GROUPMED INTERNATIONAL INC
10SB12G/A, 1996-10-17
GENERAL MEDICAL & SURGICAL HOSPITALS, NEC
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                      U.S. SECURITIES AND EXCHANGE COMMISSION
         
                              WASHINGTON, D.C. 20549
         
                                  FORM 10-SB/A-1
         
                  GENERAL FORM FOR REGISTRATION OF SECURITIES OF
              SMALL BUSINESS ISSUERS UNDER SECTION 12(b) OR 12(g) OF
                            THE SECURITIES ACT OF 1934
         
         
                           GROUPMED INTERNATIONAL, INC.
                  ----------------------------------------------
                  (Name of Small Business Issuer in Its Charter)
         
         
              Nevada                                         88-022698
              ------                                         ---------
              (State of Other                                (I.R.S. Employer
              Jurisdiction of Incorporation                  Identification No.)
              or Organization)
         
         
                 3095 South Grade Road, Suite B, Alpine, CA 91901
                 ------------------------------------------------
                     (Address of Principal Executive Offices)
         
         
                                   (619) 445-0977
                                   --------------
                   (Issuer's Telephone No., Including Area Code)
         
         
            Securities to be registered under Section 12(b) of the Act:
         
         Title of Each Class           Name of Each Exchange on Which
         to be so Registered           Each Class is to be Registered
         -------------------           ------------------------------
               None                               None             
         --------------                --------------------

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

         
         
            Securities to be registered under Section 12(g) of the Act:
         
         Common Stock, par value $0.001
         ------------------------------
         (Title of Class)
         
                                        -1-
         


<PAGE>


ITEM 1.   BUSINESS

     (a)  BUSINESS DEVELOPMENT.  GROUPMED INTERNATIONAL, INC. (the "Company" 
was originally incorporated in the State of Nevada on March 27, 1991 as FIRST 
MANHATTAN, INC.  On June 8, 1995, the Company changed its name to GROUPMED 
INTERNATIONAL, INC.

     (b)  BUSINESS OF ISSUER.  Prior to July 1, 1995, the Company was in a 
development stage.  Subsequent to that date, the Company is functioning in 
the development and operations of medical facilities and health care 
products, operated by its subsidiary, GroupMed International de Mexico, S.A. 
de C.V. (GMIX), which owns and operates a hospital in Ensenada, Mexico.  
Principal products and services of GMIX include medical services and health 
care plans.  The Company distributes its medical services through its 
facility Hospital Las Americas and sale of health care plans through a network 
of salespeople in the Ensenada, Rosarito and Tijuana areas. This will act as 
a model for the Company's planned national health care products. Since July 
1, 1995, the Company has publicly announced new medical services available at 
the hospital and has announced the sale of its health care products in the 
Ensenada area.  The Company's business competition comes from medical 
services in Ensenada in the form of two small private hospitals, and Mexican 
state and federal run hospitals.  

          The Mexican government has licensed the Company's subsidiary, GMIX, 
to operate as a hospital.  The Mexican government has approved a medical 
specialty program implemented at the hospital in the area of heroin 
detoxification, and approved an orthopedic technician to practice orthopedic 
techniques in the hospital's Department of Orthopedic Medicine.  The Company 
has approximately 111 non-physician employees plus 9 physician employees at 
the hospital.

          Under the "open private hospital" model of operation for any 
hospital in Mexico, Hospital Las Americas did not provide out-patient medical 
services other than laboratory, radiology and elective services such as 
weight control or physical check-ups.  Physicians in Mexico admit their 
private patients and the hospital does not have physicians on staff as 
treating or admitting physicians, except for the hospital's Medical Director. 
In cases of emergency, a hospital physician is on duty in the emergency room 
at all times, and a specialist can be called upon from a roster who in turn 
becomes the admitting physician.  In Mexico, the relationship of the hospital 
with its patients are separate from the physician/patient relationship. 
Although the hospital is obliged to care for any life-threatening emergency 
in its vicinity, any patient that cannot guarantee payment upon 
stabilization, the hospital can refuse admission and offer to the patient a 
transfer to a public hospital.
              
                                       -2-
<PAGE>

     (c)  BUSINESS HISTORY OF HOSPITAL LAS AMERICAS.  The hospital was built 
by Farvel Arrendamientos, S.A. de C.V., a privately held Mexican corporation, 
and opened its doors on July 27, 1992.  Initially, the hospital had 48 
private patient rooms.  Of these, 41 were general patient rooms, spread 
through three floors, 4 were intermediate patient rooms, and 3 consisted on 
the Intensive Care Unit. Additionally, the hospital's nursery had provisions 
to hold up to six new born infants in either bassinets or incubators; the 
pediatric ward had cribs for three infants, and the emergency room has three 
gurneys for out-patient care.  The surgical department consisted of three 
major surgical suites, two delivery rooms and a central supply and 
sterilization unit.  Since inception, the surgical department has been 
equipped for on-site radiology, microsurgery, laparoscopy, specialized 
orthopedic surgery and neurosurgery.  Ancillary services of the hospital 
consisted of (i) a complete clinical laboratory utilized for microbiology and 
general clinical examinations, (ii) a radiology and imaging unit with 
ultrasound, conventional and fluoroscopic radiology, angiography and 
computerized tomography (CT scan) as well as a gamma-ray camera for nuclear 
medicine; (iii) a diagnostic clinic consisting of systematic physical 
check-up services and cardiology clinic, (iv) a weight control clinic, and 
(v) a physical therapy department.  The hospital was and is equipped with a 
diesel back-up plant capable of supplying 100% of the hospital's electrical 
needs in case of emergency, a storeroom for supplies and a fully equipped 
kitchen service.  The hospital subcontracted its laundry services to a local 
company in the Ensenada area.  

     Occupancy rate during 1992 averaged 6.5 patient per day, while the 
nursing staff of 75 nurses was calculated on the basis of an average census 
of 25 beds. This contrast alone was identified from the onset of the 
hospital's operations as the main source of the cash flow deficits 
experienced; namely, too high an employee-to-patient ratio.  This fact along 
with a 14% occupancy rate, and coupled with high fixed costs, including 
depreciation, resulted in the hospital experiencing an operational loss.  The 
hospital staff totalled 156 non-physician employees plus 14 physicians under 
contract to staff the emergency, intensive care unit, radiology, diagnostic, 
weight control and systems departments.  During 1993, hospital operations 
continued at about the same average daily census of 6 to 7 patients, while 
the level of staffing remained constant.  A significant change in room 
availability was effected in 1993 as the 9 patient rooms on the top floor 
were re-assigned to other uses: 5 as rented medical offices, 1 for a rented 
ophthalmic clinic, and 3 for a cardiology clinic. In addition, one of the 
rooms on another floor was converted to provide additional storage space for 
the central supply unit and another for surgical equipment storage made 
available to the physicians for their own laparoscopy, and other 
sophisticated equipment.  Thus, the number of rooms available for patients 
was reduced to 37; 30 for general patients 4 in intermediate care and 3 in 
the intensive care unit.  Through this period, the market for the hospital 
was only the local private medicine market, despite marketing efforts in the 
United States.
         
                                       - 3 -
         

<PAGE>

     During 1994, operations at Hospital Las Americas in general remained 
unchanged.  However, one significant change occurred in the radiology 
department; namely, the dismantling of the angiography equipment with the 
intention of replacing it with more sophisticated equipment.  The replacement 
of that equipment was never completed.  No significant staffing change 
occurred doing 1994, except for the dismissal and replacement of the hospital 
administrator.  At the end of this year, a heroin detoxification program, 
operated from Spain and the United States by CITA, Inc., a privately held 
corporation, began using the hospital, thereby increasing the occupancy in 
the intensive care unit.

     Throughout the first half of 1995, in the wake of the final negotiations 
of the sale of the hospital to La Calafia, Inc., 25 nurses were terminated as 
well as 3 positions in the laboratory and housekeeping departments.  An 
excessive number of staff remained; however, GMIX dealt with further 
reduction of staff after 7/1/95. The average patient occupancy rate increased 
for the first half of 1995 to 9.7 patients per day; simultaneously, between 
March and June of 1995, the staff was reduced to reflect projected occupancy 
rate of 12.  Thus, overall occupancy reached approximately 26% of the number 
of beds available, or 81% of the staffed beds. During the first half of 1995, 
cash flow deficits remained at an approximate monthly rate of US$50,000.  On 
July 1, 1995, GMIX, a subsidiary of the Company took over operating the 
hospital, hence known as the GroupMed-Las Americas Hospital. Initially, there 
were 124 non-physician employees.  Immediately, significant hospital cutbacks 
included supervisory positions for the housekeeping department, the Weight 
Control clinic and the Nuclear Medicine Imaging Department.  These changes 
reduced the monthly payroll by 5% while affecting revenues with a 0.1% 
reduction. On the other hand, a new department, a fully licensed Blood Bank, 
which began operations during June, 1995, began having a positive impact in 
cash flow during July, 1995.  The housekeeping and nursing departments, by 
far the largest staffed areas in the hospital, were not allowed to replace 
staff and experienced reductions due to attrition.  Concurrently, the 
Admissions department was centralized and this allowed for a 30% reduction in 
the number of positions in that department.  By the end of 1995, the total 
number of non-physician employees was 117.  Hospital occupancy averaged 10.4 
patients, which compared to the nursing staff calculated for 12 patients, 
results in an 87% occupancy rate, with a 28% rate compared to the number of 
available rooms.

     The Company has reduced approximately twenty-eight percent (28%) of its 
employees at Hospital Las Americas by the end of the second quarter of 1996. 
During the first quarter of 1996, there occurred a reorganization of the 
Company's hospital laboratory services, namely entering into a joint venture 
operations contract with P.M.L. de Mexico, S.A. de C.V. (PML), the Mexican 
subsidiary of Pathology Medical Labs, Inc., (a California corporation 
specializing in operating hospital laboratory services in San Diego, 
California, and recently 
         
                                       -4-
         
<PAGE>

in Mexicali, Mexico) to operate the hospital laboratory facilities.  On this 
basis, effective February 15, 1996, PML is responsible for the employees and 
operation of the laboratory for both in-patients and out-patients, paying 
GMIX monthly rent plus a percentage of gross sales.  This allowed a further 
reduction of the number of employees, bringing the total number of 
non-physician employees to 111.  The Company's hospital organizational 
structure is as follows:
         
                              Non-Physician Employees
                              -----------------------

                        Department                    Number
                        ----------                    ------
                        Radiology & Imaging                 3
                        Blood Bank                          1
                        Pharmacy                            4
                        Check-up Clinic                     2
                        Orthopedic Medicine                 1
                        Nursing Services                   41
                        Secretary                           1
                        Accounting & Business               5
                        Computer Systems                    1
                        Purchasing                          1
                        Hospital Services                  30
                        Storeroom & Supplies                1
                        Maintenance                         5
                        Admissions & Switchboard            9
                        Cost Control                        4
                        Personnel                           2
                                                           --
                                       TOTAL              111
                                                          ---
                                                          ---

     During the same first quarter of 1996, and mainly due to the economic 
conditions in Ensenada, the average patient census was lower than before, 9.9 
patients per day, which brings the staffed occupancy rate to 83% and to 27% 
based on available beds.  Occupancy peaks typically reach anywhere from 15 to 
20 patients.  The gap in peak periods is filled with temporary nurses hired 
during those periods.  The Department of Orthopedic Medicine, which began 
operating in February, 1996, has had a steady flow of out-patients for its 
specialized treatments and has produced a significant increase in the 
Company's revenue stream.  During its first two months of operations, the 
Department of Orthopedic Medicine accounted for 15% of hospital billing.  

     In April, 1996, the Radiology Service was restructured by entering into 
an agreement with an established Radiology group based in Tijuana, Mexico, 
which was already operating a small facility in Ensenada.  The contract 
called for the Radiology group, Dr. J. Saldafia and Associates, to cease 
operations in its own facility, and provide 24 hour radiologist services at 
Hospital Las Americas.  In addition, the contract called for this Radiology 
group to manage and promote the 
         
                                     -5-

<PAGE>

Radiology and Imaging unit in and around Ensenada.  The hospital provides 
three technicians and now receives a rental income from the Radiology group 
and a share of the gross sales generated.

     (d)  ITEMIZED REVENUE COMPONENTS  Revenues from the Company's hospital 
operations during the period beginning July 1, 1995 through March, 1996 are 
the only significant source of revenue for the Company, accounting for an 
average of 98% of such revenue, which is broken down by category in the table 
below:
         
         Description                   July-Dec., 1995          Jan.-Mar., 1996
         -----------                   ---------------
                                 (Thousands of U.S. Dollars)
         
         Hospital                           702.2                         303.8
         Office Rentals                       9.1                           4.8
         Health Plans                          .3                           0.0
         Clinical Trials                      0.0                          11.1
                                            -----                         -----
                        TOTAL REVENUE:      711.6                         319.8
                                            -----                         -----
                                            -----                         -----
         
ITEM 2.   MANAGEMENT'S DISCUSSION AND ANALYSIS OR PLAN OF    
          OPERATION

     (a)  PLAN OF OPERATION.  The Company unites professionals and companies 
from Mexico and the U.S. with the purpose of establishing an international 
health care delivery system.  Through its associated divisions, the Company 
plans to maintain its standard of medical excellence in Mexico by continuing 
cross-border education, and introducing U.S. technology and communication.  
During 1995, the Company posted a net loss of $1,005,557.  This period 
included 6 months of hospital operations; the acquisition had been completed 
July 1, 1995.  As of March 31, 1996 the Company recorded a net loss of 
$751,385, including a currency exchange loss of $350,813.  (The recognition 
of the exchange loss is required by FASB52, though it is a direct result of a 
relatively small currency fluctuation on the $5.5 million in notes payable to 
Farvel.)  The seemingly apparent deterioration in net loss before exchange is 
misleading due to seasonality factors.  The hospital has historically 
experienced significant increases to volume and revenue during the summer 
months (June - September).  Cost containment initiatives enacted during recent 
months, coupled with the projection for strong patient census, will reduce 
significantly the 1996 net loss.

          Projected operations in 1996 will include all material components 
of the business which are represented in the financials for 1995 and the 
first quarter of 1996.  

                                       -6-
         
<PAGE>

          As a result of the Company's financial results, internal cash uses 
have outweighed internal cash sources.  This shortfall has been met with 
external sources including Private Placement Memorandum sales and the sale of 
stock.  Future projections show a reduction in the cash uses of the Company 
as the hospital and health care products near a cash basis break 
even-from-operations result forecasted for June, 1996.  

          The Company has a $5.5 million note payable on its books.  This 
obligation may be required to be funded by 1/1/97 under the terms of the 
hospital acquisition agreement with Farvel.  The source of such funds has 
been identified. Pursuant to a signed Addendum, the Seller will accept shares 
of the Company's stock in satisfaction of the original note.  
         
     (1)  GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V., ("GMIX")
         
          (a)  HOSPITAL LAS AMERICAS ("HLA")
         
          The Company's 99% Mexican owned subsidiary GMIX purchased HLA, a 
state-of-the-art medical facility located in Ensenada, Baja California Norte, 
Mexico.  Additionally, GMIX was formed to assist in the marketing and 
management of the Company's Mexican operations that currently include the 
hospital and two health plan products.  As a Center of Excellence, HLA 
expands more than 65,000 square feet and brings an asset value in excess of 
US$12,000,000.  In addition to its internationally recognized tertiary and 
ancillary services, HLA will act as a conduit through which GMIX will operate 
its sales of health care products and promotion of bio-tech clinical testing. 
 In January, 1996, the hospital conducted such a test for Wilshire 
Technologies, Inc.  As a future endeavor, HLA will also act as the conduit 
through which the sale of medical equipment and Mexican approved 
pharmaceuticals will be promoted.  Effective February, 1996, HLA expanded its 
Department of Orthopedic Medicine to include a pain treatment clinic 
specializing in the treatment of back, neck and various joint pain.  
Effective February, 1996, GMIX entered into a 5-year joint venture contract 
with PML, a Mexican subsidiary of Pathology Medical Labs, Inc.  In general, 
the contract permits PML to operate the hospital's laboratory while 
simultaneously developing an out-patient laboratory service; thus, generating 
additional revenue to GMIX in the form of space and equipment rental.  
Similarily, GMIX entered into a contract with a Mexican radiologist group to 
manage and operate HLA's radiology department.  

          As a result of Exten Industries' inability to obtain legal and 
clear ownership of the liver dialysis technology, the relationship between 
Exten and GroupMed International, Inc. was terminated at the beginning of the 
2nd quarter, 1996.  The 250,000 shares of the Company's stock issued to Exten 
Industries, Inc. was returned to the Company's treasury on June 11, 1996.
         
                                       -7-
         
<PAGE>

          The seasonality of the hospital's business refers to the fact that 
over time, there has been larger proportion of admissions during January and 
June through September, and a markedly lower rate of admission the rest of 
the year. For instance, pediatric patients are significantly more frequent 
during January and February, while maternity cases are significantly higher 
during June, July and August.  The low census level at the hospital makes it 
overly sensitive to these kinds of variations.  

          The restructuring of the hospital refers mainly to such staff 
reductions as those implemented in the centralization of the admissions 
department between December, 1995 and January, 1996, which eliminated 30% of 
the positions in that department.  Also, the contract with PML beginning in 
February, 1996 eliminated 100% of the positions in the laboratory department. 
The contract for radiology operations which started in April, 1996 eliminated 
2 professional positions from that department.

          The Company has the ability to generate sufficient cash to support 
its hospital operations, despite the "going concern opinion" received from 
the accounting firm of Hoffman, McBryde & Co. for the audited period ending 
December 31, 1995.  Hospital operations have improved steadily since 
acquisition, and the monthly cash shortfall has decreased to US$12,000 as of 
May 31, 1996 financial statement.  This figure will continue to decrease as 
further reductions in staffing and other cost containment initiatives are 
undertaken.  
         
         The hospital payors are comprised as follows: (based on revenue)
         
                      Insurance companies       17.0%
                      Employers                 25.5%
                      Government                  .5%
                      Private patients          57.5%
                                               ------
                                Total          100.0%
                                               ------
                                               ------

          "Insurance companies" include various Mexican insurers.  Payment 
terms generally call for full payment within 15 days of discharge.  In 
general, U.S. insurance carriers cover only emergency treatment.  Payment 
terms are usually negotiated for each case, and do not represent a 
significant discount from billed charges.

          "Employers" often self-insure or pay for the health care of some or 
all of their workforce.  These employers include the banks, large industrial 
companies like PEMEX and other local employers.  Payment terms generally 
provide a discount of approximately 10% on billed services and call for full 
payment within 15 days of discharge.

          "Private patients" consist of the bulk of the hospital's patient    

                                    -8-
         
<PAGE>

population.  These patients have elected to bypass the government sponsored 
health care services which are available to all Mexican citizens at little or 
no cost. These patients seeks a higher quality of health care and improved 
access to health care services.  Payment terms call for payment at time of 
service or discharge.  Frequently payment arrangements are made to extend 
credit to patients for short periods of time.

          "Government" services are immaterial.  These services represent 
only those purchased by the government for their patients when 
services/technology is absent from the government facility, as is the case in 
Ensenada where HLA owns the only CAT scanner in the city.

          The expansion of the hospital's Department of Orthopedic Medicine 
to include a pain treatment clinic opened in February, 1996, resulting in 
revenues to the hospital from its operation in the amount of US$48,100 in the 
first quarter of 1996, and US$52,900 in the second quarter of 1996.  These 
procedures are primarily out-patient procedures.  Despite limited marketing, 
this program has been successful in attracting patients from the U.S., South 
America and Canada. In lieu of the success of this program, the Company 
intends to expand its marketing efforts in this area.  
         
          (b)  GROUPMED TOTAL HEALTH ("GTH")

          The primary focus of GTH is to design and develop various health 
care plans to be sold in Mexico.  Health care in Mexico is provided to 
different sectors of the population in various ways.  In the formal private 
sector, these services are provided through the Social Security Institute of 
Mexico which is funded by private sector employers through payroll taxes, 
private sector employees through contributions withheld through payroll, and 
the federal government.  The largest state-owned industries (oil utility and 
banking) manage their own health care systems throughout the country.  
Federal government employees have their own Social Security Institute 
(ISSSTE), as do employees of each State Government (ISSSTECALI in Baja 
California, for example).  The population at large, the poor, the unemployed, 
most farm workers and most of the rural population rely on the Federal 
Ministry of Health's free clinics and hospitals, as well as some 
IMSS-Coplamar special rural clinics in the poorest regions.  Top management 
in the private sector, self employed small and large business owners, 
professionals, and in general, people in the top 10% income bracket in 
Mexico, regardless of their employment, all use private medicine, where 
independent physicians, clinics and hospitals such Hospital Las Americas 
compete.  In this regard, roughly 75% of the hospital billing is paid 
out-of-pocket by the patients, around 15% is billed to insurance companies 
that offer Major Medical coverage, and 10% is made up by the banks and some 
companies that generally self-insure to provide private care to at least 
their white collar employees.  These employers still have to pay into the 
Social Security System 
         
                                       -9-
         
<PAGE>

regardless of expenditures made outside of the Federal system.

          GTH has developed and designed two health care plans.  The first 
product targets U.S. citizens that live in Mexico, whose number one concern 
has been the availability of adequate health care.  GTH has written a 
supplemental health management program to address this target audience.  GTH 
will also have relationships with providers in the U.S. should the patient 
need to be returned to the U.S. for continued care.  The second health care 
product developed and sold by GTH is primarily targeted at privatized 
companies in Mexico.  These companies include the banking industry and U.S. 
maquiladoras (meaning a U.S. owned Mexican subsidiary or "twin plant").  
These companies are not covered by Mexico's socialized health care system.

          The Company has sold supplemental health care plans to U.S. 
citizens.  Contracts have been signed with PEMEX, Banamex, S.A. and Baja 
Oriente, S.A. de C.V. (a U.S. subsidiary company) to exclusively manage their 
employees' and families' health care through Hospital Las Americas.  All the 
aforementioned health care plans sold are applicable to the Ensenada, Baja 
California Norte, Mexico area.  To date, there is no contractual agreement 
between a U.S. health care provider and the Company.
                                
     (2)  GROUPMED MSO (A MANAGEMENT SERVICES ORGANIZATION)

          GroupMed MSO is a wholly owned subsidiary of the Company.  The 
subsidiary was formed to (i) oversee the daily operations of Hospital Las 
Americas, (ii) oversee the sales of the Company's health care plans sold in 
Mexico, (iii) develop revenue producing business for Hospital Las Americas 
both in Mexico and the United States, and in general, (iv) assist the Company 
in its marketing efforts.  Currently, the aforementioned is being done by 
GroupMed International, Inc.

          GroupMed MSO had targeted the development of a primary care 
physicians' network (IPA) through California Physicians Connection.  However, 
it was determined that a commensurate financial return would not be realized 
by the Company.  There are currently no plans to pursue an agreement with 
California Physicians Connection.  

          Effective January 1, 1996 the Company initiated a Private Placement 
Offering with the goal of raising a net total of $810,000 of capital required 
for implementation of the IPA, legal, accounting, and working capital.  
Through this vehicle, the Company offered to persons who met the suitability 
standards set forth in the Private Placement Memorandum, up to a net total of 
$810,000 in face value of convertible promissory notes, bearing simple 
interest at the rate of twelve percent (12%) per annum, payable quarterly.  
The Notes can be converted into restricted common stock of the Company at a 
conversion rate of $1.00 per 
         
                                      -10-
         
<PAGE>

share.  As of May 31, 1996, the Company sold 9 Promissory Notes, of which 2 
exercised their ability to convert to restricted common stock.  The Company 
had originally planned to utilize the aforementioned IPA to market and 
generate referrals for health care service in the Company's owned Mexican 
medical facility and the Company's associated health care network.  In lieu 
of using the California IPA for this referral source, the Company, will work 
directly with targeted health insurance carriers to generate this same source 
of business, as well as establish a Mexican IPA.  

     The Company will continue to undertake product research and development 
during the next twelve (12) months.  Further, The Company may purchase or 
sell facilities along with significant equipment as part of its plan of 
operation.  

ITEM 3.   DESCRIPTION OF PROPERTY

     (a)  PROPERTY LOCATION AND OWNERSHIP.  Through the Company's 99% owned 
subsidiary, effective July 1, 1995 GroupMed International de Mexico, S.A. de 
C.V. (GMIX), entered into a purchase agreement with Farvel Arrendamientos, 
S.A. de C.V. (Seller), whereby GMIX purchased all of the operational assets 
of the hospital (Hospital Las Americas), land, equipment, inventory and an 
adjacent office building, located at Arenas #151, Ensenada, Baja California 
Norte, Mexico. The construction of both the hospital and office building were 
completed in 1992; and as a result, all facilities and equipment remain in 
excellent condition.  

          The purchase price for the hospital, medical building, land, 
equipment and the Mexican legal title holder, GMIX, was 200,000 shares of La 
Calafia, Inc. (a Nevada privately held corporation) plus $5,500,000, payable 
by several promissory notes with various due dates extending through January 
1, 1997.  In connection with the acquisition of GMIX and its assets by the 
Company, the assets were restated to reflect the historical costs and the 
appraised market value of US$12,778,203.  On December 27, 1995, the Company, 
GMIX and the Seller modified the original purchase agreement with an Addendum 
to stipulate that the purchase price would be satisfied by the issuance of 
2,000,000 unregistered shares of the Company's common stock to the Seller.  
The stock would be held in escrow and distributed to the Seller in 
installments during 1996 and 1997, contingent upon the market value of the 
stock being $2.75 per share by April 1, 1996 and through January 1, 1997.  
The purchase agreement also stipulated that in the event the market value did 
not reach $2.75 per share, and the Seller chose to accept an alternate form 
of payment, the Company may, at its discretion, offer cash in satisfaction of 
the debt.

          On April 1, 1996, Farvel Arrendamientos, S.A. de C.V. (Seller) 
accepted the Company's shares in accordance with the specifics of the 
purchase Addendum, representing payment in full of the first installment, 
even though the 
         
                                      -11-
         
<PAGE>

value of the Company shares were less than $2.75 per share.  The acceptance 
by the Seller's legal representative, Fernando Ariza, was based on his 
decision on the future value of the Company's stock.  The December 27, 1995 
agreement among the Company, GMIX and the Seller is attached herein.  In 
addition, an Addendum dated December 27, 1995 if also attached, clearly 
outlining the terms and conditions of the escrow of the 2,000,000 shares of 
the Company's unregistered stock to Farvel Arrendamientos, S.A. de C.V., "as 
a deposit representing the complete payment of the debt derived from the 
original contract between FARVEL and GROUPMED-MEXICO to which reference has 
been made."

     (b)  INVESTMENT POLICIES.  The Company may be in a position to purchase 
medically related property and/or buildings in the United States as part of 
its development and management of a cross-border health care program. 
Depending on a seller's position and requirements, the Company will be able 
to proceed with negotiations on a purchase without limitations to either a 
simple cash purchase through financing, transfer of Company common stock for 
equity, joint venture, and/or any combination thereof.

          The Company may be in a position to purchase undeveloped and/or 
semi-developed real estate in various locations throughout Mexico as part of 
its overall program to develop medical campuses in strategic locations.  In 
addition to the potential purchase and subsequent building of medical 
campuses, these same locations may be the focal point from which the 
Company's GroupMed Total Health (GTH) plans will be sold.

ITEM 4.   SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS AND 
          MANAGERS

     The following table sets forth information relating to the beneficial 
ownership of the Company's common stock by those persons and corporations 
beneficially holding more than five percent (5%) of the Company's capital 
stock. The Company has 9,973,795 shares of common stock issued and 
outstanding as of May 17, 1996.

     (a)  SECURITY OWNERSHIP OF CERTAIN BENEFICIAL OWNERS
         
           (1)               (2)                      (3)              (4)
         
         Title of       Name/Address             Amount/Nature       Percent
         Class          of Beneficial            of Beneficial       of Class
         -----          Owner                    Owner               --------
                        -------------            -------------

         Common         Solymar, Inc.            3,740,624             37.5%
         Common         Farvel Arrendamientos,   2,000,000             20.1%
                        S.A. de C.V.
         
                                      -12-
         
<PAGE>

         Common         Seramex, Inc.            1,268,438             12.7%
         Common         Antonio Velasco            522,524              5.2%
         
On May 20, 1995, La Calafia, Inc. (formerly GroupMed, Inc., a private 
corporation) issued 200,000 shares of its stock to the Seller of Hospital Las 
Americas as payment for the additional equity in the hospital's equipment and 
improvements, over and above the $5.5 million note assumed by the Company.  
This additional equity, added to the acquisition price, aggregated a total of 
US$12,778,203 of asset to the Company's 99% owned subsidiary, GMIX.  
Subsequent to the Company's reorganization on June 7, 1995, the Company 
negotiated with the Seller on December 27, 1995, that the Seller would accept 
a total of 2,000,000 shares of the Company's restricted stock as payment in 
full of all indebtedness, relying on the stock price being at $2.75.  As 
stated previously, the Seller accepted the first installment on April 1, 1996 
and the stock was valued less than $2.75, and this acceptance was based on 
the Seller's decision on the future value of the Company stock.  

