER Financial
                  Statements calculated on a consistent basis and the
                  requirements of this Agreement and conform to consistently
                  applied generally accepted accounting principles. The Final
                  Closing Statement as so adjusted shall constitute the
                  Definitive Closing Statement and shall be binding on the
                  parties hereto. If the total amount payable by ProMedCo-SW
                  pursuant to clause (b) below increases from that shown on the
                  Final Closing Statement, ProMedCo-SW shall pay the fees and
                  expenses of the CPA Firm, otherwise such fees and expenses
                  shall be borne by SELLER.

         (b)      CLOSING FINANCIAL CONDITION. At the Closing, the current
                  liabilities of SELLER shall be current and paid with no
                  balances in excess of 30 days. If there are any other
                  liabilities that exist at the time of Closing other than
                  equipment and real estate lease obligations specifically
                  assumed pursuant to the Undertaking, the Consideration shall
                  be reduced on a dollar for dollar basis.

         (c)      DISTRIBUTION FUNDS ADJUSTMENT. See ss. 2.10(c) of the 
Agreement.

         (d)      ACCOUNTS RECEIVABLE ADJUSTMENT.  See ss. 2.10(d) of the 
Agreement.

         (e)      MEDICAL PROFESSIONAL DEFICIENCY ADJUSTMENT.  See ss. 2.10(e) 
of the Agreement.

ARTICLE  3 REPRESENTATIONS AND WARRANTIES OF SELLER

         SELLER hereby represents and warrants to ProMedCo-SW as follows:

         3.1 ORGANIZATION, CORPORATE POWER AND QUALIFICATION. SELLER is a
professional corporation duly organized, validly existing and in good standing
under the laws of the State of Florida and has full corporate power and
authority and all authorizations, licenses and permits necessary to own, lease
and operate its properties and assets and to carry on its business as and where
it is now being conducted, to enter into this Agreement, and to consummate the
transactions contemplated hereby. Each is duly qualified to do business and is
in good standing in each jurisdic tion in which the character of the properties
owned or leased by it or the nature of the business


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                                                      -8-

transacted by it makes such qualification necessary. SELLER is qualified to do
business in the states and foreign countries listed in Exhibit 3.1A of the
Exhibit Volume. No jurisdiction where SELLER is not presently qualified as a
foreign corporation has made any assertion that such corporation's business or
ownership of property makes qualification as a foreign corporation in such
jurisdiction necessary. A copy of the Articles of Incorporation and all
amendments thereto as of the date hereof of SELLER and a copy of its by-laws, as
amended to the date hereof (both certified by the Secretary of SELLER), are
included as Exhibit 3.1B of the Exhibit Volume and are true, accurate and
complete as of the date hereof. SELLER is not in default under or in violation
of any provision of its Articles of Incorporation or bylaws.

         3.2  CAPITALIZATION OF SELLER.  See ss. 3.2 of the Agreement.

     3.3  SUBSIDIARIES,  AFFILIATES,  AFFILIATED  COMPANIES  AND JOINT  VENTURE.
Except as set forth in Exhibit  3.3,SELLER  has no direct or indirect  ownership
interest  in,  by  way  of  stock  ownership  or  otherwise,   any  corporation,
association or business enterprise.

         3.4 FINANCIAL STATEMENTS. Exhibit 3.4 consists of the following
financial statements of SELLER: (i) balance sheet of SELLER at December 31, 1996
and the related statement of operations, stockholders' equity and cash flow for
the years then ended, together with the audit opinion report thereon of Arthur
Andersen & Company, LLP, certified public accountants and (ii) unaudited balance
sheet of SELLER at February 28, 1997 and the related statement of operation for
the 12 months then ended (such financial statements and the related notes being
herein called "SELLER Financial Statements").

         The SELLER Financial Statements are true, complete and accurate, have
been based upon the information contained in the books and records of SELLER and
present fairly the assets, liabilities and financial condition of SELLER as of
the dates thereof and the results of its operations for the periods then ended,
prepared in conformity with generally accepted accounting principles. The SELLER
Financial Statements do not contain any material inaccuracy and do not suffer
from any material omissions.

         3.5 ABSENCE OF UNDISCLOSED LIABILITIES. Except as and to the extent
reflected or reserved against in the SELLER Financial Statements and except for
commitments and obligations incurred in the ordinary course of business accruing
after February 28, 1997, SELLER had, or will have at Closing, no liabilities,
claims or obligations (whether accrued, absolute, contingent, unliquidated or
otherwise, whether or not known to SELLER or any directors, officers or
employees of SELLER, whether due to become payable and regardless of when or by
whom asserted).



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                                                      -9-

         3.6 ABSENCE OF CERTAIN RECENT CHANGES. Except as expressly provided in
this Agreement or as set forth on Exhibit 3.6 in alphabetical order
corresponding to the following subsections, since February 28, 1997, and through
the Closing Date, SELLER has not been and will not have:

         (a)      except in the usual and ordinary course of its business,
                  consistent with past practice, and in an amount which is usual
                  and normal incurred any indebtedness or other liabilities
                  (whether accrued, absolute, contingent or otherwise),
                  guaranteed any indebtedness or sold any of its assets;

         (b)      suffered any damage, destruction or loss, whether or not 
                  covered by insurance, in excess of $10,000;

         (c)      suffered the resignation or other termination of any
                  management personnel of SELLER, or the loss of or other
                  termination of a business relationship with any material
                  customers or suppliers of SELLER's business;

         (d)      increased the regular rate of compensation payable by it to
                  any employee other than normal merit and cost of living
                  increases granted in the ordinary course of business; or
                  increased such compensation by bonus, percentage, compensation
                  service award or similar arrangement theretofore in effect for
                  the benefit of any of its employees, and no such increase is
                  required;

         (e)      established or agreed to establish, amended or terminated any 
                  pension, retirement or welfare plan or arrangement for the 
                  benefit of its employees not theretofore in effect;

         (f)      suffered any change in its financial condition, assets,
                  liabilities, operations, prospects or business or suffered any
                  other event or condition of any character which indi vidually
                  or in the aggregate has or might reasonably have a material
                  adverse effect on SELLER;

         (g)      experienced any labor organizational efforts, strikes or
                  complaints other than griev ance procedures in the ordinary
                  course of business or entered into any collective bar gaining
                  agreements with any union;

         (h)      made any single capital expenditure which exceeded $5,000 or 
                  made aggregate capital expenditures which exceeded $10,000;



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                                                      -10-

         (i)      except with respect to liens or encumbrances arising by
                  operation of law, permitted or allowed any of the Assets to be
                  subjected to any pledge, lien, security interest, en
                  cumbrance, restriction or charge of any kind;

         (j)      written down the value of any of the Assets, or written off as
                  uncollectible any notes or accounts receivable, except for
                  write-downs and write-offs in the ordinary course of business
                  and consistent with past practice, none of which are material
                  or revalued any of the Assets;

         (k)      paid, discharged or satisfied any claims, liabilities or 
                  obligations (absolute, accrued, contingent or otherwise) 
                  other than in the usual and ordinary course of business;

         (l)      suffered any extraordinary losses, canceled any debts or 
                  waived any claims or rights of substantial value, whether or 
                  not in the usual and ordinary course of business;

         (m)      paid, lent or advanced any amount to, or sold, transferred or
                  leased any properties or assets (real, personal or mixed,
                  tangible or intangible) to, or entered into any agree ment or
                  arrangement with, any stockholder of SELLER or any of the
                  officers or di rectors of SELLER or of any "Affiliate" of any
                  of its officers or directors, except for reimbursement of
                  ordinary and reasonable business expenses related to the
                  business of SELLER and compensation to officers at rates not
                  exceeding the rates of com pensation at February 28, 1997;

         (n)      amended, terminated or otherwise altered (whether by action or
                  inaction) any contract, agreement or license of significant
                  value to which SELLER is a party, except in the ordinary
                  course of business;

         (o)      entered into a material transaction other than in the 
                  ordinary course of business or made any change in any method 
                  of accounting or accounting practice;

         (p)      canceled, or failed to continue, insurance coverages; or

         (q)      agreed, whether in writing or otherwise, to take any action 
                  described in this ss. 3.6.

         3.7 TITLE TO ASSETS. The Assets consisting of owned personal property
are subject to no liens or encumbrances except the security interests of record
set forth on Exhibit 3.7A of the Exhibit Volume, which Exhibit is a copy of a
Uniform Commercial Code ("UCC") search as of a recent date duly obtained by
SELLER and which search shows security interests of record relating to such
Assets in every place where such security interests are filed and includes
copies of all such financing


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<PAGE>


                                                      -11-

statements. SELLER agrees to remove all security interests reflected on such UCC
search, if any, prior to the Closing (except those approved by ProMedCo-SW in
writing) and to remove any other security interests filed with respect to such
assets between the date of such UCC search and the Closing Date. The bills of
sale and the assignments and other instruments to be executed and delivered by
SELLER at the Closing will be valid and binding and enforceable in accordance
with their respective terms, and will effectively vest in ProMedCo-SW good and
marketable title to all the Assets. If SELLER shall fail to remove all such
security interests, ProMedCo-SW shall have the right to do so and shall have the
right to off-set the cost of doing so against the Consideration payable under
ss. 2.4 of the Agreement.

         3.8 CONTRACTS. Exhibit 3.8 of the Exhibit Volume contains a copy of
each contract, lease, agreement and other instrument to which SELLER is a party
or is bound which involves an unperformed commitment or obligation (contingent
or otherwise) of more than $10,000 in the aggregate. Except as noted in such
Exhibit: (i) all such contracts, leases and agreements are in full force and
effect; (ii) there has been no threatened cancellation thereof, there are no
outstanding disputes thereunder; (iii) each is with unrelated third parties and
was entered into on an arms-length basis in the ordinary course of business and
all will continue to be binding in accordance with their terms after
consummation of the transactions contemplated hereby; (iv) there are no
contracts, leases, agreements or other instruments to which SELLER is a party or
is bound (other than insurance policies) which could either singularly or in the
aggregate have an adverse effect on the value of the Assets to ProMedCo-SW; and
(v) there are no employment agreements or other agreements to which SELLER is a
party or by which SELLER is bound that contain any severance or termination pay
liabilities or obligations other than physician employment agreements
contemplated by this Agreement or disclosed in Exhibit 3.8.

         Except as described in Exhibit 3.8 or the other Schedules hereto (and
except for purchase contracts and orders for inventory in the ordinary course of
business consistent with past practice), SELLER is not, as of the date of this
Agreement, a party to or bound by any:

         (a)      material agreement or contract not made in the ordinary 
                  course of business;

         (b)      employee collective bargaining agreement or other contract 
                  with any labor union;

         (c)      covenant not to compete;

         (d)      lease or similar agreement under which SELLER is a lessor or
                  sublessor of any material real property owned or leased by
                  SELLER or any portion of premises otherwise occupied by
                  SELLER;



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                                                      -12-

         (e)      (i) lease or similar agreement under which (A) SELLER is
                  lessee of, or holds or uses, any machinery, equipment, vehicle
                  or other tangible personal property owned by a third party or
                  (B)SELLER is a lessor or sublessor of any tangible personal
                  property owned by any of its shareholders, (ii) continuing
                  contract for the future purchase of materials, supplies or
                  equipment, or (iii) management, service, consulting or other
                  similar type of contract, in any such case which has a future
                  liability in excess of $10,000, and which is not terminable by
                  SELLER for a cost of less than $10,000;

         (f)      license or other agreement relating in whole or in part to,
                  trademarks (including, but not limited to, any license or
                  other agreement under which SELLER has the right to use any of
                  the same owned or held by a third party);

         (g)      agreement or contract under which SELLER has borrowed or lent
                  any money or issued any note, bond, indenture or other
                  evidence of indebtedness or directly or indirectly guaranteed
                  indebtedness, liabilities or obligations of others for an
                  amount in excess of $10,000 (other than (i) endorsements for
                  the purpose of collection in the ordinary course of business
                  and (ii) advances to employees of SELLER in the ordinary
                  course of business);

         (h)      mortgage, pledge, security agreement, deed of trust or other
                  document granting a lien against the Assets (including liens
                  upon properties acquired under conditional sales, capital
                  leases or other title retention or security devices but
                  excluding operating leases);

         (i)      other agreement, contract, lease, license, commitment or
                  instrument to which SELLER is a party or by or to which SELLER
                  or any of it assets or businesses are bound or subject, which
                  has an aggregate future liability in excess of $10,000 and is
                  not terminable by SELLER for a cost of less than $10,000; or

         (j)      any agreement, contract, understanding or business venture 
                  with any physician, other provider or any other Person which 
                  violates the Medicare/Medicaid Fraud and Abuse
                  amendments or any regulations thereunder adopted by the U.S. 
                  Department of Health and Human Services.

         3.9 BURDENSOME AGREEMENTS. Except as is set forth in Exhibit 3.9 of the
Exhibit Volume, SELLER is not a party to, nor are the Assets subject to or bound
or affected by, any provision of any order of any court or other agency of
government or any indenture, agreement or other instrument or commitment which
adversely affects the operations, earnings, assets, properties, liabilities,
business or prospects of SELLER or its condition, financial or otherwise.


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                                                      -13-

         3.10 ABSENCE OF RELATED PARTY TRANSACTIONS. Except as disclosed on
Exhibit 3.10, neither SELLER, nor any officer, director or affiliate of SELLER,
has any material direct or indirect financial or economic interest in any
competitor or supplier of SELLER. SELLER is not a party to any transaction or
proposed transaction, including without limitation the leasing of property, the
purchase or sale of materials or goods (except with respect to SELLER's service
business) or the furnishing of its services (except as employees of the SELLER),
with SELLER, or any Affiliate of SELLER, including (without limitation) any
family member of a shareholder of SELLER; and SELLER has not directly or
indirectly entered into any agreement or commitment which could result in SELLER
becoming obligated to provide funds in respect of or to assume any obligation of
any such affiliated person or entity. Except as set forth on Exhibit 3.10, there
are no debts owing to SELLER by, or any contractual agreements or understandings
between SELLER and, any shareholder, director or officer of SELLER, any member
of their respective families, or any affiliate or associate of any of the
foregoing individuals, as the term "affiliate" is defined for purposes of the
Securities Act of 1933 and the rules and regulations thereunder, and none of the
foregoing individuals or any affiliate or associate of them owns any property or
rights, tangible or intangible (other than an equitable interest), used in or
related to SELLER's business. SELLER is not indebted to any shareholder,
officer, director or employee of SELLER, or to any member of their respective
families, or to any affiliate or associate of any of the foregoing individuals,
in any amount whatsoever, other than for payment of salaries and compensation
for services actually rendered to SELLER in the ordinary course of their
businesses.

         3.11 DEFAULTS. Except as disclosed in Exhibit 3.11,SELLER is not in
default under, nor has any event occurred which, with the lapse of time or
action by a third party, could result in a default under any outstanding
indenture, mortgage, contract, instrument or agreement to which SELLER is a
party or by which SELLER may be bound or under any provision of the Articles of
Incorporation or by-laws of SELLER. The execution, delivery and performance of
this Agreement and the consummation of the transactions contemplated by this
Agreement will not violate any provision of, or result in the breach of, or
constitute a default under, any law the violation of which would result in a
significant liability to SELLER, or any order, writ, injunction or decree of any
court, governmental agency or arbitration tribunal; constitute a violation of or
a default under, or a conflict with, any term or provision of the Articles of
Incorporation or by-laws of SELLER or any contract, commitment, indenture,
lease, instrument or other agreement, or any other restriction of any kind to
which SELLER is a party or is bound; or cause, or give any party grounds to
cause (with or without notice, the passage of time or both) the maturity of any
liability or obligation of SELLER, to be accelerated, or increase any such
liability or obligation.

         3.12 INVENTORY. The Inventory consists of a quality and quantity usable
and saleable in the ordinary course of business and is carried on the balance
sheet included in the SELLER Financial Statements at the lower of cost or
market, except for items of obsolete materials and materials of


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<PAGE>


                                                      -14-

below standard quality, all of which have been written down in the balance sheet
included in the SELLER Financial Statements to net realizable market value or
for which adequate reserves have been provided in the balance sheet included in
the SELLER Financial Statements. The present quantity of the Inventory of SELLER
is reasonable and warranted in the present circumstances of the business
conducted by SELLER. The only transactions related thereto since February 28,
1997 have been additions or sales in the ordinary course of business.

         3.13 EQUIPMENT. All Assets consisting of equipment are well maintained
and in good operating condition, except for reasonable wear and tear and except
for items which have been written down in the SELLER Financial Statements to a
realizable market value or for which adequate reserves have been provided in the
SELLER Financial Statements. The present quantity of all such equipment of
SELLER is reasonable and warranted in the present course of the business
conducted by SELLER and its subsidiaries. The only transactions related thereto
since February 28, 1997, have been additions thereto in the ordinary course of
business. All equipment with respect to which equipment lease obligations exist
that ProMedCo-SW is to assume under the Undertaking is currently used in the
operations of SELLER.

         3.14 RECEIVABLES. The SELLER Receivables are bona fide receivables
which represent fees for services rendered or costs incurred for the sales price
of medicine, drugs, pharmaceuticals or other products sold and delivered in the
ordinary course of business.

         3.15 PERMITS AND LICENSES. Included as Exhibit 3.15 in the Exhibit
Volume is a schedule of permits and licenses, listing and briefly describing
each permit, license or similar authorization from each governmental authority
issued with respect to the operation or ownership of properties by SELLER
together with the designation of the respective expiration dates of each, and
also listing and briefly describing each association in which SELLER is a member
and each association or governmental authority by which SELLER is accredited or
otherwise recognized. SELLER is not required to obtain any additional permits,
licenses or similar authorizations (including, without limitation, any
additional certificates of need) from any governmental authority for the proper
conduct of its business or to become a member of or accredited by any
association or governmental authority other than those listed on Exhibit 3.15 in
the Exhibit Volume. All of such permits, licenses and authorizations will
continue to be valid and in full force and effect in accordance with their
respective terms after the consummation of the transactions contemplated hereby.

         3.16 LITIGATION, ETC. Except as set forth in Exhibit 3.16 of the
Exhibit Volume, there is no litigation, arbitration, governmental claim,
investigation or proceeding pending or threatened against SELLER at law or in
equity, before any court, arbitration tribunal or governmental agency. No such
proceeding set forth in Exhibit 3.16 concerns the ownership or other rights with
respect to the Assets. To the best knowledge of SELLER, there are no facts based
on which material claims may


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<PAGE>


                                                      -15-

be hereafter made against SELLER. Any and all claims arising from incidents on
or before the Closing Date shall be the sole responsibility of SELLER and are
specifically excluded from the liabilities to be assumed by ProMedCo-SW
hereunder. All claims and litigations against SELLER are fully covered by
insurance. SELLER shall unconditionally indemnify and hold ProMedCo-SW harmless
against any loss or liability including, without limitation, attorney's fees,
resulting from any claims or litigation arising out of incidents relating to
SELLER which occurred prior to the Closing Date, to the extent such loss or
liability is not covered by insurance.

         3.17 COURT ORDERS, DECREES AND LAWS. There is not outstanding or
threatened any order, writ, injunction or decree of any court, governmental
agency or arbitration tribunal against or affecting SELLER or the Assets. SELLER
is in compliance with all applicable federal, state and local laws, regulations
and administrative orders which are material to the business of SELLER and
SELLER has received no notices of alleged violations thereof. No governmental
authorities are presently conducting proceedings against SELLER and to the best
knowledge of SELLER, no such investigation or proceeding is pending or being
threatened.

         3.18 TAXES. Except as set forth in Exhibit 3.18: (i) all federal, state
and other tax returns of SELLER required by law to be filed have been timely
filed, and SELLER has paid or provided for all taxes (including taxes on
properties, income, franchises, licenses, sales and payrolls) which have become
due pursuant to such returns or pursuant to any assessment, except for any taxes
and assessments of which the amount, applicability or validity is currently
being contested in good faith by appropriate proceedings and with respect to
which SELLER has set aside on its books adequate reserves; (ii) all such tax
returns have been prepared in compliance with all applicable laws and
regulations and are true and accurate in all respects; (iii) the amounts set up
as provisions for taxes (including provision for deferred income taxes) on the
SELLER Financial Statements are sufficient for the payment of all unpaid
federal, state, county and local taxes accrued for or applicable to all periods
(or portions thereof) ending on or before the Closing Date; (iv) there are no
tax liens on any of the Assets except those with respect to taxes not yet due
and payable and except for any taxes and assessments of which the amount,
applicability or validity is currently being contested in good faith by
appropriate proceedings and with respect to which SELLER has set aside on its
books adequate reserves; (v) there are no pending tax examinations nor has
SELLER received a revenue agent's report asserting a tax deficiency; (vi) SELLER
does not expect any taxing authority to claim or assess any amount of additional
taxes against it; and (vii) no claim has ever been made by a taxing authority in
a jurisdiction where SELLER does not file tax returns that SELLER is or may be
subject to taxes assessed by such jurisdiction.

     3.19 IMMIGRATION ACT. SELLER is in compliance with the terms and provisions
of the Immigration Act in all material  respects.  For each employee (as defined
in 8 C.F.R. ss.274a.1(f)) of SELLER for whom compliance with the Immigration Act
by SELLER is required, SELLER has


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<PAGE>


                                                      -16-

obtained and retained a complete and true copy of each such employee's Form I-9
(Employment Eligibility Verification Form) and all other records or documents
prepared, procured or retained by SELLER pursuant to the Immigration Act. There
are no violations or potential violations of the Immigration Act by SELLER.
SELLER has not been cited, fined, served with a Notice of Intent to Fine or with
a Cease and Desist Order, nor, to SELLER's knowledge, has any action or
administrative proceeding been initiated or threatened against SELLER, by reason
of any actual or alleged failure to comply with the Immigration Act.

         3.20 PROGRAM COMPLIANCE. Neither SELLER nor any of its shareholders or
employees is a party to, or the beneficiary of, any agreement, contract,
understanding or business venture with any provider or referral source which
violates the Medicare/Medicaid Fraud and Abuse amendments or any regulations
thereunder adopted by the U.S. Department of Health and Human Services or any
regulations adopted by any other federal or state agency or which results in
overutilization of health care services by patients.

         3.21  ENVIRONMENTAL MATTERS.  Except as disclosed on Exhibit 3.21:

         (a)      There are no outstanding violations or any consent decrees
                  entered against SELLER regarding environmental matters,
                  including, but not limited to, matters affecting the emission
                  of air pollutants, the discharge of water pollutants, the
                  management of hazardous or toxic substances or wastes, or
                  noise.

         (b)      There are no claimed, threatened or alleged violations with
                  respect to any federal, state or local environmental law,
                  rule, regulation, ordinance, permit, license or authorization,
                  and there are no present discussions with any federal, state
                  or local governmental agency concerning any alleged violation
                  of environmental laws, rules, regulations, ordinances,
                  permits, licenses or authorizations.

         (c)      All operations conducted by SELLER have been and are in
                  compliance with all federal, state and local statutes, rules,
                  regulations, ordinances, permits, licenses and authorizations
                  relating to environmental compliance and control.

         3.22  ERISA.

     (a) Except as listed in Exhibit 3.22 of the Exhibit SELLER has no "employee
benefit  plans",  as such term is defined  under  Section  3(3) of the  Employee
Retirement Income Security Act of 1974, as amended ("ERISA"),  or any other plan
or similar arrangement, written or otherwise, which provides any type of pension
or welfare benefit to any of its directors, employees, or former employees.


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<PAGE>


                                                      -17-

     (b) With  respect to all of the plans  listed in Exhibit  3.22,  SELLER has
delivered  to  ProMedCo-SW  true and  exact  copies  of (i) all  plan  documents
embodying the provisions of such plans,  together with all  amendments  thereto,
(ii) all summary  plan  descriptions  and  summaries  of material  modifications
pertaining  thereto,  (iii) copies of the most recent  Internal  Revenue Service
determination  letters,  if any, relating to such plans, (iv) copies of the last
three (3) years' Annual Report (Form 5500 series), as filed with respect to such
plans  with the  Internal  Revenue  Service,  together  with all  Schedules  and
attachments thereto,  including,  without limitation,  copies of the plan audits
and/or  actuarial  valuations,   (v)  copies  of  all  contract   administration
agreements  between  SELLER and third party  administrators,  (vi) copies of all
participant-related  forms  currently  in  use in  connection  with  such  plans
including,  without  limitation,  salary  reduction  agreements and  beneficiary
designations  and (vii)  participant-specific  claims  history for any  "welfare
benefit  plan"  (within the  meaning of Section  3(1) of ERISA) that has been in
existence during any part of the last three years.

     (c) No  "prohibited  transaction",  as such term is defined  under  Section
4975(c)  of  the  Code  or  under  Section  406 of  ERISA,  and  the  respective
regulations  thereunder,  has  occurred  or is  occurring  with  respect  to any
"employee  benefit plan"  maintained by SELLER or with respect to any trustee or
administrator thereof.

         3.23  PENSION, ETC.

         (a)      No "unfunded accrued liability", as such term is defined under
                  Section 3(30) of ERISA, exists with respect to any "employee
                  pension benefit plan" listed in Exhibit 3.22 (each a "Pension
                  Plan" and collectively the "Pension Plans").

         (b)      None of the Pension Plans or any related trusts have been
                  partially or fully terminated (through the complete cessation
                  of contributions thereto or otherwise). In addition there has
                  not occurred any "reportable events", as such term is defined
                  under Section 4043 of ERISA, which could have a material
                  adverse effect on the condition, financial or otherwise, of
                  SELLER.

         (c)      Neither any of the Pension Plans nor any related trusts have
                  incurred any "accumulated funding deficiency", as such term is
                  defined under Section 302(a)(2) of ERISA or Section 412(a) of
                  the Code (whether or not waived), since the effective date of
                  ERISA.



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                                                      -18-

     (d) With  respect to each  Pension  Plan,  there are not in  existence  any
liabilities  other than those liabilities shown on the Annual Reports (Form 5500
series) delivered to ProMedCo-SW in connection herewith. No material change with
respect to the matters covered by the most recent Annual Report for each Pension
Plan has occurred since the filing date thereof. The terms and operation of each
Pension  Plan  have  complied,  and  are  in  compliance,  with  the  applicable
provisions  of ERISA and the Code.  All Pension Plans have at all times been and
are qualified  under Section 401(a) of the Code,  except for those Pension Plans
set forth in Exhibit  3.23 of the  Exhibit  Volume.  None of the  Pension  Plans
listed in Exhibit 3.22 is unfunded.

         3.24 EMPLOYEE MATTERS. Included as Exhibit 3.24A of the Exhibit Volume
is a list of all employees of SELLER together with their annual rates of
compensation and a list of all people who were paid bonuses in the last twelve
months plus the amount thereof. No written employment agreement to which SELLER
is a party or is bound requires longer than a four-week notice before
termination or agreement to lend, or guarantee any loan, to an employee or an
agreement relating to a bonus, severance pay or similar plan, agreement,
arrangement or understanding. Exhibit 3.24B of the Exhibit Volume is a brief
description of employee benefits of SELLER.

         3.25 INSURANCE AND BONDS. Exhibit 3.25A contains a description of all
fire, liability and other insurance coverage maintained by SELLER currently in
force, including the amounts and losses and risks covered; all such policies are
fully paid as to all premiums heretofore due. Exhibit 3.25C contains a
description of all malpractice liability insurance policies of SELLER since
January 1, 1995. Except as set forth on Exhibit 3.25C, SELLER has not in the
last seven years filed a written application for any insurance coverage which
has been denied by an insurance agency or carrier. Exhibit 3.25C sets forth a
list of all claims for any insured loss in excess of $5,000 per occurrence,
filed by SELLER during the three year period immediately preceding the date
hereof, including, but not limited to, workers compensation, general liability
and environmental liability. SELLER is not in material default with respect to
any provision contained in any such policy and has not failed to give any notice
or present any claim under any such policy in due and timely fashion.

         3.26 LABOR MATTERS. There are no collective bargaining agreements with
any labor union to which SELLER is a party or by which SELLER is bound, and it
is not currently negotiating with a labor union. No employees of SELLER have
ever petitioned for a representation election. SELLER is in compliance with all
applicable laws respecting employment and employment practices, terms and
conditions of employment and wages and hours, and is not engaged in any unfair
labor practice. There is no unfair labor practice complaint against SELLER
pending before the National Labor Relations Board. There is no labor strike,
dispute, slowdown or stoppage actually pending or, to its knowledge, threatened
against or affecting SELLER. No grievance which


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<PAGE>


                                                      -19-

might have a material adverse effect on SELLER or the conduct of its business
nor any such arbitration proceeding arising out of or under collective
bargaining agreements is pending and no claim therefor exists. SELLER has not
experienced any employee strikes during the last three years. SELLER will advise
ProMedCo-SW of any such labor dispute, petition for representative election or
negotiations with any labor union which shall arise before the Closing Date.
Except as may be required by ss.4980B of the Code or applicable state health
care continuation coverage statutes, SELLER has no liability under any plan or
arrangement which provides welfare benefits, including medical and life
insurance, to any current or future retiree or terminated employee.

         3.27 HEALTHCARE COMPLIANCE. SELLER is participating in or otherwise
authorized to receive reimbursement from or is a party to Medicare, Medicaid,
and other third-party payor programs (collectively "Third Party Payor
Programs"). All necessary certifications and contracts required for
participation in such programs are in full force and effect and have not been
amended or otherwise modified, rescinded, revoked or assigned as of the date
hereof, and to the best of SELLER's knowledge, no condition exists or event has
occurred which in itself or with the giving of notice or the lapse of time or
both would result in the suspension, revocation, impairment, forfeiture or
non-renewal of any such Third Party Payor Program. To the best of SELLER's
knowledge, SELLER is in full compliance with the requirements of all such Third
Party Payor Programs applicable thereto.

         3.28 FACILITY COMPLIANCE. The Clinic Facility is duly licensed and is
lawfully operated in accordance with the requirements of all applicable law and
has all necessary authorizations for the use and operation, all of which are in
full force and effect. There are no outstanding notices of deficiencies relating
to SELLER issued by any governmental authority or Third Party payor Program
requiring conformity or compliance with any applicable law or condition for
participation of such governmental authority or Third Party Payor program, and
after reasonable and independent inquiry and due diligence and investigation,
SELLER has neither received notice nor has any knowledge or reason to believe
that such necessary authorizations may be revoked or not renewed in the ordinary
course.

         3.29 IMPROPER PAYMENTS. Neither SELLER nor any officer or employee of
SELLER has made any bribes, kickbacks or other improper payments on behalf of
SELLER or received any such payments from vendors, suppliers or other persons
contracting with SELLER.

     3.30  BOOKS  OF  ACCOUNT;  REPORTS.  The  books of  account  of  SELLER  in
reasonable  detail,  accurately  and fairly  reflect  its  transactions  and the
disposition of its assets.  SELLER has filed all reports and returns required by
any law or regulation to be filed by it.



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                                                      -20-

         3.31 NO FINDERS OR BROKERS. Neither SELLER nor any officer or director
of SELLER or any of its predecessors by merger has engaged any finder or broker
in connection with the transactions contemplated hereunder except for the
services of Lew Kaufman. Except as provided in ss. 11.1, SELLER shall indemnify
and hold ProMedCo-SW harmless from any liability to Mr. Kaufman in connection
with his services relating to the transactions contemplated hereby.

         3.32 REVIEW OF INFORMATION. SELLER has been afforded access to all
material information concerning ProMedCo and, in addition thereto, has been
afforded the opportunity to ask questions of, and receive answers from, ProMedCo
concerning the business and properties of ProMedCo and to review any materials
relating to ProMedCo.

         3.33 AUTHORITY; BINDING EFFECT. SELLER has full power and authority to
enter into this Agreement and, subject to the convening of a stockholders'
meeting and the approval of stockholders as required by Florida law, to carry
out the transactions contemplated hereby. The Board of Directors of SELLER has
taken all action required by law and by SELLER's Articles of Incorporation and
by-laws, or otherwise, to authorize the execution and delivery of this Agreement
and the transactions contemplated hereby. The execution, delivery, and
performance of this Agreement constitutes the valid and binding agreement of
SELLER enforceable in accordance with its terms.

         3.34 CONSENTS AND APPROVALS OF GOVERNMENTAL AUTHORITIES. No
characteristic of SELLER or of the nature of its business or operations requires
any consent, approval or authoriza tion of, or declaration, filing or
registration with any governmental or regulatory authority in connec tion with
the execution and delivery of this Agreement and the consummation of the
transactions contemplated hereby.

         3.35 NO ADVERSE EFFECT. There is no event or condition of any kind or
character pertaining to the business, assets or prospects of SELLER that may
adversely affect such business, assets or prospects other than general economic
conditions affecting the United States.

         3.36 DISCLOSURE. No representations and warranties by SELLER in this
Agreement and no statement in this Agreement or any document or certificate
furnished or to be furnished to ProMedCo and ProMedCo-SW pursuant hereto
contains or will contain any untrue statement or omits or will omit to state a
fact necessary in order to make the statements contained therein not misleading.
SELLER has disclosed to ProMedCo and ProMedCo-SW all facts known to SELLER
material to the assets, liabilities, business, operation and property of SELLER.
There are no facts known to SELLER not yet disclosed which would adversely
affect the future operations of SELLER.



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                                                      -21-

ARTICLE  4 REPRESENTATIONS AND WARRANTIES OF PROMEDCO AND
PROMEDCO-SW

         ProMedCo and ProMedCo-SW hereby represent and warrant as follows:

         4.1 ORGANIZATION AND STANDING OF PROMEDCO AND PROMEDCO-SW. ProMedCo and
ProMedCo-SW are each corporations duly organized, validly existing and in good
standing under the laws of the state of Delaware and Florida, respectively; each
has full corporate power and authority to conduct its business as now being
conducted; and each is duly qualified to do business in each jurisdiction in
which the nature of the property owned or leased or the nature of the business
conducted by it requires such qualification.

         4.2 AUTHORITY; BINDING EFFECT. Each of ProMedCo and ProMedCo-SW has
corporate power to execute and deliver this Agreement and consummate the
transactions contemplated hereby and has taken (or by the Closing Date will have
taken) all action required by law, its Articles of Incorporation, by-laws or
otherwise to authorize such execution and delivery and the consummation of the
transactions contemplated hereby. The execution, delivery, and performance of
this Agreement constitutes the valid and binding agreement of each of ProMedCo
and ProMedCo-SW enforceable in accordance with its terms (except as the same may
be restricted, limited or delayed by applicable bankruptcy or other laws
affecting creditors' rights generally and except as to the remedy of specific
performance which may not be available under the laws of various jurisdictions)
assuming that this Agreement has been duly authorized, delivered and executed by
SELLER and constitutes the valid and binding obligation, enforceable against
SELLER in accordance with its terms (except as enforceability against SELLER may
be restricted, limited or delayed to the same extent as referred to in
parenthetical phrase immediately above).

     4.3 NO FINDERS OR BROKERS. Neither ProMedCo, ProMedCo-SW nor any officer or
director  of either  has  engaged  any finder or broker in  connection  with the
transactions contemplated hereunder.

         4.4 CONSENTS AND APPROVALS OF GOVERNMENTAL AUTHORITIES. No
characteristic of ProMedCo or ProMedCo-SW or of the nature of their business or
operations requires any consent, approval or authorization of, or declaration,
filing or registration with any governmental or regulatory authority in
connection with the execution and delivery of this Agreement and the con
summation of the transactions contemplated hereby.

     4.5 PENDING  LITIGATION.  There are no  proceedings  pending or threatened,
against or affecting ProMedCo in any court or before any governmental  authority
or arbitration board or


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                                                      -22-

tribunal which involve the possibility of materially and adversely affecting the
properties, business, prospects, profits or condition (financial or otherwise)
of ProMedCo considered as a whole.

ARTICLE  5 COVENANTS OF PROMEDCO AND PROMEDCO-SW

         ProMedCo and ProMedCo-SW hereby covenant and agree as follows:

         5.1 BEST EFFORTS TO SECURE CONSENTS. ProMedCo and ProMedCo-SW shall use
their best efforts to secure before the Closing all necessary consents and
approvals needed to satisfy all the conditions precedent to the obligations of
SELLER hereunder.

         5.2 CORPORATE ACTION. ProMedCo and ProMedCo-SW will take all necessary
corporate and other action and use its best efforts to obtain all consents,
approvals and amendments of agreements required of it to carry out the
transactions contemplated by this Agreement and to satisfy the conditions
specified herein.

         5.3 HANDLING OF DOCUMENTS. With respect to information provided by
SELLER pursuant to this Agreement prior to the Closing, ProMedCo and ProMedCo-SW
shall keep all such information confidential which is not in the public domain,
except to the extent that such information (i) becomes generally available to
the public other than as a result of a disclosure directly or indirectly by
ProMedCo or ProMedCo-SW, (ii) was known by ProMedCo or ProMedCo-SW on a
non-confidential basis prior to disclosure to ProMedCo or ProMedCo-SW by SELLER
pursuant to this Agreement or (iii) becomes available to ProMedCo or ProMedCo-SW
on a non-confidential basis from a source (other than SELLER) which is entitled
to disclose the same, and to exercise the same care in handling such information
as it would exercise with similar information of its own.

         5.4 NON-DISCLOSURE. ProMedCo and ProMedCo-SW will keep confidential and
not disclose to any third party any information relating to the business of
SELLER, whether acquired by ProMedCo or ProMedCo-SW before or after the Closing
Date, which SELLER has not made generally available to the public.

         5.5 DIRECTOR. Immediately after the Closing, Charles J. Buysse, M.D.,
shall be named as a director of ProMedCo for a term expiring in 2000, and
ProMedCo shall use its best efforts to have its shareholders reelect Dr. Buysse
or to replace Dr. Buysse with a person nominated by the Board of Directors of
NMC.



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                                                      -23-

ARTICLE  6 COVENANTS OF SELLER

         SELLER hereby covenants and agrees as follows:

         6.1 ACCESS AND INFORMATION. Between the date of this Agreement and the
Effective Date; SELLER will: (i) provide to ProMedCo-SW and its officers,
attorneys, accountants and other representatives, during normal business hours,
or otherwise if ProMedCo-SW deems reasonably necessary, free and full access to
all of the properties, assets, agreements, commitments, books, records,
accounts, tax returns, and documents of SELLER and permit them to make copies
thereof; (ii) furnish ProMedCo-SW and its representatives with all information
concerning the business, properties and affairs of SELLER as ProMedCo-SW
reasonably requests and certified by the officers, if requested; (iii) cause the
independent public accountants of SELLER to make available to ProMedCo-SW and
its representatives all financial information relating to SELLER requested,
including all working papers pertaining to audits and reviews made heretofore by
such auditors; (iv) furnish ProMedCo-SW true and complete copies of all
financial and operating statements of SELLER; (v) permit access to customers and
suppliers for consultation or verification of any information obtained by
ProMedCo-SW and use their best efforts to cause such customers and suppliers to
cooperate with ProMedCo-SW in such consultation and in verifying such
information; and (vi) cause their employees, accountants and attorneys to make
disclosure of all material facts known to them affecting the financial condition
and business operations of SELLER and to cooperate fully with any audit, review,
investigation or examination made by ProMedCo-SW and its representatives,
including, without limitation, with respect to:

         (a)      The books and records of SELLER;

         (b)      The reports of state and federal regulatory examinations;

         (c)      Leases, contracts and commitments between the SELLER and any 
                  other person;

         (d)      Physical examination of the Clinic Facility; and

         (e)      Physical examination of the equipment and furnishings within 
                  the Clinic Facility.