The 5,200,000 shares of the Company's stock was issued to La Calafia, Inc. on 
July 26, 1995.  These shares were in no way related to the later negotiated 
terms and conditions by and between the Company and the Seller of Hospital 
Las Americas; therefore, the 5,200,000 shares issued to La Calafia, Inc. were 
not retained in an escrow account.  As of May 17, 1996, La Calafia, Inc. 
distributed amongst its shareholders a total of 5,018,562 of the original 
5,200,000 shares of the Company as follows:
         
                  Name                          # of Shares
                  ----                          -----------
                  Solymar, Inc.                   3,562,624
                  Seramex, Inc.                   1,268,438
                  Dr. John Seelig                    44,000
                  Lisa Fugate                        40,000
                  Charles R. Cook                    20,000
                  Dennis Swets                       10,000
                  Trans Pacific Group, Inc.          44,000
                  Robert & Juanita Bryson             4,000
                  Sue Carol Lomax                     5,000
                  Paul R. Harbeston                  11,500
                  David Yeager                        6,000
                  Georgis Family Trust                2,000
                  Ludwig C. Zelt                      1,000
                  La Calafia, Inc. Treasury         181,438
                                                  ---------

                             TOTAL                5,200,000
                                                  ---------
                                                  ---------

     (b)  SECURITY OWNERSHIP OF MANAGEMENT
         
         
                                      -13-
         
<PAGE>

           (1)               (2)                    (3)              (4)
         
         Title of       Name/Address           Amount/Nature       Percent
         Class          of Beneficial          of Beneficial       of Class
         -----          Owner                  Owner               --------
                        -------------          -------------
         Common         Fernando Torres             35,000            0.35%
                        Boulevard Las Dunas
                        #529
                        Ensenada, B.C., Mexico
                        22880
         
         Common         Eugene Yahn                 15,000            0.15%
                        2007 7th Avenue
                        Yuma, Arizona  85364
                                         
         Common         Charles R. Cook             15,000            0.15%
                        1265 Avocado, #104-509
                        El Cajon, California 92020
         
     (c)  CHANGES IN CONTROL.  The Company has no arrangements which may 
result in a change in control of the Company.

ITEM 5.   DIRECTORS, EXECUTIVE OFFICERS, PROMOTERS AND CONTROL 
          PERSONS

     (a)  DIRECTORS AND EXECUTIVE OFFICERS.
         
     Name              Age       Position                   Term
     ----              ---       --------                   ----

Daniel N. Lomax        58      CEO/Director             6/96 -1 year

Peter Klune            38      President/COO            4/96-1 year

Fernando Torres        38      Vice President/Director  6/95-1 year    *

Eugene Yahn            66      Director                 6/96-1 year

Charles R. Cook        71      Director                 6/95-1 year    *
         
*  Renewal of contract and term extended through July 31, 1996.

     BUSINESS EXPERIENCE:

     DANIEL N. LOMAX - Mr. Lomax was employed by Cortez I & D from 1989 up 
through June, 1994 as Management representative responsible for business 
                                         
                                      -14-
         
<PAGE>

development and construction projects.  From June, 1994 through the present, 
Mr. Lomax is employed by Solymar, Inc. as Management representative under 
contractual service agreement with the Company to oversee the day-to-day 
operations.  Mr. Lomax has had extensive general business development 
experience spanning over 30 years in both the U.S. and Mexico.  He has been 
responsible for the development of medical facilities, subdivisions, 
residential housing, condominiums, town houses, apartment houses, commercial 
strip centers and mini-malls, and has worked with the U.S. Department of 
Housing and Urban Development as well as the U.S. Department of Navy.  The 
aforementioned developments covers the full spectrum of development and 
construction, both private and public, and in all cases, Mr. Lomax acted as 
prime contractor in the development, financing, construction, and where 
applicable, sales and marketing.

     PETER KLUNE - Mr. Klune was employed from 2/92 through 2/96 by Alvarado 
Hospital Medical Center in San Diego, California in the capacity of Chief 
Financial Officer.  From 12/88 through 2/92, he was employed at Sharp 
Cabrillo Hospital in San Diego as Associate Administrator and Director of 
Finance.  He is a C.P.A. with strong technical, managerial and analytical 
skills; has a variety of experience in multiple hospital/health care setting; 
has had significant operating and support department responsibilities, and 
has had an increasing responsibility in strategic planning business planning 
and new program development.  Mr. Klune is employed by the Company to control 
and manage daily operations of Hospital Las Americas and the GroupMed Total 
Health division, and works at the hospital on a weekly basis.
     
     FERNANDO TORRES - Mr. Torres was an independent consultant from 
February, 1991 through June, 1992 for Farvel Arrendamientos, S.A. de C.V., 
responsible for the computer systems planning and purchasing for Hospital Las 
Americas.  He was an independent contractor from July, 1992 to December, 1992 
for Operadora de Hospitales, S.A. de C.V., a Mexican corporation responsible 
for operating Hospital Las Americas, accountable for the software development 
and user training of personnel at the hospital.  Mr. Torres became General 
Manager of Operadora de Hospitales, S.A. de C.V., from January 1, 1993 
through June 30, 1995.  Beginning July 1, 1995 through the present, Mr. 
Torres oversees the day-to-day operations of Hospital Las Americas under a 
Management agreement with GroupMed International, Inc. 

     EUGENE YAHN - Mr. Yahn has not been employed for the past five years as 
a result of his earlier retirement status.  He had been controller for major 
constructions control groups in California and Arizona.  He was voted a seat 
on the Board of Directors of First National Bank of Southern Arizona and has 
been a licensed CPA in both California and Arizona.  Throughout an extensive 
professional career, Mr. Yahn has been a Vice President and Managing Director 
for several major companies in the U.S.
         
                                      -15-
         
<PAGE>

     CHARLES R. COOK - Mr. Cook has been owner, Director of Operations and 
President of CBMI, a medical equipment lease company, for the past five 
years. He has had over 30 years of experience in the area of major medical 
projects, covering all aspects of a medical campus.  In this capacity, Mr. 
Cook has developed and implemented comprehensive schedules on projects with 
equipment values up to $32 million.  Mr. Cook was Director of Facilities' 
Planning, Inc., a division of Berger Brunswig, Inc. in Los Angeles for four 
years.  He also held the position of Director of Facilities' Planning for 
Daylin Medical, Inc. for six years.  He received his B.S. in Pharmacy from 
Butler University in Indiana.

     (b)  DIRECTORS AND EXECUTIVE OFFICERS OF THE COMPANY'S PREDECESSOR.
         
     Name                Age          Position              Term
     ----                ---          --------              ----

     Hugo Winkler        Unknown  President/Director        3/91-6/95
     
     Curtis M. Jamison   Unknown  Vice President/Director   3/91-6/95
     
     Suzy Frost          Unknown  Secretary/Director        3/91-6/95
         
     (c)  SIGNIFICANT EMPLOYEES.  The Company has no significant employees 
other than the above-named executive officers who are responsible for 
managing the Company's largest asset, Hospital Las Americas.  Mr. Lomax 
averages weekly visits to Hospital Las Americas; otherwise, he remains on a 
daily communication with Mr. Klune and Mr. Torres.  Mr. Klune is at the 
hospital on a weekly basis and oversees its operations on a daily basis.  Mr. 
Torres has been responsible for the administration and business of Hospital 
Las Americas since 1994, and continues in that capacity.  Mr. Torres spends 
commensurate amounts of time on a daily basis at the hospital.

     (d)  FAMILY RELATIONSHIPS.  There are no family relationships among the 
directors, executive officers or persons nominated or chosen by the Company 
to become directors or executive officers.

     (e)  INVOLVEMENT IN LEGAL PROCEEDINGS.  There are no events that 
occurred during the past five (5) years that are material to the evaluation 
of the ability of any director, person nominated or chosen to become a 
director, executive officer, promoters or control persons of the Company.

ITEM 6.   EXECUTIVE COMPENSATION

     (a)  EXECUTIVE OFFICER AND DIRECTOR COMPENSATION

          1.   Daniel N. Lomax serves as the Chief Executive Officer through 

         
                                      -16-
         
<PAGE>

a Management Agreement between Solymar, Inc. and the Company.  Mr. Lomax is 
an employee of Solymar, Inc. and does not receive any compensation from the 
Company for his service.  Mr. Lomax is furnished with a Company paid leased 
vehicle for business use, and in addition, is reimbursed on a monthly basis 
for all business related expenses that he incurs.  He was the Chief Executive 
Officer at the end of the last completed fiscal year.  There does not exist 
any other compensation plan between Mr. Lomax and the Company.

          2.   Peter Klune was employed as President/COO of the Company on 
April 22, 1996.  Mr. Klune receives a monthly remuneration of $8,000 and is 
reimbursed on a monthly basis for all business related expenses that he 
incurs. Mr. Klune is eligible to receive 500,000 shares of the Company's 
unregistered stock upon achievement of certain performance levels tied 
directly to the improvement of the hospital's operating cash flow.  Mr. Klune 
did not receive any remuneration from the Company during the fiscal year 1995.
  
          3.   Fernando Torres receives a monthly compensation, through a 
Management Agreement between the Company and himself as an individual, in the 
amount of $5,000 and is furnished with a Company paid month-to-month leased 
vehicle.  In addition, Mr. Torres is reimbursed on a monthly basis for all 
business related expenses that he incurs.  Fernando Torres is an executive 
officer of the Company and an executive officer of the Company's subsidiary, 
GMIX.  Mr. Torres served as a corporate officer from June 5, 1995 through 
December 31, 1995 of the 1995 fiscal year.  Through the Company's subsidiary, 
GroupMed International de Mexico, S.A. de C.V., total remuneration during 
that period was $25,650 plus monthly payment of a vehicle month-to-month 
rental. There does not exist any other compensation plan for Mr. Torres.

          4.   COMPENSATION TO CEO FOR FULL FISCAL YEAR

               As an employee of Solymar, Inc. pursuant to contract and a 
Management Agreement between the Company and Solymar, Inc., Daniel Lomax 
served as CEO from June 5, 1995 through December 31, 1995 of the 1995 fiscal 
year.  No compensation was paid to Daniel N. Lomax personally.  Total 
remuneration paid to Solymar, Inc. (pursuant to Management Agreement) during 
that period was $39,375.  

     (b)  SUMMARY OF COMPENSATION.  Other than the compensation set forth 
above in paragraph (a) of this item, the parties named therein received no 
additional compensation from the Company.  There are no annuity, pension or 
retirement benefits proposed to be paid to officers, directors or employees 
of the Company in the event of retirement at the normal retirement date 
pursuant to any presently existing plan provided or contributed to by the 
Company or any of its subsidiaries.
         
         
                                      -17-
         
<PAGE>

     No remuneration other than reported in paragraph (a) of this item is 
proposed to be in the future directly or indirectly by the Company to any 
officer or director under any plan which is presently existing.
                                
ITEM 7.   CERTAIN RELATIONSHIPS AND RELATED TRANSACTIONS

     The Company has had certain transactions during the last two (2) years 
to which the Company is to be a party, including two (2) of its executive 
officers/directors/shareholders and one other Company shareholder.  A total 
of three (3) Management Agreements beginning July 1, 1995 through June 30, 
1996 existed between the Company and Solymar, Inc., between the Company and 
Fernando Torres, and between the Company and Seramex, Inc.  Copies of these 
Management Agreement are submitted as Exhibits to this Form 10-SB document. 

ITEM 8.   LEGAL PROCEEDINGS

     The Company is not a party to any pending legal proceedings nor its 
property the subject of a pending legal proceeding.

ITEM 9.   MARKET FOR COMMON EQUITY AND RELATED SHAREHOLDER 
          MATTERS

     (a)  MARKET INFORMATION.  The principal market where the Company's 
common stock is traded is the NASDAQ Electronic Bulletin Board under the 
symbol "GMII".  The Company's belief that a market exists is based on the 
following:

     -    NAFTA has positively changed the overall format in how business 
          is done between the U.S., Canada and Mexico.

     -    Mexican government changes in laws allowing for ownership in 
          Mexico, thereby stimulating foreign investment.  

     -    Added foreign companies now doing business in Mexico.

     -    Lack of U.S. style health care in Mexico.

     -    Lack of a HMO system to control quality and costs of services in the 
          health care arena.

     -    Growing population of foreigners who choose to work and retire in 
          Mexico.

     -    A growing number of private pay health care enrolles.
         
         
                                      -18-
         
<PAGE>
     -    U.S. bio-tech companies doing developmental work offshore.
          Currently in excess of 60% of the bio-tech development business
          done by U.S. companies is done outside of the United States.
         
     -    The Company's San Diego location is ideal as a conduit between 
          companies looking to do medically related business offshore.
     
     -    Ability to attract and provide relationships throughout the Americas. 
          This can be done using current Company facilities and established 
          health care network.  
         
          As the Company establishes the above relationships and provides the 
services for these relationships, the Company has a strong potential for 
success and international growth.  These factors should reflect a strong 
demand and trading market for the Company's stock.

          The following represents the high and low bid prices by quarter as 
reported by the National Quotations Bureau, Inc. since the common stock began 
trading approximately September, 1995.  The high and low bid prices reflect 
inter-dealer prices; without retail mark-up, mark-down or commission and may 
not represent actual transactions:
         
         Year           Quarter             High           Low
         ----           -------             ----           ---

         1995           Third               $ 4.25         $ 3.00
     
         1995           Fourth              $ 3.25         $ 0.12
     
         1996           First               $ 1.50         $ 0.25
         
     (b)  UPDATED MARKET INFORMATION.  The following represents the high and 
low bid prices for the period beginning April 1, 1996 through June 27, 1996.  
The Company's current market maker for its stock is J. Alexander Securities, 
523 West Sixth Street, Los Angeles, California 90014, (213) 687-8400.
         
         Year           Month               High           Low
         ----           -----               ----           ---
         1996           April               $ 1.25         $ 1.06
     
         1996           May                 $ 1.03         $ 0.94
     
         1996           June 27             $ 0.88         $ 0.75
         
     (1)  POSSIBLE CLASSIFICATION OF COMPANY'S SECURITIES AS A "PENNY STOCK": 
 If the Company's common stock has a price of less than $5.00 per share it 
may be classified as a "penny stock" pursuant to the Securities Exchange Act 

                                       -19-
         
<PAGE>

of 1934 (the "Act") Rule 3a51-1.  The prerequisites required of 
broker-dealers engaging in transactions involving "penny stocks" have 
discouraged, or even barred, many brokerage firms from soliciting orders for 
certain low priced stocks.

     However, regardless of the price of the Company's stock, in the event 
the Company has net tangible assets in excess of $2,000,000 and if the 
Company has been in continuous operation for at least three (3) years, or 
$5,000,000, if the Company has been in continuous operation for at least 
three (3) years, Rule 3a51-1(g) of the Act will preclude the Company's common 
stock from being classified as a "penny stock."

     (c)  NUMBER OF SHAREHOLDERS.  The Company has approximately 140 holders 
of its common stock.

     (d)  DIVIDENDS.  The Company has paid no dividends in its common stock 
for the last  two (2) fiscal years or any subsequent period.  There are no 
plans to pay dividends in the foreseeable future.  Payment of dividends is 
dependent on earnings and the policies adopted by the Company's Board of 
Directors.

ITEM 10.  RECENT SALES OF UNREGISTERED SECURITIES

     The following represents all of the securities sold by the Company 
within the past three (3) years without registering the securities under the 
Securities Act with all such securities being common stock:
         
     Date of         Name of
     Issuance        Shareholder         No. Shares
     Consideration   -----------         ----------
     -------------
1.   March 4, 1995   Lorita                2,000        Secretarial
                     Chittenden                         Services

2.   March 4, 1995   Judy Ann              2,000        Secretarial
                     Hamilton                           Services

3.   March 4, 1995   Cardav                5,000        Financial
                     Finance, S.A.                      Services

4.   March 4, 1995   White Star,           5,000        Consulting
                     Inc.                               Service to
                                                        locate 
                                                        Merger
                                                        Candidate
         
5.   March 4, 1995   U.S. Recorp           4,000        Legal Services
                             
         
                                      -20-
         
<PAGE>

6.   March 5, 1995   Recorp America        4,250        Consulting
                                                        Service to
                                                        locate 
                                                        Merger
                                                        Candidate
         
7.   June 8, 1995    La Calafia,       5,200,000        Acquisition 
                     Inc.                               99% of 
                                                        GMIX,
                                                        S.A. de C.V.
                                                        per 
                                                        Reorgan-
                                                        ization Plan
         
8.   June 29, 1995   Fernando             35,000        Board of
                     Torres                             Director
                                                        Services

9.   June 29, 1995   Eugene Yahn          15,000        Board of
                                                        Director
                                                        Services

10.  June 29, 1995   Charles Cook         15,000        Board of
                                                        Director
                                                        Services

11.  June 29, 1995   David Yeager         15,000        Accounting
                                                        Services

12.  June 29, 1995   Dennis Swets         12,000        Architectural
                                                          Services

13.  June 29, 1995   John Seelig,         25,000        Medical issue
                     M.D.                                  Services

14.  June 29, 1995   Ellen Harbeston      35,000        Administrative
                                                        Office Services

15.  June 29, 1995   Trans Pacific       196,000        Reorganization
                     Group, Inc.                          of First 
                                                          Manhattan, 
                                                          Inc.
                                                          Services

16.  June 29, 1995   Ventana             450,000    *     Cash
                     Consultants                          $9,000

17.  June 29, 1995   Allied              450,000    *     Cash
                     Management                           $9,000
                     Corporation
         
                                -21-
         
<PAGE>

18.  June 29, 1995   Pembridge           450,000    *     Cash
                     Securities, Inc.                     $9,000
                                
19.  December 22,    Farvel Arrendamientos,  2,000,000 ** Asset 
     1995            S.A. de C.V.                         Purchase - 
                                                          Hospital Las 
                                                          Americas
         
*  Principal shareholders of Company's predecessor, First Manhattan, Inc. 
Shares issued in consideration of cash and reverse merger of First Manhattan, 
Inc.
         
** Shares are held in escrow subject to debt cancellation in exchange for 
common stock.
         
20.  February 28,    Marc Lee             24,000          Cash
     1996                                                 $15,000
                                
21.  March 1, 1996   James Palecek        14,545          Cash
                                                          $10,000

22.  May 1, 1996     Promar, S.A. de C.V. 110,000         Cash
                                                          $33,845

23.  May 1, 1996     Grezelda             20,000          Cash
                     Martinez V.                          $6,155

     All of the transactions referred to above are exempt from the 
registration requirements of the Securities Act of 1933, as amended, by 
virtue of Section 4(2), thereof covering transactions not involving any 
public offering or involving no public "offer" or "sale".  As a condition 
precedent to each sale, the respective purchaser was required to execute an 
investment letter and consent to the imprinting of a restrictive legend on 
each stock certificate received from the Company.

     The Company did not engage any underwriters or salespersons with respect 
to the sale of its securities.

ITEM 11.  DESCRIPTION OF SECURITIES     

     (a)  COMMON STOCK.  As of May 17, 1996, the Company has 9,973,795 of the 
Company's common stock (par value $0.001) outstanding.

          The Company's Articles of Incorporation, filed on March 27, 1991, 
authorized the issuance of up to 25,000,000 shares of the Company's common 
stock with a par value of $0.001.  Holders of shares of the common stock are 
entitled to one vote for each share on all matters to be voted on by the 
stockholders.  Holders of common stock have no cumulative voting rights. 
Holders of shares of common stock are entitled to share ratably in dividends, 
if any, as may be declared from time to time by the Board of Directors in its 
discretion, from funds legally available therefor.          

                                    -22-
         
<PAGE>

          In the event of a liquidation, dissolution or winding up of the 
Company, the holders of shares of common stock are entitled to share pro rate 
all assets remaining after payments in full of all liabilities.  Holders of 
common stock have no preemptive rights to purchase the Company's common 
stock.  All of the outstanding shares of common stock are fully paid and 
non-assessable.

     (b)  DEBT SECURITIES.  The Company pursuant to a Private Placement 
Offering is attempting to raise a net total of $810,000 of capital in the 
form of Convertible Notes, bearing simple interest at the rate of twelve percent
(12.0%) per annum, paid quarterly, at a cost of $1,000 per Note, with a minimum 
purchase of ten (10) Notes, or an aggregate investment of ten thousand dollars 
($10,000), with a convertible price of one dollar ($1.00) per share for 
restricted common stock.  A minimum purchase is required of 10 Notes at $1,000 
per Note, or a ten thousand dollar ($10,000) investment.  One or more additional
Notes may be purchased after the initial minimum purchase of ten thousand 
dollars ($10,000).

          At the option of the Note Holder, the Notes are subject to 
conversion in whole or in part, into common stock of the Company at any time 
prior to the maturity dare of one (1) year or, if the Notes are prepaid by 
the Company, at any time prior to the prepayment date.  Upon the proper 
exercise of a Note Holder's right to convert, the Company is unconditionally 
obligated to issue and exchange for the Note common stock at a conversion 
price of $1.00 per share, adjusted to account for any stock splits, dividends 
or other financial transactions undertaken by the Company after the issuance 
of the Notes.

ITEM 12.  INDEMNIFICATION OF DIRECTORS AND OFFICERS

     The Articles of Incorporation and Bylaws of the Company provide for 
indemnification of the Company's officers and directors for liabilities 
arising due to certain acts performed on behalf of the Company.

ITEM 13.  FINANCIAL STATEMENTS

     (a)  ANNUAL FINANCIAL STATEMENTS.
          
          See Item 14(a).

     (b)  INTERIM FINANCIAL STATEMENTS.

          See Item 14(a).

ITEM 14.  CHANGES IN AND DISAGREEMENTS WITH ACCOUNTANTS OR 
          ACCOUNTING AND FINANCIAL DISCLOSURE

     (a)  The Company's former accounting firm of Kafoury Armstrong & Co. 
that prepared the 1993 and 1994 audited financial statements for First 
Manhattan, Inc. resigned as the Company's accounting firm in June, 1995, and 
was not retained after the reorganization of the Company.  The Company 
engaged the accounting firm of Hoffman McBryde & Co. to prepare the 1995 
audited financial statements for the Company.  The Company decided that it 
needed an auditing

                                    -23-
         
<PAGE>

firm with international expertise and experience because of the location of 
its major asset and its operations in Mexico.

          There have been no adverse opinions or disclaimers of opinion, nor 
were the financial statements modified as to uncertainty, audit scope or 
accounting principles.  

ITEM 15.  FINANCIAL STATEMENTS AND EXHIBITS

     (a)  FINANCIAL STATEMENTS.  The following financial statements are 
included herein:

          1.   GroupMed International, Inc. 
               Consolidated Audited Financial Statements for
     
               Years Ended December 31, 1994 and 1995.
               
          2.   GroupMed International, Inc.
               Consolidated Financial Statements for First
               Quarter, 1996 - Unaudited.

          3.   First Manhattan, Inc. - Audited
               Financial Statements - December
               31, 1994, 1993, 1992 and 1991.

          4.   GroupMed International de Mexico, 
               S.A. de C.V. Financial Statements
               and Independent Auditors' Report 
               Year Ended December 31, 1995.

          5.   Farvel Arrendamientos, S.A. de C.V. 
               Operadora de Hospitales S.A. de C.V. 
               Financial Statements Combined 
               September 30, 1995; December 31, 1994,
               1993 and 1992.

          6.   GroupMed International de Mexico, 
               S.A. de C.V.   Financial Statements 
               December 31, 1995, FASB-52,
               "Conversion of Mexican Pesos to 
               U.S. Dollars."

          7.   GroupMed International de Mexico, 
               S.A. de C.V.   Statements of Cash Flows 
               The Period Ended March 31, 1996.

          8.   GroupMed International de Mexico, 
               S.A. de C.V. Stockholders' Equity 
               Statement for the Period January 1 - 
               March 31, 1996.

                                 -24-      
         
<PAGE>

     (b)  EXHIBITS.  The following exhibits required by Item 601 of 
Regulation S-B are included herein:

          Exhibit No.                   Document Description
          -----------                   ---------------------

               3                   Articles of Incorporation and Bylaws

                                   3.1  Articles of Amendment

                                   3.2  Articles of Incorporation

                                   3.3  ByLaws

              10                   Material Contracts

                                   10.1 Acquisition Agreement and Plan of 
                                        Reorganization

                                   10.2 Management Agreements with
                                        Solymar, Inc., Fernando Torres, and 
                                        Seramex, Inc.
         
                                   10.3 Contract by and Between Farvel 
                                        Arrendamientos, S.A. DE C.V. and La 
                                        Calafia, Inc. (Formerly GROUPMED, 
                                        Inc. - A Privately Held Corporation), 
                                        Dated May 20, 1995
         
                                   10.4 Addendum to the Contract Dated July 
                                        1, 1995 Between Farvel 
                                        Arrendamientos, S.A. DE C.V. and 
                                        GROUPMED International de Mexico,
                                        S.A. DE C.V., Dated December 27,
                                        1995
         
                                   10.5 Modification and Clarification to 
                                        Addendum to Original Contract Dated 
                                        December 27, 1995 Between 
                                        GROUPMED International, Inc., 
                                        Farvel Arrendamientos, S.A. DE C.V. 
                                        and GROUPMED International de 
                                        Mexico, S.A. DE C.V., Dated 
                                        December 28, 1995 (Spanish Version)
         
         
                                      -25-
         
<PAGE>
          
                                   10.6 Modification and Clarification to 
                                        Addendum to Original Contract Dated 
                                        December 27, 1995 Between 
                                        GROUPMED International, Inc., 
                                        Farvel Arrendamientos, S.A. DE C.V. 
                                        and GROUPMED International de 
                                        Mexico, S.A. DE C.V., Dated 
                                        December 28, 1995 (English Version)
         
                                   10.7 Mexico's FM3 Document Filed on 
                                        Daniel N. Lomax (Equivalent to 
                                        Working Papers Permitting Mr. 
                                        Lomax to Work at Hospital Las 
                                        Americas)
         
                                       
         
         
         
         
         
         
                                        -26-
         
<PAGE>

                                SIGNATURES
         
     In accordance with Section 12 of the Securities Exchange Act of 1934, 
the registrant caused this registration statement to be signed on its behalf 
by the undersigned, thereunto duly authorized.

                              GROUPMED INTERNATIONAL, INC.



DATE: October 8, 1996     BY: /s/
                              --------------------------------
                              DANIEL N. LOMAX
                              President
                              

         
         
         
         
                                      -27-
         
<PAGE>





                           GROUPMED INTERNATIONAL, INC.
                          (formerly First Manhattan, Inc.)

                                FINANCIAL STATEMENTS

                       THE YEARS ENDED DECEMBER 31, 1994 AND 1995



                                  With Report Of
                                Independent Auditors


<PAGE>

                                     [LETTERHEAD]





                              INDEPENDENT AUDITORS' REPORT

The Board of Directors 
GroupMed International, Inc.

We have audited the accompanying consolidated balance sheet of GroupMed 
International, Inc. (a Nevada corporation) (the Company) as of December 31, 
1995, and the related condsolidated statements of operations, stockholders' 
equity, and cash flows for the years ended December 31, 1994 and 1995. These 
financial statements are the responsibility of the Company's management. Our 
responsibility is to express an opinion on these financial statements based 
on our audits.

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

In our opinion, the financial statements referred to above present fairly, in 
all material respects, the consolidated financial position of GroupMed 
International, Inc. as of December 31, 1995 and the consolidated results of 
its operations and its cash flows for the years ended December 31, 1994 and 
1995 in conformity with generally accepted accounting principles.

The accompanying financial statements have been prepared assuming that the 
Company will continue as a going concern. As discussed in Note 2 to the 
financial statements, the Company's significant operating losses raise 
substantial doubt about its ability to continue as a going concern. The 
financial statements do not include any adjustments that might result from 
the outcome of this uncertainty.

                                 /s/ Hoffman, McBryde & Co., P.C.

March 29, 1996


<PAGE>


                         GROUPMED INTERNATIONAL, INC.
                       (FORMERLY FIRST MANHATTAN, INC.)
                                 BALANCE SHEET
                               DECEMBER 31, 1995

                                    ASSETS


Current assets:
  Cash in bank                                                     $     11,204
  Marketable securities                                                   2,000
  Accounts receivable                                                    53,478
  Inventories                                                           165,101
  Recoverable value added tax                                           279,241
  Other                                                                     979
                                                                   ------------
     Total current assets                                               512,003

Property, plant and equipment
  Land                                             $    310,175
  Building                                            6,027,392
  Furniture and equipment                             3,781,351
  Computer equipment                                     59,433
                                                   ------------
                                                     10,178,351
  Accumulated depreciation                             (378,056)      9,800,295
                                                   ------------

Other assets:
  Deferred income taxes, net of valuation
     allowance of $330,643                                    -
  Recoverable value added tax                           194,049
  Organization costs, net of accumulated
     amortization of $30,572                            170,000
  License agreement, net of accumulated
     amortization of $4,848                             337,652
                                                   ------------
                                                                        701,701
                                                                   ------------
                                                                   
                                                                   $ 11,013,999
                                                                   ------------
                                                                   ------------
                                  (Continued)

                            See accompanying notes.

<PAGE>


                          GROUPMED INTERNATIONAL, INC.
                        (FORMERLY FIRST MANHATTAN, INC.)
                            BALANCE SHEET (Continued)
                                DECEMBER 31, 1995

                      LIABILITIES AND STOCKHOLDERS' EQUITY



Current liabilities:
  Accounts payable                                                 $    225,642
  Accrued expenses                                                      202,918
  Value added tax payable                                               279,241
  Current portion of long-term debt                                   3,266,405
                                                                   ------------
     Total current liabilities                                        3,974,206

Long-term liabilities:
  Notes payable                                    $  2,494,814
  Value added tax payable                               194,049       2,688,863
                                                   ------------
Minority interest                                                        65,921

Stockholders' equity:
  Common stock, $0.001 par value; authorized
     25,000,000 shares; 7,480,250 shares issued
     and outstanding                                      7,480
  Additional paid-in capital                          7,773,886
  Unrealized loss on marketable securities               (1,600)
  Translation adjustment                             (2,483,505)
  Accumulated deficit                                (1,011,252)
                                                    ------------
     Total stockholders' equity                                       4,285,009
                                                                   ------------
                                                         
                                                                    $11,013,999
                                                                   ------------
                                                                   ------------


                            See accompanying notes.