     6.2 CONDUCT OF BUSINESS.  Between the date hereof and the  Effective  Date,
except as other wise expressly approved in writing by ProMedCo-SW,  SELLER shall
conduct its business only in the ordinary  course thereof  consistent  with past
practice and in such a manner that the representa tions and warranties contained
in  Article  3 of this  Agreement  shall  be true and  correct  at and as of the
Effective Date (except for changes  contemplated,  permitted or required by this
Agreement)  and so that the  conditions to be satisfied by SELLER at the Closing
shall have been satisfied. SELLER


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                                                      -24-

will, consistent with conducting its business in accordance with reasonable
business judgment, preserve the business of the SELLER intact; use its
reasonable best efforts to keep available to ProMedCo-SW the services of the
present employees of the SELLER (except those dismissed for cause, those who
voluntarily discontinue their employment and those whose termination is
consented to by ProMedCo-SW) and preserve for ProMedCo-SW the goodwill of the
suppliers, patients and others having business relations with the SELLER.

         6.3 COMPLIANCE WITH AGREEMENT. SELLER shall not undertake any course of
action inconsistent with satisfaction of the conditions applicable to it set
forth in this Agreement, and shall do all such acts and take all such measures
as may be reasonably necessary to comply with the representations, agreements,
conditions and other provisions of this Agreement. SELLER shall give ProMedCo-SW
prompt written notice of any change in any information contained in the
representations and warranties made in Article 3 hereof and on the Exhibits
referred to therein (provided, however, that such notice shall not limit
ProMedCo-SW's rights under ss. 8.1 hereof) and of any condition or event which
constitutes a default of any covenant or agreement made in Article 6 or in any
other section hereof.

         6.4 BEST EFFORTS TO SECURE CONSENTS. SELLER shall take the necessary
corporate and other action and shall use its reasonable best efforts to secure
before the Closing Date all necessary consents and approvals required to carry
out the transactions contemplated by the Agreement and to satisfy all other
conditions precedent to the obligations of ProMedCo, ProMedCo-SW and SELLER.

         6.5 UNUSUAL EVENTS. Until the Closing Date, SELLER shall supplement or
amend all relevant Exhibits in the Exhibit Volume with respect to any matter
thereafter arising or discovered which, if existing or known at the date of this
Agreement, would have been required to be set forth or described in such
Exhibits; provided, however, that for the purposes of the rights and obligations
of the parties hereunder, any such supplemental disclosure shall not be deemed
to have been disclosed as of the date SELLER delivers to ProMedCo-SW the Exhibit
Volume pursuant to ss. 9.1 of this Agreement or any other date, and shall not be
deemed to amend or supplement any Exhibits or to prevent or cure any
misrepresentation, breach of warranty or breach of covenant, unless agreed to in
writing by ProMedCo-SW.

         6.6 INTERIM FINANCIAL STATEMENTS. Within 30 days after the end of each
calendar month subsequent to the date of this Agreement and prior to the Closing
Date, SELLER shall deliver to ProMedCo-SW an unaudited balance sheet of SELLER
as of the end of such calendar month together with the related statement of
operations. All such financial statements shall fairly present the financial
position, results of operations and cash flows for the financial periods
indicated, in accordance with generally accepted accounting principles
consistently applied except that footnote


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                                                      -25-

information may be omitted in such statements, and that such statements shall be
subject to normal year-end audit adjustments, but only if such adjustments are
of a normal, recurring type and are not material in the aggregate..

         6.7 DEPARTMENTAL VIOLATIONS. All notes or notices of violations of law
or municipal ordi nances, orders or requirements noted in or issued by the
departments of buildings, fire, labor, health, or any other state or municipal
department having jurisdiction against or affecting the business, property or
assets of SELLER shall be complied with prior to the Closing Date. All such
notes or notices, after the date hereof and prior to the Closing Date, shall be
complied with by SELLER prior to the Closing Date. Upon written request, SELLER
shall furnish ProMedCo-SW with an authorization to make the necessary searches
for such notes or notices.

         6.8 ASSESSMENTS. If, on the Closing Date, the business, property or
assets of SELLER are or will be subject to an assessment or assessments which
are or may become payable in annual installments, of which the first installment
is then a charge or lien, or has been paid, then for the purposes of this
Agreement all the unpaid installments of any such assessment, including those
which are to become due and payable, shall be paid and discharged by SELLER
prior to the Closing Date.

         6.9 INSURANCE RATINGS. SELLER shall take all action reasonably
requested by ProMedCo-SW to enable it to succeed to the Workers' Compensation
and Unemployment Insurance ratings, insurance policies, deposits and other
interests of SELLER and other ratings for insurance or other purposes
established by SELLER. ProMedCo-SW shall not be obligated to succeed to any such
rating, insurance policy, deposit or other interest, except as it may elect to
do so.

         6.10 MAINTAIN INSURANCE COVERAGE. From the date hereof until the
Closing, SELLER shall maintain and cause to be maintained in full force and
effect the existing insurance on the Assets and the operations of SELLER and
shall provide, upon request by ProMedCo-SW, evidence satisfactory to ProMedCo-SW
that such insurance continues to be in effect and that all premiums due have
been paid.

         6.11 EXCLUSIVE DEALINGS. During the period from the date of this
Agreement to the Closing Date, or until the earlier termination of this
Agreement pursuant to Article 9, SELLER shall refrain from taking any actions,
directly or indirectly, to encourage, initiate, or engage in discussions or
negotiations with, or provide any information to, any corporation, partnership,
person, or other entity or group, other than ProMedCo-SW, concerning the
purchase of SELLER or its assets, or any merger, joint venture or similar
transaction involving SELLER and will not enter into any such transaction.



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                                                      -26-

ARTICLE  7 CONDITIONS PRECEDENT TO THE OBLIGATIONS OF SELLER

         All obligations of SELLER which are to be discharged under this
Agreement at the Closing are subject to the performance, at or prior to the
Closing, of all covenants and agreements contained herein which are to be
performed by ProMedCo and ProMedCo-SW at or prior to the Closing and to the
fulfillment at, or prior to, the Closing, of each of the following conditions
(unless expressly waived in writing by SELLER at any time at or prior to the
Closing):

         7.1 REPRESENTATIONS AND WARRANTIES TRUE. All of the representations and
warranties made by ProMedCo and ProMedCo-SW contained in Article 4 of this
Agreement shall be true as of the date of this Agreement, shall be deemed to
have been made again at and as of the date of Closing, and shall be true at and
as of the date of Closing in all material respects; ProMedCo and ProMedCo-SW
shall have performed and complied in all material respects with all covenants
and conditions required by this Agreement to be performed or complied with by
then prior to or at the Closing; and SELLER shall have been furnished with a
certificate of the President or any Vice President of ProMedCo and of
ProMedCo-SW, dated the Closing Date, in such officer's capacity, certifying to
the truth of such representations and warranties as of the Closing and to the
fulfillment of such covenants and conditions.

         7.2 OPINIONS OF COUNSEL. SELLER shall have been furnished with an
opinion dated the Closing Date of Boult, Cummings, Conners & Berry, PLC, counsel
to ProMedCo and ProMedCo-SW, in form and substance satisfactory to SELLER, to
the effect set forth as Appendix 7.2 attached hereto. In addition, SELLER's
shareholders shall have received a satisfactory opinion of Waller, Lansden,
Dortch and Davis, a Professional Limited Liability Company, respecting the Split
Dollar Agreement and related instruments.

         7.3 AUTHORITY. All action required to be taken by or on the part of
ProMedCo and ProMedCo-SW to authorize the execution, delivery and performance of
this Agreement by ProMedCo and ProMedCo-SW and the consummation of the
transactions contemplated hereby shall have been duly and validly taken by the
Boards of Directors of ProMedCo and ProMedCo-SW.

         7.4 NO OBSTRUCTIVE PROCEEDING. No action or proceedings shall have been
instituted against, and no order, decree or judgment of any court, agency,
commission or governmental authority shall be subsisting against SELLER, or the
officers or directors of SELLER, which seeks to, or would, render it unlawful as
of the Closing to effect the transactions contemplated hereby in accordance with
the terms hereof, and no such action shall seek damages in a material amount by
reason of the transactions contemplated hereby. Also, no substantive legal
objection to the transactions contemplated by this Agreement shall have been
received from or threatened by any governmental department or agency.


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                                                      -27-

         7.5 DELIVERY OF CERTAIN CERTIFIED DOCUMENTS. At the Closing,
ProMedCo-SW shall deliver to SELLER copies of the Articles of Incorporation of
each of ProMedCo-SW and ProMedCo certified (not more than 30 days prior to the
Closing Date) by the appropriate governmental authorities, copies of resolutions
of the Board of Directors of and ProMedCo-SW, certified by the secretary or
assistant secretary of ProMedCo-SW approving and authorizing the execution and
delivery of this Agreement and the consummation of the transactions contemplated
hereby and copies of resolutions of the Board of Directors of ProMedCo,
certified by the secretary or assistant secretary of ProMedCo approving the
issuance of the ProMedCo Stock and guaranty of this Agreement.

         7.6 PROCEEDINGS AND DOCUMENTS SATISFACTORY. All proceedings in
connection with the transactions contemplated hereby and all certificates and
documents delivered to SELLER pursuant to this Agreement shall be satisfactory
in form and substance to SELLER and its counsel acting reasonably and in good
faith.

         7.7 NO AGENCY PROCEEDINGS. There shall not be pending or, to the
knowledge of ProMedCo or ProMedCo-SW, threatened, any claim, suit, action or
other proceeding brought by a governmental agency before any court or
governmental agency, seeking to prohibit or restrain the transactions
contemplated by this Agreement or material damages in connection therewith.

         7.8  CLOSING TRANSACTIONS.  All the transactions described in ss. 2.9 
shall have been consummated simultaneously with the Closing.

         7.9  WHITTEMORE EMPLOYMENT AGREEMENT.  ProMedCo-SW and Douglas 
Whittemore shall have entered into a mutually agreeable employment agreement.


ARTICLE  8 CONDITIONS PRECEDENT TO THE OBLIGATIONS OF PROMEDCO AND
PROMEDCO-SW

         All obligations of ProMedCo and ProMedCo-SW which are to be discharged
under this Agreement at the Closing are subject to the performance, at or prior
to the Closing, of all covenants and agreements contained herein which are to be
performed by SELLER at or prior to the Closing and to the fulfillment at or
prior to the Closing of each of the following conditions (unless expressly
waived in writing by ProMedCo and ProMedCo-SW at any time at or prior to the
Closing):

     8.1  REPRESENTATIONS  AND WARRANTIES TRUE. All of the  representations  and
warranties  of SELLER  contained in Article 3 of this  Agreement  and all of the
representations and warranties of


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                                                      -28-

Tarrant in the Inducement Agreement shall be true as of the date of this
Agreement, shall be deemed to have been made again at and as of the Closing, and
shall be true at and as of the date of Closing in all material respects (without
taking into account any disclosures made by SELLER to ProMedCo and ProMedCo-SW
pursuant to ss. 6.5 hereof); SELLER shall have performed or complied in all
material respects with all covenants and conditions required by this Agreement
to be performed or complied with by it prior to or at the Closing; and ProMedCo
and ProMedCo-SW shall be furnished with a certificate of the President or any
Vice President of SELLER, dated the Closing Date, in such person's corporate
capacity, certifying to the truth of such representations and warranties as of
the time of the Closing and to the fulfillment of such covenants and conditions.

         8.2 NO OBSTRUCTIVE PROCEEDING. No action or proceedings shall have been
instituted against, and no order, decree or judgment of any court, agency,
commission or governmental authority shall be subsisting against ProMedCo or
ProMedCo-SW or the officers or directors of ProMedCo or ProMedCo-SW which seeks
to, or would, render it unlawful as of the Closing to effect the transactions
contemplated hereby in accordance with the terms hereof, and no such action
shall seek damages in a material amount by reason of the transaction
contemplated hereby. Also, no substantive legal objection to the transactions
contemplated by this Agreement shall have been received from or threatened by
any governmental department or agency.

         8.3 OPINION OF SELLER COUNSEL. SELLER shall have delivered to ProMedCo
and ProMedCo-SW at the Closing an opinion of Moore & Menkhaus, P.A., counsel to
SELLER, dated the Closing Date, in form and substance satisfactory to ProMedCo
and ProMedCo-SW, to the effect set forth as Appendix 8.3 attached hereto.

     8.4 WHITTEMORE  EMPLOYMENT  AGREEMENT.  ProMedCo-SW and Douglas  Whittemore
shall have entered into a mutually agreeable employment agreement.

         8.5 CONSENTS AND APPROVALS. Each of the parties to any agreement or
instrument under which the transactions contemplated hereby would constitute or
result in a default or acceleration of obligations shall have given such consent
as may be necessary to permit the consummation of the transactions contemplated
hereby without constituting or resulting in a default or acceleration under such
agreement or instrument, and any consents required from any public or regulatory
agency or organization having jurisdiction shall have been given. Also,
ProMedCo-SW shall have received releases, waivers of default and consents to
assignment in form satisfactory to it from all parties to contracts and
agreements to be assumed by ProMedCo-SW hereunder.

     8.6 PROCEEDINGS AND DOCUMENTS  SATISFACTORY.  All proceedings in connection
with the  transactions  contemplated  hereby and all  certificates and documents
delivered to ProMedCo-SW


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                                                      -29-

pursuant to this Agreement shall be satisfactory in form and substance to
ProMedCo and ProMedCo-SW and its counsel acting reasonably and in good faith.

         8.7 NO ADVERSE CHANGE. From the date of this Agreement until the
Closing, the operations of SELLER shall have been conducted in the ordinary
course of business consistent with past practice and from the date of the SELLER
Financial Statements until the Closing no event shall have occurred or have been
threatened which has or would have a material and adverse affect upon the
financial condition, assets, liabilities, operations, prospects or business of
SELLER; and SELLER shall have not sustained any loss or damage to their assets,
whether or not insured, or union activity that affects materially and adversely
its ability to conduct its business.

         8.8 DELIVERY OF CERTAIN DOCUMENTS. At the Closing, SELLER shall have
delivered to ProMedCo-SW copies of the Articles of Incorporation of SELLER
certified (not more than 30 days prior to the Closing Date) by the appropriate
governmental authorities and copies of resolutions of the stockholders of SELLER
and of the Board of Directors of SELLER, certified by the secretary of SELLER,
approving and authorizing the execution and delivery of this Agreement and the
consummation of the transactions contemplated hereby.

     8.9 CLOSING TRANSACTIONS.  All the transactions  described in ss. 2.9 shall
have been consummated simultaneously with the Closing.

ARTICLE  9  TERMINATION

     9.1  OPTIONAL  TERMINATION.  This  Agreement  may  be  terminated  and  the
transactions  contemplated  hereby  abandoned at any time prior to the Effective
Date, notwithstanding stockholder approval as follows:

         (a)      By the mutual consent of ProMedCo, ProMedCo-SW and SELLER; or

         (b)      By SELLER, if any of the conditions set forth in Article 7
                  shall not have met by April 30, 1997; provided that SELLER
                  shall not be entitled to terminate this Agreement pursuant to
                  this ss. 9.1(b) if SELLER's willful breach of this Agreement
                  has prevented the consummation of the transactions
                  contemplated hereby; or

         (c)      By ProMedCo-SW, if any of the conditions provided in Article 8
                  hereof have not been met by April 30, 1997; provided that
                  ProMedCo-SW shall not be entitled to terminate this Agreement
                  pursuant to this ss. 9.1(c) if ProMedCo-SW's willful breach of
                  this Agreement has prevented the consummation of the
                  transactions contemplated hereby.


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                                                      -30-

Notwithstanding anything to the contrary set forth herein, the parties
acknowledge and agree that the Exhibits referred to in Article 3 herein were not
prepared or delivered to ProMedCo and ProMedCoSub prior to or contemporaneously
with the execution of this Agreement. By ________, Target shall deliver to
ProMedCo and ProMedCoSub all the Exhibits referred to in Article 3, to be
prepared in accordance with Article 3 of this Agreement, and ProMedCo and
ProMedCoSub may, at their discretion, within five days after its receipt of such
Exhibits, terminate this Agreement by notice to Target if any information
contained in any of such Exhibits or any information obtained by ProMedCo and
ProMedCoSub pursuant to ss. 6.3 of this Agreement shall establish that any
representation or warranty of Target contained in Article 3 of this Agreement or
any information previously furnished to ProMedCo and ProMedCoSub by Target
concerning Target shall not be true and accurate in all material respects as of
the date of the termination notice or in the opinion of ProMedCo and
ProMedCoSub, any of such Exhibits shall disclose facts which shall be materially
adverse concerning the financial condition, business or operations of Target.

         9.2 NOTICE OF ABANDONMENT. In the event of such termination by either
ProMedCo and ProMedCo-SW or SELLER pursuant to ss. 9.1 above, written notice
shall forthwith be given to the other party hereto.

     9.3 MANDATORY TERMINATION. If the Closing has not occurred by May 15, 1997,
this Agreement  shall  automatically  terminate and no longer be of any force or
effect.

         9.4 TERMINATION. In the event this Agreement is terminated as provided
above, ProMedCo and ProMedCo-SW shall deliver to SELLER all documents (and
copies thereof in their possession) concerning SELLER and its Affiliates
previously delivered by SELLER to ProMedCo and ProMedCo-SW; and except as
contemplated by ss. 11.1, none of the parties nor any of their respective
partners, shareholders, directors, or officers shall have any liability to the
other party for costs, expenses, loss of anticipated profits, consequential
damages, or otherwise, except for any deliberate breach of any of the provisions
of this Agreement.

ARTICLE 10 INDEMNIFICATION

         10.1 GRANT OF INDEMNITY. SELLER agrees to indemnify, defend and hold
ProMedCo and ProMedCo-SW and their Affiliates, and subsidiaries, and its and
their respective employees, representatives, officers and agents, harmless from
and against any claims, losses, liability, obligations, lawsuits, deficiencies,
damages or expense of whatever nature, whether known or unknown, accrued,
absolute, contingent or otherwise including (without limitation) interest,
penalties, attorneys' fees, costs of investigation and all amounts paid in
defense or settlement of the foregoing, suffered or incurred by ProMedCo or
ProMedCo-SW as a result of the occurrence of any of the following: (i) the
Assets were subject to any liabilities or obligations of any kind, whether
accrued, absolute, contingent or otherwise, which are not being specifically
assumed by ProMedCo-SW hereunder, including without limitation, liabilities for
federal, state, local and other applicable taxes of every kind and description,
whether or not said liabilities or obligations are disclosed in Exhibit 3.4;
(ii) SELLER did not have title to any of the Assets; (iii) a breach of any
obligation, representation, warranty, covenant or agreement made by SELLER in
this Agreement or any agreement referred to herein or because any representation
or warranty by SELLER contained herein, in any document furnished or required to
be furnished pursuant to this Agreement by SELLER to ProMedCo or ProMedCo-SW or
any of their representatives, or any documents furnished to ProMedCo and
ProMedCo-SW in connection with the Closing hereunder, shall be false; (iv) any
litigation arising out of or based upon events or operative facts occurring
prior to the Closing Date, in connection with the Assets, whether or not
disclosed in Exhibit 3.16; (v) any employee benefits, including pension or
retirement benefits, and any severance payments to the employees of SELLER which
are or may be assessed as a result of the transactions contemplated by this
Agreement, payable to or on behalf of the employees of SELLER as of the Closing
Date, or


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                                                      -31-

due through the consummation of this Agreement; (vi) any and all liabilities
related to any pre-Closing violation of law, regulation or ruling applicable to
any employee benefit plan and/or any labor or employment practice or policy for
which ProMedCo or one of ProMedCo's affiliates assumes sponsorship or otherwise
becomes liable for as a successor employer; (vii) unless otherwise specifically
agreed in this Agreement, any and all claims, including legal, administrative or
creditor claims or actions, in connection with the Assets or their sale or
transfer hereunder, if any fact material to any such claim or cause of action
pleaded or stated there occurred prior to or on the Closing Date; and (viii)
costs and expenses (including reasonable attorneys' fees) incurred by ProMedCo
and ProMedCo-SW in connection with any demand, action, suit, proceeding,
assessment or judgment incident to any of the foregoing.

         10.2  REPRESENTATION, COOPERATION AND SETTLEMENT.

     (a)  ProMedCo  and  ProMedCo-SW  shall give prompt  notice to SELLER of any
claim against ProMedCo or ProMedCo-SW  which might give rise to a claim based on
the indemnity  contained in this Article 10, stating the nature and basis of the
claim and the amount thereof.

     (b) In the event any claim,  action,  suit or proceeding is brought against
ProMedCo or ProMedCo-SW  with respect to which SELLER may have  liability  under
the  indemnity  contained in this Article 10,  ProMedCo  and  ProMedCo-SW  shall
permit  SELLER  to  assume  the  defense  of any such  claim  or any  litigation
resulting from such claim,  provided that ProMedCo and ProMedCo-SW  shall not be
required  to permit  SELLER to assume the defense of any third party claim which
if not first paid,  discharged,  or otherwise  complied  with would result in an
interruption  or  cessation  of the  conduct of  ProMedCo-SW's  business  or any
material part thereof.  Failure by SELLER to notify  ProMedCo and ProMedCo-SW of
its election to defend any such claim or action by a third party  within  thirty
(30)  days  after  notice   thereof  shall  have  been  given  by  ProMedCo  and
ProMedCo-SW,  shall be deemed a waiver of any such  election.  If SELLER assumes
the defense of such claim or litigation resulting therefrom,  the obligations of
SELLER  hereunder  as to such claim shall  include  taking all steps  reasonably
necessary in the defense or settlement of such claim or litigation  resulting in
the  defense or  settlement  of such claim or  litigation  resulting  therefrom,
including the retention of counsel satisfactory to ProMedCo and ProMedCo-SW, and
holding  ProMedCo and  ProMedCo-SW  harmless from and against any and all damage
resulting  from,  arising out of, or  incurred  with  respect to any  settlement
approved by SELLER or any judgment in  connection  with such claim or litigation
resulting  therefrom.  SELLER  shall  not,  in the  defense  of  such  claim  or
litigation,  consent to the entry of any  judgment  (other  than a  judgment  of
dismissal


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                  on the merits with costs) except with the written consent of
                  ProMedCo and ProMedCo-SW nor enter into any settlement (except
                  with the written consent of ProMedCo and ProMedCo-SW) which
                  does not include as an unconditional term thereof the giving
                  by the claimant or the plaintiff to ProMedCo and ProMedCo-SW a
                  release from all liability in respect to such claim or
                  litigation.

     (c) If SELLER  shall not  assume  the  defense of any such claim by a third
party or litigation  resulting  therefrom,  ProMedCo and  ProMedCo-SW may defend
against such claim or litigation in such manner as it deems appropriate.  SELLER
shall, in accordance with the provisions hereof, promptly reimburse ProMedCo and
ProMedCo-SW for the amount of any settlement reasonably entered into by ProMedCo
and  ProMedCo-SW  and for all damage  incurred by ProMedCo  and  ProMedCo-SW  in
connection with the defense against or settlement of such claim or litigation.

         10.3 REMEDIES CUMULATIVE. The remedies provided herein shall be
cumulative and shall not preclude ProMedCo and ProMedCo-SW from asserting any
other rights or seeking any other remedies against SELLER to which ProMedCo and
ProMedCo-SW are entitled by law.

ARTICLE 11 MISCELLANEOUS

         11.1 EXPENSES. All expenses of the preparation of this Agreement and of
the transactions contemplated hereby, including, without limitation, counsel
fees, accounting fees, investment adviser's fees and disbursements, shall be
borne by the respective parties incurring such expense, whether or not such
transactions are consummated. ProMedCo shall bear the cost of the audit of NMC
and NOB, including SELLER, and up to $150,000 of the legal and other
professional fees and expenses incurred by NMC and NOB, including SELLER, in
connection with the negotiation and consummation of the transactions
contemplated hereby.

         11.2  EMPLOYEE TRANSITION.

     (a)  TERMINATION  OF AFFECTED  EMPLOYEES.  Effective  at the Closing  Date,
SELLER shall  terminate all Affected  Employees who shall be given the option of
becoming  employees  of  ProMedCo-SW  on terms  comparable  to  those in  effect
immediately  prior to the Closing.  "Affected  Employees" shall mean non-medical
employees of SELLER on the Closing Date.

     (b)  INSURANCE  AND  BENEFIT  PLANS.  SELLER  shall  satisfy,  or cause its
insurance  carriers  to satisfy,  all claims for  medical,  health and  hospital
benefits, whether insured or


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                                                      -33-

                  otherwise (including, but not limited to, workers
                  compensation, life insurance, medical and disability
                  programs), under SELLER's employee benefit plans brought, or
                  incurred, by Affected Employees and former employees of the
                  SELLER prior to the Closing Date, in accordance with the terms
                  and conditions of such employee benefit plans or applicable
                  workers compensation statutes without interruption as a result
                  of the employment by ProMedCo-SW of any such employees after
                  the Closing Date.

     (c) PAYROLL AND PAYROLL TAXES. SELLER shall make a clean cut-off of payroll
and payroll tax reporting with respect to the Affected  Employees paying over to
the federal,  state and city governments those amounts respectively  withheld or
required to be withheld  for periods  ending prior to the Closing  Date.  SELLER
shall issue, by the date prescribed by IRS Regulations, Forms W-2 for wages paid
to the  Closing  Date.  ProMedCo-SW  shall be  responsible  for all  payroll and
payroll tax  obligations  accruing on and after the  Closing  Date for  Affected
Employees.

     (d) TERMINATION BENEFITS. SELLER shall be solely responsible for, and shall
pay or cause to be paid, severance payments and other termination  benefits,  if
any (not including state unemployment  compensation),  to Affected Employees who
may become  entitled to such benefits by reason of any events.  If any action on
the part of SELLER  prior to the Closing or the purchase by  ProMedCo-SW  of the
Assets of SELLER  pursuant to this  Agreement or the  transactions  contemplated
hereby,  shall  result in any  liability  or claim of  liability  for  severance
payments or termination  benefits, or any liability,  forfeiture,  fine or other
obligation by virtue of any state, federal or local law, such liability or claim
of  liability  shall be the sole  responsibility  of SELLER,  and  SELLER  shall
indemnify and hold harmless  ProMedCo-SW  for any losses  resulting  directly or
indirectly from such liability or claim. ProMedCo-SW shall be solely responsible
for and shall pay or cause to be paid severance  payments and other  termination
benefits, if any, to Affected Employees who may become entitled to such benefits
by  reason of  events  occurring  after  Closing.  If any  action on the part of
ProMedCo-SW  after  Closing  shall result in any liability or claim of liability
for severance payments or termination  benefits,  or any liability,  forfeiture,
fine or other  obligation  by virtue of any state,  federal  or local law,  such
liability or claim of liability shall be the sole responsibility of ProMedCo-SW,
and  ProMedCo-  SW shall  indemnify  and hold  harmless  SELLER  for any  losses
resulting directly or indirectly from such liability or claim.

     (e) EMPLOYEE  BENEFIT PLANS. At Closing,  neither  ProMedCo nor ProMedCo-SW
shall assume any  responsibility  under any employee benefit plans maintained by
SELLER


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                                                      -34-

                  other than assuming sponsorship, subject to clause (d) hereof,
                  of SELLER's 401(k) and/or Money Purchase Retirement Plans.

Notwithstanding the foregoing, ProMedCo-SW shall have the right to postpone the
actions contemplated by this Section 11.2 to a date after the Closing Date.

         11.3 OCCASIONAL SALE. SELLER, ProMedCo and ProMedCo-SW believe that the
transaction contemplated by this Agreement constitute an occasional sale of an
entire business and, therefore, the sale of any and all items of tangible
personal property to ProMedCo-SW pursuant to this Agreement is exempt from any
and all state and local sales and use tax. In the event the transactions
contemplated by this Agreement do not qualify for such exemption or other
applicable exemption and the State of Florida seeks to collect sale or use tax
under the Florida Tax Code, ProMedCo-SW shall be liable and responsible for any
such tax. SELLER shall cooperate with ProMedCo-SW in connection with any audit
of this transaction regarding the application of the sales tax law thereto.

         11.4 COLLECTION OF ACCOUNTS RECEIVABLE.  Seess.11.4 of the Agreement.

         11.5  NON-ASSIGNABLE PROPERTY INTERESTS.

         (a)      To the extent that any lease, contract, permit or other
                  property interest which would otherwise constitute a part of
                  the Assets is not capable of being assigned, transferred or
                  subleased or if such assignment, transfer or sublease or
                  attempted assignment, transfer or sublease would constitute a
                  breach thereof or a violation of any law, decree, order,
                  regulation or other governmental edict, neither this Agreement
                  nor the Closing shall constitute an assignment, transfer or
                  sublease thereof, or an attempted assignment, transfer or
                  sublease thereof.

         (b)      To the extent that any lease, contract, permit or other
                  property interest constituting a part of the Assets is not
                  capable of being assigned, transferred or subleased, from and
                  after the Closing Date, and to the extent reasonably possible,
                  SELLER shall make all benefits of such non-assignable
                  interests available to ProMedCo-SW at no charge, cost or
                  expense to ProMedCo-SW.

         11.6 COOPERATION BY PROMEDCO AND PROMEDCO-SW. In the event SELLER is
required to defend against any action, suit or proceeding arising out of a claim
pertaining to the business or operations of SELLER, ProMedCo and ProMedCo-SW
shall provide such assistance and cooperation, including, without limitation,
witnesses and documentary or other evidence as may reasonably be requested by
SELLER in connection with its defense. SELLER shall reimburse


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                                                      -35-

ProMedCo and ProMedCo-SW for their reasonable out-of-pocket expenses incurred in
providing such assistance and cooperation.

         11.7 COOPERATION BY SELLER. In the event ProMedCo or ProMedCo-SW is
required to defend against any action, suit or proceeding arising out of a claim
pertaining to a liability assumed by ProMedCo-SW pursuant to this Agreement
relating to the business or operations of SELLER, SELLER shall provide such
assistance and cooperation, including without limitation, witnesses and
documentary or other evidence, as may reasonably be requested by ProMedCo-SW in
connection with its defense. ProMedCo-SW shall reimburse SELLER for its
reasonable out-of-pocket expenses incurred in providing such assistance.

         11.8 NOTICES. All notices, demands and other communications hereunder
shall be in writing and shall be deemed to have been duly given if delivered in
person or mailed by certified mail or registered mail (postage prepaid) or sent
by reputable overnight courier service (charges prepaid):


         To SELLER:             Naples Medical Center, P.A.
                                400 Eighth Street, North
                                Naples, FL 33940
                                Attention: President

         with a copy to:        David J. Menkhaus
                                Moore & Menkhaus, P.A.
                                4800 N. Federal Hwy., Suite 210-A
                                Boca Raton, FL 33431

         To ProMedCo and
                  ProMedCo-SW:  ProMedCo Management Company
                                801 Cherry Street
                                Suite 1450
                                Fort Worth, TX 76102
                                Attention: Chief Executive Officer

         with a copy to         John E. Gillmor
                                Boult, Cummings, Conners & Berry, PLC
                                414 Union Street, Suite 1600
                                Nashville, TN 38219

or to such other address as either SELLER or ProMedCo may designate by notice
to the other.


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                                                      -36-

         11.9 ENTIRE AGREEMENT. This Agreement and the Appendices, Exhibits,
schedules and documents delivered pursuant hereto constitute the entire contract
between the parties hereto pertaining to the subject matter hereof and supersede
all prior and contemporaneous agreements, understandings, negotiations and
discussions, whether written or oral, of the parties, and there are no
representations, warranties or other agreements between the parties in
connection with the subject matter hereof, except as specifically set forth
herein. No supplement, modification or waiver of this Agreement shall be binding
unless executed in writing by the parties to be bound thereby.

         11.10 ALTERNATIVE DISPUTE RESOLUTION. Any dispute, disagreement, claim
or controversy arising out of or related to this Agreement (a "Disputed Matter")
may, at the option of either party hereto upon written notice to the other
party, be submitted to non-binding mediation before a mutually acceptable
neutral advisor. To the extent the neutral advisor is compensated, the parties
shall each bear half the cost. Any Disputed Matter that is not resolved through
mediation will be settled by binding arbitration in accordance with the rules of
commercial arbitration of the American Arbitration Association, and judgment
upon the award rendered by the arbitrator(s) may be entered in any court having
jurisdiction thereof. Such arbitration shall occur within Collier County,
Florida, unless the parties mutually agree to have such proceedings in some
other locale. The arbitrator(s) may in any such proceeding award attorneys' fees
and costs to the prevailing party.

         11.11  GOVERNING LAW.  THE VALIDITY AND CONSTRUCTION OF THIS
AGREEMENT SHALL BE GOVERNED BY THE LAWS OF THE STATE OF FLORIDA.

         11.12 LEGAL FEES AND COSTS. In the event either party elects to incur
legal expenses to enforce or interpret any provision of this Agreement, the
prevailing party will be entitled to recover such legal expenses, including,
without limitation, reasonable attorneys' fees, costs and necessary
disbursements, in addition to any other relief to which such party shall be
entitled.

         11.13  TIME.  Time is of the essence for purposes of each and every 
provision of this Agreement.

         11.14  SECTION HEADINGS.  The Section headings are for reference only 
and shall not limit or control the meaning of any provision of this Agreement.

         11.15 WAIVER. No delay or omission on the part of any party hereto in
exercising any right hereunder shall operate as a waiver of such right or any
other right under this Agreement.

         11.16 NATURE AND SURVIVAL OF REPRESENTATIONS. All statements contained
in any certificate delivered by or on behalf of any of the parties to this
Agreement pursuant hereto in connection with the transactions contemplated
hereby shall be deemed to be representations and warranties made by


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                                                      -37-

the respective parties hereunder. The covenants (including the indemnification
covenants set forth in Article 10), representations and warranties made by the
parties each to the other in this Agreement or pursuant hereto shall survive the
transactions contemplated hereby and any investigation made by ProMedCo or
ProMedCo-SW until April 30, 1998 except that the representations and warranties
set forth in ss.ss. 3.7, 3.16, 3.17, 3.18, 3.20, 3.21 and 3.22 and the indemnity
provisions in Article 10, as they relate thereto, shall survive until the
expiration of the relevant statue of limitations.

         11.17 EXHIBITS. All Exhibits, Appendices, schedules and documents
referred to in or at tached to this Agreement are integral parts of this
Agreement as if fully set forth herein and all statements appearing therein
shall be deemed to be representations. All items disclosed hereunder shall be
deemed disclosed only in connection with the specific representation to which
they are explicitly referenced.

         11.18 ASSIGNMENT. No party hereto shall assign this Agreement without
first obtaining the written consent of the other party, except ProMedCo and
ProMedCo-SW shall have the right to assign this Agreement to an Affiliate or any
institutional lender providing financing to ProMedCo and its subsidiaries.

         11.19 BINDING ON SUCCESSORS AND ASSIGNS. Subject to ss. 11.18, this
Agreement shall inure to the benefit of and bind the respective heirs,
administrators, successors and assigns of the parties hereto. Nothing expressed
or referred to in this Agreement is intended or shall be construed to give any
person other than the parties to this Agreement or their respective successors
or permitted as signs any legal or equitable right, remedy or claim under or in
respect of this Agreement or any provision contained herein, it being the
intention of the parties to this Agreement that this Agreement shall be for the
sole and exclusive benefit of such parties or such successors and assigns and
not for the benefit of any other person.

         11.20 PARTIES IN INTEREST. Nothing in this Agreement is intended to
confer any right on any person other than the parties to it and their respective
successors and assigns, nor is anything in this Agreement intended to modify or
discharge the obligation or liability of any third person to any party to this
Agreement, nor shall any provision give any third person any right of
subrogation or action over against any party to this Agreement.

         11.21 AMENDMENTS. This Agreement may be amended, but only in writing,
signed by the parties hereto, at any time prior to the Closing, before or after
approval hereof by the stockholders of SELLER, with respect to any of the terms
contained herein, but after such stockholder approval, no amendment shall be
made which reduces the consideration per share paid each such stockholder
without the further approval of such stockholders. The parties recognize that
the Agreement, this Common Provisions Attachment and/or certain of the
Appendices thereto and hereto may have to


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                                                      -38-

be amended to accomplish the tax and other goals of the parties. In such event,
the parties shall cooperate with each other to make such changes while
preserving the economic effect contemplated by the Agreement, the Common
Provisions Attachment and the Appendices thereto and hereto.

         11.22 DRAFTING PARTY. The provisions of this Agreement, and the
documents and instruments referred to herein, have been examined, negotiated,
drafted and revised by counsel for each party hereto and no implication shall be
drawn nor made against any party hereto by virtue of the drafting of this
Agreement.

         11.23 COUNTERPARTS. This Agreement may be executed in any number of
counterparts, each of which shall be an original, but all of which together
shall comprise one and the same instrument.

         11.24 REPRODUCTION OF DOCUMENTS. This Agreement and all documents
relating thereto, including without limitation, consents, waivers and
modifications which may hereafter be executed, the Exhibits and documents
delivered at the Closing, and financial statements, certificates and other
information previously or hereafter furnished to ProMedCo-SW may be reproduced
by ProMedCo-SW by any photographic, photostatic, microfilm, microcard, miniature
photographic or other similar process and ProMedCo-SW may destroy any original
documents so reproduced. SELLER agrees and stipulates that any such reproduction
shall be admissible in evidence as the original itself in any judicial or
administrative proceeding (whether or not the original is in existence and
whether or not such reproduction was made by ProMedCo-SW in the regular course
of business) and that any en largement, facsimile or further reproduction of
such reproduction shall likewise be admissible in evi dence.

         11.25 PRESS RELEASES. Neither party shall make any press releases or
other public announcements relating to this Agreement or the transactions
contemplated hereby without the prior written consent of the other. Nothing
contained in this Agreement shall prevent any party to this Agreement from
furnishing any information to any governmental body or agency or from making a
press release, which in its judgement, is required by any Federal or state
securities law or regulation.