<PAGE>


                          GROUPMED INTERNATIONAL, INC.
                        (FORMERLY FIRST MANHATTAN, INC.)
                            STATEMENTS OF OPERATIONS
                    THE YEARS ENDED DECEMBER 31, 1994 AND 1995


                                                      1994             1995
                                                      ----             ----

Net patient service revenues                      $          -     $    740,133
Costs and expenses:
  Professional care of patients                              -          542,908
  Depreciation and amortization                            114          413,086
  General and administrative expenses                    2,397          681,425
                                                  ------------     ------------
                                                        (2,511)       1,637,419
                                                  ------------     ------------

Operating loss                                          (2,511)        (897,286)
                                                  ------------     ------------
Other income (expense):
  Interest expense                                           -           (6,242)
  Interest income                                          180                -
  Miscellaneous (net)                                        -           16,668 
  Reorganization expense                                     -          (50,000)
                                                                   ------------
                                                           180          (39,574)
                                                  ------------     ------------

Loss before minority interest                           (2,331)        (936,860)

Minority interest                                            -            6,351
                                                  ------------     ------------

Net loss                                               $(2,331)       $(930,509)
                                                  ------------     ------------
                                                  ------------     ------------

Net loss per share                                     $ (0.05)         $ (0.23)
                                                  ------------     ------------

Weighted average common shares outstanding              44,438        4,048,181
                                                  ------------     ------------
                                                  ------------     ------------


                            See accompanying notes.

<PAGE>


                          GROUPMED INTERNATIONAL, INC.
                        (FORMERLY FIRST MANHATTAN, INC.)
                       STATEMENTS OF STOCKHOLDERS' EQUITY
                   THE YEARS ENDED DECEMBER 31, 1994 AND 1995

<TABLE>
<CAPTION>
                                                    Common Stock       Additional    Accumu-
                                                    ------------        paid-in       lated     Translation   Unrealized
                                                 Shares      Amount     capital      deficit     adjustment      loss       Total
                                                 ------      ------     -------      -------     ----------      ----       -----
<S>                                            <C>         <C>       <C>         <C>          <C>           <C>        <C>
Balance, January 1, 1994                          44,438    $    44   $  87,797   $  (78,412) $         -    $     -   $     9,429

Net loss for 1994                                      -          -           -       (2,331)           -          -        (2,331)
                                               ---------  ---------  ----------  -----------  -----------  ---------   -----------

Balance, December 31, 1994                        44,438         44      87,797      (80,743)           -          -         7,098

Net loss for 1995                                      -          -           -     (930,509)           -          -      (930,509)
Unrealized loss on marketable securities               -          -           -            -            -     (1,600)       (1,600)
Issuance of shares in exchange for services      526,562        527      49,495            -            -          -        50,022
Acquisition of license agreement                 250,000        250     342,250            -            -          -       342,500
Issuance of shares for cash                    1,459,250      1,459     144,561            -            -          -       146,020
Acquisition of subsidiary                      5,200,000      5,200   7,149,783            -            -          -     7,154,983
Translation adjustment                                 -          -           -            -  $(2,483,505)         -    (2,483,505)
                                               ---------  ---------  ----------  -----------  -----------  ---------   -----------

Balance, December 31, 1995                     7,480,250    $ 7,480  $7,773,886  $(1,011,252) $(2,483,505)   $(1,600)  $ 4,285,009
                                               ---------  ---------  ----------  -----------  -----------  ---------   -----------
                                               ---------  ---------  ----------  -----------  -----------  ---------   -----------


</TABLE>

                             See accompanying notes.

<PAGE>


                          GROUPMED INTERNATIONAL, INC.
                        (FORMERLY FIRST MANHATTAN, INC.)
                            STATEMENTS OF CASH FLOWS
                  THE YEARS ENDED DECEMBER 31, 1994 AND 1995

                                                      1994             1995
                                                      ----             ----

Cash flows from operating activities:
  Net loss                                        $     (2,331)    $   (930,509)
  Adjustments to reconcile net loss to net cash
  used by operating activities:
     Amortization                                          114           35,030
     Depreciation                                            -          378,056
     Expenses paid by issuance of common stock               -           50,022
     Minority interest in subsidiary loss                    -           (6,351)
     Loss on sale of securities                              -            1,019
     Changes in:
          Accounts receivable                                -          (53,478)
          Inventories                                        -          (59,888)
          Notes receivable                                   -            3,000
          Other current assets                            (179)            (685)
          Accounts payable                                   -          225,642
          Accrued expenses                                   -          202,918
                                                  ------------     ------------

  Net cash used by operating activities                 (2,396)        (155,224)
                                                  ------------     ------------

Cash flows from investing activities:
  Purchase of marketable securities                          -           (9,000)
  Proceeds from sale of marketable securities                -            5,221
                                                  ------------     ------------

  Net cash used by investing activities                      -           (3,779)
                                                  ------------     ------------

Cash flows from financing activities:
  Proceeds from issuance of notes payable                    -           21,405
  Proceeds from issuance of common stock                     -          146,020
                                                  ------------     ------------

  Net cash provided by financing activities                  -          167,425
                                                  ------------     ------------

Net increase (decrease) in cash                         (2,396)           8,422

Cash at beginning of period                              5,178            2,782
                                                  ------------     ------------

Cash at end of period                                  $ 2,782        $  11,204
                                                  ------------     ------------
                                                  ------------     ------------


                                  (Continued)

                            See accompanying notes.

<PAGE>


                          GROUPMED INTERNATIONAL, INC.
                        (FORMERLY FIRST MANHATTAN, INC.)
                      STATEMENTS OF CASH FLOWS (CONTINUED)
                   THE YEARS ENDED DECEMBER 31, 1994 AND 1995


                                                      1994             1995
                                                      ----             ----

Supplemental information:
  Interest paid                                   $          -     $          -
  Taxes paid                                                 -                -
  Noncash investing and financing transactions:
     Acquisition of license agreement in 
     exchange for common stock:
          License agreement                                  -          342,500
          Common stock                                       -         (342,500)
     Acquisition of subsidiary and its operational
     assets of Mexican hospital in exchange for note
     payable and common stock:
          Inventory                                          -           86,498
          Land                                               -          397,800
          Building                                           -        7,458,394
          Furniture and equipment                            -        4,784,563
          Recoverable value added tax                        -          473,290
          Note payable                                       -       (5,500,000)
          Value added tax payable                            -         (473,290)
          Minority interest                                  -          (72,272)
          Common stock                                       -       (7,154,983)
     Funding of organization costs in
     exchange for note payable to stockholder:
          Organization costs                                 -          200,000
          Note payable                                       -         (200,000)
     Acquisition of equipment in exchange
     for note payable to stockholder:
          Equipment                                          -           39,814
          Note payable                                       -          (39,814)
  Translation adjustment resulting from
  devaluation of functional currency:
     Translation adjustment                                  -        2,483,505
     Land                                                    -          (87,625)
     Building                                                -       (1,412,287)
     Furniture and equipment                                 -         (983,593)



                            See accompanying notes.

<PAGE>

                          GROUPMED INTERNATIONAL, INC.
                        (FORMERLY FIRST MANHATTAN, INC.)
                         NOTES TO FINANCIAL STATEMENTS
                   THE YEARS ENDED DECEMBER 31, 1994, AND 1995

NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES AND BUSINESS ACTIVITY

     This summary of significant accounting policies of GroupMed International, 
     Inc. (the Company) is presented to assist in understanding the Company's 
     financial statements.

     CONSOLIDATION

     The consolidated financial statements for the year ended December 31, 
     1995, include the accounts of the Company and its 99 percent-owned 
     subsidiary. Significant intercompany accounts and transactions have been 
     eliminated.

     BUSINESS ACTIVITY

     The Company was incorporated in Nevada on March 27, 1991, as First 
     Manhattan, Inc.  Shares of its common stock are traded over the counter. 
     On June 8, 1995, the Company changed its name to GroupMed International, 
     Inc.  Prior to July 1, 1995, the Company was in the development stage.  
     Subsequent to that date, the Company is functioning in the development 
     and operations of medical facilities, operated by its subsidiary, 
     GroupMed International de Mexico S.A. de C.V. (GMIX), which owns and 
     operates a hospital in Ensenada, Mexico. (See Note 9)

     CASH AND CASH EQUIVALENTS

     The Company considers all highly liquid debt instruments purchased 
     with a maturity of three months or less to be cash equivalents for 
     purposes of the statements of cash flows.  The Company held no cash 
     equivalents at December 31, 1995.

     MARKETABLE SECURITIES

     Marketable securities consist of equity securities and are stated at 
     fair market value.  During 1994, the Company changed its method of 
     accounting for investments in securities to conform with the requirements 
     of Statement of Financial Accounting Standards (SFAS) No. 115, Accounting 
     for Certain Investments in Debt and Equity Securities.

     INVENTORIES

     Inventories are stated at lower of cost or market.  Cost is determined by 
     the first-in, first-out method.

     REVENUE RECOGNITION

     Revenue is recognized as services are provided.

<PAGE>


     PROPERTY AND EQUIPMENT

     Land, buildings, machinery and equipment are stated at cost less 
     accumulated depreciation which is computed using the straight-line method 
     over estimated useful lives ranging from five to thirty years.

     Major expenditures for property and equipment and those which 
     substantially increase useful lives are capitalized.  Maintenance, 
     repairs and minor renewals are expensed as incurred.  When assets are 
     retired or otherwise disposed of, their costs and related accumulated 
     amortization and depreciation are removed from the respective accounts 
     and resulting gains or losses are included in income.

     ORGANIZATION COSTS

     Organization costs are being amortized by the straight-line method over a 
     60-month period, commencing in the month following the month in which the 
     costs were incurred.

     DEFERRED INCOME TAX ACCOUNTS

     Deferred tax provision/benefits are calculated for certain transactions 
     and events because of differing treatments under generally accepted 
     accounting principles and the currently enacted tax laws of the federal 
     government.  The results of these differences on a cumulative basis, 
     known as temporary differences, result in the recognition and measurement 
     of deferred tax assets and liabilities in the accompanying balance 
     sheets.

     LOSS PER SHARE

     Net loss per share of common stock is based on the weighted average 
     number of shares of common stock outstanding during the period, giving 
     full retroactive effect to the reverse split described in Note 9.

     LICENSE AGREEMENT
     
     The cost of the license agreement is being amortized over its estimated 
     beneficial life of 17 years eight months, commencing one month after the 
     date of the agreement.

     MANAGEMENT USE OF ESTIMATES AND CERTAIN SIGNIFICANT ESTIMATES

     The preparation of financial statements in conformity with generally 
     accepted accounting principles requires management to make estimates and 
     assumptions that affect the reported amounts of assets and liabilities 
     and disclosure of contingent assets and liabilities at the date of the 
     financial statements and the reported amounts of revenues and expenses 
     during the reporting period.  Significant estimates used in preparing 
     these financial statements include those assumed in the valuation and 
     estimated beneficial life of the license agreement and the valuation and 
     estimated useful lives of the operational assets of the Mexican hospital. 
     It is at least reasonably possible that the significant estimates used 
     will change within the next year and that the effect of such changes on 
     the financial statements will be severe.

<PAGE>


NOTE 2 - BASIS OF PRESENTATION AND UNCERTAINTIES RELATED TO CONTINUED EXISTENCE

     The Company's financial statements have been presented on the basis that 
     it is a going concern, which contemplates the realization of assets and 
     the satisfaction of liabilities in the normal course of business.  The 
     Company incurred net losses of $2,331 and $1,005,557 for the years ended 
     December 31, 1994 and 1995, respectively.  In 1995, the Company began 
     operation of a private-care hospital in Mexico, where health care is 
     provided by the government to all citizens.  These factors, among others, 
     indicate the Company's ability to continue in existence is dependent upon 
     its ability to obtain additional long-term debt and/or equity financing 
     and to achieve profitable operations. The financial statements do not 
     include any adjustments relating to the recoverability and classification 
     of recorded asset amounts or the amounts and classification of 
     liabilities that might be necessary should the Company be unable to 
     continue in existence.

NOTE 3 - FOREIGN OPERATIONS

     The financial statements of GMIX have been translated into U.S. dollars 
     in accordance with Statement of Financial Accounting Standards No. 52, 
     "Foreign Currency Translation." The assets and liabilities denominated in 
     Mexican pesos were translated into U.S. dollars at the current rate of 
     exchange which existed at year end except for the note payable of GMIX 
     which is payable in a fixed amount stated in U.S. dollars and is reported 
     at that amount.  Income and expense items were translated at the average 
     exchange rate for the year. The resulting translation adjustment has been 
     recorded as a separate component of stockholders' equity.

     Substantially all of the Company's operations are presently conducted in 
     Mexico, whose economy has been characterized by recent currency 
     devaluation, recessionary and inflationary conditions, and rising 
     unemployment. As a result, uncertainties exist with respect to economic 
     stability in Mexico.

NOTE 4 - INCOME TAXES

     Because the Company has not generated taxable income since its inception, 
     no provision for income taxes has been made.

     The Company can carry forward its net operating losses for deduction 
     against future profits until expiration in the following years:

         Years Ended December 31,
         ------------------------

               2000  (loss of Mexican subsidiary in 1995)  $ 635,074
               2006                                           33,037
               2007                                           43,945

<PAGE>


               2008                                            1,430
               2009                                            2,331
               2010 (loss of Company in 1995)                301,786
                                                             -------
                                                          $1,017,603
                                                          ----------

NOTE 5 - DEFERRED INCOME TAXES

     The Company has adopted SFAS No. 109, "Accounting for Income Taxes," 
     which requires a liability approach to financial accounting and reporting 
     for income taxes.
     
     The difference between the financial statement and tax bases of assets 
     and liabilities is determined annually.  Deferred income tax assets and 
     liabilities are computed for those differences that have future tax 
     consequences using the currently enacted tax laws and rates that apply to 
     the periods in which they are expected to affect taxable income.  
     Valuation allowances are established, if necessary, to reduce deferred 
     tax asset accounts to the amounts that will more likely than not be 
     realized.  Income tax expense is the current tax payable or refundable 
     for the period, plus or minus the net change in the deferred tax asset 
     and liability accounts.

     As described in Note 2, there is substantial doubt as to the continued 
     existence of the Company, resulting in substantial doubt that the Company 
     will be able to utilize its net operating loss carryforwards.  The 
     Company has therefore recorded a valuation allowance equal to the amount 
     of the deferred tax asset created by the net operating losses that can be 
     carried forward to future periods.

NOTE 6 - MARKETABLE SECURITIES

     Corporate Securities available-for-sale at December 31, 1995 consist of 
     the following:

                                    Gross            Gross
                    Amortized     unrealized       unrealized     Fair
                      cost          gains            losses       value
                    ---------     ----------       ----------    -------
                      $3,600        $  -             $1,600      $2,000
                    ---------     ----------       ----------    -------

     Unrealized losses on available-for-sale securities amounting to $1,600 in 
     1995 were recognized as a decrease to stockholders' equity.  During 1995, 
     sales proceeds and gross realized gains and losses on securities 
     classified as available for sale were:


     Sale proceeds                        $5,221
                                          ------
     Gross realized losses                $1,019
                                          ------
     Gross realized gains                 $   -
                                          ------

<PAGE>


NOTE 7 - WARRANTS

     On August 9, 1991, the Company issued shares of common stock with 
     warrants attached.  Each unit of common stock is comprised of one share 
     of common stock and one "A" warrant (90,000 units) and one "B" warrant 
     (10,000 units).  The "A" warrant is convertible into one share of common 
     stock at $7.50 per share.  The "B" warrant is convertible into one share 
     of common stock at $10.00 per share.

     The "A" and "B" warrants are exercisable for one year and two years, 
     respectively, commencing on the effective date of the registration of the 
     warrants with the Securities and Exchange Commission.  As of the date of 
     these financial statements, the warrants are not registered with the 
     Securities and Exchange Commission.
     
     The warrants have not been included in the computation of loss per share 
     since they are anti-dilutive and since there is substantial doubt that 
     the Company will continue in existence (Note 2) and, therefore, the 
     warrants will not be registered.

NOTE 8 - RELATED PARTY TRANSACTIONS

     On July 1, 1995, the Company entered into various consulting and 
     management agreements for a period of one year with three individual 
     stockholders.  The agreements provide for the Company to pay compensation 
     in the aggregate amount of $17,250 per month for the services provided by 
     the stockholders.

NOTE 9 - REORGANIZATION AND BUSINESS COMBINATION

     On June 7, 1995, the Company instituted a reverse split of 1 for 4 shares 
     previously outstanding.  The reverse split has been retroactively applied 
     to all periods presented in the accompanying financial statements.
     
     The Company entered into an acquisition agreement and plan of 
     reorganization on June 8, 1995, whereby the Company changed its name from 
     First Manhattan, Inc. to GroupMed International, Inc. and acquired 99 
     percent of the stock of GMIX in exchange for 5,200,000 unregistered 
     shares of the Company's common stock.  The transaction was valued at the 
     appraised market values of the net assets acquired by GMIX as described 
     below.
     
     Effective July 1, 1995, GMIX entered into a purchase agreement with 
     Farvel Arrendamientos S.A. de C.V. (Seller) whereby GMIX purchased all of 
     the operational assets of a hospital located in Ensenada, Mexico.  The 
     assets are comprised of land, buildings, equipment, and inventory.  The 
     purchase price was $5,500,000, payable by several promissory notes with 
     various due dates extending through January 1, 1997. The acquisition was 
     accounted for by the purchase method.  In connection with the acquisition 
     of GMIX by the Company, the assets were restated to their appraised 
     market values, aggregating $12,727,255.

<PAGE>


     The consolidated financial statements include amounts for the foreign 
     subsidiary, GMIX, for the period from July 1, 1995 (acquisition) to 
     December 31, 1995, as follows:
     
                 Net revenue       $740,133
                 Net loss          (635,074)
                 Total assets    10,404,158
                 Net assets       4,040,398

     Total assets and net assets of GMIX include intercompany accounts with 
     the Company that have been eliminated and minority interest that has been 
     reclassified from equity in the consolidated balance sheet.

NOTE 10 - LICENSE AGREEMENT

     On August 31, 1995, the Company entered into a license agreement with 
     Exten Industries, Inc. (Exten) for the Company's use, manufacture, 
     distribution, marketing and sales of clinical devices and other 
     technologies utilizing the Synthetic Bio-Liver ("Sybiol") for a period 
     ending upon expiration of Exten's patent rights.  The patent application 
     is pending, and Exten has announced that it expects the patent to be 
     granted in May 1996.  The agreement provides for payment of royalties 
     equal to 10 percent of net sales, paid quarterly, plus an annual license 
     maintenance fee of $10,000. In exchange for this license agreement, the 
     Company issued to Exten 250,000 unregistered shares of its common stock.  
     The transaction was valued at the fair market value of the Company's 
     common shares as evidenced by the appraised value of tangible assets 
     received in the acquisition of the Mexican subsidiary and hospital 
     described above.

NOTE 11 - LONG TERM DEBT

     Long term debt as of December 31, 1995, consist of the following:

                                                        Date          Amount
                                                        ----          ------

     Note payable to Farvel, non-interest bearing,
     due in various installment payments from
     April 1, 1996 to January 1, 1997;
     secured by operational assets of hospital         7-1-95       $5,500,000

     Note payable to stockholder due on demand,
     unsecured with no interest                       7-13-95           11,870

     Note payable to stockholder due on demand,
     unsecured with no interest                       11-1-95            4,535

     Note payable to stockholder principal and 
     interest due and payable on March 17, 2000; 
     interest at varying rates ranging from 2% 
     to 7%, beginning on March 17, 1996; unsecured    3-17-95          200,000

<PAGE>



     Note payable to stockholder due and payable
     May 30, 1996, with interest at 12%, unsecured    11-1-95            5,000

     Note payable to stockholder due and payable 
     in full on June 1, 1997, with interest at 6% 
     payable quarterly, unsecured                      6-1-95           39,814
                                                                     ---------
                                                                     5,761,219
     Less current portion                                            3,266,405
                                                                     ---------
                                                                    $2,494,814
                                                                     ---------
                                                                     ---------


     Maturities of long term debt are as follows:

     Years ended December 31,
     ------------------------
     1996                              $3,266,405
     1997                               2,294,814
     1998                                       -
     1999                                       -
     2000                                 200,000
                                       ----------
                                       $5,761,219
                                       ----------
                                       ----------

     On December 27, 1995, the Company, GMIX, and Seller (Farvel) agreed that 
     the amount of the purchase price of the hospital (see Note 9) will be 
     satisfied by the issuance of 2,000,000 unregistered shares of the 
     Company's common stock to Farvel. The stock is to be held in escrow and 
     distributed to Farvel in installments during 1996 contingent upon the 
     market value of the stock reaching $2.75 per share by April 1, 1996.  The 
     agreement also stipulates that in the event the market value does not 
     reach $2.75 per share and Farvel does not choose to accept an alternate 
     form of payment, the Company may, at its discretion, offer cash in 
     satisfaction of the debt.  Due to the contingent nature of this 
     transaction, no recognition of the issuance of these shares has been made 
     in the accompanying financial statements.

NOTE 12 - VALUE ADDED TAX

     In connection with the acquisition of the operational assets of the 
     hospital located in Ensenada, Mexico, the Company is liable for a value 
     added tax (VAT) payable to the seller in installments as the installments 
     of the note payable to Farvel, described in Note 9, are paid.  Once paid, 
     the VAT is recoverable by offset against VAT collected from patients, or 
     by claim for refund filed with the Mexican government.  The recoverable 
     VAT is reported as an asset in the accompanying balance sheet, and the 
     portion associated with the long-term portion of the related note payable 
     is classified as non-current.

<PAGE>


NOTE 13 - PROFORMA INFORMATION

     The following proforma information reflects the operations of the 
     business acquired by GMIX for the years ended December 31, 1994 and 1995 
     (including the six months ended June 30, 1995, when the business was 
     operated by Seller):

                                      1994           1995
                                      ----           ----

     Revenues                 $  2,177,553    $  1,114,485
     
     Costs and expenses          4,016,852       2,279,805
                              ------------    ------------

     Operating loss             (1,839,299)     (1,165,320)
     
     Other expense                (109,787)         (9,411)
                              ------------    ------------
     
     Net loss                  $(1,949,086)    $(1,174,731)
                              ------------    ------------
                              ------------    ------------

     The operations of the Company are not reflected above as the amounts are 
     immaterial to this proforma presentation.

NOTE 14 - COMMITMENT

     The Company conducts its business from corporate offices in Alpine, 
     California.  The office facilities are leased on a month to month basis 
     for $750 per month.

NOTE 15 - FINANCIAL INSTRUMENTS

     The fair values of financial instruments, other than long-term debt, 
     closely approximate their carrying value.  As of December 31, 1995, the 
     estimated fair value of long-term debt based on discounted future cash 
     flows of fixed rate obligations was lower than the carrying value by 
     approximately $300,000.

NOTE 16 - ACCOUNTS RECEIVABLE

     At December 31, 1995, the Company's accounts receivable are comprised of 
     the following:

          $25,300    Due from private care patients
            7,792    Taxes receivables
           16,613    Due from predecessor hospital operator
            1,065    Employees
            2,708    Other
          -------
          $53,478
          -------
          -------

<PAGE>


NOTE 17 - CONTINGENCY

     GMIX has not insured the operational assets of the hospital in Ensenada, 
     Mexico against the risk of future loss or damage by fire, explosion or 
     other hazards.

<PAGE>



                         GROUPMED INTERNATIONAL, INC.
                       (FORMERLY FIRST MANHATTAN, INC.)

                             FINANCIAL STATEMENTS

                              FIRST QUARTER, 1996

                                   UNAUDITED

            PREPARED BY MANAGEMENT OF GROUPMED INTERNATIONAL, INC.
              AND GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.

                        3095 SOUTH GRADE ROAD, SUITE B
                           ALPINE, CALIFORNIA 91901
                      (619) 445-0977 FAX: (619) 445-8805

<PAGE>


                           GROUPMED INTERNATIONAL, INC.
                         (FORMERLY FIRST MANHATTAN, INC.)
                                 BALANCE SHEET
                       3-MONTH PERIOD ENDING MARCH 31, 1996

                                    ASSETS

Current Assets:                                  Dollars        Dollars
     Cash in Bank                                                   22,112
     Marketable securities                                           2,000
     Accounts Receivable                                           166,485
     Inventories                                                   212,465
     Recoverable value added tax                                   355,655
     Other                                                          16,737
                                                                ----------
         Total Current Assets                                      775,454
                                                                ----------
Property, plant and equipment:
    Land                                            397,800
    Building                                      7,458,394
    Furniture and equipment                       4,751,474
    Computer equipment                               73,850
                                                 ----------
                                                 12,681,518
    Accumulated depreciation                       (672,837)
                                                 ----------
                                                                12,008,681
                                                                ----------
Other assets:
     Deferred income taxes, net of
          valuation allowance of $
     Recoverable value added tax                    244,450
     Organization costs, net of accumulated
          amortization of $40,572                   160,000
     License agreement, net of accumulated
          amortization of $4,848                    337,652
                                                                   742,102
                                                                ----------
                                                                13,526,237
                                                                ----------
                                                                ----------

<PAGE>


                           GROUPMED INTERNATIONAL, INC.
                         (FORMERLY FIRST MANHATTAN, INC.)

                       3-MONTH PERIOD ENDING MARCH 31, 1996

                        LIABILITIES & STOCKHOLDERS' EQUITY

Current Liabilities:                             Dollars        Dollars
     Accounts Payable                                              204,138
     Accrued expenses                                              222,690
     Value added tax payable                                       424,173
     Current portion of long-term debt                           3,250,000
                                                                 ---------
         Total current liabilities                               4,101,001
                                                                 ---------
Long-term liabilities:
     Notes payable                                2,603,857
     Value added tax payable                        267,740
                                                  ---------
                                                                 2,871,597
                                                                 ---------
Minority interest                                                   68,964
                                                                 ---------
Stockholder's equity:
     Common stock, $0.001 par value,
          authorized 25,000,000 shares;
          7,748,795 shares issued and
          outstanding                                 7,658
     Additional paid-in capital                   7,882,408
     Unrealized loss on marketable securities        (1,600)
     Accumulated deficit                         (1,403,791)
                                                 -----------
         Total stockholders' equity                              6,484,675
                                                                 ---------
                                                                13,526,237
                                                                 ---------
                                                                 ---------

<PAGE>


                           GROUPMED INTERNATIONAL, INC.
                         (FORMERLY FIRST MANHATTAN, INC.)

                       3-MONTH PERIOD ENDING MARCH 31, 1996

                             INCOME AND LOSS STATEMENT

                                                 Dollars        Dollars
Net patient service revenues                                       319,798

Cost and Expenses
     Professional care of patients                 (216,269)
     Depreciation and amortization                 (232,653)
     General & Administration                      (153,949)
     Consulting & professional fees                 (55,893)
     Shareholder expense                             (1,006)
     General & Office Administration                (14,567)
     Advertising & Marketing                        (44,685)
     Depreciation & amortization                    (11,992)
                                                    --------
                                                                  (731,014)

         Operating Profit (Loss)                                  (411,216)

Other Income (expense)
     Interest expense                                (3,962)
     Miscellaneous income                            14,606
     Exchange Loss                                 (350,813)
                                                   ---------
                                                                  (340,169)

         Net Loss                                                 (751,385)
                                                                  ---------
                                                                  ---------


<PAGE>


FIRST QUARTER, 1996                               FINANCIAL STATEMENTS

<TABLE>
<CAPTION>

Conversion Analysis                                                   End       Diff:
Balance Sheet                                                        Quarter     End/
As of March 31, 1996                   PESOS     RATE    DOLLARS      7.53      Actual       Sources
                                                                                            ----------
<S>                                 <C>          <C>   <C>         <C>         <C>          <C>
Assets
  Monetary Assets                    6,900,171   7.53     916,357     916,357          0    NM assets are
  Nonmonetary Assets                73,918,619   6.17  11,975,504   9,816,550  2,158,954    worth more PESOS
                                   -----------         ----------------------------------   and they keep
     Total Assets                   80,818,790         12,891,861  10,732,907  2,158,954    their dollar value
                                                                                            adding:                  2,158,954 
Liabilities 
  Monetary Liabilities              49,898,936   7.53   6,626,685   6,626,685          0
                                                                                            Uses
                                                                                            ----------
  Exposure = Working Capital       (42,998,765)        (5,710,327) (5,710,327)         0    Equity must keep
                                                                                            its DOLLAR value
                                                                                            being NM:                2,551,642
Equity
  Common Stock                          50,000   6.35       7,874       6,640      1,234    Net Income is less
  Additional Paid-In Capital        45,482,100   6.00   7,580,350   6,040,120  1,540,230    because
  Accumulated deficit (Pesos)      (13,604,131)                    (1,806,658) 1,806,658    depreciation must
  Accumulated deficit (Dollars)                          (703,352)              (703,352)   keep the same
                                    31,927,969          6,884,872   4,240,102  2,644,770    replacement dollar
Income                                                                                      value:                     (41,943)
  All sources (except Rate fluct.)   2,541,069   7.54     336,833     337,459       (626)   But also more because
                                                                                            Gross Operating
Expenses                                                                                    profit is higher
  All (except depreciation & ER      2,814,390   7.54     373,063     373,757       (694)   because of
  Depreciation                       1,436,045   6.17     232,653     190,710     41,943    fluctuations
                                                                                            within the
                                   -----------         ----------------------------------   quarter:                        67
Net Profit (Loss) before Fluct.     (1,709,366)          (268,883)   (227,007)   (41,875)   
                                                                                                                     ---------
  Ex. Rate Fluctuations                701,251                         93,128    (93,128)   Total uses               2,509,767
  Translation Result                                     (350,813)              (350,813)                            ---------
                                                                                            Difference                (350,813)
                                   -----------         ----------------------------------  
Net Profit (Loss) after Fluct.      (1,008,116)          (619,696)   (133,880)  (485,816)
                                   -----------         ----------------------------------  
Total Liabilities & Equity          80,818,790         12,891,861  10,732,907  2,158,954
</TABLE>

GroupMed International de Mexico, S.A. de C.V. 25-Apr-96 

<PAGE>

  GROUPMED
INTERNATIONAL                   GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.


                        QUARTERLY FINANCIAL STATEMENTS
                                  (Unaudited)
                            January - March, 1996

                      Notes to the Financial Statements
                                  (unaudited)

 1.  Operations and main accounting policies

     a. The company was incorporated on April 18, 1995 and began operating the 
        GroupMed Hospital Las Americas on July 1st of that same year. Its main 
        activities are providing medical and hospital care as well as ancillary 
        services.

     b. The financial statements have been prepared on the basis of 
        historical-cost accounting in pesos, and remesasured in U.S. dollars 
        following FASB Statement No 52 guidelines using the U.S. dollar as the 
        company's functional currency.

     c. Temporary investments are valued at their true value which is 
        similar to their market value.

     d. Inventories are valued at current market value, which does not 
        exceed their true value. The cost of sales is brought up to date using 
        the last purchase method.

     e. Fixed assets are valued at their historical cost. Depreciation 
        is calculated using the straight-line method based on the 
        following rates:
                            Buildings                   30 years
                            Fixtures & Equipment         7 years
                            Computer equipment           4 years

     f. Assets and liabilities in foreign currency (US dollars) are valued at 
        the exchange rate of the day the transaction took place and registered 
        in mexican pesos. A compensating account is kept to register the 
        changes in the pesos-value of these assets or liabilities in response 
        to exchange rate fluctuations.

     g. Employee severence benefits are charged to operations when the 
        liability is determined to be due.


Arenas # 151. Ensenada 22880. B.C. Mexico Tel. (617) 6-03-01  Fax (617) 7-15-JI

<PAGE>


     h. Income and Assets taxes, as well as employees profit-share are expensed 
        in the year in which they become payable. They are adjusted, as the 
        case may be, bi any effects resulting from certain temporary entries 
        that are fiscally acknowledged in years different from that in which 
        it was acknowledged in the accounts. Asset taxes exceeding Income 
        taxes are expensed in the year in which they become payable.

2. The composition of Inventories at the balance sheet date was the following:
     a. General Warehouse         US$ 195,434
     b. Pharmacy                  US$  17,031
                                  -----------
                            TOTAL US$ 212,465

3. Operations with related parties
   GroupMed International, Inc., a Nevada corporation, has the following 
   relationship witth the Company:

        i.   Holder of 99% of the common stock 
        ii.  Main financial source 
        iii. Significant administrative influence.

4. Translation procedure from Pesos to Dollars

   a. Monetary Assets and liabilities are converted at the current rate 
      of exchange of 7.53 pesos/dollar.

   b. Non-monetary assets are converted at the historical exchange rate at the 
      time of purchase, which is 6.00 pesos per dollar.

   c. Common stock and other equity items are translated at the historical 
      excahnge rate of 6.00 pesos per dollar.

   d. Income and expense items are converted at the average exchange rate for 
      the quarter, which was 7.544 pesos per dollar, except for depreciation, 
      which is converted at the same rate as the nonmonetary assets from which 
      it is derived.

   e. The resulting exchange gain (loss) reflects both the magnitude and 
      direction of the fluctuation of the value of the mexican peso with 
      respect to the US dollar, and the proportions of monetary assets and 
      liabilities in each currency.

5. The MANAGEMENT'S DISCUSSION AND ANALYSIS which follows these notes 
   contains additional information on the results of operations and the 
   financial position of the company. Those comments should be read in 
   conjunction with these notes. The company's Audited Financial Statements 
   for the year ended December 31, 1995 include additional information 
   about the company, its operations, and its financial position and should 
   be read in conjunction with this quarterly report.

Arenas # 151. Ensenada 22880, B.C.. Mexico  Tel. (617) 6-03-01 Fax (617) 7-154J

<PAGE>


6. The results for the January-March quarterly period are not necessarily
   indicative of the results to be expected for the full year of 1996 due to
   the seasonal nature of the company's business and the continuing
   restructuring undertaken.

7. In the opinion of the management, all adjustments necessary for a fair
   statement of the results of operations of the quarter have been included.

                       MANAGEMENT'S DISCUSSION AND ANALYSIS OF
                    FINANCIAL CONDITION AND RESULTS OF OPERATIONS

 1.  REVENUES AND VOLUME

     a. Revenues are derived principally from health care services provided
        through the GROUPMED HOSPITAL LAS AMERICAS and marginally from the 
        rental of medical office space in the adjoining GROUPMED MEDICAL 
        CENTER.

     b. The greatest share of the company's health care revenues, 
        approximately 75%, are private-pay in- and out-patients. Most of these 
        are billed and collected upon the patient's discharge and, thus, 
        receivables are less than 9% of the accumulated sales since 
        July, 1995.

     c. Compared with the staffed capacities of the Hospital, 11 patients for 
        general hospitalization, 3 in the nursery and two in the Intensive Care 
        Unit, the occupancy rates were: 90.7%, 34.5% and 63% respectively. The 
        total number of patient-days for the quarter was 971, 0.6% more than 
        the previous quarter and 10.5% less than the first quarter of 
        operations. 

2.  BUSINESS EVOLUTION

    a.  The first quarter of 1996 saw several changes and additions to Company 
        operations. First of all, on February 2nd, the new Department of 
        Orthopedic Medicine began admitting patients, mainly from the U.S.A. 
        This department's activities have provided a new and strong source of 
        revenue for the Company.

    b.  On February 16, the Clinical Laboratory at the Hospital began 
        operations under the concessioned management of Pathology Medical 
        Laboratories, Inc. During the following three months the lab staff will 
        be under review to determine the staff that will contracted by P.M.L. 
        from May 15 onwards. The Pathologist formerly heading the lab was 
        terminated in February, and his severance pay distributed over 
        3 months.

    c.  Staff changes, including promotions, new hires and attrition, 
        were implemented to control costs more closely than before, 
        resulting in important savings from the second half of the quarter.

Arenas # 151. Ensenada 22880, B.C.. Mexico  Tel. (617) 6-03-01 Fax (617) 7-154J

<PAGE>





                             FIRST MANHATTAN, INC.
                     December 31, 1994, 1993, 1992 and 1991


<PAGE>






                               FIRST MANHATTAN, INC.
                      DECEMBER 31, 1994, 1993, 1992 AND 1991
         
                               TABLE OF CONTENTS
         
                                                                      PAGE NO.
                                                                      --------

         INDEPENDENT AUDITOR'S REPORT                                     1

         FINANCIAL STATEMENTS
           Balance Sheets                                                 2
           Statements of Operations                                       3
           Statements of Stockholders' Equity                             4
           Statements of Cash Flows                                       5
                                                               
         NOTES TO FINANCIAL STATEMENTS                                   6-9
                                                              

<PAGE>

                                    [LETTERHEAD]



                            INDEPENDENT AUDITOR'S REPORT
         
The Board of Directors
  First Manhattan, Inc.

    We have audited the balance sheets of First Manhattan, Inc. (a Nevada 
corporation) (a development stage company) as of December 31, 1994, 1993, 
1992, and 1991, and the related statements of operations, stockholders' 
equity, and cash flows for the years ended December 31, 1994, 1993, 1992, and 
the nine months ended December 31, 1991. These financial statements are the 
responsibility of the Company's management. Our responsibility is to express 
an opinion on these financial statements based on our audit.

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

    In our opinion, the financial statements referred to above present 
fairly, in all material respects, the financial position of First Manhattan, 
Inc. as of December 31, 1994, 1993, 1992, and 1991, and the results of its 
operations and its cash flows for the years ended December 31, 1994, 1993, 
1992 and the nine months ended December 31, 1991 in conformity with generally 
accepted accounting principles.

    The accompanying financial statements have been prepared assuming that 
the Company will continue as a going concern. As discussed in Note 3 to the 
financial statements, the Company's significant operating losses raise 
substantial doubt about its ability to continue as a going concern. The 
financial statements do not include any adjustments that might result from 
the outcome of this uncertainty.







Reno, Nevada
February 16, 1995
         
<PAGE>







         
                     This page intentionally left blank.
         
         



<PAGE>

         DECEMBER 31,
       -----------------
         1992      1991
       -------   -------
       $ 6,609   $ 9,198
           -      42,955
         
           840     2,000
           -         -
         3,000       -
       -------   -------
        10,449    54,153
       -------   -------

           -         226
         
           -         -

           410       524
       -------   -------
           410       750
       -------   -------
       $10,859   $54,903
       -------   -------
       -------   -------



           -          99
       -------   -------
           -          99
       -------   -------
           -          99
       -------   -------



           178       178
        87,663    87,663
       (76,982)  (33,037)
       -------   -------
        10,859    54,804
       -------   -------
       $10,859   $54,903
       -------   -------
       -------   -------
         
     The accompanying notes are an integral part of these financial statements.
         
         
<PAGE>




                              FIRST MANHATTAN, INC.
                          (A Development Stage Company)
                                  BALANCE SHEETS
                      DECEMBER 31, 1994, 1993, 1992, AND 1991


                                      ASSETS
         
                                                          DECEMBER 31,
                                                       -------------------
                                                         1994       1993
                                                       --------   --------
Current Assets:
  Cash in bank                                         $ 2,782    $ 5,178
  Certificates of deposit                                  -          -
  Marketable securities, at lower of cost
    or market, allowance for unrealized
    losses of $2,660 for 1994, $2,660 for 1993,
    $2,660 for 1992, and $0 for 1991 - Note 6              840        840
  Accrued interest receivable                              294        115
  Notes receivable - Note 7                              3,000      3,000
                                                       -------    -------
           Total Current Assets                          6,916      9,133
                                                       -------    -------

Other assets:
  Deposits                                                 -          -
  Deferred income taxes, net of valuation
    allowance of $12,111 for 1994, $11,762
    for 1993, $11,547 for 1992, and $5,106
    for 1991 - Note 5                                      -          -
  Organization costs, net of accumulated
    amortization of $390 for 1994, $276 for
    1993, $162 for 1992, and $48 for 1991                  182        296
                                                       -------    -------
           Total Other Assets                              182        296
                                                       -------    -------
                                                       $ 7,098    $ 9,429
                                                       -------    -------
                                                       -------    -------

                 LIABILITIES AND STOCKHOLDERS' EQUITY
         
Current Liabilities:
  Accounts payable                                         -          -  
                                                       -------    -------
           Total Current Liabilities                       -          -  
                                                       -------    -------
           Total Liabilities                               -          -  
                                                       -------    -------

Stockholders' Equity:
  Common stock, $0.001 par value; authorized
    25,000,000 shares; issued and outstanding
    177,750 shares at December 31, 1994,
    1993, 1992, and 1991                                   178        178
  Additional paid-in capital                            87,663     87,663
  Deficit accumulated during the development stage     (80,743)   (78,412)
                                                       -------    -------
           Total Stockholders' Equity                    7,098      9,429
                                                       -------    -------
         
                                                       $ 7,098    $ 9,429
                                                       -------    -------
                                                       -------    -------

                                     2
         
<PAGE>





                               FIRST MANHATTAN, INC.
                           (A Development Stage Company)
                             STATEMENTS OF OPERATIONS
                   FOR THE YEARS ENDED DECEMBER 31, 1994, 1993, 1992,
                      AND THE NINE MONTHS ENDED DECEMBER 31, 1991
         

                                                          DECEMBER 31,
                                                       -------------------
                                                         1994       1993
                                                       --------   --------

Revenues                                               $   -      $   -
General costs and expenses:
  Amortization                                             114        114
  General and administrative expenses                    2,397      1,432
                                                       -------    -------
           Operating Loss                               (2,511)    (1,546)
                                                       -------    -------

Other income (expense):
  Interest income                                          180        116
  Bad debts - Note 10                                      -          -  
  Unrealized losses on securities                          -          -  
  Gain/(loss) on sale of securities                        -          -  
                                                       -------    -------
                                                           180        116
                                                       -------    -------

           Loss before income taxes                     (2,331)    (1,430)

Income taxes - Notes 4 and 5                               -          -  
                                                       -------    -------
           Net Loss                                    $(2,331)   $(1,430)
                                                       -------    -------
                                                       -------    -------

Net loss per share                                     $ (0.01)   $ (0.01)
                                                       -------    -------
                                                       -------    -------

Weighted average common
  shares outstanding                                   177,750    177,750
                                                       -------    -------
                                                       -------    -------

                                        3
         
<PAGE>


         DECEMBER 31,
      ------------------    INCEPTION TO
        1992      1991    DECEMBER 31, 1994
      --------   ------- -----------------
      $    -     $   -           $    -
         
           114         48             390
         3,581      2,990          10,400
      --------   --------        --------
        (3,695)    (3,038)        (10,790)
      --------   --------        --------
           480      1,001           1,777
       (40,000)   (30,000)        (70,000)
        (2,660)      -             (2,660)
         1,930     (1,000)            930
      --------   --------        --------
       (40,250)   (29,999)        (69,953)
      --------   --------        --------
       (43,945)   (33,037)        (80,743)
           -         -                -
      --------   --------        --------
      $(43,945)  $(33,037)       $(80,743)
      --------   --------        --------
      --------   --------        --------

      $  (0.25)  $  (0.36)       $  (0.45)
      --------   --------        --------
      --------   --------        --------
         
       177,750     91,414         177,750
      --------   --------        --------
      --------   --------        --------
         
     The accompanying notes are an integral part of these financial statements.
         
<PAGE>





         
                               FIRST MANHATTAN, INC.
                           (A Development Stage Company)
                        STATEMENTS OF STOCKHOLDERS' EQUITY
                 FROM MARCH 27, 1991 (INCEPTION) TO DECEMBER 31, 1994
         
                                                                      ADDITIONAL
                                            COMMON STOCK               PAID-IN
                                        -------------------            CAPITAL
                                          SHARES   AMOUNT             ----------
                                        --------- ---------

Issuance of shares for cash,
  August 9, 1991                          86,750    $ 87               $86,664

Issuance of shares in exchange for                                
  marketable securities, August 9, 1991    1,000       1                   999

Issuance of shares in exchange for                                           
  services, August 9, 1991                90,000      90                    -

Net loss for the nine months ended
  December 31, 1991                           -        -                    -
                                         -------    ----               -------
Balance, December 31, 1991               177,750     178                87,663

Net loss for the year ended
  December 31, 1992                           -        -                    -
                                         -------    ----               -------
Balance, December 31, 1992               177,750     178                87,663

Net loss for the year ended
  December 31, 1993                           -        -                    -
                                         -------    ----               -------
Balance, December 31, 1993               177,750     178                87,663

Net loss for the year ended
  December 31, 1994                           -        -                    -
                                         -------    ----               -------
Balance, December 31, 1994               177,750    $178               $87,663
                                         -------    ----               -------
                                         -------    ----               -------

                                         4
                                         
<PAGE>

          DEFICIT
         ACCUMULATED
         DURING THE
         DEVELOPMENT
            STAGE              TOTAL
         -----------       -------------

            $  -              $ 86,751

               -                 1,000

               -                    90
         
             (33,037)          (33,037)
            --------          --------
             (33,037)           54,804
         
             (43,945)          (43,945)
            --------          --------
             (76,982)           10,859
         
              (1,430)           (1,430)
            --------          --------
             
             (78,412)            9,429
         
              (2,331)           (2,331)
            --------          --------
            $(80,743)         $  7,098
            --------          --------
            --------          --------

     The accompanying notes are an integral part of these financial statements.
         
<PAGE>





                                  FIRST MANHATTAN, INC.
                              (A Development Stage Company)
                                 STATEMENTS OF CASH FLOWS
                      FOR THE YEARS ENDED DECEMBER 31, 1994, 1993, 1992,
                         AND THE NINE MONTHS ENDED DECEMBER 31, 1991
         
                                                          DECEMBER 31,
                                                       -------------------
                                                         1994       1993
                                                       --------   --------

Cash flows from operating activities:
  Net loss                                             $(2,331)   $(1,430)
  Adjustments to reconcile net loss to net cash
    provided (used) by operating activities:
      Amortization                                         114        114
      Unrealized losses on securities                      -           -
      (Gain)/loss on sale of securities                    -           -
      Bad debts                                            -           -
      Changes in current assets and liabilities:
        Accrued interest receivable                       (179)      (115)
        Accounts payable                                   -           -
                                                       -------    -------

          Net cash provided (used) by
            operating activities                        (2,396)    (1,431)
                                                       -------    -------

Cash flows from investing activities:
  Purchase of marketable securities                        -           -
  Sale of marketable securities                            -           -
  Deposits and other assets                                -           -
  Organization costs                                       -           -
  Loans and notes receivable                               -           -
                                                       -------    -------

          Net cash provided (used) by
            investing activities                           -           -
                                                       -------    -------

Cash flows from financing activities:
  Proceeds from sale of common stock                       -           -
                                                       -------    -------

          Net cash provided (used) by
            financing activities                           -           -
                                                       -------    -------

          Net increase (decrease) in cash               (2,396)    (1,431)
                                                             
Cash and cash equivalents, beginning of period           5,178      6,609
                                                       -------    -------

Cash and cash equivalents, end of period               $ 2,782    $ 5,178
                                                       -------    -------
                                                       -------    -------
         
                                          5
                                             
<PAGE>






                       This page intentionally left blank.
         
         



<PAGE>

                              FIRST MANHATTAN, INC.
                          (A Development Stage Company)
                          NOTES TO FINANCIAL STATEMENTS
                 FROM MARCH 27, 1991 (INCEPTION) TO DECEMBER 31, 1994
                                       
         
NOTE 1 - Summary of Significant Accounting Policies and Business Activity:

    This summary of significant accounting policies of First Manhattan, Inc. 
(the Company) is presented to assist in understanding the Company's financial 
statements.

BUSINESS ACTIVITY:

    The Company, a Nevada corporation, was incorporated on March 27, 1991, 
and is in the development stage. The planned operation of the Company was to 
establish a broker/dealer in securities.

ORGANIZATION COSTS:

    Organization costs are being amortized over a 60-month period, using the 
straight-line method.

ACCOUNTING METHOD:

    The Company's financial statements are prepared using the accrual basis 
of accounting.

LOSS PER SHARE:

    Loss per share of common stock is based on the weighted average number of 
common shares and common stock equivalents outstanding during the period.

CASH AND CASH EQUIVALENTS:

    The Company considers all highly liquid debt instruments purchased with a 
maturity of three months or less to be cash equivalents for purposes of the 
statements of cash flows.

DEFERRED INCOME TAX ACCOUNTS:

    Deferred tax provision/benefits are calculated for certain transactions 
and events because of differing treatments under generally accepted 
accounting principles and the currently enacted tax laws of the federal 
government. The results of these differences on a cumulative basis, known as 
temporary differences, result in the recognition and measurement of deferred 
tax assets and liabilities in the accompanying balance sheets.
         
         
                                        6

<PAGE>

                                  FIRST MANHATTAN, INC.
                              (A Development Stage Company)
                              NOTES TO FINANCIAL STATEMENTS
                     FROM MARCH 27, 1991 (INCEPTION) TO DECEMBER 31, 1994
                                           
         
Note 2 - Development Stage Company:

    The Company is a development stage company as defined in Financial 
Accounting Standards Board Statement No. 7. It is concentrating substantially 
all of its efforts to establishing a business engaging in the retail 
marketing of various products.

    Operating losses have been incurred from inception through December 31, 
1994, and the Company continues to use, rather than to provide, working 
capital in this operation. Realization of a significant portion of the assets 
in the accompanying balance sheets is dependent upon the Company's ability to 
continue its planned principal operations which in turn is dependent upon its 
ability to develop and complete the planned operations of the Company. 
Although management believes that it is pursuing a course of action that will 
provide successful future operations, the outcome of these matters is 
uncertain.

NOTE 3 - Basis of Presentation and Considerations Related to Continued 
         Existence:

    The Company's financial statements have been presented on the basis that 
it is a going concern, which contemplates the realization of assets and the 
satisfaction of liabilities in the normal course of business. The Company 
incurred net losses of $2,331, $1,430, $43,945, and $33,037 for the periods 
ended December 31, 1994, 1993, 1992 and 1991, and $80,743 for the period from 
inception to December 31, 1994. These factors, among others, indicate the 
Company's ability to continue in existence is dependent upon its ability to 
obtain additional long-term debt and/or equity financing and achieve 
profitable operations. The financial statements do not include any 
adjustments relating to the recoverability and classification of recorded 
asset amounts or the amounts and classification of liabilities that might be 
necessary should the Company be unable to continue in existence.

NOTE 4 - Income Taxes:

    Because the Company has not generated taxable income since its inception, 
no provision for income taxes has been made.


    The Company can carry forward its net operating losses as follows:

    Years Ended December 31,
    ------------------------

            2006                                     $33,037
            2007                                      43,945
            2008                                       1,430
            2009                                       2,331
                                                     -------
                                                     $80,743
                                                     -------
                                                     -------
         
                                      7

<PAGE>

                              FIRST MANHATTAN, INC.
                          (A Development Stage Company)
                          NOTES TO FINANCIAL STATEMENTS
                 FROM MARCH 27, 1991 (INCEPTION) TO DECEMBER 31, 1994
                                       
         
NOTE 5 - Adoption of SFAS No. 109:

    Effective March 27, 1991, First Manhattan, Inc. adopted Statement of 
Financial Accounting Standards (SFAS) No. 109, "Accounting for Income 
Taxes, which requires a liability approach to financial accounting and 
reporting for income taxes.

    The difference between the financial statement and tax bases of assets 
and liabilities is determined annually. Deferred income tax assets and 
liabilities are computed for those differences that have future tax 
consequences using the currently enacted tax laws and rates that apply to the 
periods in which they are expected to affect taxable income. Valuation 
allowances are established, if necessary, to reduce deferred tax asset 
accounts to the amounts that will more likely than not be realized. Income 
tax expense is the current tax payable or refundable for the period, plus or 
minus the net change in the deferred tax asset and liability accounts.

    SFAS No. 109 requires that the cumulative effect of adopting the Standard 
be reported in the year of adoption. As described in Note 3, there is 
substantial doubt as to the continued existence of the Company, resulting in 
substantial doubt that the Company would be able to utilize its net operating 
loss carryforwards. The Company has therefore recorded a valuation allowance 
equal to the amount of the deferred tax asset created by the net operating 
losses that can be carried forward to future periods. The cumulative effect 
of the adoption of SFAS No. 109 is zero for the periods ended December 31, 
1994, 1993, 1992, and 1991.

NOTE 6 - Marketable Securities:

    Carrying amounts and approximate market values of investment securities 
are summarized as follows:

                                DECEMBER 31, 1994, 1993, AND 1992
                                ---------------------------------
                                                GROSS
                                  CARRYING    UNREALIZED  MARKET
                                   AMOUNT       LOSSES    VALUE
                                  --------    ----------  ------

EVT International Corp.            $3,500       $2,660     $840
                                   ------       ------     ----

                                   $3,500       $2,660     $840
                                   ------       ------     ----
                                   ------       ------     ----
NOTE 7 - Notes Receivable:

    Notes receivable of $3,000 consist of a demand note receivable from 
Bellgate, Ltd. which bears an interest rate of 6.00% per annum, principal 
and accrued interest payable on demand. The note is uncollateralized.
         

                                     8

<PAGE>

                                  FIRST MANHATTAN, INC.
                              (A Development Stage Company)
                              NOTES TO FINANCIAL STATEMENTS
                     FROM MARCH 27, 1991 (INCEPTION) TO DECEMBER 31, 1994
                                           
         
NOTE 8 - Supplemental Schedule of Noncash Investing and Financing Activities:

    During the nine months ended December 31, 1991, the Company engaged in 
the following noncash transactions:

       Acquisition of marketable securities                 $1,000
                                                            ------
                                                            ------
       Issuance of common stock in exchange
         for marketable securities                          $1,000
                                                            ------
                                                            ------

NOTE 9 - Warrants:

    On August 9, 1991, the Company issued shares of common stock with 
warrants attached. Each unit of common stock is comprised of one share of 
common stock and one "A" warrant (90,000 units) and one "B" warrant (10,000 
units). The "A" warrant is convertible into one share of common stock at 
$7.50 per share. The "B" warrant is convertible into one share of common 
stock at $10.00 per share.

    The warrants are exercisable for one year and two years (for the "A" and 
"B" warrants, respectively) commencing on the effective date of the 
registration of the warrants with the Securities and Exchange Commission. As 
of the date of these financial statements the warrants have yet to be 
registered with the Securities and Exchange Commission.

    The warrants have not been included in the computation of loss per share 
since there is substantial doubt that the Company will continue in existence 
(Note 3) and therefore the warrants will not be registered.

NOTE 10 - Related Parties:

    For the periods ended December 31, 1992 and 1991, the Company loaned 
$40,000 and $30,000, respectively, to First Manhattan, Inc. (incorporated on 
the island of Nevis) for the purpose of establishing a broker/dealer in 
securities in Germany. First Manhattan, Inc. (Nevis) is controlled by the 
President of the Company.
         
    Subsequently, the management of the Company determined that the German 
brokerage operation was not going to be successful and wrote-off the amounts 
loaned as a bad debt as of December 31, 1992 and 1991.
         
                                            9

<PAGE>


                                     HLB
                                      
                      OLEA, TRUJILLO Y ASOCIADOS, S.C.
                                      
                      CONTADORES PUBLICOS Y CONSULTORES





                      GROUPMED INTERNATIONAL DE MEXICO,
                                S.A. DE C.V.
                            FINANCIAL STATEMENTS
                      AND INDEPENDENT AUDITORS' REPORT
                                 YEAR ENDED

                             DECEMBER 31, 1995




CONTENT:

                                                                     Page

Auditors' Report                                                       1

Financial statements:

     General Balance Sheet                                             3
     Statement of Income (Loss)                                        4
     Statements of Variations in Shareholders' Investment              5
     Statements of Changes in the Financial Position                   6
     Notes to the Financial Statements                                 7



Tijuana B. C. Blvd. Sanchez Taboada 10116-510 Zona Rio C. P. 22320 
     Tele. (66) 84-14-61 y 34-04-62 Fax: (66) 34-04-62 
Ensonada, B. C. Blvd. Ramirez Mendez 191-A Fracc. Bahia C.P. 22880 
     Tele. (617) 7-12-68 y 7-12-74 Fax: (617) 6-30-06

                    A member of HLB International
     A world wide organization of accounting firms and business advisors
                                   

<PAGE>

                                     HLB
                      OLEA, TRUJILLO Y ASOCIADOS, S.C.
                      CONTADORES PUBLICOS Y CONSULTORES



INDEPENDENT AUDITORS' REPORT
- -------------------------------------------------------------------------------


TO THE SHAREHOLDERS' 
GROUPMED INTERNATIONAL DE MEXICO, S. A. DE C.V.


We have examined the statements of financial position of GROUPMED 
INTERNATIONAL DE MEXICO, S.A. DE C. V., as of December 31, 1995, statements 
of shareholders equity that are relative to that date.  This financial 
statements are the responsibility of the company's administration. Our 
responsibility consists in expressing an opinion of the financial statements 
based on our audit.

Our tests were realized in accordance to the generally accepted Mexican 
auditing norms, which require that the audit be planned and realized in a 
manner that it allows the acquisition of reasonable security that the 
financial statements do not have any important errors. The audit consists in 
the examination, based on selective tests of the evidence that the numbers 
and revelations of the financial statements support; it also includes the 
evaluation of the accounting principles used, the significant estimates made 
by the administration, and of the presentation of the financial statements. 
We consider that our examinations give us a reasonable basis to sustain our 
opinion.





<PAGE>


                                     HLB
                       OLEA, TRUJILLO Y ASOCIADOS, S.C.
                       CONTADORES PUBLICOS Y CONSULTORES




As we mention in note 1 the adjoined financial statements are prepared based 
on historical costs, except for the fixed assets and the accrued 
depreciation. In an inflationary economy, like the one that prevails in 
Mexico, historical amounts lose their significance so this have to be 
modified so that their objectivity is returned there. Due that the before 
mentioned financial statements do not recognize the effect of inflation in 
now monetary accounts, such as: COST SALES and SHAREHOLDERS' INVESTMENT 
neither do they recognize the monetary position result such financial 
statements do not present the financial status of the company nor the results 
of its operations in conformity with the generally accepted accounting 
principles.


In our opinion, the adjoining financial information of GROUPMED INTERNATIONAL 
DE MEXICO, S.A. DE C.V., as of December 31, 1995, is reasonably presented in 
all important aspects according to the accounting policies and bases, 
described in note 1 of the financial statements.









                                       C.P. Adrian Olea Mendivil
                                       Professional Certificate No. 1458686



                                       Ensenada, B.C., March 19, 1995.



<PAGE>


GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.