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                                                      -39-

                               LIST OF APPENDICES

NUMBER                     DESCRIPTION

2.2               Form of Undertaking
2.3               List of Excluded Assets
2.9A              Service Agreement
2.9B              Form of Medical Professional Employment Agreement
2.9C              List of Real Estate Leases to be assumed by ProMedCo-SW
2.9D              Split-Dollar Agreement
2.9E              Collateral Assignment
2.9F              Escrow Agreement
7.2               Form of opinion of ProMedCo-SW's counsel to be delivered 
                     at the Closing
8.3               Form of opinion of SELLER's counsel to be delivered 
                     at the Closing
11.4              Memorandum of Understanding



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                                                      -40-


                                LIST OF EXHIBITS

NUMBER                     DESCRIPTION

3.1A              List of States in which SELLER is qualified to do business
3.1B              Copies of SELLER's Articles of Incorporation and Bylaws
3.3               Subsidiaries of SELLER
3.4               SELLER Financial Statements
3.6               Exceptions to Absence of Recent Changes Representation
3.8               Recent UCC report on SELLER's Assets
3.8               Contracts
3.9               List of Burdensome Agreements
3.10              Related party transactions
3.11              Exceptions to No Default Representation
3.15              Permits and licenses
3.16              Litigation
3.18              Exceptions to Tax Representation
3.21              Environmental Matters
3.22              List of Employee Benefit Plans
3.23              List of Employee Benefit Plans not qualified underss.401(a) 
                  of the Internal Revenue Code
3.24A             List of highly compensated employees
3.24B             Description of Employee Benefits
3.25A             List of Insurance coverages and bonds
3.25B             Description denials of coverage
3.25C             Claims History


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                                                      -1-

                                  APPENDIX 2.9A

                            FORM OF SERVICE AGREEMENT











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


                                SERVICE AGREEMENT

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



                       PROMEDCO OF SOUTHWEST FLORIDA, INC.

                                       AND

                           NAPLES MEDICAL CENTER, P.A.


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








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


                             EFFECTIVE MARCH 1, 1997

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



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                                       -i-

                                TABLE OF CONTENTS

1.  RESPONSIBILITIES OF THE PARTIES........................................1
         1.1  General Responsibilities of the Parties......................1
         1.2  NMC's Matters................................................1
         1.3  Patient Referrals............................................1

2.  POLICY COUNCIL.........................................................1
         2.1  Formation and Operation of the Policy Council................1
         2.2  Duties and Responsibilities of the Policy Council............2

3.  OBLIGATIONS OF PROMEDCO-SW.............................................3
         3.1  Management and Administration................................4
         3.3  Five Year Business Plan......................................8
         3.4  Expansion of Clinic..........................................8
         3.5  Capital......................................................8
         3.6  Events Excusing Performance..................................9
         3.7  Compliance With Applicable Laws..............................9

4.  OBLIGATIONS OF NMC.....................................................9
         4.1  Professional Services........................................9
         4.2  Employment Of Medical Professional Employees.................9
         4.3  NMC Expenses.................................................9
         4.4  Medical Practice.............................................9
         4.5  Professional Insurance Eligibility..........................10
         4.6  Employment Of Non-Physician Employees.......................10
         4.7  Events Excusing Performance.................................10
         4.8  Compliance With Applicable Laws.............................10
         4.9  NMC Employee Benefit Plans..................................10
         4.10  Physician Powers of Attorney...............................11
         4.11  Spokesperson...............................................11

5.  RECORDS...............................................................11
         5.1  Patient Records.............................................11
         5.2  Other Records...............................................11
         5.3  Access to Records...........................................11

6.  FACILITIES TO BE PROVIDED BY PROMEDCO-SW..............................12

7.  FINANCIAL ARRANGEMENTS................................................12



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                                      -ii-

7.1  Payments to NMC and ProMedCo-SW......................................12
         7.2  Distribution................................................12
         7.3  Clinic Expenses.............................................12
         7.4  Accounts Receivables........................................12

8.  INSURANCE AND INDEMNITY...............................................13
         8.1  Insurance to Be Maintained by ProMedCo-SW...................13
         8.2  Insurance to be Maintained by NMC...........................13
         8.3  Tail Insurance Coverage.....................................13
         8.4  Additional Insured..........................................14
         8.5  Indemnification.............................................14

9.   RESTRICTIVE COVENANTS AND LIQUIDATED DAMAGES.........................14
         9.1  Restrictive Covenants by NMC................................14
         9.2  Restrictive Covenants By Medical Professionals..............14
         9.3  Medical Professionals Liquidated Damages....................15
         9.4  Enforcement.................................................15
         9.5  Termination of Restrictive Covenants........................16

10.  TERM.................................................................16
         10.1  Term and Renewal...........................................16
         10.2  Termination by NMC.........................................16
         10.3  Termination by ProMedCo-SW.................................17
         10.4  Actions After Termination..................................17

11.  DEFINITIONS..........................................................19
         11.1  Adjustments................................................19
         11.2  Asset Purchase Agreements .................................19
         11.3  Clinic ....................................................20
         11.4  Clinic Expenses ...........................................20
         11.5  Clinic Expenses shall not include..........................21
         11.6  Clinic Facility ...........................................22
         11.7  Distribution Funds ........................................22
         11.8  Effective Date ............................................22
         11.9  Medical Professional ......................................22
         11.10  Net Clinic Revenues ......................................22
         11.11  NMC Employees ............................................22
         11.12  Opening Balance Sheet ....................................22
         11.13  Physician Employees ......................................22


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                                      -iii-

         11.14  Physician Extenders ......................................22
         11.15  Physician Shareholders ...................................22
         11.16  ProMedCo .................................................22
         11.17  ProMedCo-SW Distribution .................................22
         11.18  Risk Pool Surpluses ......................................23
         11.19 Split-Dollar Agreement.....................................23
         11.20  Technical Employees ......................................23

12.  GENERAL PROVISIONS...................................................23
         12.1  Independent Contractor.....................................23
         12.2  Proprietary Property.......................................23
         12.3  Cooperation................................................24
         12.4  Licenses, Permits and Certificates.........................24
         12.5  Compliance with Rules, Regulations and Laws................24
         12.6  Generally Accepted Accounting Principles (GAAP)............24
         12.7  Notices....................................................25
         12.8  Attorneys' Fees............................................25
         12.9  Severability...............................................25
         12.10  Arbitration...............................................25
         12.11  Construction of Agreement.................................25
         12.12  Assignment and Delegation.................................25
         12.13  Confidentiality...........................................25
         12.14  Waiver....................................................25
         12.15  Headings..................................................26
         12.16  No Third Party Beneficiaries..............................26
         12.17  Time is of the Essence....................................26
         12.18  Modifications of Agreement for Prospective Legal Events...26
         12.19  Whole Agreement...........................................26




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                                                      -1-

                                SERVICE AGREEMENT

         Service Agreement ("Agreement") dated April 14, 1997, between ProMedCo
of Southwest Florida, Inc., a Florida corporation ("ProMedCo-SW") and Naples
Medical Center, P.A. a Florida professional corporation ("NMC").

RECITALS:

         Subject to the terms and conditions hereof, NMC desires to engage
ProMedCo-SW to provide to NMC management services, facilities, personnel,
equipment and supplies necessary to operate the Clinic (as defined herein) and
ProMedCo-SW desires to accept such engagement.

         The parties agree as follows:

1.  RESPONSIBILITIES OF THE PARTIES

         1.1 GENERAL RESPONSIBILITIES OF THE PARTIES. ProMedCo-SW shall provide
NMC with offices, facilities, equipment, supplies, non-professional support
personnel, and management and financial advisory services. ProMedCo-SW shall
neither exercise control over nor interfere with the physician-patient
relationship, which shall be maintained strictly between the physicians of NMC
and their patients.

         1.2 NMC'S MATTERS. NMC shall maintain sole discretion and authority
over the financial matters relative to its corporate existence. It shall set
compensation levels for NMC Employees. NMC will also be responsible for all
other matters pertaining to the operation of NMC.

         1.3 PATIENT REFERRALS. The parties agree that the benefits to NMC do
not require, are not payment for, and are not in any way contingent upon the
admission, referral or any other arrangement for the provision of any item or
service offered by ProMedCo-SW to any of NMC's patients in any facility or
laboratory controlled, managed or operated by ProMedCo-SW.

2.  POLICY COUNCIL

         2.1 FORMATION AND OPERATION OF THE POLICY COUNCIL. A Policy Council
will be established which shall be responsible for the major policies which will
serve as the basis for operations of the Clinic. The Policy Council shall
consist of eight members. During the first five (5) years, ProMedCo-SW shall
designate, at its sole discretion, three members of the Policy Council, one of
whom shall be the Administrator of NMC, and who shall have one vote,
collectively and NMC at its sole discretion shall designate five members (one of
whom shall be a former physician-employee of NOB) who shall have one vote,
collectively; thereafter, ProMedCo-SW shall designate four members, one of whom
shall be the Administrator of NMC, and who shall have one vote,


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                                                      -2-

collectively; and NMC shall designate five (5) members consisting of at least
two specialist physicians and at least two primary care physicians, who shall
have one vote, collectively. In any discussion respecting the status or
compensation of the Administrator of NMC, the Administrator, if a member of the
Policy Council, shall absent himself from the meeting. Members of the Policy
Council designated by ProMedCo-SW and by NMC shall be entitled to attend and
vote by proxy at any meetings of the Policy Council so long as at least one such
representative of the designator is present in person and the most senior member
of the group of designees of ProMedCo-SW shall be deemed to hold the proxy of
any designee of ProMedCo-SW who is absent from the meeting. Except as may
otherwise be provided, the act of a majority of the members of the Policy
Council shall be the act of the Policy Council.

         2.2 DUTIES AND RESPONSIBILITIES OF THE POLICY COUNCIL. During the term
of this Agreement, the Policy Council shall have the following duties and
responsibilities.

     (a) ANNUAL BUDGETS.  All annual capital and operating  budgets  prepared by
ProMedCo-SW,  as set forth in Section 3 and  employing  ProMedCo-SW's  financial
expertise,  shall be subject to the review and  approval of the Policy  Council,
provided;  however,  ProMedCo-SW  shall  have  final  approval  of  any  capital
expenditure required by ProMedCo-SW.

     (b)  ADMINISTRATOR.  The  selection  and  retention  of  the  Administrator
pursuant  to  Section  3.1 shall be subject to the  reasonable  approval  of the
Policy  Council.  If NMC is  dissatisfied  with  the  services  provided  by the
Administrator, NMC shall refer the matter to the Policy Council. ProMedCo-SW and
Policy  Council shall in good faith  determine  whether the  performance  of the
Administrator  could  be  brought  to  acceptable  levels  through  counsel  and
assistance, or whether the Administrator should be terminated. ProMedCo-SW shall
have the ultimate  authority to terminate the  Administrator  except the initial
Administrator,  Douglas Whittemore,  whose termination shall require approval of
the Policy Council.

     (c) ADVERTISING. All advertising,  marketing, and public relations shall be
subject to the prior review and approval of the Policy  Council,  in  compliance
with applicable laws and regulations governing  professional  advertising and in
accordance  with the  standards  and  medical  ethics  of the  American  Medical
Association and the Florida Medical Association.

     (d) ANCILLARY  SERVICES.  The Policy Council shall approve Clinic  provided
ancillary  services  based upon the  potential  profitability  of, access to and
quality of such services.


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                                                      -3-

     (e) CAPITAL IMPROVEMENTS AND EXPANSION.  The Policy Council shall determine
the  priority  for  any   renovation,   expansion   plans  and  major  equipment
expenditures  with  respect  to the  Clinic  based  upon  economic  feasibility,
physician support,  productivity and market conditions.  Any capital expenditure
in excess of $10,000 shall require the approval of the Policy Council.

     (f) EXCEPTIONS TO INCLUSION IN THE NET REVENUE  CALCULATION.  The exclusion
of any revenue from Net Clinic Revenues,  whether now or in the future, shall be
subject to the approval of the Policy Council.

     (g)  GRIEVANCE  ISSUES.  Subject to the  provisions  of Section 1.2 of this
Agreement,  the Policy Council shall consider and make final decisions regarding
grievances pertaining to matters not specifically addressed in this Agreement as
referred to it by NMC's Board or ProMedCo-SW.

     (h) PATIENT  FEES. In  consultation  with NMC and  ProMedCo-SW,  the Policy
Council  shall review and adopt the fee schedule for all physician and ancillary
services rendered by the Clinic.

     (i) PHYSICIAN  HIRING.  The Policy Council,  with  information and analysis
provided  by  ProMedCo-SW,  shall  determine  the number and type of  physicians
required for the efficient  operation of the Clinic and NMC shall  determine the
individual  physicians  to be hired to fill  such  positions.  The  approval  of
ProMedCo-SW shall be required for any variations to the restrictive covenants in
any physician employment contract.

     (j) PROVIDER AND PAYOR  RELATIONSHIPS.  The Policy  Council  shall make the
decisions  regarding the  establishment  and maintenance of  relationships  with
institutional  health care  providers  and payors.  The Policy  Council shall be
responsible  for approving the  allocation of capitation  risk pools between the
professional  and  institutional   components  of  these  pools  to  the  extent
applicable under a payor agreement. ProMedCo-SW and NMC shall use actuarial data
from a nationally  recognized  actuarial firm as agreed to by both parties,  for
the purposes of allocating  capitation  funds, for those  professional  services
provided directly by NMC.

     (k)  STRATEGIC  PLANNING.  The  Policy  Council,  with  the  assistance  of
ProMedCo-SW, shall develop long-term strategic planning objectives.



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                                                      -4-

     (l) DETERMINATION OF COMPETITION.  The Policy Council shall determine which
activities by Medical Professionals violate the restrictions of Article 9 hereof
and shall determine whether to grant waivers therefrom.

3.  OBLIGATIONS OF PROMEDCO-SW

         During the term of this Agreement, ProMedCo-SW shall provide or arrange
for the services set forth in this Section 3, the cost of all of which (other
than overhead charges of ProMedCo relating thereto) shall be included in Clinic
Expenses. ProMedCo-SW is hereby expressly authorized to perform its services in
whatever manner it deems reasonably appropriate, in accordance with policies
approved by the Policy Council, and including without limitation, performance of
some functions at locations other than the Clinic Facility; provided however,
that ProMedCo-SW shall provide NMC with an on-site Administrator (initially Mr.
Whittemore) at all times. NMC will not act in a manner which would prevent
ProMedCo-SW from efficiently managing the Clinic Facility operations in a
businesslike manner. NMC, through NMC Employees, will provide all medical
services. ProMedCo-SW will have no authority, directly or indirectly, to
perform, and will not perform, any medical function. ProMedCo-SW may, however,
advise NMC as to the relationship between its performance of medical functions
and the overall administrative and business functioning of the Clinic.

         3.1 MANAGEMENT AND ADMINISTRATION. During the term of this Agreement,
NMC hereby appoints ProMedCo-SW as the sole and exclusive manager and
administrator of all non-medical functions and services related to NMC's
services at the Clinic. NMC shall perform all medical services, and ProMedCo-SW
shall have no authority, directly or indirectly, to perform, and will not
perform, any medical function. Without limiting the generality of the foregoing,
ProMedCo-SW shall provide the following administrative, management and marketing
services as may be required in conjunction with NMC's services at the Clinic.
ProMedCo-SW shall hire and supervise an on-site Administrator whose salary and
associated costs shall be Clinic Expenses and whose time will be devoted
exclusively to NMC and its expansion and development in the area served by NMC,
subject to the reasonable approval of the Policy Council, to manage and
administer all of the day-to-day business functions of ProMedCo-SW, including
without limitation:

                  3.1.1 ANNUAL BUDGETS. Financial planning and preparation of
         annual budgets. Annually and at least 30 days prior to the commencement
         of each fiscal year, ProMedCo-SW shall prepare and deliver to NMC
         capital and operating budgets reflecting in reasonable detail
         anticipated revenues and expenses, sources and uses of capital to
         maintain and enhance NMC's medical practice and Clinic services.



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                                                      -5-

                  3.1.2 FINANCIAL STATEMENTS. ProMedCo-SW shall prepare monthly
         and fiscal year unaudited financial statements containing a balance
         sheet and a statement of income for Clinic operations, which shall be
         delivered to NMC within 15 days after the close of each calendar month.
         The fiscal year statement may be examined shall be reviewed by a
         certified public accountant as selected by ProMedCo-SW in connection
         with the audit of the financial statements of ProMedCo. If NMC desires
         an audit in addition to the audit provided by ProMedCo-SW, such an
         audit would be at NMC's expense.

                  3.1.3 NON-PHYSICIAN PERSONNEL. ProMedCo-SW will provide all
         personnel reasonably necessary for the conduct of Clinic operations
         with the exception of Physician Extenders and Technical Employees.
         ProMedCo-SW shall determine and cause to be paid the salaries, fringe
         benefits and any sums withheld for income taxes, unemployment
         insurance, social security taxes required to be withheld or any other
         withholding amounts required by applicable law or governmental
         authority, of all such personnel. Such personnel shall be under the
         direction, supervision and control of ProMedCo-SW, with those personnel
         performing patient care services subject to the professional
         supervision of NMC. If NMC is dissatisfied with the services of any
         person, NMC shall consult with ProMedCo-SW. ProMedCo-SW shall in good
         faith determine whether the performance of that employee could be
         brought to acceptable levels through counsel and assistance, or whether
         such employee should be terminated. All of ProMedCo-SW's obligations
         regarding staff shall be governed by the overriding principle and goal
         of providing high quality medical care. At ProMedCo-SW's option some or
         all of the non-physician personnel may be carried on the books of NMC
         as NMC's employees in which event NMC's costs associated with such
         employees will be a Clinic Expense.

                  3.1.4 QUALITY ASSURANCE. ProMedCo-SW will assist NMC in
         fulfilling its obligation to its patients to maintain high quality
         medical and professional services, including patient satisfaction
         programs, employee education, outcomes analysis, clinical protocol
         development and to implement a risk management program.

                  3.1.5 FACILITIES AND EQUIPMENT. ProMedCo-SW will ensure the
         proper cleanliness of the premises, maintenance and cleanliness of the
         equipment, furniture and furnishings located on the premises.

                  3.1.6 INVENTORY CONTROL AND PURCHASING SUPPLIES. ProMedCo-SW
         shall order and purchase inventory and supplies, and such other
         ordinary, necessary or appropriate materials which ProMedCo-SW shall
         deem to be necessary in the operation of the Clinic, to deliver quality
         Clinic services in a cost effective manner.



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                                                      -6-

                  3.1.7 MANAGED CARE CONTRACTING. ProMedCo-SW will be
         responsible for marketing, negotiation, and administering all managed
         care contracts, subject to the provisions of Section 2.2(j); provided,
         however, no contract or arrangement regarding the provision of clinical
         services shall be entered into without NMC's consent.

                  3.1.8 BILLING AND COLLECTIONS. ProMedCo-SW shall bill patients
         and collect all fees for services performed inside or outside the
         Clinic Facility or arrange for such billing and collection. NMC hereby
         appoints ProMedCo-SW, for the term hereof, to be its true and lawful
         attorney-in-fact for the following purposes (i) to bill patients in
         NMC's name and on its behalf, (ii) to collect accounts receivable
         resulting from such billing in NMC's name and on its behalf, (iii) to
         receive payments from Blue Cross and Blue Shield, Medicare, Medicaid,
         payments from health plans, and all other third party payors; (iv) to
         receive the cash proceeds of any accounts receivable; (v) to take
         possession of and endorse in the name of NMC (and/or in the name of an
         individual physician, such payment intended for purpose of payment of a
         physician's bill) any notes, checks, money orders, insurance payments
         and other instruments received in payment of accounts receivable; and
         (vi) in accordance with policies adopted by the Policy Council, to
         initiate legal proceedings in the name of NMC to collect any accounts
         and monies owed to the Clinic, to enforce the rights of NMC as
         creditors under any contract or in connection with the rendering of any
         service, and to contest adjustments and denials by governmental
         agencies (or its fiscal intermediaries) as third-party payors. All
         adjustments made for uncollectible accounts, professional courtesies
         and other activities that do not generate a collectible fee shall be
         done in a reasonable and consistent manner acceptable to ProMedCo-SW's
         independent certified public accountants.