BALANCE SHEETS AS OF DECEMBER 31, 1995.
(IN MEXICAN PESOS)

<TABLE>
<CAPTION>

ASSETS                                             
<S>                                   <C>          

CURRENT ASSETS                                                        
  Cash and cash equivalents                               $      48,956
  Accounts receivable:                             
     Clients                                                    194,687
     Taxes receivable                                            59,961
     Other accounts receivable                                  148,409
                                                          -------------
                                                                403,057
                                                   
     Inventories (Note 2)                                     1,270,455
     Anticipated payments                                         6,019
                                                          -------------
          TOTAL CURRENT ASSETS                                1,728,487

                                                   

                                                   
NET FIXED ASSETS (Note 3)                                    75,354,663
                                                   
DEFERRED FINANCE CHARGES (Note 6b)                            3,641,970
                                                          -------------
                                                   
TOTAL ASSETS                                              $  80,725,120
                                                          -------------
                                                          -------------

LIABILITIES AND SHAREHOLDERS' EQUITY                                    

SHORT TERM LIABILITIES                                                  
  Purveyor                                               $    1,042,210 
  Taxes payable                                                 374 966 
  Accrued expenses                                              672,275 
  Related party (Note 4)                                        415,214 
  Current portion of long-term liabilities (Note 6a)         27,079,573 
                                                         -------------- 
                                                                        
Total Short Term Liabllities                                 30,084,238 
                                                                        
LONG-TERM DEBT                                                          
  Long term Account Payable (Note 6a)                        18,747,397 
                                                         -------------- 
                                                                        
TOTAL LIABILITIES                                            48,831,635 
                                                                        
SHAREHOLDERS' EQUITY (Note 7)                                           
  Common stock                                                   50,000 
  Net Loss                                                  (13,638,615)
  Surplus by revaluation (Note 3)                            45,482,100 
                                                         -------------- 
                                                             31,893,485 
TOTAL LIABILITIES AND                                    -------------- 
SHAREHOLDERS' EQUITY                                     $   80,725,120 
                                                         -------------- 
                                                         -------------- 
</TABLE>
                              Lic. Fernando Torres Moreno
                                   General Director


The accompanying notes are an integral part of the financial statements. 

<PAGE>
                 GROUPMED INTERNATIONAL DE MEXICO S.A. DE C.V.
           STATEMENTS OF INCOME (LOSS), YEAR ENDED DECEMBER 31,1995.
                               (IN MEXICAN PESOS
 
- --------------------------------------------------------------------------------
 
<TABLE>
<S>                                                                   <C>
REVENUES:
  Net Income (Note 8)                                                 $  4,759,875
  Leasing income                                                            63,407
                                                                      ------------
                                                                         4,823,282
COSTS AND EXPENSES:
  Cost of sales (Note 9)                                                 1,223,284
  Health care services cost                                              5,526,777
  Administrative expenses and others                                     2,465,774
                                                                      ------------
                                                                         9,215,835
                                                                      ------------
OPERATING LOSS                                                          (4,392,553)
INTEGRAL FINANCIAL COST
Interest - Net                                                             (22,769)
Currency exchange fluctuations                                          (9,223,293)
                                                                      ------------
                                                                        (9,246,062)
                                                                      ------------
NET LOSS                                                              $(13,638,615)
                                                                      ------------
                                                                      ------------
</TABLE>
 
                           /s/ FERNANDO TORRES MORENO
                          Lic. Fernando Torres Moreno
                                General Manager
 
This notes are an integral art of the financial statements
 
                                       4
<PAGE>
                 GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.
         STATEMENTS OF VARIATIONS IN SHAREHOLDERS' INVESTMENT (Note 7)
             (IN MEXICAN PESOS, EXCEPT FOR PER SHARE INFORMATION ).
 
- --------------------------------------------------------------------------------
 
<TABLE>
<CAPTION>
                            COMMON STOCK
                         -------------------                  SURPLUS
                         NUMBER OF            ACCUMULATED       BY       SHAREHOLDERS'
                          SHARES     AMOUNT     DEFICIT     REVALUATION      TOTAL
                         ---------   -------  ------------  -----------  -------------
<S>                      <C>         <C>      <C>           <C>          <C>
BALANCE OF APRIL 18,
 1995                       500      $50,000  $             $            $     50,000
 
NET LOSS                                      (13,638,315 )               (13,638,615)
 
SURPLUS BY REVALUATION
 (Note 3)                                                    45,482,100    45,482,100
                            ---      -------  ------------  -----------  -------------
BALANCE AS OF DECEMBER,
 1995                       500      $50,000  $(13,638,615) $45,482,100  $ 31,893,485
                            ---      -------  ------------  -----------  -------------
                            ---      -------  ------------  -----------  -------------
</TABLE>
 
                           /s/ FERNANDO TORRES MORENO
                          Lic. Fernando Torres Moreno
                                General Director
 
The accompanying notes are an integral part of the financial statements.
 
                                       5
<PAGE>
                 GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.
 STATEMENTS OF CHANGES IN THE FINANCIAL POSITION, YEAR ENDED DECEMBER 31, 1995
                               (IN MEXICAN PESOS)
 
- --------------------------------------------------------------------------------
 
<TABLE>
<S>                                                                   <C>
RESOURCES GENERATED BY THE OPERATION:
  Net loss                                                            $(13,638,615)
  Items not requiring resources
    Depreciation and amortization                                        2,661,374
                                                                      ------------
                                                                       (10,977,241)
  CHANGES IN ASSETS AND LIABILITIES:
    Others accounts receivable                                            (148,409)
    Accounts receivable                                                   (194,687)
    Taxes receivable                                                       (59,961)
    Deferred finance changes                                            (3,641,970)
    Inventories                                                         (1,270,455)
    Anticipated payments                                                    (6,019)
    Accounts payable                                                     1,042,210
    Related party                                                          415,214
    Taxes payable                                                          874,966
    Accrued expenses                                                       672,275
                                                                      ------------
                                                                        (2,316,836)
                                                                      ------------
      FUNDS USED IN OPERATING ACTIVITIES                               (13,294,077)
FINANCING ACTIVITIES:
  Common stock                                                              50,000
  Long term account payable                                             18,747,397
  Current portion of long-term liabilities                              27,079,573
                                                                      ------------
      FUNDS GENERATED BY FINANCING ACTIVITIES                           45,876,970
INVESTING ACTIVITIES:
  Fixed assets                                                         (32,533,937)
                                                                      ------------
      FUNDS USED IN INVESTING ACTIVITIES                               (32,533,937)
INCREMENT OF THE YEAR                                                       48,956
CASH AND CASH EQUIVALENTS:
BEGINNING OF YEAR                                                                0
                                                                      ------------
END OF YEAR                                                           $     48,956
                                                                      ------------
                                                                      ------------
</TABLE>
 
                           /s/ FERNANDO TORRES MORENO
                          Lic. Fernando Torres Moreno
                                General Manager
 
The accompanying notes are an integral part of the financial statements
 
                                       6
<PAGE>
                 GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.
           NOTES TO THE FINANCIAL STATEMENTS AS OF DECEMBER 31, 1995
                               (IN MEXICAN PESOS)
 
- --------------------------------------------------------------------------------
 
1. OPERATIONS AND PRINCIPAL ACCOUNTING POLICIES.
 
    The company began April 18, 1995, and its principal activities are the
    benefits of medical, hospital, and surgical services as those of social
    welfare.
 
    ACCOUNTING POLICIES. The accounting policies of the company are prewritten
    by the administration as follows:
 
    a)  THE FINANCIAL STATEMENTS have been prepared on the historical-cost basis
       of accounting, and, therefore, do not show the effects of inflation in
       the financial information according to the generally accepted accounting
       principles of Mexico, consequently this are expressed in new pesos of a
       different purchasing power.
 
    b)  TEMPORARY INVESTMENTS are valuated at their true value which is similar
       to its market value.
 
    c)  INVENTORIES are valuated at market value, which does not exceed its true
       value. The cost of sales is brought up to date using the last purchase
       method.
 
    d)  FIXED ASSETS are valuated at their cost of acquisition. Depreciation is
       calculated using the straight-line method based on the maximum fiscal
       rates, established in the Mexican Income Tax Law.
 
<TABLE>
<CAPTION>
                                                  YEARS
                                                  -----
<S>                 <C>                           <C>
                    Buildings                      20
                    Medical Equipment              10
                    Fixed Assets                   10
                    Computer Equipment              4
                    Transportation Equipment        4
</TABLE>
 
                                       7

<PAGE>

GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V. NOTES TO THE FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

     e)   The assets and liabilities in foreign currency are valuated at the 
          rate of exchange (Peso-Dollar) of the date that the operations took 
          place, and this are registered in mexican pesos.

     f)   EMPLOYEE SEVERANCE BENEFITS:

          Indemnizations are charged to the summary of operations when the 
          demandability of the liability is determined.

     g)   INCOME TAX, ASSET TAXES AND EMPLOYEE PROFIT-SHARING, are expensed in 
          the year in which they become payable, being adjusted in their case, 
          by the effects of certain temporary entries that are fiscally 
          acknowledged in different years than that in which it was accountably 
          acknowledged, of a non recurrent nature and its reversal will be in a
          defined period.

          Asset Taxes that exceed Income Taxes, are expensed in the year in 
          which they become payable.

     h)  In Accordance with the notice published by the Bank of Mexico in the 
         Official Diary of the Federation with date, November 15, 1995, starting
         January 1, 1996, the word "nuevo" is remove from the name of the 
         monetary system's whit of the Mexican United States returning to the 
         denomination PESO.

2.   INVENTORIES

     The balance is integrate as follows:

                                                       DECEMBER 31,
                                                          1995
                                                    ------------------

               Warehouse general                     $     1,108, 818

               Inventory of pharmacy                          161,637
                                                    ------------------
                                                     $     1, 270,455
                                                    ------------------


                                       8

<PAGE>


GROUPMED INTERNATIONAL DE MEXICO S.A. DE C.V,  NOTES TO THE FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------


3.   FIXED ASSETS.

     The Balance is integrated as follows:

                                                    DECEMBER 31, 1995
                                         ---------------------------------------
                                         HISTORICAL                    MARKET OR
                                            COST      REVALUATION   ACTUAL VALUE
                                         ----------   -----------   ------------
     Land                                $ 2,386,800  $              $ 2,386,800
     Building                             12,142,080    34,238,700    46,380,780
     Movables and Medical equipment       12,137,400    11,243,400    23,380,800
     Transportation equipment                  5,200                       5,200
     Computer equipment                      392,700                     392,700
     Movables and office equipment            73,300                      73,300
     Movables and Hospital equipment       5,396,457                   5,396,457
                                         -----------   -----------   -----------
                                          32,533,937    45,482,100    78,016,037
     MINUS:
     Accrued depreciation                  1,241,236     1,418,138     2,661,374
                                         -----------   -----------   -----------
     FIXED ASSETS-NET                   $ 31,290,701  $ 44,063,96   $ 75,354,663
                                         -----------   -----------   -----------
                                         -----------   -----------   -----------

     During the year, the company had an appraisal of its fixed assets; which 
     was made by Corporacion de Desarrollo Urbano, S.A. de C.V. (MARA), located 
     in Tijuana, B.C. and CBMI, in El Cajon, California. U.S.A., those were 
     registered in the accounting books, incrementing the value of the building 
     and the medical equipment by an amount of $ 34,238,700 and $ 11,243,400 
     mexican pesos, respectively.

4.   OPERATIONS WITH RELATED PARTIES.

     GROUPMED INTERNATIONAL INC. is an entity with Its address In Nevada, 
     U.S.A., Its relation with GroupMed International of Mexico, S.A. de C.V.
     is as follows:

     a)  Holder of 99% of the common stock.

     b)  Principal financial source.

     c)  Significative administrative influence.



                                       9

<PAGE>


GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V. NOTES TO THE FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------
5.   BALANCES IN FOREIGN CURRENCY

     a)  As of December 31 1995, the balance is foreign currency are integrated
         as follows:

                                                               Equivalent in
                                       Balance in                 mexican
                 Cash                  USA Dollars                currency
         ---------------------    --------------------     ---------------------
         Cash                     $            5,680       $            40,801
         Suppliers                  (          3,810 )       (          29,223 )
         Related parties            (         55,215 )       (         423,499 )
         Documents payable          (      5,500,000 )       (      42,185,000 )
                                  --------------------     ---------------------
              Net Position        $ (      5,553.345 )     $ (      42,678,523 )
                                  --------------------     ---------------------


     b)  At year's end, this were the actual PESO-USA Dollar rates:

               Purchase                $     7.1833
               Sale                          7.6700


6.   LONG TERM LIABILITIES.

     a)  During the year, the company celebrated a
         "PURCHASE AND SALE CONTRACT WITH A
         DOMINION RESERVE" with Farvel
         Arrendamientos, S.A. de C.V.; through
         which the acquisition was established of
         the building and the equipment that form
         the fixed assels of GroupMed International
         de Mexico, S A. de C.V. for an amount
         of $ 5,500,000. U.S.A. dollars, in 4
         payments, one every three months starling
         January 1, 1996, the first payment for an
         amount of $ 1,000,000. U.S.A dollars,
         the remaining four for an amount of
         $ 1,125,000 U.S.A. dollars each, and
         another one for $ 2,250,000. Agreeing on
         an annual interest rate of 7.875% payable
         based on the unpaid balance,starting on     $ 42,185,000
         the date mentioned before.

     b)  The added value tax of merchandise will        3,641,970
         be paid as each partiality Is amortized.

         MINUS:  Current Portion                        27,079,573  $ 18,747,397
                                                     -------------  ------------
                                                                    ------------
                                       10

<PAGE>


GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V. NOTES TO THE FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

         In a document payable, dated December 28, 1995 
         both parties agree that they will or will not 
         be able to offer to do on a cash basis the 
         before mentioned payments; or in such a case 
         with common stock shares of GroupMed, USA.


7.   INVESTMENT OF THE SHAREHOLDERS'.

     The common stock for $ 50,000 mexican pesos, is integrated by 500 shares, 
     with a par value of $100.00 mexican pesos, each, totally undersigned and 
     payed in cash.

     The shareholders investment, except for the common stock and the actualized
     fiscal profit included in the retained profit will cause a tax on dividends
     of 34% charged to the company at the moment of its distribution charged to
     its accrued profit.

     During 1995, the Company had a fiscal result for ISR effects of $ O and it
     did not cause asset tax due that the law of the subject in article 6 says 
     that first and second year business do not have to wake this tax payment.


8.   INCOME.

     The principal obtained income is integrated as follows:

                                                      December 31,
                                                          1995
                                                    ----------------
               Health care services income          $     4,703,281
               Other income                                  56,594
                                                    ----------------
                                                    $     4,759,875
                                                    ----------------
                                                    ----------------

                                       11

<PAGE>


GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V. NOTES TO THE FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------


9.   COST OF SALES.

     The cost of sales include all of the costs that both companies have had 
     purchasing or selling items. Their integration is as follows:

                                                      December 31,
                                                          1995
                                                    ----------------
               Hospital material cost               $       635,743
               Medicine cost                                507,758
               Other costs                                   79,783
                                                    ----------------
                                                    $     1,223,284
                                                    ----------------
                                                    ----------------










                              /s/ Fernando Torres Moreno
                         Lic. Fernando Torres Moreno
                              General Director




This notes are an Integral part or the financial statements.

                                       12

<PAGE>





_______________________________________________________________________________



                     FARVEL ARRENDAMIENTOS, S.A. DE C.V.
                    OPERADORA DE HOSPITALES, S.A. DE C.V.
                       FINANCIAL STATEMENTS COMBINED
                            SEPTEMBER 30, 1995;
                      DECEMBER 31, 1994; 1993 AND 1992
                        


_______________________________________________________________________________






<PAGE>
                      FARVEL ARRENDAMIENTOS, S.A. DE C.V.
                     OPERADORA DE HOSPITALES, S.A. DE C.V.
 
                         FINANCIAL STATEMENTS COMBINED
                              SEPTEMBER 30, 1995;
                        DECEMBER 31, 1994; 1993 AND 1992
 



Combined General Balance Sheets                                                2
Combined Statements of Income (Loss)                                           3
Combined Statements of Variations in Shareholders' Investment                  4
Combined Statements of Changes in the Financial Position                       5
Notes to the Financial Statements Combined                                     7



<PAGE>

FARVEL ARRENDAMIENTOS, S.A. DE C.V.
OPERADORA DE HOSPITALES S.A. DE C.V.
COMBINED GENERAL BALANCE SHEETS
(IN MEXICAN NEW PESOS)

ASSETS
 
<TABLE>
<CAPTION>
                                                                                                 DECEMBER 31
                                                                  SEPTEMBER 30   -------------------------------------------
                                                                      1995                                         1992
                                                                   (NO AUDIT)        1994           1993        (NO AUDIT)
                                                                  -------------  -------------  -------------  -------------
<S>                                                               <C>            <C>            <C>            <C>
CURRENT ASSETS
  Cash and cash equivalents                                        N$   118,762   N$    40,567   N$   115,724   N$   377,375
  Accounts receivable (Note 2)                                        3,937,508      1,150,862      1,123,518        820,045
  Taxes receivable (Note 3)                                             590,415        543,293        780,592        856,560
                                                                  -------------  -------------  -------------  -------------
                                                                      4,646,685      1,734,722      2,020,134      2,053,980
 
  Minus Estimation for doubtful recoverable accounts                     21,767         21,767       --             --
  
  Inventories (Note 4)                                                  871,720        581,960        453,133        261,172
  Anticipated payments                                                  905,087        889,930         50,735         81,591
                                                                  -------------  -------------  -------------  -------------
    TOTAL CURRENT ASSETS                                              6,401,705      3,184,825      2,524,002      2,396,743
 
NET FIXED ASSETS (Note 5)                                            19,926,458     21,305,788     23,902,659     25,567,942
                                                                  -------------  -------------  -------------  -------------
TOTAL ASSETS                                                      N$ 26,328,163  N$ 24,490,613  N$ 26,426,661  N$ 27,964,685
                                                                  -------------  -------------  -------------  -------------
                                                                  -------------  -------------  -------------  -------------
LIABILITIES AND SHAREHOLDERS' EQUITY
<S>                                                               <C>            <C>            <C>            <C>
SHORT TERM LIABILITIES
  Account payable                                                  N$  --         N$ 1,342,403   N$ 1,000,000   N$ 6,654,365
  Taxes payable                                                         294,381        321,712        333,017        334,530
  Accrued expenses                                                      476,954        668,298        669,952        300,591
  Shareholders'                                                      26,459,644     19,046,173     12,090,524      1,746,292
  Current portion of long-term liabilities                             --             --              925,722       --
                                                                  -------------  -------------  -------------  -------------
    TOTAL SHORT TERM LIABILITIES                                     27,230,979     21,378,586     15,019,215      9,035,778
Long term bank loans                                                   --             --            1,794,515        148,073
                                                                  -------------  -------------  -------------  -------------
TOTAL LIABILITIES                                                    27,230,979     21,378,586     16,813,730      9,183,851
 
SHAREHOLDERS' INVESTMENT (Note 6)
  Common stock                                                       27,240,000     27,240,000     27,240,000     27,240,000
  Accrued deficit                                                   (24,127,973)   (17,627,069)    (8,453,166)    (1,119,434)
  Corrections of past years (Note 7)                                    (55,484)
  Year's result                                                      (3,959,359)    (6,500,904)    (9,167,903)    (7,339,732)
                                                                  -------------  -------------  -------------  -------------
                                                                       (902,816)     3,112,027      9,612,931     18,780,834
                                                                  -------------  -------------  -------------  -------------
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY                        N$ 26,328,163  N$ 24,490,613  N$ 26,426,661  N$ 27,964,685
                                                                  -------------  -------------  -------------  -------------
                                                                  -------------  -------------  -------------  -------------
</TABLE>
 
                           /s/ FERNANDO TORRES MORENO
                          Lic. Fernando Torres Moreno
                                General Manager
 
The accompanying notes are an integral part of the financial statements
 
                                       2
<PAGE>
FARVEL ARRENDAMIENTOS, S.A. DE C.V.
OPERADORA DE HOSPITALES, S.A. DE C.V.
COMBINED STATEMENTS OF INCOME (LOSS)
(IN MEXICAN NEW PESOS)
 
<TABLE>
<CAPTION>
                                                              YEAR ENDED                 YEAR ENDED DECEMBER 31
                                                             SEPTEMBER 30   ------------------------------------------------
                                                                 1995                                              1992
                                                              (NO AUDIT)         1994             1993          (NO AUDIT)
                                                            --------------  ---------------  ---------------  --------------
<S>                                                         <C>             <C>              <C>              <C>
REVENUES
  Net income (Note 8)                                         N$ 4,417,944    N$  7,168,945    N$  5,353,846    N$ 3,070,649
  Subleasing income                                                 84,480          162,095           58,882        --
                                                            --------------  ---------------  ---------------  --------------
                                                                 4,502,424        7,331,040        5,412,728       3,070,649
COSTS AND EXPENSES
  Cost of sales (Note 9)                                         1,267,454        2,132,158        1,535,636       2,277,334
  Administrative expenses and others                             7,248,844       11,320,632       11,974,780       7,167,458
                                                            --------------  ---------------  ---------------  --------------
                                                                 8,516,298       13,452,790       13,510,416       9,444,792
                                                            --------------  ---------------  ---------------  --------------
OPERATING LOSS                                                  (4,013,874)      (6,121,750)      (8,097,688)     (6,374,143)
INTEGRAL FINANCIAL COST
Interest - Net                                                      30,824          371,078        1,088,780         968,082
Currency exchange fluctuations                                     (29,855)           8,076          (18,565)         (2,493)
                                                            --------------  ---------------  ---------------  --------------
                                                                       969          379,154        1,070,215         965,589
                                                            --------------  ---------------  ---------------  --------------
NET LOSS                                                     N$ (4,014,843)   N$ (6,500,904)      (9,167,903)  N$ (7,339,732)
                                                            --------------  ---------------  ---------------  --------------
                                                            --------------  ---------------  ---------------  --------------
</TABLE>
 
                           /s/ FERNANDO TORRES MORENO
                          Lic. Fernando Torres Moreno
                                General Manager
 
The accompanying notes are an integral part of the financial statements
 
                                       3
<PAGE>
FARVEL ARRENDAMIENTOS, S.A. DE C.V.
OPERADORA DE HOSPITALES, S.A. DE C.V.
COMBINED STATEMENTS OF VARIATIONS IN SHAREHOLDERS' INVESTMENT.
(IN MEXICAN NEW PESOS, EXCEPT FOR PER SHARE INFORMATION)
 
<TABLE>
<CAPTION>
                                                                 COMMON STOCK (NOTE 6)
                                                            -------------------------------
                                                               NUMBER OF                       ACCUMULATED
                                                                SHARES           AMOUNT          DEFICIT            TOTAL
                                                            ---------------  --------------  ----------------  ---------------
<S>                                                         <C>              <C>             <C>               <C>
BALANCE AS OF JANUARY 1, 1992                                      2,940      N$ 27,240,000   N$  (1,119,434)   N$ 26,120,566
(NO AUDITED)
NET LOSS                                                                                          (7,339,732)      (7,339,732)
                                                                   -----     --------------  ----------------  ---------------
BALANCE AS OF DECEMBER 31, 1992                                    2,940         27,240,000       (8,459,166)      18,780,834
(NO AUDITED)
NET LOSS                                                                                          (9,167,903)      (9,167,903)
                                                                   -----     --------------  ----------------  ---------------
BALANCE AS OF DECEMBER 31, 1993                                    2,940      N$ 27,240,000   N$ (17,627,069)   N$  9,612,931
NET LOSS                                                                                          (6,500,904)      (6,500,904)
                                                                   -----     --------------  ----------------  ---------------
BALANCE AS OF DECEMBER 31, 1994                                    2,940      N$ 27,240,000   N$ (24,127,973)   N$  3,112,027
NET LOSS                                                                                          (3,959,359)      (3,959,359)
CORRECTIONS OF PAST YEARS (Note 7)                                                                   (55,484)         (55,484)
                                                                   -----     --------------  ----------------  ---------------
BALANCE AS OF SEPTEMBER 30, 1995                                   2,940      N$ 27,240,000   N$ (28,142,816)   N$   (902,816)
                                                                   -----     --------------  ----------------  ---------------
                                                                   -----     --------------  ----------------  ---------------
</TABLE>
 
                           /s/ FERNANDO TORRES MORENO
                          Lic. Fernando Torres Moreno
                                General Manager
 
The accompanying notes are an integral part of the financial statements
 
                                       4
<PAGE>


FARVEL ARRENDAMIENTOS, S.A. DE C.V.
OPERADORA HOSPlTALES, S.A. DE C.V.

COMBINED STATEMENTS OF CHANGES IN THE FINANCIAL POSITION.
(IN MEXICAN NEW PESOS)
- --------------------------------------------------------------------------------
 
<TABLE>
<CAPTION>
                                                                                                  December 31
                                                         September 30     --------------------------------------------------------
                                                             1995                1994                1993                1992
                                                          (NO AUDIT)                                                  (NO AUDIT)
                                                      ----------------    ----------------    ----------------     ---------------
<S>                                                   <C>                 <C>                 <C>                  <C>
RESOURCES GENERATED BY THE OPERATION
 Net loss                                            N$ (  3,959,359 )   N$ (  6,500,904 )   N$ (  9,167,903 )     N$( 7,339,732 )
 Items not requiring resources:
     Depreciation and amortization                         1,461,359           1,942,009           1,910,619             804,932
     Provision of uncollectable accounts                      21,787              21,787               -                   -
                                                     ----------------    ----------------    ----------------     ---------------
                                                        (  2,476,213 )      (  4,537,108 )      (  7,257,284 )      (  6,534,800 )
 Financing (investment) of operations resources
   Accounts receivable                                       186,564        (    284,071 )      (    503,390 )      (    139,182 )
   Other account receivable                             (  2,994,997 )      (    132,735 )           371,326        (    151,482 )
   Inventories                                          (    289,760 )      (    128,827 )      (    191,961 )      (    261,172 )
   Anticipated payments                                 (     15,157 )      (    839,195 )            30,856        (     81,591 )
   Taxes receivable                                     (     47,122 )           237,599              75,668              42,686
   Contingent interests                                        -                 389,462        (    171,409 )      (    218,053 )
   Taxes payable                                        (     27,330 )      (     11,305 )      (      1,513 )           309,247
   Accrued expenses                                     (    191,339 )      (      1,659 )           369,361               4,073
   Shareholders'                                           7,413,465           6,955,654          10,344,232        (  3,393,911 )
   Correction result before (Note 7)                          55,484               -                   -                   -
                                                     ----------------    ----------------    ----------------     ---------------
                                                           3,978,840           6,184,923          10,323,170        (  3,889,385 )

                                                     ----------------    ----------------    ----------------     ---------------
     RESOURCES GENERATED (APPLIED) TO THE OPERATION        1,502,627           1,647,815           3,065,886        ( 10,424,185 )

FINANCING
 Credit institutions                                    (  1,342,403 )           342,403       (   5,654,365 )         4,590,080
 Long term financing                                           -            (  2,720,237 )         2,572,164             148,073
 Common stock                                                  -                   -                   -              14,000,000
                                                     ----------------    ----------------    ----------------     ---------------
 RESOURCES GENERATED (APPLIED) IN 
   FINANCING ACTIVITIES                                 (  1,342,403 )      (  2,377,834 )     (   3,082,201 )        18,738,153

</TABLE>

 

- --------------------------------------------------------------------------------
                                                                               5

<PAGE>

FARVEL ARRENDAMIENTOS, S.A. DE C.V.
OPERADORA DE HOSPITALES, S.A. DE C.V.


COMBINED STATEMENT OF CHANGES IN THE FINANCIAL POSITION.
(IN MEXICAN NEW PESOS)
- --------------------------------------------------------------------------------
 
<TABLE>
<CAPTION>

                                                                                              Year ended December 31
                                                          September 30       -----------------------------------------------------
                                                              1995                1994                1993               1992
                                                           (NO AUDIT)                                                 (NO AUDIT)
                                                          -------------      -------------       -------------       -------------
<S>                                                       <C>                <C>                 <C>                 <C>
INVESTMENT:
 Movables and equipment                                    (  82,029 )           654,862          (  245,336 )      (  8,015,795 )
                                                         -------------       -------------       -------------       -------------

     RESOURCES GENERATED (APPLIED) IN 
       INVESTMENT ACTIVITIES                               (  82,029 )           654,862          (  245,336 )      (  8,015,795 )

INCREASE (DECREASE) OF THE PERIOD                             78,195           (  75,157 )        (  261,651 )           298,173

CASH AND TEMPORARY INVESTMENTS:

 CASH AT THE BEGINNING OF THE PERIOD                          40,567             115,724             377,375              79,202
                                                         -------------       -------------       -------------       -------------

 CASH AT THE END OF THE PERIOD                           N$  118,762         N$   40,567         N$  115,724         N$  377,375
                                                         -------------       -------------       -------------       -------------
                                                         -------------       -------------       -------------       -------------

</TABLE>

                             /s/ FERNANDO TORRES MORENO
 
                             LIC. FERNANDO TORRES MORENO
                                   General Manager

The accompanying notes are an integral part of the financial statements.

- --------------------------------------------------------------------------------
                                                                               6

<PAGE>

FARVEL ARRENDAMIENTOS, S.A. DE C.V.
OPERADORA DE HOSPITALES, S.A. DE C.V.

NOTES TO THE COMBINED FINANCIAL STATEMENTS,
FOR THE YEARS ENDED SEPTEMBER 30,1995 AND DECEMBER 31,1994, 1993 AND 1992.
(IN MEXICAN NEW PESOS)
- --------------------------------------------------------------------------------

1.  OPERATIONS AND SIGNIFICANT ACCOUNTING POLICIES.

    The adjoined combined financial statements, include balances of FARVEL
    ARRENDAMIENTOS, S.A. DE C.V. and OPERADORA DE HOSPITALES, S.A. DE C.V.,
    same that have a shareholder in common; their principal activity is the
    acquisition and lease of realty goods necessary for the hospitals, besides
    support services for health attention respectively. All the intercompany
    accounts and operations of importance, have been eliminated in the
    combination.

    The information corresponding to the period ending September 30, 1995 and
    December 31, 1992, have not been audit by a certified public accountant.

    ACCOUNTING POLICIES. The accounting policies of the company are prewritten
    by the administration as follows:

    a)   The financial statements have been prepared on the historical-cost
         basis of accounting and therefore do not show the effects of inflation
         in the financial information according to the generally accepted
         accounting Principles of Mexico, consequently this are expressed in
         pesos of a different purchasing power.

    b)   TEMPORARY INVESTMENTS are valuated at their true value which, is
         similar to the market value.

    c)   ASSETS AND LIABILITIES IN FOREIGNER CURRENCY are valued at the
         exchange rate of the date on the balance sheet. Transactions in
         foreign currency are registered at the exchange rate of the date on
         which these are made. Exchange fluctuations are applied to the summary
         of operations.

    d)   FIXED ASSETS are valuated at their cost of acquisition. Depreciation
         is calculated using the straight-line method based on the maximum
         fiscal rates, established in the Mexican Income Tax Law.


                                                 YEARS
                                                 -----

         Buildings                                 20
         Movables and equipment                    10
         Transportation equipment                   5
         Computer equipment                         4


- --------------------------------------------------------------------------------
                                                                               7


<PAGE>


NOTES TO THE COMBINED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

    e)   INCOME TAX, ASSETS TAXES, are recognized in the results of the year in
         which these were caused, being adjusted in their case, by the effects
         of certain temporary entries that are fiscally acknowledged in
         different years than in the accountably recognized year, of a non
         recurrent nature and it's revision is expected to be made in a defined
         period.

         Assets Taxes that exceed Income Taxes, are recognized in the summary
         of operations of the year they were caused.

    f)   Some RECLASSIFICATIONS were made in the financial statements of 1994,
         1993 and 1992, to adjust them with the classifications used in 1995.
 .

2.  ACCOUNTS RECEIVABLE.

    The accounts receivable balance is integrated as follows:
 
<TABLE>
<CAPTION>

                                            September                               December 31
                                                30              --------------------------------------------------
                                               1995                1994                1993                1992
                                            (NO AUDIT)                                                  (NO AUDIT)
                                            ----------          ----------          ----------          ----------
    <S>                                   <C>                 <C>                 <C>                 <C>
    Clients                               N$   765,642        N$   973,993        N$   687,922        N$   211,222
    Contingent interests (*)                      -                   -                389,462             218,053
    Other accounts receivable                3,171,866             176,869              46,134             390,770
                                            ----------          ----------          ----------          ----------
                                          N$ 3,937,508        N$ 1,150,862        N$ 1,123,518        N$   820,045
                                            ----------          ----------          ----------          ----------
                                            ----------          ----------          ----------          ----------

</TABLE>
 
    (*)  This contingent interests refer to the negotiation of the purchase of
         radiology and image medical equipment; this will be condoned if the
         equipment is payed in 2.5 years, being this the accrued as of 
         December 31, 1993 and would be applied to the principal.


3.            TAXES RECEIVABLE.

 
<TABLE>
<CAPTION>


                                            September                               December 31
                                                30              --------------------------------------------------
                                               1995                1994                1993                1992
                                            (NO AUDIT)                                                  (NO AUDIT)
                                            ----------          ----------          ----------          ----------
    <S>                                   <C>                 <C>                 <C>                 <C>

    Added value tax receivable            N$   539,825        N$   527,732        N$   771,102        N$   851,260
    Income tax receivable                       15,324              13,875               9,790               5,300
    Assets tax                                  35,266                -                   -                   -
    Credit to Salary                              -                  1,686                -                   -
                                            ----------          ----------          ----------          ----------

                                          N$   590,415        N$   543,293        N$   780,892        N$   856,560
                                            ----------          ----------          ----------          ----------

</TABLE>
 

- --------------------------------------------------------------------------------
                                                                               8
<PAGE>

NOTES TO THE COMBINED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

4.  INVENTORIES.

    The inventories balance is integrated as follows:

 
<TABLE>
<CAPTION>


                                            September                               December 31
                                                30              --------------------------------------------------
                                               1995                1994                1993                1992
                                            (NO AUDIT)                                                  (NO AUDIT)
                                            ----------          ----------          ----------          ----------
    <S>                                   <C>                 <C>                 <C>                 <C>
    General warehouse                     N$   870,116        N$   580,356        N$   308,016        N$   261,172
    Pharmacy inventory                           1,604               1,604             145,117                -
                                            ----------          ----------          ----------          ----------
                                          N$   871,720        N$   581,960        N$   453,133        N$   261,172
                                            ----------          ----------          ----------          ----------
                                            ----------          ----------          ----------          ----------

</TABLE>
 
5.   FIXED ASSETS.

     The balance is integrated as follows:

 
<TABLE>
<CAPTION>


                                            September                               December 31
                                                30              --------------------------------------------------
                                               1995                1994                1993                1992
                                            (NO AUDIT)                                                  (NO AUDIT)
                                           -----------         -----------         -----------         -----------
    <S>                                  <C>                 <C>                 <C>                 <C>
    Land                                 N$    359,280       N$    359,280       N$  1,039,097       N$  1,039,097
    Buildings                               12,913,889          12,913,889          12,913,889          12,913,889
    Movables and kitchen equipment               7,138               7,138               7,138               7,138
    Transportation equipment                    10,500              10,500              10,500                -
    Computer equipment                         187,711             187,711             187,711             187,711
    Movables and equipment                  12,568,919          12,486,887          12,461,932          12,126,992
    Constructions in process                      -                   -                   -                100,104
                                            ----------          ----------          ----------          ----------
                                            26,047,437          25,965,405          26,620,267          26,374,931
    MINUS:
    Accrued depreciation                     6,120,979           4,659,617           2,717,608             806,989
                                            ----------          ----------          ----------          ----------

    FIXED ASSETS - NET                   N$ 19,926,458       N$ 21,305,788       N$ 23,902,659       N$ 25,567,942
                                            ----------          ----------          ----------          ----------
                                            ----------          ----------          ----------          ----------
</TABLE>
 
6.  INVESTMENT OF THE SHAREHOLDERS'.

    a)   The common stock of Farvel Arrendamientos, S.A. de C.V. and Operadora
         de Hospitales, S.A. de C.V. is integrated by 2,940 common nominative
         shares, subscribed and payed in their entirety; of those 240 shares
         have a nominal value of N$ 1,000.00 (one thousand mexican new pesos)
         each, and the other 2,700 have a value of N$ 10,000.00 (ten thousand
         mexican new pesos) each, respectively for each company. The legal
         common stock in historic value is integrated as follows:


- --------------------------------------------------------------------------------
                                                                               9

<PAGE>

NOTES TO THE COMBINED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

                                  Number of shares
                         --------------------------------
                             Farvel         Operadora de
                         Arrendamientos,     Hospitales,      September 30,
                           S.A. de C.V.      S.A. de C.V.         1995
                         ---------------   ---------------  ---------------

    Fixed stock                   100               240      N$  1,240,000
    Variable stock              2,600            -              26,000,000
                          ---------------   ---------------  ---------------
    TOTAL                       2,700               240      N$ 27,240,000
                          ---------------   ---------------  ---------------
                          ---------------   ---------------  ---------------

    b)   The investment of the shareholders', except the actualized common
         stock contributed and the actualized fiscal profits included in the
         retained profits, will cause 34% of dividend tax charged to the
         company at the moment of its distribution, with a charge to its
         accrued profits.

    c)   The company has accrued losses in figures higher than two thirds of
         the common stock, so, according to the Mercantile Corporations General
         Law, the company can be dissolved and liquidated at the petition of
         any interested third party. That same Law established that no
         dividends can be taken until future profits absorber the accrued
         losses as of September 30, 1995.

7.  CORRECTIONS OF PAST YEARS.

    After our auditing report was given for the 1994 period of Operadora de
    Hospitales, S.A. de C.V. our services were contracted for the 1993 period.
    In virtue of what we stated before, some corrections were made to 1993
    registers related to modifications to the balance of the payroll taxes
    account in the administrative expenses log, as consequence the years result
    was altered.

8.  INCOME

    The principal obtained income is integrated as follows:

 
<TABLE>
<CAPTION>


                                            September                               December 31
                                                30              --------------------------------------------------
                                               1995                1994                1993                1992
                                            (NO AUDIT)                                                  (NO AUDIT)
                                           -----------         -----------         -----------         -----------
    <S>                                  <C>                 <C>                 <C>                 <C>

    Services income                      N$  4,416,158       N$  6,010,631       N$  5,339,363       N$  2,257,859
    Sales of hospital material income             -                   -                   -                800,894
    Sale of fixed assets income                   -              1,143,370              14,483                -
    Other income                                 1,786              14,944                -                 11,896
                                           -----------         -----------         -----------         -----------
                                         N$  4,417,944       N$  7,168,945       N$  5,353,846       N$  3,070,649
                                           -----------         -----------         -----------         -----------
                                           -----------         -----------         -----------         -----------

</TABLE>
 

- --------------------------------------------------------------------------------
                                                                              10

<PAGE>

NOTES TO THE COMBINED FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

9.  COST OF SALES.

    The cost of sales include all of the costs that both companies have had
    purchasing or selling items. Their integration is as follows:


 
<TABLE>
<CAPTION>


                                            September                               December 31
                                                30              --------------------------------------------------
                                               1995                1994                1993                1992
                                            (NO AUDIT)                                                  (NO AUDIT)
                                           -----------         -----------         -----------         -----------
    <S>                                  <C>                 <C>                 <C>                 <C>

    Hospital material cost               N$    460,729       N$    464,888       N$    455,880       N$  2,249,718
    Medicine cost                              460,743             539,773             646,326                -
    Sale of fixed assets cost                     -                681,828                -                   -
    Other costs                                345,982             445,669             433,430              27,616
                                           -----------         -----------         -----------         -----------
                                         N$  1,267,454       N$  2,132,158       N$  1,535,636       N$  2,277,334
                                           -----------         -----------         -----------         -----------
                                           -----------         -----------         -----------         -----------

</TABLE>
 

                              /s/ FERNANDO TORRES MORENO

                             LIC. FERNANDO TORRES MORENO
                                   General Manager


The notes are an integral part of the financial statements.
- --------------------------------------------------------------------------------
                                                                              11

<PAGE>

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

                    GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.
                                 FINANCIAL STATEMENTS
                                  DECEMBER 31, 1995

                                       FASB-52

                           "CONVERSION OF MEXICAN PESOS TO
                                   U.S.A. DOLLARS"


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

<PAGE>

                      GROUPMED INTERNATIONAL DE MEXICO,
                                 S.A. DE C.V.

                            FINANCIAL STATEMENTS
                             DECEMBER 31, 1995

                                  FASB- 52

                       "CONVERSION OF MEXICAN PESOS TO
                                U.S.A. DOLLARS"

                                                                            PAGE

General Balance Sheet                                                         2
Statements of Income (Loss)                                                   3
Statements of Variations in Shareholders' Investment                          4
Statements of Changes in the Financial Position                               5
Notes to the Financial Statements                                             6

<PAGE>


GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.

BALANCE SHEETS AS OF DECEMBER 31, 1995.
(IN U.S.A. DOLLARS)
- --------------------------------------------------------------------------------

ASSETS

CURRENT ASSETS
  Cash end cash equivalents         $      6,815
  Accounts receivable
   Clients                                27,103
   Taxes receivable                        8,347
   Other accounts receivable              20,660
                                    ------------
                                          56,110

   Inventories (Note 2)                  175,862
   Anticipated payments                      838
                                    ------------

        TOTAL CURRENT ASSETS             240,625



NET FIXED ASSETS (Note 3)             12,208,465

DEFERRED FINANCE CHARGES (Note 5b)       606,995
                                    ------------

TOTAL ASSETS                        $ 13,056,085
                                    ------------
                                    ------------


LIABILITIES AND SHAREHOLDERS' EQUITY

SHORT TERM LIABILITIES
  Purveyor                                              $    135,881
  Taxes payable                                              114,076
  Accrued expenses                                            87,650
  Related party (Note 4)                                      54,135
  Current portion of long-term liabilities (Note 5a)       3,530,583
                                                        ------------

TOTAL SHORT TERM LIABILITIES                               3,922,325

  Long term Account Payable (Note 5a)                      2,444,250
                                                        ------------
TOTAL LIABILITIES                                          6,366,575
SHAREHOLDERS' EQUITY (Note 6)
  Common stock                                                 7,874
  Net Loss                                                  (703,352)
  Surplus by Revaluation (Note 3)                          7,219,381
  Translation result                                         165,607
                                                        ------------
                                                           6,689,510
                                                        ------------
TOTAL LIABILITIES AND
SHAREHOLDERS' EQUITY                                    $ 13,056,085
                                                        ------------
                                                        ------------

                           /s/ FERNANDO TORRES MORENO
                          LIC. FERNANDO TORRES MORENO
                                General Manager

  The accompanying notes are an integral part of the financial statements

- --------------------------------------------------------------------------------
                                                                               2
<PAGE>


GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.

STATEMENTS OF INCOME (LOSS), YEARS ENDED DECEMBER 31, 1995.
(IN U.S.A. DOLLARS)
- --------------------------------------------------------------------------------

   REVENUES
     Net income (Note 7)                                   $      747,979
     Subleasing income                                              9,841
                                                           --------------
                                                                  757,820

   COST AND EXPENSES:
     Cost of sales (Note 8)                                       190,479
     Health care services cost                                    876,308
     Administrative expenses and others                           390,965
                                                           --------------
                                                                1,457,752

                                                           --------------
   OPERATING LOSS                                                (699,932)

   INTEGRAL FINANCIAL COST

   Interest - Net                                                  (3,420)
                                                           --------------

   NET LOSS                                                $     (703,352)
                                                           --------------
                                                           --------------

                           /s/ FERNANDO TORRES MORENO
                          LIC. FERNANDO TORRES MORENO
                                General Manager


The notes are an integral part of the financial statements
- --------------------------------------------------------------------------------
                                                                               3

<PAGE>

  GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.

  STATEMENT OF VARIATIONS IN SHAREHOLDERS' INVESTMENT (Note 6)
  (IN U.S.A. DOLLARS, EXCEPT FOR PER SHARE INFORMATION)
- --------------------------------------------------------------------------------

<TABLE>
<CAPTION>
                                              COMMON STOCK
                                       ------------------------                     SURPLUS
                                       NUMBER OF                    ACCUMULATED        BY          TRANSLATION   SHAREHOLDERS'
                                        SHARES         AMOUNT         DEFICIT      REVALUATION        RESULT         TOTAL
                                       ---------    -----------     -----------    -----------     -----------   ------------
  <S>                                  <C>          <C>             <C>            <C>             <C>           <C>
  BALANCE AS OF APRIL 18, 1995               500    $     7,874                                                  $      7,874

  NET LOSS                                                             (703,352)                                     (703,352)

  SURPLUS BY REVALUATION (Note 3)                                                    7,219,381                      7,219,381

  TRANSLATION RESULT                                                                                   165,607        165,607
                                       ---------    -----------     -----------    -----------     -----------   ------------

  BALANCE AS OF DECEMBER 31, 1995            500    $     7,874     $  (703,352)   $ 7,219,381     $  (165,607)  $  6,689,510
                                       ---------    -----------     -----------    -----------     -----------   ------------
                                       ---------    -----------     -----------    -----------     -----------   ------------

</TABLE>



                          /s/ FERNANDO TORRES MORENO
                          LIC. FERNANDO TORRES MORENO
                                General Manager

The accompanying notes are an integral of the financial statements
- --------------------------------------------------------------------------------
                                                                               4

<PAGE>


GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.

STATEMENTS OF CHANGES IN THE FINANCIAL POSITION, YEAR ENDED DECEMBER 31,1995
(IN U.S.A. DOLLARS)
- -------------------------------------------------------------------------------
  RESOURCES GENERATED BY THE OPERATION:
   Net loss                                                    $     (703,352)

  Items not requiring resources.
    Depreciation and amortization                                     432,292
                                                                   ----------
                                                                     (271,060)
  Changes in assets and liabilities:
    Others accounts receivable                                        (20,660)
    Accounts receivable                                               (27,103)
    Taxes receivable                                                   (8,347)
    Deferred finance changes                                         (606,995)
    Inventories                                                      (176,862)
    Anticipated payments                                                 (838)
    Accounts payable                                                  135,881
    Related party                                                      54,135
    Taxes payable                                                     114,076
    Accrued expenses                                                   87,650
                                                                   ----------
                                                                     (449,063)
      FUNDS USED IN OPERATING ACTIVITIES                             (720,123)

  FINANCING ACTIVITIES:
    Common stock                                                        7,874
    Long term account payable                                       2,444,250
    Current portion of long-term liabilities                        3,530,533
    Translation result                                                165,607
                                                                   ----------
     FUNDS GENERATED BY FINANCING ACTIVITIES                        6,148,314

  INVESTING ACTIVITIES
    Fixed assets                                                   (5,421,376)
                                                                   ----------
     FUNDS USED IN INVESTING ACTIVITIES                            (5,421,376)

  INCREMENT OF THE YEAR                                                 6,815

  CASH AND CASH EQUIVALENTS

  BEGINNING OF YEAR                                                         0
                                                                   ----------

  END OF YEAR                                                     $     6,815
                                                                   ----------
                                                                   ----------

                                /s/ Fernando Torres Moreno
                                Lic. Fernando Torres Moreno
                                 General Manager

The accompanyng notes are an integral part of the financial statements.

                                                                              5


<PAGE>


GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V. NOTES TO THE FINANCIAL STATEMENTS

1.  OPERATIONS AND PRINCIPAL ACCOUNTING POLICIES.

         The company began April 18, 1995 and its principal activities are the
         benefits of medical, hospital, and surgical services as those of social
         welfare.

         Accounting policies. The accounting policies of the company are
         prewritten by the administration as follows:

    a)   The financial statements have been prepared on the historical-cost
         basis of accounting, and, therefore, do not show the effects of
         inflation in the financial information according to the generally
         accepted accounting principles of Mexico, consequently this are
         expressed in new pesos of a different purchasing power.

    b)   Temporary investments are valuated at their true value which is similar
         to its market value.

    c)   Inventories are valuated at market value, which does not exceed its
         true value. The cost of sales is brought up to date using the last
         purchase method.

    d)   Fixed assets are valuated at their cost of acquisition. Depreciation
         is calculated using the straight-line method based on the maximum
         fiscal rates, established in the Mexican Income Tax Law.

                                                        YEARS

                            Buildings                    20
                            Medical Equipment            10
                            Fixed Assets                 10
                            Computer Equipment            4
                            Transportation Equipment      4

                                                                              6

<PAGE>


GROUPMED INTERNATIONAL DE MEXICO, S. A. DE C.V. NOTES TO THE FINANCIAL 
STATEMENTS

    e)   The assets and liabilities in foreign currency are valuated at the
         rate of exchange (Peso-Dollar) of the date that the operations took
         place, and this are registered in mexican pesos.

    f)   Employee severance benefits: Indemnizations are charged to the summary
         of operations when the demandability of the liability is determined.

    g)   Income Tax, Asset Taxes and Employee Profit-Sharing, are expensed in
         the year in which they become payable, being adjusted in their case,
         by the effects of certain temporary entries that are fiscally
         acknowledged in different years than that in which it was accountably
         acknowledged, of a non recurrent nature and its reversal will be in a
         defined period.

         Asset Taxes that exceed Income Taxes, are expensed in the year in
         which they become payable.

2.  INVENTORIES

    The balance is integrate as follows:

                                                            December 31,
                                                                1995
                                                            ----------------
         Warehouse general                                 $     154,361
         Inventory of pharmacy                                    22,501
                                                             ----------------
                                                           $     176,862
                                                             ----------------
                                                             ----------------


                                                                              7

<PAGE>


GROUPMED INTERNATIONAL DE MEXICO, S. A. DE C.V. NOTES TO THE FINANCIAL 
STATEMENTS

3.  FIXED ASSETS.

    The Balance is integrated as follows:

                                                     December 31, 1995
                                              ---------------------------------
                                                Historical            Market or
                                                   Cost            actual value
                                              -----------          -----------
    Land                                      $   397,800          $   397,800
    Building                                    2,023,680            7,458,394
    Movables and Medical Equipment              2,022,900            3,807,567
    Transportation equipment                          866                  866
    Computer equipment                             65,450               65,450
    Movables and office equipment                  12,217               12,217
    Movables and Hospital equipment               898,463              898,463
                                              -----------          -----------
                                                5,421,376           12,640,757
    MINUS:
    Accrued depreciation                          207,190              432,292
                                              -----------          -----------

    Fixed Assets-Net                         $ 5,214,186          $12,208,465
                                              -----------          -----------
                                              -----------          -----------

     During the year, the company had an appraisal of its fixed assets:
     which was made by Corporacion de Desarrollo Urbano, S.A. de  C.V.
     (MARA), located in Tijuana, B.C. and CBMI, in El Cajon, California,
     U.S.A., those were registered in the accounting books, incrementing
     the value of the building and the medical equipment by an amount of 
     $5,434,714 and $ 1,784,667 dollars, respectively.

4. OPERATIONS WITH RELATED PARTIES.
    GroupMed International Inc. is an entity with its address in Nevada,
    U.S.A., its relation with GroupMed International of Mexico, S.A. de
    C.V. is as follows:

    a)   Holder of 99% of the common stock.

    b)   Principal financial source.

    c)   Significative administrative influence.


                                                                              8


<PAGE>

GROUPMED INTERNATIONAL DE MEXICO, S. A. DE C.V. NOTES TO THE FINANCIAL 
STATEMENTS 

5.  LONG TERM LIABILITIES.

    a)   During the year, the company celebrated a
         PURCHASE AND SALE CONTRACT WITH A DOMINION
         RESERVE" with Farvel Arrendamientos, S.A.
         de C.V.; through which the acquisition was
         established of the building and the equipment
         that form the fixed assets of GroupMed
         International de Mexico, S.A. de C.V. for an
         amount of $5,500,000. U.S.A. dollars, in 4
         payments, one every three months starting
         January 1, 1996, the first payment for an
         amount of $1,000,000. U.S.A dollars, the
         remaining four for an amount of $1,125,000
         U.S.A. dollars each, and another one for
         $2,250,000. Agreeing on an annual interest
         rate of 7.875%, payable based on the unpaid
         balance starting on the date mentioned
         before.                                        $ 5,500,000

    b)   The added value tax of merchandise will be
         paid as each partiality is amortized.              474,833

         MINUS: Current Portion                           3,530,583  $2,444,250
                                                        -----------  ----------

        in a document payable, dated December 28, 1995 both 
        parties agree that they will or will not be able to 
        offer to do on a cash basis the before mentioned 
        payments; or in such a case with common stock 
        shares of GroupMed, USA.
       

6.      INVESTMENT OF THE SHAREHOLDERS:

        a) The common stock for $7,874 dollars, is integrated by 500 shares, 
           with a par value of $15.74 dollars, each, totally undersigned and
           payed in cash.

        b) The shareholders investment, except for the common stock and the 
           actualized fiscal profit included in the retained profit will cause
           a tax on dividends of 34% charged to the Company at the moment of
           its distribution charged to its accrued profit.


                                                                             9


<PAGE>

GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V. NOTES TO THE FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------

c) During 1995, the Company had a fiscal result for ISR effects of $ 0 and it 
   did not cause asset tax due that the law of the subject in article 6 says 
   that first and second year business do not have to make this tax payment.

d) The historical dollars of the result of the year income (losses) as of 
   December 31, 1995 were as follows:
  
                           AMOUNT IN          AMOUNT IN
      PERIOD                MEXICAN             U.S.A.
      ENDED:                 PESOS             DOLLARS
   -------------        ----------------    ---------------

      12/31/95          $ (  13,638,615 )   $ (   703,352 )
                           -------------       -----------
                        $ (  13,638,615 )   $ (   703,352 )
                           -------------       -----------
                           -------------       -----------
  
e) The translation adjustment, is obtained through of the conversion to U.S.A. 
   dollars, of the assets, liabilities and operation results at different 
   exchange rates. The monetary assets and liabilities, including the 
   inventories because this had a high rotation level, were converted at the 
   current exchange rate at the end of the year which was $ 6.1833 and $ 6.67 
   mexican pesos for each U.S.A. dollar respectably; the fixed assets and the 
   common stock were converted using the exchange rate valid at the date of 
   acquisition and contribution. With the results of the year a monthly average
   exchange rate.
  
7.  INCOME.
  
    The principal obtained income is integrated as follows:
  
                                                    December 31,
                                                       1995
                                                  ----------------
            Health care services income          $        740,133
            Other income                                    7,846
                                                  ----------------
                                                 $        747,979
                                                  ----------------
                                                  ----------------
- ------------------------------------------------------------------------------
                                                                           10
  
<PAGE>


GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V. NOTES TO THE FINANCIAL STATEMENTS
- --------------------------------------------------------------------------------
  
  
8.  COST OF SALES.
  
    The cost of sales include all of the costs that both companies have had 
    purchasing or selling items. Their integration is as follows:
  
                                                    December 31,  
                                                       1995             
                                                  ----------------             
            Hospital material cost               $         99,269
            Medicine cost                                  78,153
            Other costs                                    13,057
                                                  ----------------             
                                                 $        190,479
                                                  ----------------             
                                                  ----------------             
  




                            /s/ FERNANDO TORRES MORENO
                           LIC. FERNANDO TORRES MORENO
                               General Manager
  
This notes are an integral part of the financial statements
  
  
- ------------------------------------------------------------------------------
                                                                           11
  
  
<PAGE>

                 GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V
                 (a subsidiary of GroupMed International, Inc.)
                           STATEMENTS OF CASH FLOWS
                       THE PERIOD ENDED MARCH 31, 1996
  
                                                          1st Quarter
                                                            Jan-Mar
                                                              1996
  
Cash flows from operating activities:
  Net loss                                                  (96,324)
  Adjustments to reconcile net loss to net cash
  used by operating activities:
     Amortization & Depreciation                            192,906
  
     Expenses paid by issuance of common stock
     Minority interest in subsidiary loss
     Loss on sale of securities
     Changes in:
        Accounts receivable                                 (19,339)
        Inventories                                         (44,250)
        Notes receivable                                     (1,541)
        Advanced payments                                    (6,205)
        Accounts payable                                     (6,738)
        Accrued expenses                                     64,459
        Related Parties: GMII                                28,040
        Taxes Payable                                        67,998
  
  Net cash used by operating activities                     179,007
  
Cash flows from financing activities:
  Exchange fluctuation effect on Dollar Liabilities        (169,929)
  
  Net cash provided by financing activities                (169,929)
  
Net Increase (decrease) in cash                               9,078
  
Cash at beginning of period                                   2,081
  
Cash at end of period                                        11,159
  
  

<PAGE>
                                            
                 GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.
                  (a subsidiary of GroupMed International, Inc.)
                           Stockholders' Equity Statement
                   FOR THE PERIOD JANUARY 1 - MARCH 31, 1996


<TABLE>
<CAPTION>

 
                                                   Common Stock
                                       -----------------------------------------
                                                          Additional               Accumu-
                                                            Paid-in  Translation   lated 
                                         Shares   Amount    Capital    Result     deficit      Total
                                       ------------------------------------------------------------------
<S>                                      <C>      <C>     <C>         <C>         <C>         <C>
Balance, January 1, 1996                   500    7,874   7,219,381   165,607     (703,352)   6,689,510

Net loss for 1st Quarter, 1996                                                    (619,696)    (619,696)

Translation Result                                                    195,362                   195,362

                                       ------------------------------------------------------------------
 
Balance, March 31, 1996                    500    7,874   7,219,381   360,969   (1,323,048)   6,265,176
 
</TABLE>
 


<PAGE>







                                EXHIBIT NO. 3.1
                                ---------------
                             ARTICLES OF AMENDMENT
                             ---------------------











<PAGE>



                              ARTICLES OF AMENDMENT

                        TO THE ARTICLES OF INCORPORATION

                                       OF

                              FIRST MANHATTAN, INC.

     Pursuant to the provisions of Section 16e-10a-1006 of the Nevada Revised 
Business Corporation Act, First Manhattan, Inc. hereby adopts the following 
amendment to its Articles of Incorporation.

                                   AMENDMENT

     A.  ARTICLE I - NAME

     Article I of the Company's Articles of Incorporation was amended to read
as follows:

     ARTICLE I - NAME. The name of the corporation is GroupMed 
International, Inc.

<PAGE>

                              ADOPTION OF AMENDMENT

     The above amendment to the Articles of Incorporation of First 
Manhattan, Inc. was duly adopted by the shareholders of the corporation at a 
meeting held June 7, 1995 in the manner prescribed by the Nevada Revised 
Corporation Act as follows:

Voting Group        Shares              Number of         Undisputed No.
Designation         Outstanding         votes allowed     of votes represented
- ---------------   ---------------     -----------------  ----------------------

Common Stock          200,000              200,000              200,000


      The shareholders voted as follows on such amendment:

Voting Group                  Votes for               Votes against
Designation                   Amendment               Amendment
- ---------------           -----------------       ---------------------

Common Stock                   112,250                    -0-


     The number of shares cast for the amendment by the voting group was 
sufficient for approval of the amendments by the group.

     In Witness whereof, the undersigned president and secretary, having been
thereto duly authorized, have executed the foregoing Articles of Amendment for 
the corporation this 7th day of June 1995.

                                           First Manhattan, Inc.

                                           /s/ [ILLEGIBLE]
                                           --------------------------
                                           President

                                           /s/ [ILLEGIBLE]     6/3/95
                                           --------------------------
                                           Secretary

NOTARY
See attached


<PAGE>









                                   EXHIBIT NO. 3.2



                              ARTICLES OF INCORPORATION












<PAGE>

                              ARTICLES OF INCORPORATION

                                          OF

                                 FIRST MANHATTAN INC.