                  3.1.9 DEPOSIT OF NET CLINIC REVENUES. During the term of this
         Agreement, all Net Clinic Revenues collected resulting from the
         operations of the Clinic shall be deposited directly into a bank
         account of which NMC shall be the owner ("Account"). ProMedCo-SW and
         NMC shall maintain their accounting records in such a way as to clearly
         segregate Net Clinic Revenues from other funds of ProMedCo-SW or NMC.
         NMC hereby appoints ProMedCo-SW as its true and lawful attorney-in-fact
         to deposit in the Account all revenues collected. NMC covenants, and
         shall cause all NMC Employees to covenant, to forward any payments
         received with respect to Net Clinic Revenues for services provided by
         NMC and NMC Employees to ProMedCo-SW for deposit. ProMedCo-SW shall
         have the right to withdraw funds from the Account and all owners of the
         Account shall execute a revocable standing transfer order ("Transfer
         Order") under which the bank maintaining the Account shall periodically
         transfer the entire balance of the Account to a separate bank account
         owned solely by ProMedCo-SW ("ProMedCo-SW Account"). NMC and
         ProMedCo-SW hereby agree to execute from time to time such documents
         and instructions as shall be required by the bank maintaining the
         Account and mutually agreed upon to effectuate the


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                                                      -7-

         foregoing provisions and to extend or amend such documents and
         instructions. Any action by NMC that interferes with the operation of
         this Section, including, but not limited to, any failure to deposit or
         have ProMedCo-SW deposit any Net Clinic Revenues into the Account, any
         withdrawal of any funds from the Account not authorized by the express
         terms of this Agreement, or any revocation of or attempt to revoke the
         Transfer Order (otherwise than upon expiration or termination of this
         Agreement), will constitute a breach of this Agreement and will entitle
         ProMedCo-SW, in addition to any other remedies that it may have at law
         or in equity, to seek a court ordered assignment of the following
         rights:

                  (a)      To collect accounts receivable resulting from the 
                           provision of services to patients of  NMC and the 
                           NMC Employees;

                  (b)      To receive payments from patients, third party payor
                           plans, insurance companies, Medicare, Medicaid and
                           all other payors with respect to services rendered by
                           NMC and its NMC Employees;

                  (c)      To take possession of and endorse any notes, checks,
                           money orders, insurance payments and any other
                           instruments received as payment of such accounts
                           receivable; and

                  (d)      To collect all revenues of the Clinic.

                  3.1.10   MANAGEMENT INFORMATION SYSTEMS/COMPUTER SYSTEMS.  
         ProMedCo-SW shall supervise and provide information systems that are 
         necessary and appropriate for the operation of the Clinic, all as 
         approved by the Policy Council.

                  3.1.11 LEGAL AND ACCOUNTING SERVICES. ProMedCo-SW shall
         arrange for or render to NMC such business and financial management
         consultation and advice as may be reasonably required or requested by
         NMC and directly related to the operations of the Clinic. ProMedCo-SW
         shall not be responsible for rendering any legal or tax advice or
         services or personal financial services to NMC or any employee or agent
         of NMC.

                  3.1.12 NEGOTIATION AND PAYMENT OF PREMIUMS FOR ALL INSURANCE
         PRODUCTS HELD BY NMC. ProMedCo-SW shall negotiate for and cause
         premiums to be paid with respect to the insurance provided for in
         Section 8. Premiums and deductibles with respect to such policies shall
         be a Clinic Expense.



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                                                      -8-

                  3.1.13 PHYSICIAN RECRUITING. ProMedCo-SW shall assist NMC in
         recruiting additional physicians, carrying out such administrative
         functions as may be appropriate such as advertising for and identifying
         potential candidates, checking credentials, and arranging interviews;
         provided, however, NMC shall interview and make the ultimate decision
         as to the suitability of any physician to become associated with the
         Clinic. All physicians recruited by ProMedCo-SW and accepted by NMC
         shall be the sole employees of NMC to the extent such physicians are
         hired as employees. Any expenses incurred in the recruitment of
         physicians, including, but not limited to, employment agency fees,
         relocation and interviewing expenses shall be Clinic Expenses approved
         by the Policy Council.

                  3.1.14   SUPERVISION OF ANCILLARY SERVICES.  ProMedCo-SW 
         shall operate and supervise such ancillary services as approved by 
         the Policy Council.

                  3.1.15   STRATEGIC PLANNING ASSISTANCE.  ProMedCo-SW shall 
         assist with and implement the strategic plan as approved by the 
         Policy Council.

                  3.1.16 ADVERTISING AND PUBLIC RELATIONS. From time to time
         ProMedCo-SW shall recommend to the Policy Council various advertising
         and public relations initiatives which shall not be implemented without
         Policy Council approval.

                  3.1.17 FILES AND RECORDS. ProMedCo-SW shall supervise and
         maintain custody of all files and records relating to the operation of
         the Clinic, including but not limited to accounting, billing, patient
         medical records, and collection records. Patient medical records shall
         at all times be and remain the property of NMC and shall be located at
         Clinic facilities so that they are readily accessible for patient care.
         The management of all files and records shall comply with applicable
         state and federal statutes. ProMedCo-SW shall use its reasonable
         efforts to preserve the confidentiality of patients' medical records
         and use information contained in such records only for the limited
         purpose necessary to perform the services set forth herein, provided,
         however, in no event shall a breach of said confidentiality be deemed a
         default under this Agreement.

         3.2  ADMINISTRATOR.  ProMedCo-SW shall be responsible for the selection
and retention of the Administrator, subject to the provisions of Section 2.2(b).

         3.3 FIVE YEAR BUSINESS PLAN. Within 180 days following the effective
date of the Services Agreement ProMedCo-SW shall prepare, in collaboration with
the physician leadership of NMC, a five year business plan. That business plan
shall identify growth opportunities and capital and resource requirements for
the achievement of these growth opportunities. The business plan shall then be
reviewed and, if accepted, approved by the Policy Council. Following this
approval,


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                                                      -9-

ProMedCo-SW shall prepare and present to the Policy Council an annual budget for
the first calendar year of the Services Agreement, including a capital
expenditure budget consistent with the five year business plan. Approval by the
Policy Council of this annual budget and capital expenditure budget shall
initiate a commitment of capital by ProMedCo consistent with the terms of the
Services Agreement. This process shall be repeated each calendar year, and on an
as needed basis in the event that business conditions change or opportunities
arise.

         3.4 EXPANSION OF CLINIC. ProMedCo-SW will pursue various programs to
increase revenue and profitability including assisting NMC in adding additional
office based procedures, ancillary services and adding additional satellite
office(s) as determined by the Policy Council to be beneficial to the Clinic.
ProMedCo-SW will also assist in recruiting new physicians and developing
relationships and affiliations with other physicians, hospitals, networks, HMOs,
etc. To assist in the continued growth and development of the Clinic,
ProMedCo-SW may acquire other physician practices. NMC will cooperate with
ProMedCo-SW in such expansion efforts and use its reasonable efforts to assist
ProMedCo-SW with respect thereto. Without limiting the generality of the
foregoing, neither NMC nor ProMedCo-SW will enter into any discussions or
agreements with respect to any such matter without the prior consent of the
Policy Council. Neither ProMedCo-SW, ProMedCo nor any affiliate of either shall
acquire or provide management services to any other medical practices, ancillary
providers or medical facilities in Collier, Lee or Charlotte County, other than
as a result of combining such entity with NMC on terms and subject to conditions
approved by the Policy Council; provided, however, that the foregoing shall not
be applicable to any medical practices, ancillary providers or medical
facilities in Charlotte County with respect to which ProMedCo had entered into
discussions or with which it had a letter of intent on the Effective Date, or in
the event that a medical practice, ancillary provider or medical facility in
Charlotte County shall decline, after exhausting the best and good faith efforts
of ProMedCo and NMC, to participate with NMC and the Policy Council shall
consent thereto, which consent shall not be unreasonably withheld or conditioned
on payment of any consideration to NMC. ProMedCo and ProMedCo-SW shall not be
deemed to be in default under this provision if ProMedCo acquires, or is
acquired by, an entity with multiple medical facilities both inside and outside
of the Collier/Lee/Charlotte County area.

         3.5 CAPITAL. ProMedCo-SW shall arrange or otherwise provide the capital
funds necessary to maintain, expand and otherwise grow NMC, subject to approval
of the Policy Council. Any operating capital required by NMC for distinct growth
or expansion projects shall be approved by the Policy Council, with repayment
terms of that operating capital to ProMedCo also subject to the approval of the
Policy Council.

         3.6  EVENTS EXCUSING PERFORMANCE.  ProMedCo-SW shall not be liable to 
NMC for failure to perform any of the services required herein in the event of 
strikes, lock-outs, calamities, acts of


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                                                      -10-

God, unavailability of supplies, or other events over which ProMedCo-SW has no
control for so long as such events continue, and for a reasonable amount of time
thereafter.

         3.7  COMPLIANCE WITH APPLICABLE LAWS.  ProMedCo-SW shall comply with 
all applicable federal, state and local laws, regulations and restrictions in 
the conduct of its obligations under this Agreement.

4.  OBLIGATIONS OF NMC

         4.1 PROFESSIONAL SERVICES. NMC shall provide professional services to
patients in compliance at all times with ethical standards, laws and regulations
applying to the medical profession. NMC shall also ensure that each physician
associated with NMC is licensed by the State of Florida. In the event that any
disciplinary actions or medical malpractice actions are initiated against any
such physician, NMC shall immediately inform the Administrator of such action
and the underlying facts and circumstances. NMC shall carry out a program to
monitor the quality of medical care practiced, with ProMedCo-SW's assistance.
NMC will cooperate with ProMedCo-SW in taking steps to resolve any utilization
review or quality assurance issues which may arise in connection with the
Clinic.

         4.2 EMPLOYMENT OF MEDICAL PROFESSIONAL EMPLOYEES. NMC shall have
complete control of and responsibility for the hiring, compensation,
supervision, evaluation and termination of its Medical Professionals, although
at the request of NMC, ProMedCo-SW shall consult with NMC regarding such
matters. NMC shall enforce formal employee agreements from each of its Medical
Professionals hired or contracted, substantially in the form attached to the
Asset Purchase Agreements as Appendix 2.9B.

         4.3 NMC EXPENSES. NMC shall be solely responsible for the payment of
all costs and expenses incurred in connection with NMC operations which are not
Clinic Expenses, including, but not limited to, accounting and other
professional services fees, salaries and benefits, retirement plan
contributions, health, disability and life insurance premiums, payroll taxes,
membership in professional associations, continuing medical education, licensing
and board certification fees, automobile expenses and expenses associated with
provision of cellular telephones for its Physicians Employees and Physician
Extenders.

         4.4 MEDICAL PRACTICE. NMC shall use and occupy the Clinic Facility
exclusively for the practice of medicine, and shall comply with all applicable
local rules, ordinances and all standards of medical care. It is expressly
acknowledged by the parties that the medical practice or practices conducted at
the Clinic Facility shall be conducted solely by physicians associated with NMC,
and


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                                                      -11-

no other physician or medical practitioner shall be permitted to use or occupy
the Clinic Facility without the prior written consent of the Policy Council.

         4.5  PROFESSIONAL INSURANCE ELIGIBILITY.  NMC shall cooperate in the 
obtaining and retaining of professional liability insurance by assuring that 
its Medical Professionals are insurable, and participating in an ongoing risk 
management program.

         4.6 EMPLOYMENT OF NON-PHYSICIAN EMPLOYEES. There will be certain
Technical Employees that perform technical functions for NMC. These Technical
Employees will remain in the employ of NMC. As provided in Section 3.1.3,
ProMedCo-SW will provide payroll and administrative services for such Technical
Employees which shall be a Clinic Expense.

         4.7 EVENTS EXCUSING PERFORMANCE. NMC shall not be liable to ProMedCo-SW
for failure to perform any of the services required herein in the event of
strikes, lock-outs, calamities, acts of God, unavailability of supplies, or
other events over which NMC has no control for so long as such events continue,
and for a reasonable amount of time thereafter.

         4.8  COMPLIANCE WITH APPLICABLE LAWS.  NMC shall comply with all 
applicable federal, state and local laws, regulations and restrictions in the 
conduct of its obligations under this Agreement.

         4.9  NMC EMPLOYEE BENEFIT PLANS.

     (a) As of the  Effective  Date of this  Agreement,  NMC has in  effect  the
employee  welfare  benefit plans (as such term is defined in Section 3(1) of the
Employee  Retirement Income Security Act of 1974, as amended  ("ERISA")) and the
employee  pension  benefit  plans (as such term is defined  in  Section  3(2) of
ERISA), as set forth in Exhibit 3.22 to the Asset Purchase Agreements.

     (b) NMC shall not enter into any new "employee benefit plan" (as defined in
Section 3(3) of ERISA)  without the express  written  consent of  ProMedCo-  SW.
Except as otherwise  required by law, NMC shall not  materially  amend,  freeze,
terminate  or merge any  employee  welfare or employee  benefit plan without the
express written consent of ProMedCo-SW unless such action is contemplated by the
Asset  Purchase  Agreements.  NMC agrees to make such  changes  to any  employee
welfare or employee benefit plan, including the freeze,  termination,  or merger
of such plan, as may be approved by ProMedCo-SW.


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                                                      -12-

     (c) Expenses  incurred in  connection  with any NMC Plan or other  employee
benefit plan maintained by NMC, including without limitation the compensation of
counsel,  accountants,  corporate trustees and other agents shall be expenses of
NMC.

     (d) The contribution and administration  expenses for Medical Professionals
shall be an expense of NMC.  ProMedCo-SW  shall make  contributions  or payments
with  respect  to any NMC Plan,  as a Clinic  Expense,  on  behalf  of  eligible
Technical Employees.

     (e)  ProMedCo-SW  shall  have the sole and  exclusive  authority  to adopt,
amend, or terminate any employee  benefit plan for the benefit of its employees.
ProMedCo-SW shall have the sole and exclusive  authority to appoint the trustee,
custodian,  and  administrator  of any such plan. In the event the result of any
amendment is to reduce the overall  compensation  of any  employee,  ProMedCo-SW
shall take such  steps as may be  determined  by the Policy  Counsel to make the
employee whole.

         4.10 PHYSICIAN POWERS OF ATTORNEY. NMC shall require all Medical
Professionals to execute and deliver to ProMedCo-SW powers of attorney,
satisfactory in form and substance to ProMedCo-SW and NMC, appointing
ProMedCo-SW as attorney-in-fact for each for the purposes set forth in Sections
3.1.8 and 3.1.9, which powers of attorney shall immediately terminate upon
termination of this Agreement.

         4.11 SPOKESPERSON. NMC shall serve as spokesperson for ProMedCo-SW and
ProMedCo in Clinic, ProMedCo-SW and ProMedCo development activities. The parties
agree that Dr. Charles Buysse or such other Physician Shareholder as the Policy
Council shall appoint, shall serve in this capacity on behalf of NMC.

5.  RECORDS

         5.1 PATIENT RECORDS. Upon termination of this Agreement, NMC shall
retain all patient medical records maintained by NMC or ProMedCo-SW in the name
of NMC. NMC shall, at its option, be entitled to retain copies of financial and
accounting records relating to all services performed by NMC.

     5.2 OTHER RECORDS.  All records relating in any way to the operation of the
Clinic  which are not the  property of NMC under the  provisions  of Section 5.1
above, shall at all times be the property of ProMedCo-SW.


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         5.3 ACCESS TO RECORDS. During the term of this Agreement, and
thereafter, NMC or its designee shall upon 24 hours notice have reasonable
access during normal business hours to NMC's and ProMedCo-SW's financial
records, including, but not limited to, records of collections, expenses and
disbursements as kept by ProMedCo-SW in performing ProMedCo-SW's obligations
under this Agreement, and NMC may copy any or all such records.

6.  FACILITIES TO BE PROVIDED BY PROMEDCO-SW

         ProMedCo-SW hereby agrees to provide or arrange as a Clinic Expense the
offices and facilities for Clinic operations, including but not limited to, the
Clinic Facility and all costs of repairs, maintenance and improvements, utility
(telephone, electric, gas, water) expenses, normal janitorial services, related
real or personal property lease cost payments and expenses, taxes and insurance,
refuse disposal and all other costs and expenses reasonable incurred in
conducting operations in the Clinic Facility during the term of this Agreement.

7.  FINANCIAL ARRANGEMENTS

         7.1 PAYMENTS TO NMC AND PROMEDCO-SW. NMC and ProMedCo-SW agree that the
compensation set forth herein is being paid to ProMedCo-SW in consideration of a
substantial commitment made by ProMedCo-SW hereunder and that such fees are fair
and reasonable. As payment for its services rendered to NMC, each month
ProMedCo-SW shall be paid the amount of all Clinic Expenses and the ProMedCo-SW
Distribution. In addition, during the first month of the term of this Agreement,
ProMedCo-SW shall be paid a special start-up and organizational fee of $200,000
over and above the ProMedCo-SW Distribution. All Net Clinic Revenues after
deduction of Clinic Expenses, the ProMedCo-SW Distribution, and the special
start-up and organizational fee shall be referred to as the "NMC Distribution."

         7.2 DISTRIBUTION. The amounts to be paid to ProMedCo-SW under this
Section 7.2 shall be payable monthly. ProMedCo-SW shall pay to NMC, in
accordance with the provisions of Section 7.4, the NMC Distribution amounts on
or about the 15th day of such following month. Some amounts may need to be
estimated, with Adjustments made as necessary the following month. Any audit
adjustments would be made after completion of the fiscal year audit.

         7.3 CLINIC EXPENSES. Commencing on the Effective Date, ProMedCo-SW
shall pay all Clinic Expenses as they fall due (including without limitation any
Non-Physician Personnel carried on the books of NMC at the requirement of
ProMedCo-SW), provided however, that ProMedCo-SW may, in the name of and on
behalf of NMC, contest in good faith any claimed Clinic Expenses as to which
there is any dispute regarding the nature, existence or validity of such claimed
Clinic Expenses. ProMedCo-SW hereby agrees to indemnify and hold NMC harmless
from and against


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                                                      -14-

any liability, loss, damages, claims, causes of action and reasonable expenses
of NMC resulting from the contest of any Clinic Expenses.

         7.4 ACCOUNTS RECEIVABLES. Except for the first month of this Agreement,
on approximately the 15th day of each month, ProMedCo-SW shall purchase the
accounts receivable of NMC arising during the previous month, by payment of
cash, or other readily available funds into an account of NMC. The consideration
for the purchase shall be an amount equal to the NMC Distribution for such
previous month plus or minus, as the case may be, the Adjustments relating to
the month prior thereto. Although it is the intention of the parties that
ProMedCo-SW purchase and thereby become owner of the accounts receivable of NMC,
in case such purchase shall be ineffective for any reason, NMC, as of the
Effective Date of this Agreement, grants and shall cause each Medical
Professional to grant to ProMedCo-SW a first priority lien on and security
interest in and to any and all interest of NMC and such Medical Professionals in
any accounts receivable generated by the medical practice of NMC and the Medical
Professional or otherwise generated through the operations of the Clinic, and
all proceeds with respect thereto, to secure the payment to ProMedCo-SW of all
such accounts receivable, and this Agreement shall be deemed to be a security
agreement to the extent necessary to give effect to the foregoing. In addition,
NMC shall cooperate with ProMedCo-SW and execute and deliver, and cause each
Medical Professional to execute and deliver, all necessary documents in
connection with the pledge of such accounts receivable to ProMedCo-SW or at
ProMedCo-SW's option, its lenders. All collections in respect of such accounts
receivable shall be deposited in a bank account at a bank designated by
ProMedCo-SW. To the extent NMC or any Medical Professional comes into possession
of any payments in respect of such accounts receivable, NMC or such Medical
Professional shall direct such payments to ProMedCo-SW for deposit in bank
accounts designated by ProMedCo-SW.

8.  INSURANCE AND INDEMNITY

         8.1 INSURANCE TO BE MAINTAINED BY PROMEDCO-SW. Throughout the term of
this Agreement, ProMedCo-SW will use reasonable efforts to provide and maintain,
as a Clinic Expense, comprehensive professional liability insurance for all
professional employees of ProMedCo-SW and NMC with limits as determined
reasonable by ProMedCo-SW in its national program, comprehensive general
liability insurance and property insurance covering the Clinic Facility and
operations.

         8.2 INSURANCE TO BE MAINTAINED BY NMC. Unless otherwise determined by
the Policy Council, throughout the term of this Agreement, NMC shall maintain
comprehensive professional liability insurance with limits of not less than
$1,000,000 per claim and with aggregate policy limits of not less than
$3,000,000 per physician with a separate limit for NMC. NMC shall be responsible
for all liabilities (including without limitation and excess liabilities) not
paid within the limits of


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                                                      -15-

such policies (except that all deductibles and premiums incurred pursuant to the
first sentence of this Section 8.2 shall be Clinic Expenses). ProMedCo-SW shall
have the option of providing such professional liability insurance through an
alternative program, provided such program meets the requirements of the
Insurance Commissioner of the State of Florida and is approved by the Policy
Council. NMC, at its sole expense (i.e., not as a Clinic Expense) shall have the
right to obtain such additional professional liability insurance coverages for
its Medical Professionals as NMC deems appropriate under the circumstances.

         8.3 TAIL INSURANCE COVERAGE. NMC will cause each individual physician
associated with the Clinic to enter into an agreement with NMC that upon
termination of such physician's relationship with NMC, for any reason, tail
insurance coverage will be purchased or otherwise obtained by the individual
physician. Such provisions shall be contained in employment agreements,
restrictive covenant agreements or other agreements entered into by NMC and the
individual physicians, and NMC hereby covenants with ProMedCo-SW to enforce such
provisions relating to the tail insurance coverage or to provide such coverage
at the expense of NMC.

         8.4 ADDITIONAL INSURED. NMC and ProMedCo-SW agree to use their
reasonable efforts to have each other named as an additional insured on the
other's respective professional liability insurance programs at ProMedCo-SW's
expense.

         8.5 INDEMNIFICATION. NMC shall indemnify, hold harmless and defend
ProMedCo-SW, its officers, directors and employees, from and against any and all
liability, loss, damage, claim, causes of action, and expenses (including
reasonable attorneys' fees), to the extent not covered by insurance or the
policy deductible (which shall be a Clinic Expense), caused or asserted to have
been caused, directly or indirectly, by or as a result of the performance of
medical services or any other acts or omissions by NMC and/or its shareholders,
agents, employees and/or subcontractors (other than ProMedCo-SW) during the term
hereof, including any claim against ProMedCo-SW by a NMC Employee, which claim
arises out of such NMC Employees' employment relationship with NMC or as a
result of services performed by such NMC Employee, and which claim would
typically be covered by worker's compensation. ProMedCo-SW shall indemnify, hold
harmless and defend NMC, its officers, directors and employees, from and against
any and all liability, loss, damage, claim, causes of action, and expenses
(including reasonable attorneys' fees), to the extent not covered by insurance,
caused or asserted to have been caused, directly or indirectly, by or as a
result of the performance of any intentional acts, negligent acts or omissions
by ProMedCo-SW and/or its shareholders, agents, employees and/or subcontractors
(other than NMC) during the term of this Agreement.



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                                                      -16-

9.   RESTRICTIVE COVENANTS AND LIQUIDATED DAMAGES

         The parties recognize that the services to be provided by ProMedCo-SW
shall be feasible only if NMC operates an active medical practice to which the
physicians associated with NMC devote their full time and attention. To that
end:

         9.1 RESTRICTIVE COVENANTS BY NMC. During the term of this Agreement,
NMC shall not establish, operate or provide physician services at any medical
office, clinic or other health care facility providing services substantially
similar to those provided by NMC pursuant to this Agreement anywhere within
Collier, Charlotte or Lee counties or, if greater, within a radius of 30 miles
of the Clinic Facility, or within a radius of 30 miles of any current or future
medical office, clinic or other health care facility from which NMC provides
medical services.

         9.2 RESTRICTIVE COVENANTS BY MEDICAL PROFESSIONALS. NMC shall obtain
and enforce formal employment agreements from each of its future Medical
Professionals in the form attached as Appendix 2.9B to the Asset Purchase
Agreements pursuant to which each such Medical Professional agrees that during
the term of such Medical Professional's employment agreement, and for a period
of 18 months after any termination of employment with NMC, such Medical
Professional will not establish, operate or provide physician services at any
medical office, clinic or outpatient and/or ambulatory treatment or diagnostic
facility providing services substantially similar to those provided by NMC
pursuant to this Agreement within Collier, Charlotte or Lee counties or, if
greater, within a radius of 30 miles of the Clinic Facility or within a radius
of 30 miles of any current or future medical office, clinic or other health care
facility from which NMC provides medical services and that ProMedCo-SW shall
have third-party rights to enforce such agreements. NMC shall also ensure that
any of its current Medical Professionals whose employment agreements are
extended beyond an initial five year term are subject to the provisions set
forth in this paragraph for such extension.

         9.3  MEDICAL PROFESSIONALS LIQUIDATED DAMAGES.

     (a) RELEASE FROM RESTRICTIVE COVENANTS.  The restrictive covenants as found
in the  employment  agreements  described in Section 9.2 of this  Agreement will
provide that Medical Professionals  (existing Medical Professionals with respect
to renewal terms thereof,  and future Medical  Professionals with respect to the
initial  and  renewal  terms  thereof)  may be  released  from such  restrictive
covenants by paying Liquidated  Damages equal to such physician's income related
to the Clinic, as reported to the Internal Revenue Service,  for the previous 12
months or the annualized compensation in the event of a partial year.



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     (b)  REPAYMENT  OF  CONSIDERATION  IN CERTAIN  EVENTS.  In  addition,  if a
Physician  Shareholder  received any of the Consideration paid by ProMedCo-SW to
NMC  pursuant  to one or  more of the  Asset  Purchase  Agreements,  and if said
Physician  Shareholder  terminates his or her employment  agreement with NMC for
any reason (other than death,  Total  Disability,  as defined in the  employment
agreement between such Physician Shareholder and NMC, or retirement, as approved
by the Policy  Council) prior to the fifth  anniversary of the Closing under the
Asset  Purchase  Agreements,  or  is  terminated  by  NMC  prior  to  the  fifth
anniversary  of the  Closing  under  the  Asset  Purchase  Agreements,  then the
Physician   Shareholder   shall  be  required  to  reimburse  back  to  NMC  the
Consideration  received by that physician as a  distribution  resulting from the
Asset Purchase Agreement. Such payments shall be passed on to ProMedCo-SW by NMC
simultaneously  with the payment  thereof by the  physician to NMC. All payments
made to NMC under this clause (b) shall be first  applied to all costs  incurred
by NMC and/or  ProMedCo-SW in the  enforcement  of the employment  agreement for
that  departing  physician and in  recruiting a  replacement  physician for that
departing physician.  The remainder,  if any, shall become an additional service
fee to be paid to ProMedCo-SW pursuant to Section 7. The accounting treatment of
such  funds  shall  be  consistently   applied  and  approved  by  ProMedCo-SW's
independent certified public accountants and the Policy Council.

         9.4 ENFORCEMENT. ProMedCo-SW and NMC acknowledge and agree that since a
remedy at law for any breach or attempted breach of the provisions of this
Section 9 shall be inadequate, either party shall be entitled to specific
performance and injunctive or other equitable relief in case of any such breach
or attempted breach, in addition to whatever other remedies may exist by law.
All parties hereto also waive any requirement for the securing or posting of any
bond in connection with the obtaining of any such injunctive or other equitable
relief. If any provision of Section 9 relating to territory or time described
therein shall be declared by a court of competent jurisdiction to exceed the
maximum time period, scope of activity, restricted or geographical area such
court deems reasonable and enforceable under applicable law, the time period,
scope of activity, restricted and/or area of restriction deemed to be reasonable
and enforceable by the court shall thereafter be the time period, scope of
activity, restricted and/or area of restriction applicable to the restrictive
covenant provisions in this Section 9. The invalidity of non-enforceability of
this Section 9 in any respect shall not affect the validity of enforceability of
the remainder of this Section 9 or of any other provisions of this Agreement
unless the invalid or non-enforceable provisions materially affect the benefits
either party would otherwise be entitled to receive under this Section 9 or any
other provision of this Agreement.



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                                                      -18-

         9.5 TERMINATION OF RESTRICTIVE COVENANTS. Notwithstanding anything to
the contrary contained herein, if this Agreement is terminated pursuant to
Section 10.2 herein and if NMC has complied with the requirements of ss. 10.4,
the employment agreement terms contained in this Section 9 shall be null and
void and of no force or effect.

10.  TERM RENEWAL; TERMINATION;

         10.1 TERM AND RENEWAL. The term of this Agreement shall commence on the
Effective Date hereof and shall continue for 40 years, after which it shall
automatically renew for five-year terms unless either party provides the other
party with at least 12 months but not more than 13 months written notice prior
to any renewal date.

         10.2  TERMINATION BY NMC.  NMC may terminate this Agreement as follows:

               (i)         In the event of the filing of a petition in voluntary
                           bankruptcy or an assignment for the benefit of
                           creditors by ProMedCo or ProMedCo-SW, or upon other
                           action taken or suffered, voluntarily or
                           involuntarily, under any federal or state law for the
                           benefit of debtors by ProMedCo or ProMedCo-SW, except
                           for the filing of a petition in involuntary
                           bankruptcy against ProMedCo or ProMedCo-SW which is
                           dismissed within 60 days thereafter, NMC may give
                           notice of the immediate termination of this
                           Agreement.

              (ii)         In the event ProMedCo or ProMedCo-SW shall materially
                           default in the performance of any duty or obligation
                           imposed upon it by this Agreement and such default
                           shall continue for a period of 60 days after written
                           notice thereof has been given to ProMedCo-SW by NMC
                           (termination of this Agreement pursuant to this
                           Section 10.2(ii) by NMC shall require the affirmative
                           vote of 66% of the Physician Shareholders);

             (iii)         In the event ProMedCo-SW shall fail to remit any
                           portion of the Distribution Funds payments due to NMC
                           as provided in Section 7.2 hereof or to make payments
                           under the note contemplated by the Split Dollar
                           Agreement and such failure to shall continue for a
                           period of 5 business days after written notice
                           thereof, NMC may terminate this Agreement.

              (iv)         In the event any person or group of affiliated
                           persons (as such term is used in Sections 13(d) and
                           14(d) of the Securities Exchange Act of 1934)
                           acquires, through acquisition, tender offer, proxy
                           solicitation, merger or consolidation, control of
                           voting power of the voting stock of ProMedCo NMC
                           shall have


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                                                      -19-

                           the right to terminate this Agreement within 30 days
                           of being notified of such event upon the affirmative
                           vote of 66% of the Physician Shareholders (during the
                           first five years of this Agreement, such a change of
                           control shall be deemed to have occurred if such
                           person or group of affiliated persons (A) acquires
                           50% or more of the voting power of such voting stock
                           or (B) acquires substantially all of the stock of
                           ProMedCo held by H. Wayne Posey, Richard E. Ragsdale
                           and E. Thomas Chaney; after the first five years of
                           this Agreement, such a change of control shall be
                           deemed to have occurred only if such person or group
                           of affiliated persons acquires 50% or more of the
                           voting power of such voting stock);

         10.3  TERMINATION BY PROMEDCO-SW.  ProMedCo-SW may terminate this 
Agreement as follows:

     (i) In the event of the filing of a petition in voluntary  bankruptcy or an
assignment  for the benefit of  creditors  by NMC, or upon other action taken or
suffered,  voluntarily or involuntarily,  under any federal or state law for the
benefit of debtors by NMC,  except for the filing of a petition  in  involuntary
bankruptcy against NMC which is dismissed within 60 days thereafter, ProMedCo-SW
may give notice of the immediate termination of this Agreement.

     (ii) In the event NMC shall  materially  default in the  performance of any
duty or obligation  imposed upon it by this Agreement or in the event a majority
of the Physicians  Shareholders  shall materially  default in the performance of
any  duty  or  obligation  imposed  upon  them  by this  Agreement  or by  their
employment  agreements with NMC, and such default shall continue for a period of
60 days after written  notice  thereof has been given to NMC and such  Physician
Shareholders by ProMedCo-SW, ProMedCo-SW may terminate this Agreement.

         10.4 ACTIONS AFTER TERMINATION. In the event that this Agreement shall
be terminated, the NMC Distribution and the ProMedCo-SW Distribution shall be
paid through the effective date of termination. In addition, the various rights
and remedies herein granted to the aggrieved party shall be cumulative and in
addition to any others such party may be entitled to by law. The exercise of one
or more rights or remedies shall not impair the right of the aggrieved party to
exercise any other right or remedy, at law. Upon termination of this Agreement,
NMC shall:



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                                                      -20-

                  10.4.1 TERMINATION FEES. Pay ProMedCo-SW, as a termination
         fee, the amount obtained by multiplying (w) $14,800,000 by (x) a
         fraction, the numerator of which is (y) 480 minus the number of full
         months that shall have elapsed since the Effective Date, and the
         denominator of which is (z) 480. Notwithstanding the foregoing, NMC
         shall not be required to pay such termination fee in the event NMC
         shall have terminated this Agreement pursuant to ss. 10.2(i) or
         10.2(iii); provided however, for this exception to apply to a
         termination under ss. 10.2(iii), (x) NMC shall have given a second 15
         day notice of default after expiration of the initial 5 day notice
         provided for in ss. 10.2(iii) both to ProMedCo-SW and to Nations
         Credit, 201 Broad Street, One Canterberry Green, Stanford, CT 06901,
         Attention: ProMedCo Loan Officer, cc Nations Credit, 1050 Crown Point
         Parkway, Atlanta, GA 30338, Attention: Jim Babcock who shall have a
         separate right to cure the default by making the delinquent payment,
         (y) ProMedCo-SW shall have continued to be in default at the expiration
         of the 15 day notice period and Nations Credit shall not have made such
         payment on behalf of ProMedCo-SW; provided, further, that no such
         second notice shall be required if ProMedCo-SW shall have previously
         defaulted under ss. 10.2(iii) less than twelve months prior to the then
         current default.

                  10.4.2  REAL ESTATE.  Purchase from ProMedCo-SW all real 
         estate, if any, associated with the Clinic and owned by ProMedCo-SW 
         at the then book value thereof.

                  10.4.3 IMPROVEMENTS. Purchase all improvements, additions or
         leasehold improvements which have been made by ProMedCo-SW as reflected
         on ProMedCo-SW's books as of the last day of this Agreement and which
         relate solely to the performance of its obligations under this
         Agreement or the properties subleased by ProMedCo-SW, if any.

                  10.4.4 DEBTS. Assume all ordinary and necessary debt,
         contracts, payables and leases which are obligations of ProMedCo-SW and
         which relate directly to the performance of its obligations under this
         Agreement or the properties subleased by ProMedCo-SW, if any (i.e.,
         obligations which are included in Clinic Expenses).

                  10.4.5  EQUIPMENT; INVENTORIES; ACCOUNTS RECEIVABLE; ETC.  
         Purchase from ProMedCo-SW at book value as reflected on ProMedCo-SW's 
         books as of the last day of this Agreement:

               (i)         EQUIPMENT. All of the equipment acquired by
                           ProMedCo-SW pursuant to the Asset Purchase
                           Agreements, including all replacements and additions
                           thereto made by ProMedCo-SW with the approval of the
                           Policy Council pursuant to the performance of its
                           obligations under this Agreement;



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                                                      -21-

              (ii)         INVENTORY.  All stock, including inventory, supplies
                           and other tangible assets
                           of ProMedCo-SW relating to NMC operations;

             (iii)         ACCOUNTS RECEIVABLE. All uncollected accounts
                           receivable theretofore purchased by ProMedCo-SW
                           pursuant to Section 7.4 hereof at the book value
                           thereof on ProMedCo-SW's books utilizing the same
                           valuation methodology used to determine the
                           Distribution Funds for the preceding month.

              (iv)         OTHER ASSETS.  All other assets of ProMedCo-SW 
                           relating to the operations of NMC.

                  10.4.6 CLOSING OF REPURCHASE. NMC shall pay cash for the
         repurchased assets. The amount of the purchase price shall be reduced
         by the amount of debt and liabilities of ProMedCo-SW assumed by NMC and
         shall be reduced by any payment ProMedCo-SW has failed to make under
         this Agreement, and except for such debts or as otherwise specifically
         contemplated herein, ProMedCo-SW shall convey the repurchased assets to
         NMC free and clear of all liens and encumbrances. NMC and any physician
         associated with NMC shall execute such documents as may be required to
         assume the liabilities set forth in Section 10.4.4 and to remove
         ProMedCo-SW from any liability with respect to such repurchased assets
         and with respect to any property leased or subleased by ProMedCo-SW.
         The closing date for the repurchase shall be determined by NMC, but
         shall in no event occur later than 180 days from the date of the notice
         of termination. The termination of this Agreement shall become
         effective upon the closing of the sale of the assets, and upon such
         termination NMC and its Medical Professionals shall be released from
         the Restrictive Covenants provided for in Section 9 on such
         termination. From and after any termination, each party shall provide
         the other party with reasonable access to books and records then owned
         by it to permit such requesting party to satisfy reporting and
         contractual obligations which may be required of it.

11.  DEFINITIONS

         For the purposes of this Agreement, the following definitions shall
apply:

         11.1 ADJUSTMENTS shall uncollectible accounts, discounts, contractual
adjustments, Medicare allowances, Medicaid allowances, and professional
courtesies. Adjustments shall be estimated based upon the historical collection
experiences of various payment classifications. Adjustments shall be reconciled
on a quarterly basis based upon actual collections within these same


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                                                      -22-

payment classifications, with any amounts due NMC or ProMedCo, as the case may
be, being reflected in the following month's distributions.

         11.2 ASSET PURCHASE AGREEMENTS shall mean the Asset Purchase Agreements
dated as of April 14, 1997 among NMC, ProMedCo and ProMedCo-SW; and among Naples
Obstetrics & Gynecology, M.D., P.A., ProMedCo and ProMedCo-SW.

         11.3 CLINIC shall mean the medical care services, including, but not
limited to the practice of medicine, all ancillary services and businesses, and
related healthcare services provided by NMC and the NMC Employees, utilizing the
management services of ProMedCo-SW and the Clinic Facility, regardless of the
location where such services are rendered.