                                      *   *   *

The undersigned, acting as incorporator, pursuant to the provisions of the laws
of the State of Nevada relating to private corporations, hereby adopts the
following Articles of Incorporation:

    ARTICLE ONE.    (NAME).    The name of the corporation is:

                        FIRST MANHATTAN INC.


    ARTICLE TWO.    (LOCATION).    The address of the corporation's principal
office in the State of Nevada is 5025 South Eastern Avenue, Suite 24, in the
city of Las Vegas, County of Clark, State of Nevada 89119.  The initial agent
for service of process at that address is PACIFIC NATIONAL VENTURE, INC.

    ARTICLE THREE.    (PURPOSES).    The purposes for which the corporation is
organized are to engage in any activity or business not in conflict with the
laws of the State of Nevada or of the United States of America.

    ARTICLE FOUR.    (CAPITAL STOCK).    The corporation shall have authority
to issue an aggregate of TWENTY-FIVE MILLION (25,000,000) shares, par value ONE
MIL ($0.001) per share, for a total capitalization of $25,000.

         The holders of shares of capital stock of the corporation shall not be
entitled to pre-emptive or preferential rights to subscribe to any unissued
stock of any other securities which the corporation may now or hereafter be
authorized to issue.

         The corporation's capital stock may be issued and sold from time to
time for such consideration as may be fixed by the Board of Directors, provided
that the consideration so fixed is not less than par value.

         The stockholders shall not possess cumulative voting rights at all
shareholders meetings called for the purpose of electing a Board of Directors.

<PAGE>

    ARTICLE FIVE.    (DIRECTORS).    The affairs of the corporation shall be
governed by a Board of Directors of not less than three (3) persons.  The name
and addresses of the first Board of Directors are:

         NAME                                    ADDRESS
         ----                                    -------

    Hugo Winkler                            665 Finchley Road
                                            London, NW2 2HN
                                            United Kingdom

    Curtis M. Jamison                       P.O. Box 71602
                                            Reno, Nevada  89570

    Suzy Frost                              5025 S. Eastern Avenue, #24
                                            Las Vegas, Nevada  89119

    ARTICLE SIX.    (ASSESSMENT OF STOCK).    The capital stock of the
corporation, after the amount of the subscription price or par value has been
paid in, shall not be subject to pay debts of the corporation, and no paid up
stock and no stock issued as fully paid up shall ever be assessable or assessed.

    ARTICLE SEVEN.    (INCORPORATOR).    The name and address of the
incorporator of the corporation is as follows:

         NAME                                    ADDRESS
         ----                                    -------

    Suzy Frost                              5025 S. Eastern Avenue, #24
                                            Las Vegas, Nevada  89119

    ARTICLE EIGHT.    (PERIOD OF EXISTENCE).    The period of existence of the
corporation shall be perpetual.

    ARTICLE NINE.    (BY-LAWS).    The initial By-Laws of the corporation shall
be adopted by its Board of Directors.  The power to alter, amend, or repeal the
By-Laws, or to adopt new By-Laws, shall be vested in the Board of Directors,
except as otherwise may be specifically provided in the By-Laws.

    ARTICLE TEN.    (STOCKHOLDERS' MEETINGS).    Meetings of stockholders shall
be held at such place within or without the State of Nevada as may be provided
by the By-Laws of the corporation.  Special meetings of the stockholders may be
called by the President or any other executive officer of the corporation, the
Board of Directors, or any member thereof, or by the record holder or holders of
at least ten percent (10%) of all shares


<PAGE>

entitled to vote at the meeting.  Any action otherwise required to be taken at a
meeting of the stockholders, except election of directors, may be taken without
a meeting if a consent in writing, setting forth the action so taken, shall be
signed by stockholders having at least a majority of the voting power.

    ARTICLE ELEVEN.    (CONTRACTS OF CORPORATION).    No contract or other 
transaction between the corporation and any other corporation, whether or not 
a majority of the shares of the capital stock of such other corporation is 
owned by this corporation, and no act of this corporation shall in any way be 
affected or invalidated by the fact that any of the directors of this 
corporation are pecuniarily or otherwise interested in, or are directors or 
officers of such other corporation.  Any Director of this corporation, 
individually, or any firm of which such director may be a member, may be a 
part to, or may be pecuniarily or otherwise interested in any contract or 
transaction of the corporation; provided, however, that the fact that he or 
such firm is so interested shall be disclosed or shall have been known to the 
Board of Directors of this corporation, or a majority thereof; and any 
director of this corporation who is also a director or officer of such other 
corporation, or who is so interested, may be counted in determining the 
existence of a quorum at any meeting of the Board of Directors of this 
corporation that shall authorize such contract or transaction, and may vote 
thereat to authorize such contract or transaction, with like force and effect 
as if he were not such director or officer of such other corporation or not 
so interested.

    IN WITNESS WHEREOF, the undersigned incorporator has hereunto fixed her
signature in Las Vegas, Nevada this 21st day of March, 1991.



                                                 /s/ Suzy Frost
                                            -----------------------------
                                            Suzy Frost


[SEAL]



<PAGE>

STATE OF NEVADA         )
                        :    ss.
CLARK COUNTY            )

On this 21st day of March, 1991 before me, the undersigned, a Notary Public,
personally appeared Suzy Frost, known to me to be the person described in and
who executed the foregoing instrument, and who acknowledged to me that she
executed the same freely and voluntarily and for the uses and purposes therein
mentioned.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the
day and year in this certificate first above written.


                                            /s/ Carole A. Malugani
                                            ------------------------------
                                            NOTARY PUBLIC
                                            RESIDING IN CLARK COUNTY


MY COMMISSION EXPIRES:


Aug. 9, 1993
- ----------------------


[SEAL]

<PAGE>





[CERTIFIED SIGNATURE]



<PAGE>





                                EXHIBIT NO. 3.3

                                    BY LAWS














<PAGE>

                                    BY-LAWS

                                      OF

                              FIRST MANHATTAN INC.


                                   ARTICLE I

                              NAME OF CORPORATION


SECTION 1:  This corporation shall be known as:

                              FIRST MANHATTAN INC.


                                   ARTICLE II

                                    OFFICES

SECTION 1:  The principal office of the corporation in Nevada will be 
located at the office of its Resident Agent at 5025 South Eastern Avenue, 
Suite 24, Las Vegas, Nevada 89119. The corporation may maintain such other 
offices within the State of Nevada; within the United States or within 
Europe, as the Board of Directors may designate from time to time.

                                   ARTICLE III

                                   STOCKHOLDERS

SECTION 1:  The annual meeting of the stockholders shall be held in 
December of each year, at a date and time to be specified by the Board of 
Directors. Said meeting shall be for the purpose of electing directors 
for the ensuing year and for the transaction of such other business as may 
come before the meeting. If the election of directors shall not be held on 
the day designated for the annual meeting of the stockholders, or at any 
adjournment thereof, the Board of Directors shall cause the election to 
be held at a special meeting of the stockholders as soon thereafter as 
possible.

SECTION 2:  Special meetings of the stockholders, for any purpose or 
purposes, unless otherwise prescribed by Statute, may be called by the 
President or by the Board of Directors and shall be called by the President 
at the request of the holders of not less than one-tenth of all the 
outstanding shares of the corporation entitled to vote at the meeting.

SECTION 3:  The Board of Directors may designate any place within or 
without the State of Nevada as the site for any annual or special 
stockholders meeting. A waiver of notice signed by all stockholders 
entitled to vote at a meeting may designate any place, either within or 
without the State of Nevada, as the site for any

<PAGE>

meeting hereinabove authorized. If no designation is made, the place 
of the meeting shall be at the principal office of the corporation 
in the State of Nevada.

SECTION 4:  Written or printed notice stating the site, date and time of the 
meeting and, in case of a special meeting, the purpose or purposes for which 
the meeting is called, shall be delivered not less than ten (10) days nor 
more than sixty (60) days before the date of the meeting, either personally 
or by the mail, by or at the direction and over the signature of the 
President, or the Secretary, or the officer or person calling the meeting, to 
each stockholder of record entitled to vote at such meeting. If mailed, such 
notice shall be deemed to be delivered when deposited in the United States 
mail, addressed to the stockholder at his address as it appears on the stock 
transfer books of the corporation, with postage thereon prepaid.

SECTION 5:  For the purpose of determining stockholders entitled to notice of 
or to vote at any meeting of stockholders, or any adjournment thereof, or 
stockholders entitled to receive payment of any dividend, or in order to make 
a determination of stockholders for any other proper purpose, the Board of 
Directors of the corporation may provide that the stock transfer books shall 
be closed for a stated period, not to exceed twenty (20) days. In lieu of 
closing the stock transfer books, the Board of Directors may fix in advance a 
date as the record date for any such determination of stockholders, such date 
in any case to be not more than sixty (60) days and, in case of a meeting of 
stockholders, not less than fifteen (15) days prior to the date on which the 
particular action requiring such determination of stockholders to be taken. 
If the stock transfer books are not closed and no record dates fixed for the 
determination of stockholders entitled to notice of or to vote, or entitled 
to receive payment of a dividend, the date on which notice of the meeting is 
mailed or the date on which the resolution of the Board of Directors 
declaring such dividend is adopted, as the case may be, shall be the record 
date for such determination of stockholders. When a determination of 
stockholders entitled to vote at any meeting of stockholders has been made as 
provided in thereof, except where the determination has been made through the 
closing of the stock transfer books and the stated period of closing has 
expired.

SECTION 6:  The officer or agent having charge of the stock transfer books 
for shares of the corporation shall make, at least ten (10) days before each 
meeting of stockholders, a complete list of the stockholders entitled to vote 
at such meeting, or any adjournment thereof, arranged in alphabetical order, 
with the address of, and the number of shares held by, each, which list, for 
a period of ten (10) days prior to such meeting, shall be kept on file at the 
principal office of the corporation and shall be subject to the inspection of 
any stockholder during the meeting.

SECTION 7:  A majority of the outstanding shares of the corporation
entitled to vote, represented in person or by proxy, shall constitute 
a quorum at a meeting of stockholders. If less than a

<PAGE>

majority of the outstanding shares are represented at a meeting, a majority 
of the shares so represented may adjourn the meeting from time to time 
without further notice. At such adjourned meeting at which a quorum shall be 
present or represented, any business may be transacted which might have been 
transacted at the meeting as originally notified. The stockholders present at 
a duly organized meeting may continue to transact business until adjournment, 
notwithstanding the withdrawal of enough stockholders to leave less than a 
quorum.

SECTION 8:  At all meetings of stockholders, a stockholder may vote by proxy 
which shall be executed in writing by the stockholder or by his duly 
authorized attorney in fact. Such proxy shall be filed with the Secretary of 
the corporation before or at the time of the meeting. No proxy shall be valid 
after six (6) months from the date of its execution, unless otherwise 
provided in the proxy or coupled with an interest.

SECTION 9:  Each outstanding share otherwise entitled to vote shall be 
entitled to one (1) vote upon each matter submitted to a vote at a meeting of 
stockholders. A majority vote of those shares present and voting at a duly 
organized meeting shall suffice to defeat or enact any proposal unless the 
Statutes of the State of Nevada require a greater-than-majority vote, in 
which event such greater-than-majority vote shall be required for the action to
constitute the action of the corporation.

SECTION 10:  Shares held by an administrator, executor, guardian or 
conservator may be voted by him, either in person or by proxy, without the 
transfer of such shares into his name. Shares standing in the name of a 
trustee may be voted by him, either in person or by proxy, but no trustee 
shall be entitled to vote shares held by him without transfer of such shares 
into his name.

Shares standing in the name of a receiver may be voted by such receiver, and 
shares held by or under the control of a receiver may be voted by such 
receiver without the transfer thereof into his name if authority to do so be 
contained in an appropriate order of the Court by which such receiver was 
appointed.

A stockholder whose shares are pledged shall be entitled to vote such shares 
until the shares are transferred into the name of the pledgee, and 
thereafter the pledgee shall be entitled to vote the shares so transferred.

Shares of its own stock belonging to the corporation or held by it in a 
fiduciary capacity shall not be voted, directly or indirectly, at any 
meeting, and shall not be counted in determining the total number of 
outstanding shares at any given time.

SECTION 11:  An action required to be taken at a meeting of the 
stockholders or any other action which may be taken at a meeting of
the stockholders, may be taken without a meeting, if a consent in 
writing, setting forth the action so taken, shall be signed by a 
majority of the stockholders entitled to vote with respect to the

<PAGE>

subject matter thereof, unless a greater-than-majority vote would be required 
at a duly organized meeting, in which event said greater-than majority 
stockholder approval must be obtained. Such consent shall be filed with the 
minutes of the meeting.

SECTION 12:  The following order of business shall be observed at all 
meetings of the stockholders, so far as practicable:

          (a) Calling the roll;

          (b) Reading, correcting and approving of minutes or previous meeting;

          (c) Reports of Officers;

          (d) Reports of Committees;

          (e) Election of Directors;

          (f) Unfinished business;

          (g) New business; and

          (h) Adjournment.

                                  ARTICLE IV

                              BOARD OF DIRECTORS

SECTION 1:  The business and affairs of the corporation shall be managed 
by its Board of Directors. 

SECTION 2:  As provided in the Articles of Incorporation, the Board of 
Directors shall consist of at least three (3) persons, and may be increased 
by resolution of the Board of Directors. The directors shall hold office 
until the next annual meeting of stockholders and until their successor shall 
have been elected and qualified. Directors need not be residents of the State 
of Nevada or stockholders of the corporation.

SECTION 3:  Directors shall be elected at an annual or special stockholders' 
meeting by secret ballot of those stockholders present and entitled to vote, 
a plurality of the vote being cast being required to elect. Each stockholder 
shall be entitled to one (1) vote for each share of stock owned. If there is 
but one (1) nominee for any office, it shall be in order to move that the 
Secretary cast the elective ballot to elect the nominee.

SECTION 4:  A regular meeting of the Board of Directors shall be held without 
notice, other than this By-Law, immediately after, and at the same place as, 
the annual meeting of stockholders. The Board of Directors may provide, by 
resolution, the day, time and place for the holding of additional regular 
meetings without other notice than such resolution. The Secretary of the 
corporation shall serve as Secretary for the Board of Directors and shall 
issue

<PAGE>

notices for all meetings as required by the By-Laws; shall keep a record of 
the minutes of the proceedings of the meetings of directors; and shall 
perform such other duties as may be properly required of him by the Board of 
Directors.

SECTION 5:  Special meetings of the Board of Directors may be called by or at 
the request of the President or any director. The person or persons 
authorized to call special meetings of the Board of Directors may fix any 
place, within or without the State of Nevada, as the place for holding any 
special meeting of the Board of Directors so called.

SECTION 6:  Notice of any special meeting shall be given at least two (2) 
days prior thereto by written notice delivered personally or mailed to each 
director at his business address, or by telegram. If mailed, such notice 
shall be deemed to be delivered when deposited in the United States mail so 
addressed, with postage prepaid thereon. If notice be given by telegram, such 
notice shall be deemed to be delivered when the telegram is delivered to the 
telegraph company. Any director may waive notice of any meeting. The 
attendance of a director at a meeting shall constitute a waiver of such 
meeting, except where a director attends a meeting for the express purpose of 
objecting to the transaction of any business to be transacted at such 
meeting. The purpose of any regular or special meeting of the Board of 
Directors need not be specified in the notice or waiver of such meeting.

SECTION 7:  A majority of the number of directors established according to 
Section 2 of this Article IV shall constitute a quorum for the transaction of 
business at any meeting of the Board of Directors, but if less than such 
majority is present at a meeting, a majority of the directors present may 
adjourn the meeting from time to time without further notice. Once a quorum 
has been established at a duly organized meeting, the Board of Directors may 
continue to transact corporate business until adjournment, notwithstanding 
the withdrawal of enough members to leave less than a quorum.

SECTION 8:  The act of the majority of the Directors present at a meeting at 
which a quorum is present shall be the act of the Board of Directors unless 
the Statutes of the State of Nevada require a greater-than-majority vote, in 
which case, such greater-than-majority vote shall be required for the act to 
be that of the Board of Directors.

SECTION 9:  Any vacancy occuring in the Board of Directors may be filled by 
the affirmative vote of a majority of the remaining directors, through less 
than a quorum of the Board of Directors. A director elected to fill a vacancy 
shall be elected for the unexpired term of his predecessor in office. Any 
directorship to be filled by reason of an increase in the number of directors 
shall be filled by election at an annual meeting or at a special meeting of 
the stockholders called for that purpose.

<PAGE>

SECTION 10:  By resolution of the Board of Directors, the directors may be 
paid their expenses, if any, of attendance at each meeting of the Board of 
Directors, and may be paid a fixed sum for attendance at each meeting of the 
Board of Directors or a stated salary as director. No such payment shall 
preclude any director from serving the corporation in any other capacity and 
receiving compensation therefor.

SECTION 11:  A director of the corporation who is present at a meeting of the 
Board of Directors at which action on any corporate matter is taken shall be 
presumed to have assented to the action taken unless his dissent shall be 
entered in the minutes of the meeting or unless he shall file his written 
dissent to such action with the Secretary of the meeting before the 
adjournment thereof or shall express such dissent by written notice sent by 
registered mail to the Secretary of the corporation within one (1) day after 
the adjournment of the meeting. Such right to dissent shall not apply to a 
director who voted in favor of such action.

SECTION 12:  Any action required to be taken at a meeting of the Board of 
Directors, or any other action which may be taken at a meeting if a written 
consent thereto is signed by all the members of the Board. Such written 
consent shall be filed with the minutes of the meetings of the Board of 
Directors. Any meeting of the Board of Directors may be held by conference 
telephone call, with minutes thereof duly prepared and entered into the 
Minute Book.

                                 ARTICLE V

                                 OFFICERS


SECTION 1:  The officers of the corporation shall be a President, a 
Vice-President, a Secretary, a Treasurer, and a Resident Agent, each of whom 
shall be elected by the Board of Directors. Other officers and assistant 
officers may be authorized and elected or appointed by the Board of 
Directors. Any two (2) or more offices may be held by the same person.

SECTION 2:  The officers of the corporation shall be elected annually by the 
Board of Directors at the first meeting of the Board of Directors held after 
each annual meeting of the stockholders. If the election of officers shall 
not be held at such meeting, such election shall be held as soon thereafter 
as convenient. Each officer shall hold office until his successor shall have 
been duly elected and shall have qualified or until his death or until he 
shall resign or shall be removed in the manner hereinafter provided. Each 
officer shall serve for a term of one (1) year, or until his successor is 
elected and qualified.

SECTION 3:  Any officer of agent elected or appointed by the Board of 
Directors may be removed by the Board of Directors whenever, in its sole 
judgment, the best interests of the corporation would be served thereby, but 
such removal shall be without prejudice to the contract rights, if any, of 
the person so removed.

<PAGE>

SECTION 4:  A vacancy in any office because of death, resignation, removal, 
disqualification or otherwise, may be filled by majority vote of the Board of 
Directors for the unexpired portion of the term of such office.

SECTION 5:  The President shall preside at all meetings of the directors and 
the stockholders and shall have general charge and control over the affairs 
of the corporation, subject to control by the Board of Directors. The 
President shall sign or countersign all certificates, contracts and other 
instruments of the corporation as authorized by the Board of Directors and 
shall perform such other duties as are incident to his office or are required 
of him/her by the Board of Directors.

SECTION 6:  The Vice-President shall exercise the functions of the President, 
in the President's absence, and shall have such powers and duties as may be 
assigned to him from time to time by the Board of Directors.

SECTION 7:  The Secretary shall issue notices for all meetings, as required 
by the By-Laws; shall keep a record of the minutes of the proceedings of the 
meetings of stockholders and directors; shall have charge of the Seal and of 
the corporate books; and shall make such reports and perform such other 
duties as are incident to his office, or properly required of him by the 
Board of Directors.

SECTION 8:  The Treasurer shall have the custody of all monies and securities 
of the corporation and shall keep regular books of account. He shall disburse 
the funds of the corporation, or as may be ordered by the Board of Directors, 
taking proper vouchers for such disbursements, and shall render to the Board 
of Directors, from time to time, as may be required of him, an account of all 
his transactions as Treasurer and of the financial condition of the 
corporation. He shall perform all duties incident to his office or which are 
properly required of him by the Board of Directors.

SECTION 9:  The Resident Agent shall be in charge of the corporation's 
registered office, upon whom process - against the corporation may be served, 
and shall perform all duties required of him by statute.

SECTION 10:  The salaries of all officers shall be fixed by the Board of 
Directors, and may be changed from time to time by a majority vote of the 
Board of Directors.

                                  ARTICLE VI

                            AGREEMENTS AND FINANCES


SECTION 1:  The Board of Directors may authorize any officer or officers, or 
agent or agents, to enter into any contract or execute and deliver any 
instrument in the name of and on behalf of the corporation, and such 
authority may be general or confined to specific instances.

<PAGE>

SECTION 2:  No loans shall be contracted on behalf of the corporation and no 
evidences of indebtedness shall be issued in its name unless authorized by a 
resolution of the Board of Directors. Such authority may be general or 
confined to specific instances.

SECTION 3:  All checks, drafts or other orders for the payment of money, 
notes or other evidences of indebtedness issued in the name of the 
corporation shall be signed by such duly authorized officer or officers, or 
agent of agents of the corporation and in such manner as shall from time to 
time be determined by resolution of the Board of Directors.

SECTION 4:  All funds of the corporation not otherwise employed shall be 
deposited from time to time to the credit of the corporation in such banks, 
trust companies or other depositories as the Board of Directors may select.

                                 ARTICLES VII

                             CERTIFICATE OF SHARES

SECTION 1:  Certificates representing shares of the corporation shall be in 
such form as shall be determined by the Board of Directors. Such certificates 
shall be signed by the President and by the Secretary. All certificates for 
shares shall be consecutively numbered or otherwise indentified. The name 
and address of the person to whom the shares represented thereby are issued, 
with the number of shares and date of issue, shall be entered on the stock 
transfer books of the corporation. All certificates surrendered to the 
corporation for transfer shall be cancelled and no new certificate shall be 
issued until the former certificate for a like number of shares shall have 
been surrendered and cancelled, except in case of a lost, destroyed or 
mutilated certificate, a new one may be issued therefor upon such terms and 
indemnity to the corporation as the Board of Directors may prescribe.

SECTION 2:  Transfer of shares of the corporation shall be made only on the 
stock transfer books of the corporation by the holder of record thereof or by 
his legal representative, who shall furnish proper evidence of authority to 
transfer, or by his attorney authorized by power of attorney duly executed 
and filed with the Secretary of the corporation, and only on full surrender 
for cancellation of the certificate for such shares. The person in whose name 
shares stand on the books of the corporation shall be deemed by the 
corporation to be the owner thereof for all purposes, unless otherwise 
notified by such person in writing.

                                 ARTICLE VIII

                                 FISCAL YEAR

SECTION 1:  The fiscal year of the corporation shall be fixed by resolution 
of the Board of Directors.

<PAGE>

                                  ARTICLE IX

                                     SEAL

SECTION 1:  The corporation may or may not have a corporate seal, as may from 
time to time be determined by resolution of the Board of Directors. If a 
corporate seal is adopted, it shall have inscribed thereon the name of the 
corporation and the words "Corporate Seal" and "Nevada". The seal may be used 
by causing it or a facsimile thereof to be impressed or affixed or in any 
manner reproduced.

                                   ARTICLE X

                                   AMENDMENTS

SECTION 1:  These By-Laws may be amended by a majority vote of all the stock 
issued and outstanding and entitled to vote at any annual or special meeting 
of the stockholders, provided notice of intention to amend shall have been 
contained in the notice of the meeting.

SECTION 2:  The Board of Directors, by a majority vote of the entire Board of 
Directors, present at any meeting, may amend these By-Laws, including By-Laws 
adopted by the stockholders.

                                   ARTICLE XI

                    INDEMNIFICATION OF DIRECTORS AND OFFICERS

SECTION 1:  Every person who was or is a party to, or is threatened to be 
made a party to, or is involved in any action, suit or proceedings, whether 
civil, criminal, administrative or investigative, by reason of the fact that 
he or a person of whom he is the legal representative is or was a director or 
officer of the corporation or is or was serving at the request of the 
corporation as a director or officer of another corporation, or as its 
representative in a partnership, joint venture, trust or other enterprise, 
shall be indemnified and held harmless, to the fullest extent legally 
permissible under the laws of the State of Nevada, against all expenses, 
liability and loss, including attorneys' fees, judgements, fines and amounts 
paid or to be paid in settlement, reasonably incurred or suffered by him in 
connection therewith, all pursuant to NFS 78.151. Such right of 
indemnification shall be a contract right which may be enforced in any manner 
desired by such person.

SECTION 2:  This indemnification is intended to provide at all times the 
fullest indemnification permitted by the laws of the State of Nevada and the 
corporation may purchase and maintain insurance on behalf of any person who 
is or was a director or officer of the corporation, or is or was serving at 
the request of the corporation as a director or officer of another 
corporation, or as its representative in a partnership, joint venture, trust 
or other enterprise against any liability asserted against such person

<PAGE>

and incurred in any such capacity or arising out of such status, whether or 
not the corporation would have the power to indemnify such person.

                        CERTIFICATE OF SECRETARY

     I hereby certify that I am the Secretary of FIRST MANHATTAN INC., and 
that the foregoing By-Laws, consisting of ten (10) pages, constitutes the 
Code of FIRST MANHATTAN INC, as duly adopted by the Board of Directors of 
the Corporation, effective this 27th day of March, 1991.



                                       /s/ Suzy Frost
                                       ---------------------
                                       Suzy Frost, Secretary



<PAGE>








                                EXHIBIT NO. 10.1


                            ACQUISITION AGREEMENT AND

                              PLAN OF REORGANIZATION










<PAGE>


                 ACQUISITION AGREEMENT AND PLAN OF REORGANIZATION


     THIS ACQUISITION AGREEMENT AND PLAN OF REORGANIZATION (hereinafter the 
"Agreement") is made and entered into as of the ___ day of __________, 1995, by 
and between FIRST MANHATTAN, INC., a Nevada corporation (hereinafter "FIRST 
MANHATTAN") and GROUPMED, INC., a Nevada corporation, (hereinafter "GMI").

                                       RECITALS

     WHEREAS, FIRST MANHATTAN desires to acquire from GMI the stock of GroupMed 
International of Mexico, SADECV, in exchange solely for 5,200,000 shares of 
common stock of FIRST MANHATTAN, post split, par value $0.001 and

     WHEREAS, the parties hereto desire to reorganize the management and 
operations of FIRST MANHATTAN and to change the corporation name to GROUPMED 
INTERNATIONAL, INC.

     NOW, THEREFORE, in consideration of the premises and mutual representation,
warranties and covenants herein contained, the parties hereby agree as follows:

                                      ARTICLE I

                           ACQUISITION AND EXCHANGE OF SHARES

SECTION 1.1    ACQUISITION. The parties hereto agree that this Agreement shall 
replace and supersede the Letter of Intent executed by the parties on _________.
The parties hereby agree that FIRST MANHATTAN shall acquire from GMI and GMI 
shall assign and transfer to FIRST MANHATTAN 100% of the Common Stock of 
GROUPMED INTERNATIONAL, INC., SADECV more completely described in Exhibit 1.1 
annexed hereto and by this reference made a part hereof. GMI further agrees to 
assume and become obligated to those specified liabilities, debts, obligations 
and encumbrances of FIRST MANHATTAN that are specifically set forth and more 
specifically described in Exhibit 4.3, annexed hereto and by this reference made
a part hereof and which liabilities, debts, obligations and encumbrances GMI 
agrees to fully assume become obligated to.  In exchange for the acquisition of 
the stock of GroupMed International of Mexico, SADECV from GMI, FIRST MANHATTAN
agrees to issue to GMI, five million two hundred thousand shares (5,200,000) of
authorized but previously unissued shares of GMI common stock, par value $0.001
per share, said shares to be issued directly to GMI and pursuant to the terms 
and conditions set forth herein. The parties hereto further agree that the
business and management of FIRST MANHATTAN shall be reorganized and that FIRST 
MANHATTAN shall hereinafter become engaged in the business of developing the GMI
assets.

SECTION 1.2    ISSUANCE OF SHARES

     (a)  Upon the Closing of this Agreement, FIRST MANHATTAN shall cause to be 
     issued and delivered to GMI, stock certificates representing 5,200,000 
     shares of common stock of FIRST MANHATTAN, par value $0.001 per share.

                                  
                                       1

<PAGE>

     b)   The shares of FIRST MANHATTAN Common Stock to be issues hereunder 
     shall be authorized but previously unissued shares of FIRST MANHATTAN 
     Common Stock and shall be issued directly to and in the name of GROUPMED, 
     INC.

     (c)  All shares of FIRST MANHATTAN Common Stock to be issued hereunder are 
     deemed "restricted securities" as defined by Rule 144 of the Securities 
     Act of 1933, as amended ("the 1933 Act"), and GMI shall represent that they
     are acquiring said shares for investment purposes only and without the 
     intent to make a further distribution of the shares until such time as 
     appropriate regulatory approval for any such distribution has been properly
     obtained. All shares of FIRST MANHATTAN Common Stock to be issued under the
     terms of this Agreement shall be issued pursuant to an exemption from the 
     registration requirements of the 1933 Act, under Section 4(2) of the 1933 
     Act and the rules and regulations promulgated thereunder.

     (d)  GMI agrees that in the event it decides to distribute to its 
     shareholders the FIRST MANHATTAN shares to be acquired hereby, either in 
     part or in whole, GMI will make all necessary and requisite filing with the
     appropriate state and federal agencies to register such distribution under 
     the applicable securities laws.