         11.4 CLINIC EXPENSES shall mean the amount of all expenses incurred in
the operation of the Clinic including, without limitation:

               (i)         Salaries, benefits (including contributions under any
                           ProMedCo benefit plan), and other direct costs of all
                           employees of ProMedCo-SW and Technical Employees
                           attributable to NMC;

              (ii)         Obligations of ProMedCo-SW or ProMedCo under leases 
                           or subleases related to Clinic operations;

             (iii)         Interest Expense (at ProMedCo's blended borrowing
                           rate in effect from time to time) on funds provided
                           to ProMedCo-SW by ProMedCo or any outside source to
                           finance or refinance the Clinic Facility or to expand
                           the Clinic services or to acquire any assets approved
                           by the Policy Council.

              (iv)         Personal property and intangible taxes assessed
                           against ProMedCo-SW's assets used in connection with
                           the operation of Clinic commencing on the date of
                           this Agreement;

               (v)         Malpractice insurance expenses for ProMedCo-SW's 
                           operations and for the NMC Employees, as well as any 
                           deductibles and non-insured expenses
                           relating to malpractice claims.

              (vi)         Other direct expenses (but not corporate overhead of
                           ProMedCo) incurred by ProMedCo-SW in carrying out its
                           obligations under this Agreement.

             (vii)         If:


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                                                      -23-

                                    (A)     fewer than 50 physicians are then
                                            employed by NMC without giving
                                            effect to the proposed acquisition
                                            and if it is proposed to acquire an
                                            individual additional physician, or

                                    (B)     50 or more physicians are then
                                            employed by NMC without giving
                                            effect to the proposed acquisition
                                            and it is proposed to acquire a
                                            group of four or fewer physicians,

                           then amortization, in accordance with generally
                           accepted accounting principles, of intangible asset
                           value resulting from the employment of, merger with,
                           or other acquisition of, such additional physician(s)
                           in the NMC service area as approved by the Policy
                           Council;

            (viii)         Depreciation of the assets acquired pursuant to the
                           Asset Purchase Agreements on a straight line basis
                           over the life of such assets as well as depreciation
                           of all assets associated with the operations of NMC
                           purchased after the Effective Date in accordance with
                           ProMedCo's then internal accounting policies.

         11.5  CLINIC EXPENSES SHALL NOT INCLUDE:

               (i)         Corporate overhead charges (which would include costs
                           of personnel, travel and out-of-pocket expenses of
                           persons not specifically employed by ProMedCo-SW) or
                           any other expenses of ProMedCo or any corporation
                           affiliated with ProMedCo other than the kind of items
                           listed above;

              (ii)         Any federal or state income taxes;

             (iii)         Any expenses which are expressly designated herein as
                           expenses or responsibilities of NMC and/or NMC
                           Employees other than Technical Employees, including
                           without limitation the expenses described in ss. 4.3;

              (iv)         Any amortization expense resulting from the
                           amortization of expenses incurred as shown on
                           ProMedCo's financial statements, in connection with
                           the acquisition and execution of the Asset Purchase
                           Agreements and the execution of this Agreement; and

               (v)         Interest expense on indebtedness incurred by 
                           ProMedCo-SW or ProMedCo to finance the consideration
                           paid under the Asset Purchase Agreements


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                                                      -24-

                           and/or any related agreement (this subclause is
                           included herein for the sake of clarity only, since
                           the parties hereto agree that such expense is in no
                           way an expense of NMC) .

              (vi)         Interest expense on indebtedness incurred by
                           ProMedCo-SW or ProMedCo to finance the consideration
                           provided with respect to the Split Dollar Agreements
                           (this subclause is included herein for the sake of
                           clarity only, since the parties hereto agree that
                           such expense is in no way an expense of NMC) .

             (vii)         Any liabilities, judgments or settlements assessed
                           against NMC or Physician Shareholders in excess of
                           any insurance policy limits.

         11.6 CLINIC FACILITY shall mean the clinic facilities located at (i)
400 Eight Street, North, Naples, FL 34102, (ii) 11121 Health Park Boulevard,
Suites 800 and 900, Naples, FL 34110, (iii) 775 1st Ave., North, Naples, FL
34102, and (iv) 11181 Health Park Blvd., Suites 1165 and 1170, Naples, FL 34110,
and any substitute facility or additional facility location, whether within or
without the Collier/Lee/Charlotte county area, Florida as approved by the Policy
Council.

         11.7 DISTRIBUTION FUNDS shall mean those amounts remaining after Clinic
Expenses have been deducted from Net Clinic Revenue.

         11.8  EFFECTIVE DATE shall mean 12:01 a.m. on March 1, 1997.

         11.9  MEDICAL PROFESSIONAL shall mean Physician Shareholders, 
Physician Employees and Physician Extenders.

         11.10 NET CLINIC REVENUES shall mean NMC's gross billings, including
ancillaries and any other revenues that have historically been recorded by NMC,
including without limitation revenues arising from any health care services
provided by any Medical Professional, as well as non-real estate revenues
historically recorded by NMC, less any Adjustments. This specifically excludes
Risk Pool Surpluses.

         11.11 NMC EMPLOYEES shall mean all Physician Shareholders, Physician
Employees, Physician Extenders and Technical Employees at the relevant dates.

         11.12 OPENING BALANCE SHEET shall mean the balance sheet of ProMedCo-SW
as of the Effective Date (as defined in the Asset Purchase Agreements), prepared
in accordance with GAAP (except for the absence of certain note information),
and substantially in the form of the attached


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                                                      -25-

Exhibit B subject to adjustments in the Consideration (as defined in the Asset
Purchase Agreements).

         11.13 PHYSICIAN EMPLOYEES shall mean any physician employed by NMC and
providing medical services to patients on behalf of NMC, who are not Physician
Shareholders.

         11.14 PHYSICIAN EXTENDERS shall mean all non-physician professional
employees who provide direct patient care for which a billed charge is
generated.

         11.15 PHYSICIAN SHAREHOLDERS shall mean any physician who is a
shareholder of NMC, both as of the date of this Agreement (which said Physician
Shareholders are parties to this Agreement) and at any future point in time.

         11.16 PROMEDCO shall mean ProMedCo Management Company, a Delaware
corporation which is sole shareholder of ProMedCo-SW.

         11.17 PROMEDCO-SW DISTRIBUTION shall mean 15% of Distribution Funds
plus 30% of Risk Pool Surpluses.

         11.18 RISK POOL SURPLUSES shall mean all hospital incentive funds,
specialists incentive funds, and funds from shared risk pools paid to NMC under
any risk-sharing arrangements. Risk Pool Surpluses shall be calculated by
aggregating all risk pools applicable, including making any deductions for pools
that are in a deficit position. Notwithstanding the foregoing, Risk Pool
Surpluses shall not include any incentive funds for services directly provided
by NMC. In addition, the Risk Pool Surpluses shall be determined on a cumulative
basis netting all deficits and surpluses for each fiscal year.

         11.19 SPLIT-DOLLAR AGREEMENT shall mean the Split-Dollar Agreements
contemplated by Section 2.9 of the Asset Purchase Agreements.

         11.20 TECHNICAL EMPLOYEES shall mean technicians who provide services
in the diagnostic areas of NMC's practice, such as employees of the Clinic
laboratory, radiology technicians and cardiology technicians. All Technical
Employees shall be NMC employees.

12.  GENERAL PROVISIONS

     12.1  INDEPENDENT  CONTRACTOR.  It is acknowledged  and agreed that NMC and
ProMedCo- SW are at all times  acting and  performing  hereunder as  independent
contractors.  ProMedCo-SW  shall  neither  have  nor  exercise  any  control  or
direction over the methods by which NMC or the


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                                                      -26-

NMC Employees practice medicine. ProMedCo-SW shall not, by entering into and
performing its obligations under this Agreement, become liable for any of the
existing obligations, liabilities or debts of NMC unless otherwise specifically
provided for under the terms of this Agreement. ProMedCo-SW will in its
management role have only an obligation to exercise reasonable care in the
performance of the management services. Neither party shall have any liability
whatsoever for damages suffered on account of the willful misconduct or
negligence of any employee, agent or independent contractor of the other party.
Each party shall be solely responsible for compliance with all state and federal
laws pertaining to employment taxes, income withholding, unemployment
compensation contributions and other employment related statutes regarding their
respective employees, agents and servants.

         12.2  PROPRIETARY PROPERTY.

                  12.2.1 Each party agrees that the other party's proprietary
         property shall not be possessed, used or disclosed otherwise than may
         be necessary for the performance of this Agreement. Each party
         acknowledges that its violation of this Agreement would cause the other
         party irreparable harm, and may (without limiting the other party's
         remedies for such breach) be enjoined at the instance of the other
         party. Each party agrees that upon termination of this Agreement for
         any reason, absent the prior written consent of the other party, it
         shall have no right to and shall cease all use of the other party's
         proprietary property, and shall return all such proprietary property of
         the other party in its possession to the other party.

                  12.2.2 ProMedCo-SW shall be the sole owner and holder of all
         right, title and interest, to all intellectual property furnished by it
         under this Agreement, including, but not limited to the trade name
         "ProMedCo," all computer software, copyright, services mark and
         trademark right to any material or documents acquired, prepared,
         purchased or furnished by ProMedCo-SW pursuant to this Agreement. NMC
         shall have no right, title or interest in or to such material and shall
         not, in any manner, distribute or use the same without the prior
         written authorization of ProMedCo-SW, provided, however, that the
         foregoing shall not restrict NMC from distributing managed care
         information brochures and materials without the prior written approval
         of ProMedCo-SW provided no Proprietary Property of ProMedCo-SW is
         contained therein. Notwithstanding the preceding, however, ProMedCo-SW
         agrees that NMC shall be entitled to use on a nonexclusive and
         nontransferable basis for the term of this Agreement the names "Naples
         Medical Center" and "Naples Obstetrics & Gynecology" as may be
         necessary or appropriate in the performance of NMC's services and
         obligations hereunder.



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                                                      -27-

         12.3 COOPERATION. Each of the parties shall cooperate fully with the
other in connection with the performance of their respective duties and
obligations under this Agreement.

         12.4 LICENSES, PERMITS AND CERTIFICATES. ProMedCo-SW and NMC shall each
obtain and maintain in effect, during the term of this Agreement, all licenses,
permits and certificates required by law which are applicable to their
respective performance pursuant to this Agreement.

         12.5 COMPLIANCE WITH RULES, REGULATIONS AND LAWS. ProMedCo-SW and NMC
shall comply with all federal and state laws and regulations in performance of
their duties and obligations hereunder. Neither party, nor their employees or
agents, shall take any action that would jeopardize the other party's
participation, if applicable, in any federal or state health program including
Medicare and Medicaid. ProMedCo-SW and NMC shall take particular care to ensure
that no employee or agent of either party takes any action intended to violate
Section 1128B of the Social Security Act with respect to soliciting, receiving,
offering or paying any remuneration (including any kickback, bribe, or rebate)
directly or indirectly, overtly or covertly, in cash or in kind in return for
referring an individual to a person for the furnishing or arranging for the
furnishing of any item or service for which payment may be made in whole or in
part under Title XVIII or XIX of the Social Security Act, or for purchasing,
leasing, ordering, or arranging for or recommending purchasing, leasing, or
ordering any good, facility, service, or item for which payment may be made in
whole or in part under Title XVIII or XIX of the Social Security Act.

         12.6 GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). All financial
statements and calculations contemplated by this Agreement will be prepared or
made in accordance with generally accepted accounting principles consistently
applied unless the parties agree otherwise in writing.

         12.7 NOTICES. Any notices required or permitted to be given hereunder
by either party to the other may be given by personal delivery in writing or by
registered or certified mail, postage prepaid, with return receipt requested.
Notices shall be addressed to the parties at the addresses appearing on the
signature page of the Agreement, but each party may change such party's address
by written notice given in accordance with this Section. Notices delivered
personally will be deemed communicated as of actual receipt; mailed notices will
be deemed communicated as of three days after mailing.

         12.8 ATTORNEYS' FEES. ProMedCo-SW and NMC agree that the prevailing
party in any legal dispute among the parties hereto shall be entitled to payment
of its attorneys' fees by the other party.

         12.9 SEVERABILITY. If any provision of this Agreement is held by a
court of competent jurisdiction or applicable state or federal law and their
implementing regulations to be invalid, void or unenforceable, the remaining
provisions will nevertheless continue in full force and effect.


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                                                      -28-


         12.10 ARBITRATION. Any controversy or claim arising out of or relating
to this Agreement or the breach thereof will be settled by binding arbitration
in accordance with the rules of commercial arbitration of the American
Arbitration Association, and judgment upon the award rendered by the
arbitrator(s) may be entered in any court having jurisdiction thereof. Such
arbitration shall occur within Collier County, Florida, unless the parties
mutually agree to have such proceedings in some other locale. The arbitrator(s)
may in any such proceeding award attorneys' fees and costs to the prevailing
party.

         12.11 CONSTRUCTION OF AGREEMENT. This Agreement shall be governed by
and construed in accordance with the laws of the State of Florida. The parties
agree that the terms and provisions of this Agreement embody their mutual
interest and agreement and that they are not to be construed more liberally in
favor of, nor more strictly against, any party hereto.

         12.12 ASSIGNMENT AND DELEGATION. ProMedCo-SW shall have the right to
assign its rights hereunder to any person, firm or corporation controlling,
controlled by or under common control with ProMedCo-SW and to any lending
institution, for security purposes or as collateral, from which ProMedCo-SW or
ProMedCo obtains financing for itself and as agent. Except as set forth above,
neither ProMedCo-SW nor NMC shall have the right to assign their respective
rights and obligations hereunder without the written consent of the other party.
Neither party shall delegate any of its duties hereunder, except as expressly
contemplated herein or as approved by the Policy Council.

         12.13 CONFIDENTIALITY. The terms of this Agreement and in particular
the provisions regarding compensation, are confidential and shall not be
disclosed except as necessary to the performance of this Agreement or as
required by law.

         12.14 WAIVER. The waiver of any provision, or of the breach of any
provision of this Agreement must be set forth specifically in writing and signed
by the waiving party. Any such waiver shall not operate or be deemed to be a
waiver of any prior or future breach of such provision or of any other
provision.

         12.15 HEADINGS. The subject headings of the articles and sections of
this Agreement are included for purposes of convenience only and shall not
affect the construction or interpretation of any of its provisions.

         12.16 NO THIRD PARTY BENEFICIARIES. Nothing in this Agreement, express
or implied, is intended or shall be construed to confer upon any person, firm or
corporation other than the parties hereto and their respective successors or
assigns, any remedy or claim under or by reason of this Agreement or any term,
covenant or condition hereof, as third party beneficiaries or otherwise, and all
of the terms, covenants and conditions hereof shall be for the sole and
exclusive benefit of the parties hereto and their successors and assigns.


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                                                      -29-

     12.17 TIME IS OF THE ESSENCE.  Time is hereby  expressly  declared to be of
the essence in this Agreement.

         12.18 MODIFICATIONS OF AGREEMENT FOR PROSPECTIVE LEGAL EVENTS. In the
event any state or federal laws or regulations, now existing or enacted or
promulgated after the effective date of this Agreement, are interpreted by
judicial decision, a regulatory agency or legal counsel for both parties in such
a manner as to indicate that the structure of this Agreement may be in violation
of such laws or regulations, or in the event the Florida State Board of Medicine
or other authority with legal jurisdiction shall, solely by virtue of this
Agreement, initiate an action to revoke, suspend, or restrict the license of any
physician retained by NMC to practice medicine in the State of Florida, NMC and
ProMedCo-SW shall amend this Agreement as necessary. To the maximum extent
possible, any such amendment shall preserve the underlying economic and
financial arrangements between NMC and ProMedCo-SW. In the event it is not
possible to amend this Agreement to preserve in all material respects the
underlying economic and financial arrangements between NMC and ProMedCo-SW, this
Agreement may be terminated by written notice by either party within 90 days
from date of such interpretation or action, termination to be effective no
sooner than the earlier of 180 days from the date notice of termination is given
or the latest possible date specified for such termination in any regulatory
order or notice. Termination pursuant to this Section 12.18 by NMC shall require
the affirmative vote of a majority of Physician Shareholders.

         12.19 WHOLE AGREEMENT MODIFICATION;. A contract in which the amount
involved exceeds $50,000 in value is not enforceable unless the Agreement is in
writing and signed by the party to be bound or by that party's authorized
representative. The rights and obligations of the parties hereto shall be
determined solely from written agreements. Documents and instruments, and any
prior oral agreements between the parties are superseded by and merged into such
writings. This Agreement (As amended in writing from time to time), the
exhibits, and the schedules delivered pursuant hereto represent the final
agreement between the parties hereto and may not be contradicted by evidence


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                                                      -30-

of prior, contemporaneous, or subsequent oral agreements by the parties.  
There are no unwritten oral agreements between the parties.

         IN WITNESS WHEREOF, the parties hereto have executed this Agreement as
of the date and year first above written.

                                    PROMEDCO OF SOUTHWEST FLORIDA, INC.



                                    By:
                                    Name:
                                    Title:
                                    Address:         801 Cherry Street
                                   Suite 1450
                              Fort Worth, TX 76102

                                    NAPLES MEDICAL CENTER, P.A.


                                    By:
                                    Name:
                                    Title:
                                    Address:         400 Eighth Street, North
                                                     Naples, FL 33940



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                                                      -31-

Acknowledgment and Agreement by Physician Shareholders
to abide by the terms of the Service Agreement



Edwin J. Dean, M.D.
Physician Shareholder



Paul J. Shields, M.D.
Physician Shareholder



Dale B. Adamson, M.D.
Physician Shareholder



Douglas L. Boynton, M.D.
Physician Shareholder



Joseph Richichi, M.D.
Physician Shareholder



C. Richard Underwood, M.D.
Physician Shareholder



Raymond L. Duncan, M.D.
Physician Shareholder



Robert W. Wilson, D.O.
Physician Shareholder



Gary C. Courville, M.D.
Physician Shareholder



Alan S. Galbut, M.D.
Physician Shareholder



Matthew P. Powers, M.D.
Physician Shareholder



William R. Cook, M.D.
Physician Shareholder



Ralph J. Dotson, M.D.
Physician Shareholder



James M. Venable, III, M.D.
Physician Shareholder



Gary D. Case, M.D.
Physician Shareholder



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                                                      -32-


Charles J. Buysse, M.D.
Physician Shareholder


Carolyn T. Venable, M.D.
Physician Shareholder



Francis D. Hussey, M.D.
Physician Shareholder



Charles S. Eytel, M.D.
Physician Shareholder



Albert L. Kerns, M.D.
Physician Shareholder



Daniel J. Morris, M.D.
Physician Shareholder



Jill V. Hickey, D.P.M.
Physician Shareholder



Catherine N. Kowal, M.D.
Physician Shareholder



Terrance A. Havig, M.D.
Physician Shareholder






Michael T. Seals, M.D.
Physician Shareholder



Leslie J. Schultzel, M.D.
Physician Shareholder



Eugene F. Burke, M.D.
Physician Shareholder



Kendall L. Wise, M.D.
Physician Shareholder



Wallace W. McLean, M.D.
Physician Shareholder



Frank J. Adiutori, M.D.
Physician Shareholder



Stephen W. Thompson, M.D.
Physician Shareholder




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                                                      -33-

Thomas A. Beckett, M.D.
Physician Shareholder


Kevin J. Collins, M.D.
Physician Shareholder


                                    GUARANTY

         ProMedCo Management Company, a Delaware corporation (the "Parent")
which is the sole shareholder of ProMedCo of Southwest Florida, Inc., a Florida
corporation ("ProMedCo-SW"), hereby guarantees the performance of ProMedCo-SW
under the above Service Agreement.

         PROMEDCO MANAGEMENT COMPANY



         By
         Its
         Name


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