SECTION 1.3    CLOSING. The closing of this Agreement and the transactions 
contemplated hereby (the "Closing") shall take place on the ___ day of _________
(the "Closing Date"), at a time and place to be mutually agreed upon by the 
parties hereto, and shall be subject to the provisions of ARTICLE X of this 
Agreement. At the Closing:

     (a)  GMI shall cause to be delivered to FIRST MANHATTAN fully executed 
     instruments of conveyance which when executed and delivered to FIRST 
     MANHATTAN, shall immediately convey and transfer to FIRST MANHATTAN, all of
     GMI's interest in the assets set forth in Exhibit 1.1;

     (b)  FIRST MANHATTAN shall take all necessary and appropriate actions and 
     execute all necessary and appropriate documents to assume completely and 
     become obligated to all liabilities, debts, obligations and/or other 
     encumbrances of GMI and otherwise set forth in Exhibit 4.3 annexed hereto;

     (c)  FIRST MANHATTAN shall deliver to GMI, certificates representing an 
     aggregate of 5,200,000 shares of FIRST MANHATTAN Common Stock and which 
     certificates shall bear a standard restrictive legend in the form 
     customarily used with restricted securities;

     (d)  FIRST MANHATTAN shall deliver an Officer's Certificate as described in
     Sections 9.1 and 9.2 hereof, dated the Closing Date, that all 
     representations, warranties, covenants and conditions set forth herein by 
     FIRST MANHATTAN are true and correct as of, or have been fully performed 
     and complied with by the Closing Date; and

     (e)  GMI shall deliver an Officer's Certificate as described in 
     Sections 8.1 and 8.2 hereof, dated the Closing Date, that all 
     representations, warranties, covenants and conditions set forth herein by 
     GMI are true and correct as of, or have been fully performed and complied 
     with by, the Closing Date.


                                       2

<PAGE>

SECTION 1.4    FIRST MANHATTAN SPECIAL MEETING OF SHAREHOLDERS. In anticipation 
of this Agreement, FIRST MANHATTAN shall hold a Special Meeting of Shareholders 
on JUNE 7, 1995 in order to transact certain business related to the 
ratification of this Agreement including, but not limited to (i) the current 
authorized number of shares of FIRST MANHATTAN Common Stock is 25,000,000 
shares, par value $.001 per share; (ii) electing a new Board of Directors 
consisting of Daniel N. Lomax, Lic. Fernando Torres Moreno, Robert C. 
Cocione, Charles R. Cook and Eugene Yahn; (ii) changing the corporate name to 
GroupMed International, Inc. and (iii) to ratification of this Agreement; (iv) 
ratification of this Agreement and the transactions contemplated hereby.

SECTION 1.5    CONSUMMATION OF TRANSACTION. If, at the Closing, no condition 
exists which would permit any of the parties to terminate this Agreement, or a 
condition then exists and the party entitled to terminate because of that 
condition elects not to do so, then the transactions herein contemplated shall 
be consummated upon such date, and then and thereupon FIRST MANHATTAN will file 
the necessary documents that may be required by the State of Nevada and Nevada.

                                   ARTICLE II

                  REPRESENTATIONS AND WARRANTIES OF FIRST MANHATTAN

     FIRST MANHATTAN hereby represents, warrants and agrees that:

SECTION 2.1    ORGANIZATION OF FIRST MANHATTAN. FIRST MANHATTAN is a corporation
duly organized, validly existing and in good standing under the laws of the 
State of Nevada, is duly qualified and in good standing as a foreign corporation
in every jurisdiction in which such qualification is necessary, and has the 
corporate power and authority to own its properties and assets and to transact 
the business in which it is engaged. There are no corporations or other 
entities with respect to which (i) FIRST MANHATTAN owns any of the outstanding 
stock or other interest, or (ii) FIRST MANHATTAN may be deemed to be in 
control because of factors or relationships other that the quantity of stock or
other interest owned. FIRST MANHATTAN has all requisite corporate power and 
authority to execute and deliver this Agreement and to consummate the 
transactions contemplated hereby. This Agreement is the legal, valid and binding
obligation of FIRST MANHATTAN, enforceable against FIRST MANHATTAN in accordance
with its respective terms except to the extent that such enforcement may be 
limited by applicable bankruptcy, insolvency and other similar laws affecting 
creditors' rights generally.

SECTION 2.2    CAPITALIZATION OF FIRST MANHATTAN. The authorized capital stock 
of FIRST MANHATTAN currently consists of 25,000,000 shares of Common Stock, par 
value $.001 per share, of which 50,000 shares are presently issued and 
outstanding following a 1 for 4 reverse split of the currently outstanding 
common shares. All of the issued and outstanding shares of FIRST MANHATTAN have 
been duly authorized and validly issued and are fully paid and non-assessable. 
There are Class A & B warrants outstanding that allow for the issuance of 
177,750 shares at $7.50 per share for the Class A warrants and 177,750 shares at
$10.00 per share for the Class B warrants. Shares of FIRST MANHATTAN common 
stock to be issued pursuant to this agreement, when so issued, will be duly 
authorized, validly issued, fully paid and non-assessable.


                                       3

<PAGE>

SECTION 2.3    CHARTER DOCUMENTS. Complete and correct copies of the Articles of
Incorporation and By-Laws of FIRST MANHATTAN and all amendments thereto, have 
been or will be delivered to GMI prior to the Closing, and certified copies of 
the FIRST MANHATTAN Articles of Incorporation and By-Laws are annexed hereto as
Exhibit 2.3 and by this reference made a part hereof.

SECTION 2.4    FINANCIAL STATEMENTS. FIRST MANHATTAN's financial statements for 
the period ending December 31, 1994, a copy of which is annexed hereto as 
Exhibit 2.4 and by this reference made a part hereof, are true and complete in 
all material respects, having been prepared in accordance with generally 
accepted accounting principles applied on a consistent basis for the periods 
covered by such statements, and fairly present, in accordance with generally 
accepted accounting principles, the financial condition of FIRST MANHATTAN, and 
results of its operations for the periods covered thereby Except as otherwise 
disclosed to GMI in writing and as set forth herein, there has been no material 
adverse change in the business operations, assets, properties, prospects or 
condition (financial or otherwise) of FIRST MANHATTAN taken as a whole from that
reflected in the financial statements referred to in this Section 2.4, of which 
GMI based its decision to enter into this Agreement.

SECTION 2.5    ABSENCE OF CERTAIN CHANGES OR EVENTS. Since the date of the FIRST
MANHATTAN financial report for the period ending December 31, 1994 and except as
disclosed otherwise herein. FIRST MANHATTAN has not (i) issued or sold any 
promissory note, stock, bond, option or other corporate security of which it was
an issuer or other obligor, (ii) discharged or satisfied any lien or 
encumbrance or paid any obligation or liability, absolute or contingent, direct 
or indirect, (iii) incurred or suffered to be incurred any liability or 
obligation whatsoever, (iv) caused or permitted any lien, encumbrance or 
security interest to be created or arise on or in any of its properties or 
assets, (v) declared or made any dividend, payment or distribution to stock 
holders or purchased or redeemed or agreed to purchase or redeem any shares of 
its capital stock, (vi) reclassified its shares of capital stock, or (vii) 
entered into any agreement or transaction except in connection with the 
execution and performance of this Agreement.

SECTION 2.6    ASSETS AND LIABILITIES. FIRST MANHATTAN has good and marketable 
title to all of its assets and property, free and clear of any and all liens, 
claims and encumbrances, except as may be otherwise explicitly set forth herein.
As of date hereon, FIRST MANHATTAN does not have any debts, liabilities or 
obligations of any nature, whether accrued, absolute, contingent, or otherwise,
whether due or to become due, that are not fully reflected in the FIRST 
MANHATTAN Balance Sheet dated December 31, 1994 except as may be explicitly set 
forth herein.

SECTION 2.7    TAX RETURNS AND PAYMENTS. All of FIRST MANHATTAN's tax returns 
(federal, state, city, county or foreign) which are required by law to be filed 
on or before the date of this Agreement, have been duly filed or extended with 
the appropriate governmental authority. FIRST MANHATTAN has paid all taxes to be
due on said returns, any assessments made against FIRST MANHATTAN and all other 
taxes, fees and similar charges imposed on FIRST MANHATTAN by any governmental 
authority (other than those, the amount or validity of which is being contested 
in good faith by appropriate proceedings) No tax liens have been filed and no 
claims are being assessed with respect to any such taxes, fees or other similar 
charges.


                                       4

<PAGE>

SECTION 2.8    REQUIRED AUTHORIZATIONS. There have been or will be timely filed,
given, obtained or taken, all applications, notices, consents, approvals, 
orders, registrations, qualifications waivers or other actions of any kind 
required by virtue of execution and delivery of this Agreement by FIRST 
MANHATTAN or the consummation by it of the transactions contemplated hereby.

SECTION 2.9    COMPLIANCE WITH LAW AND GOVERNMENT REGULATIONS. FIRST MANHATTAN 
is in compliance with and is not in violation of, applicable federal, state, 
local or foreign statutes, laws and regulations (including without limitation, 
any applicable building, zoning or other law, ordinance or regulation) 
affecting its properties or the operation of its business.

SECTION 2.10   LITIGATION. There is no litigation, arbitration, proceeding or
investigation pending or threatened to which FIRST MANHATTAN is a party or which
may result in any material change in the business or condition, financial or 
otherwise, of FIRST MANHATTAN or in any of its properties or assets, or which 
might result in any liability on the part of FIRST MANHATTAN or which questions 
the validity of this Agreement or of any action taken or to be taken pursuant to
or in connection with the provisions of this Agreement, and to the best 
knowledge of FIRST MANHATTAN, there is no basis for any such litigation, 
arbitration, proceeding or investigation.

SECTION 2.11   INVESTIGATION OF FINANCIAL CONDITION. In addition to making 
available for review by GMI all financial statements, books and records of FIRST
MANHATTAN, and without in any manner reducing or otherwise mitigating the 
representations contained herein, GMI shall have the opportunity to meet with 
FIRST MANHATTAN's accountants and attorneys to discuss the financial condition 
of FIRST MANHATTAN and to make whatever further independent investigation deemed
necessary and prudent.

SECTION 2.12   GOVERNMENTAL CONSENT. No consent, approval, authorization or 
order of, or registration, qualification, designation, declaration or filing 
with, any governmental authority on the part of FIRST MANHATTAN is required in 
connection with the execution and delivery of this Agreement or the carrying out
of any transactions contemplated hereby. 

SECTION 2.13   AUTHORITY. FIRST MANHATTAN and its shareholders shall have 
approved this Agreement and the transactions contemplated hereby prior to the 
Closing and duly authorized the execution and delivery hereof. FIRST MANHATTAN 
has full power, authority and legal right to enter into this Agreement and to 
consummate the transactions contemplated hereby, and all corporate action 
necessary to authorize the execution and delivery of this Agreement and the 
consummation of the transactions contemplated hereby has been duly and validly 
taken.

SECTION 2.14   FULL DISCLOSURE. None of the representations and warranties made 
by FIRST MANHATTAN herein, or in any exhibit, certificate or memorandum 
furnished or to be furnished by FIRST MANHATTAN on its behalf pursuant hereto, 
contains or will contain any untrue statement of material fact, or omits any 
material fact, the omission of which would be misleading.


                                       5

<PAGE>


                                     ARTICLE III

                             COVENANTS OF FIRST MANHATTAN

SECTION 3.1    CONDUCT PRIOR TO THE CLOSING. Between the date hereof and the 
Closing:

     (a)  FIRST MANHATTAN will not enter into any agreement, contract or 
     commitment, whether written or oral, or engage in any transaction, without 
     the knowledge and prior written consent of GMI;

     (b)  FIRST MANHATTAN will not declare any dividends or distributions with 
     respect to its capital stock or amend its Articles of Incorporation or By-
     Laws, without the prior written consent of GMI;

     (c)  FIRST MANHATTAN will not authorize, issue, sell, purchase or redeem 
     any shares of its capital stock without the prior written consent of GMI;

     (d)  FIRST MANHATTAN will comply with all requirements which federal or 
     state law may impose on it with respect to this Agreement and the 
     transactions contemplated hereby, and will promptly cooperate with and 
     furnish information to GMI in connection with any such requirements imposed
     upon the parties hereto in connection therewith;

     (e)  FIRST MANHATTAN will not incur any indebtedness for money borrowed, or
     issue or sell any debt securities, incur or suffer to be incurred any 
     liability or obligation of any nature whatsoever, or cause or permit any 
     lien, encumbrance or security interest to be created or arise on or in any 
     of its properties or assets, acquire or dispose of fixed assets, change 
     employment terms, enter into any material or long-term contract, guarantee 
     obligations of any third party, settle or discharge any balance sheet 
     receivable for less than its stated amount or enter into any other 
     transaction other than in the regular course of business, except to comply 
     with the terms of this Agreement, without the consent of GMI; 

     (f)  FIRST MANHATTAN shall grant to GMI and its counsel, accountants and 
     other representatives, full access during normal business hours during the 
     period prior to the Closing to all its respective properties, books, 
     contracts, commitments and records and, during such period, furnish 
     promptly to GMI and such representatives all information relating to FIRST 
     MANHATTAN as GMI may reasonably request; and

     (g)  Except for the transactions contemplated by this Agreement, FIRST 
     MANHATTAN will conduct its business in the normal course, and shall not 
     sell, pledge or assign its assets without the prior written consent of GMI.

SECTION 3.2    AFFIRMATIVE COVENANTS. Prior to Closing. FIRST MANHATTAN will do
the following

     (a)  Use its best efforts to accomplish all actions necessary to consummate
     this Agreement, including satisfaction of all the conditions contained in 
     this Agreement;


                                       6

<PAGE>

     (b)  Call for and properly hold a meeting of its shareholders for the 
     purpose of conducting the business and ratifying those proposals as set 
     forth in Section 1.4 above.

     (c)  Promptly notify GMI in writing of any material adverse change in the 
     financial condition, business, operations or key personnel of FIRST 
     MANHATTAN, any breach of its representations or warranties contained 
     herein, and any material contract, agreement, license or other agreement 
     which, if in effect on the date of this Agreement, should have been 
     included in this Agreement or in an exhibit annexed hereto and made a part 
     hereof; and

     (d)  Reserve, and promptly after the Closing, issue and deliver to GMI or 
     its designees the number of shares of FIRST MANHATTAN Common Stock required
     hereunder; and

                                   ARTICLE IV

                       REPRESENTATION AND WARRANTIES OF GMI

     GMI hereby represents, warrants and agrees that:

SECTION 4.1    ORGANIZATION OF GMI. GMI is a corporation duly organized, validly
existing and in good standing under the laws of the State of Nevada and is duly 
qualified and in good standing in every jurisdiction in which such qualification
is necessary. Unless otherwise set forth in GMI's financial statements and 
except for those businesses and entities set forth in Exhibit 4.1 annexed hereto
and by this reference made a part hereof, there are no corporations or other 
entities with respect to which (i) GMI owns any of the outstanding stock or 
other interest, or (ii) GMI may be deemed to be in control because of factors or
relationships other than the percentage of outstanding stock or other interest 
owned in such entity. GMI has all requisite corporate power and authority to 
enter into this Agreement and to consummate the transactions contemplated
hereby.

SECTION 4.2    CHARTER DOCUMENTS. Complete and correct copies of the Articles of
Incorporation and By-Laws of GMI and all amendments thereto, have been or will 
be delivered to FIRST MANHATTAN prior to the Closing.

SECTION 4.3    FINANCIAL STATEMENTS/ASSETS AND LIABILITIES. GMI has good and 
marketable title to all of the assets to be transferred and delivered to FIRST 
MANHATTAN hereunder, free and clear of any and all liens, claims and 
encumbrances, except as may be otherwise set forth herein and in its financial 
statements and further set forth in Exhibit 4.3 annexed hereto and by this 
reference made a part hereof.

SECTION 4.4    TAX RETURNS AND PAYMENTS. All of GMI's tax returns (federal, 
state, city, county or foreign) which are required by law to be filed on or 
before the date of this Agreement, have been duly filed or extended with the 
appropriate governmental authority. GMI has paid all taxes to be due on said 
returns, any assessments made against GMI and all other taxes, fees and similar
charges imposed on GMI by any governmental authority (other than those, the 
amount


                                       7

<PAGE>

or validity of which is being contested in good FAITH BY appropriate 
proceedings). No tax liens have been filed and no claims are being assessed 
with respect to any such taxes, fees or other similar charges.

SECTION 4.5    REQUIRED AUTHORIZATIONS. There have been or will be timely filed,
given, obtained or taken, all applications, notices, consents, approvals, 
orders, registrations, qualifications waivers or other actions of any kind 
required by virtue of execution and delivery of this Agreement by GMI or the 
consummation by it of the transactions contemplated hereby.

SECTION 4.6    COMPLIANCE WITH LAW AND GOVERNMENT REGULATIONS. GMI is in 
compliance with all applicable statutes, regulations, decrees, orders, 
restrictions, guidelines and standards, whether mandatory or voluntary, 
affecting its properties and operations, imposed by the United States of America
and any state or foreign country or government to which GMI is subject.

SECTION 4.7    LITIGATION. There is no litigation, arbitration, proceeding or 
investigation pending or threatened to which GMI is a party or which may result 
in any material change in the business or condition, financial or otherwise, 
of GMI or in any of its properties or assets, or which might result in an, 
liability on the pan of GMI or which questions the validity of this Agreement or
of any action taken or to be taken pursuant to or in connection with the 
provisions of this Agreement, and to the best knowledge of GMT, there is no 
basis for any such litigation, arbitration, proceeding or investigation

SECTION 4.8    INVESTIGATION OF FINANCIAL CONDITION. In addition to making 
available for review by FIRST MANHATTAN all financial statements, books and 
records of FIRST MANHATTAN and without in any manner reducing or otherwise 
mitigating the representations contained herein, FIRST MANHATTAN shall have the 
opportunity to meet with GMI'S accountants and attorneys to discuss the 
financial condition of GMI and to make whatever further independent 
investigation deemed necessary and prudent.

SECTION 4.9    GOVERNMENTAL CONSENT. No consent, approval, authorization or 
order of, or registration, qualification, designation, declaration or filing 
with any governmental authority on the part of GMI is required in connection 
with the execution and delivery of this Agreement or the carrying out of any 
transactions contemplated hereby.

SECTION 4.10   AUTHORITY. GMI and its shareholders shall have approved this 
Agreement and the transactions contemplated hereby prior to the Closing and duly
authorized the execution and delivery hereof. GMI has kill power, authority and 
legal right to enter into this Agreement and to consummate the transactions
contemplated hereby, and all corporate action necessary to authorize the 
execution and delivery of this Agreement and the consummation of the 
transactions contemplated hereby has been duly and validly taken. Those persons 
executing this Agreement represent that they have received the authority to act 
on behalf of and for the shareholders of GMI and that in the event additional 
shareholder approvals are required, such approvals will be obtained at the next 
scheduled annual meeting of GMI shareholders.

SECTION 4.11   INVESTMENT PURPOSE. GMI hereby represents that it is acquiring 
the shares of FIRST MANHATTAN Common Stock to be issued hereunder for investment
purposes only and not with a view for further distribution or resale. GMI 
further represents and acknowledges


                                       8

<PAGE>

that the FIRST MANHATTAN shares issued hereunder are "restricted securities" and
may not be sold, traded or otherwise transferred without registration under the 
1933 Act or exemption therefrom. GMI further represents that in the event it 
decides to distribute to its shareholders the FIRST MANHATTAN shares to be 
acquired hereby, either in part or in whole, GMI will make all necessary and 
requisite filing with the appropriate state and federal agencies to register 
such distribution under the applicable securities laws.

SECTION 4.12   FULL DISCLOSURE. None of the representations and warranties made 
by GMI herein, or in any exhibit, certificate or memorandum furnished or to be 
furnished by FIRST MANHATTAN, on its behalf, contains or will contain any untrue
statement of material fact, or omit any material fact, the omission of which 
would be misleading. 

                                  ARTICLE V

                               COVENANTS OF GMI

SECTION 5.1    CONDUCT PRIOR TO CLOSING.  Between the date hereof and the 
Closing:

     (a)  GMI will not enter into any material agreement, contract or 
     commitment, whether written or oral, or engage in any transaction, without 
     the prior written consent of GMI;

     (b)  GMI will not declare any dividends or distributions with respect to 
     its capital stock or amend its Articles of Incorporation or By-Laws, 
     without the prior written consent of GMI;

     (c)  Except within the regular course of business, GMI will not incur any 
     indebtedness for money borrowed or issue to sell any debt securities, or 
     incur or suffer to be incurred any liability or obligation of any nature 
     whatsoever, or cause or permit any lien, encumbrance or security interest 
     to be created or arise on or in any of its properties or assets, with the 
     prior written consent of GMI;

     (d)  GMI will comply with all requirements which federal or state law may 
     impose on it with respect to this Agreement and the transactions 
     contemplated hereby, and will promptly cooperate with and furnish 
     informaton to GMI in connection with any such requirements imposed upon the
     parties hereto in connection therewith; and

     (e)  GMI shall grant to GMI and its counsel, accountants and other 
     representatives, full access during normal business hours during the period
     prior to the Closing to all its respective properties, books, contracts, 
     commitments and records and, during such period, furnish promptly to GMI 
     and such representatives all information relating to GMI as GMI may 
     reasonably request.

SECTION 5.2    AFFIRMATIVE COVENANTS. Prior to Closing, GMI will do the 
following:

     (a)  Obtained the approval of its Board of Directors and shareholders to 
     proceed with this Agreement and obtain any further shareholder approvals, 
     which may be required, at the next scheduled annual meeting of GMI 
     shareholders;


                                       9

<PAGE>

     (b)  Use its best efforts to accomplish all actions necessary to consummate
     this Agreement, including satisfaction of all the conditions contained in 
     the Agreement; and

     (c)  Promptly notify FIRST MANHATTAN in writing of any materially adverse 
     change in the financial condition, business, operations or key personnel of
     GMI, any breach of its representations or warranties contained herein, and
     any material contract, agreement, license or other agreement which, if in 
     effect on the date of this Agreement, should have been included in this 
     Agreement.

                                  ARTICLE VI

                             ADDITIONAL AGREEMENTS

SECTION 6.1    EXPENSES. Whether or not the transactions contemplated in this 
Agreement are consummated, all costs and expenses incurred in connection with 
this Agreement and the transactions contemplated hereby shall be paid by the 
party incurring such expense or as otherwise agreed to herein.

SECTION 6.2    BROKERS AND FINDERS. Each of the parties hereto represents, as to
itself, that with the exception of the consideration and additional shares of 
FIRST MANHATTAN Common Stock to be paid and issued pursuant to the Due Diligence
& Consulting Agreement, dated ________ annexed hereto as Exhibit 6.2 and by this
reference made a part hereof, and to which FIRST MANHATTAN acknowledges and 
agrees fulfill the terms thereof, no other agent, broker, investment banker or 
other firm or person is or will be entitled to any broker's or finder's fee or 
any other commission or similar fee in connection with any of the transactions 
contemplated by this Agreement.

SECTION 6.3    NECESSARY ACTIONS. Subject to the terms and conditions herein 
provided, each of the parties hereto agrees to use all reasonable efforts to 
take, or cause to be taken, all action, and to do, or cause to be done, all 
things necessary, proper or advisable under applicable laws and regulations to 
consummate and make effective the transactions contemplated by this Agreement. 
In the event at any time after the Closing, any further action is necessary or 
desirable to carry out the purposes of this Agreement, the proper officers 
and/or directors of FIRST MANHATTAN or GMI, as the case may be, shall take all 
such necessary action.

SECTION 6.4    INDEMNIFICATION. Each party to this Agreement hereby agrees to 
defend and hold the other party harmless against and in respect of any and all 
claims, demands, losses, costs, expenses, obligations, liabilities, damages, 
recoveries and deficiencies, including interest, penalties, and reasonable 
attorney fees, that they shall incur or suffer, which arise out of, result from 
or relate to any material breach of, or failure by the party to perform any of 
its respective representations, warranties, covenants and agreements in this 
Agreement or in any exhibit or other instrument furnished or to be furnished by 
the party under this Agreement.


                                       10

<PAGE>

                                   ARTICLE VII

                      CONDITIONS TO OBLIGATIONS OF THE PARTIES

     The obligations of the parties under this Agreement are subject to the 
fulfillment and satisfaction of each of the following conditions:
 

SECTION 7.1    LEGAL ACTION. No preliminary or permanent injunction or other 
order by any federal or state court which prevents the consummation of this 
Agreement or any of the transactions contemplated by this Agreement shall have 
been issued and remain in effect.

SECTION 7.2    ABSENCE OF TERMINATION. The obligations to consummate the 
transactions contemplated hereby shall not have been canceled pursuant to 
Article X hereof.

SECTION 7.3    REQUIRED APPROVALS. FIRST MANHATTAN and GMI shall have received 
all such approvals, consents, authorizations or modifications as may be required
to permit the performance by FIRST MANHATTAN and GMI of the respective 
obligations under this Agreement, and the consummation of the transactions 
herein contemplated, whether from governmental authorities or other persons and 
FIRST MANHATTAN and GMI shall each have received any and all permits and 
approvals from any regulatory authority having jurisdiction required for the 
lawful consummation of this Agreement. 

SECTION 7.4    BLUE SKY COMPLIANCE. There shall have been obtained any and all 
permits, approvals and consents of the Securities or "Blue-Sky" Commissions of 
any jurisdictions, and of any other governmental body or agency, which 
respective counsel for FIRST MANHATTAN and GMI may reasonably deem necessary or 
appropriate so that consummation of the transactions contemplated by this 
Agreement may be in compliance with all applicable laws.

                                  ARTICLE VIII

                    CONDITIONS PRECEDENT TO OBLIGATIONS OF GMI

     All obligations of FIRST MANHATTAN under this Agreement are subject to the 
fulfillment and satisfaction by GMI prior to or at the time of the Closing, of 
each of the following conditions, any one or more of which may be waived by 
FIRST MANHATTAN.

SECTION 8.1    REPRESENTATIONS AND WARRANTIES TRUE AT THE CLOSING. All 
representations and warranties of GMI contained in this Agreement will be true 
and correct at and as of the time of the Closing, and GMI shall have delivered 
to FIRST MANHATTAN a certificate, dated the date of the Closing, to such effect 
and in the form and substance satisfactory to FIRST MANHATTAN, and signed, in 
the case of GMI, by its president and secretary.

SECTION 8.2   PERFORMANCE. The obligations of GMI to be perfonned on or before 
the Closing pursuant to the terms of this Agreement shall have been duly 
performed at such time, and GMI shall have delivered to FIRST MANHATTAN a 
certificate, dated the date of the Closing, to such effect and in form and 
substance satisfactory to FIRST MANHATTAN.


                                       11

<PAGE>

SECTION 8.3    AUTHORITY. All action required to be taken by, or on the part of 
GMI and its shareholders, if required, to authorize the execution, delivery and 
performance of this Agreement by GMI and the consummation of the transactions 
contemplated hereby, shall have been duly and validly taken.

SECTION 8.4    ABSENCE OF CERTAIN CHANGES OR EVENTS. There shall not have 
occurred, since the date hereof, any adverse change in the business, condition, 
(financial or otherwise), assets or liabilities of GMI or any event or condition
of any character adversely affecting GMI, and it shall have delivered to FIRST 
MANHATTAN, certificates, dated the date of the Closing, to such effect and in 
form and substance satisfactory to FIRST MANHATTAN and signed, in the case of 
GMI, by its president and secretary.

                                   ARTICLE IX

                    CONDITIONS PRECEDENT TO OBLIGATIONS OF GMI

     All obligations of GMI under this Agreement are subject to the fulfillment 
and satisfaction by FIRST MANHATTAN prior to or at the time of the Closing, of 
each of the following conditions, any one or more of which may be waived by GMI.

SECTION 9.1    REPRESENTATIONS AND WARRANTIES TRUE AT THE CLOSING.  All 
representations and warranties of FIRST MANHATTAN contained in this Agreement 
will be true and correct at and as of the time of the Closing, and FIRST 
MANHATTAN shall have delivered to GMI a certificate, dated the date of the 
Closing, to such effect and in the form and substance satisfactory to GMI, and 
signed, in the case of FIRST MANHATTAN, by its president and secretary.

SECTION 9.2    PERFORMANCE. The obligations of FIRST MANHATTAN to be performed
on or before the Closing pursuant to the terms of this Agreement shall have been
duly performed at such time, and FIRST MANHATTAN shall have delivered to GMI a 
certificate, dated the date of the Closing, to such effect and in form and 
substance satisfactory to GMI and signed, in the case of FIRST MANHATTAN by its 
president and secretary.

SECTION 9.3    AUTHORITY. All action required to be taken by, or on the part of 
FIRST MANHATTAN to authorize the execution, delivery and performance of this 
Agreement by FIRST MANHATTAN and the consummation of the transactions 
contemplated hereby, shall have been duly and validly taken.

SECTION 9.4    ABSENCE OF CERTAIN CHANGES OR EVENTS. There shall not have 
occurred, since the date hereof, any adverse change in the business, condition,
(financial or otherwise), assets or liabilities of FIRST MANHATTAN or any event
or condition of any character adversely affecting FIRST MANHATTAN, and it shall 
have delivered to GMI, certificates, dated the date of the Closing, to such 
effect and in form and substance satisfactory to GMI and signed, in the case of 
FIRST MANHATTAN, by its president and secretary.


                                       12

<PAGE>

                                   ARTICLE X

                                  TERMINATION

SECTION 10.1    TERMINATION. Notwithstanding anything herein or elsewhere to the
contrary, this Agreement may be terminated:

     (a)  By mutual agreement of the parties hereto at any time prior to 
     Closing;

     (b)  By the board of directors of FIRST MANHATTAN at any time prior to the 
     closing in the event:

          (i)  a condition to performance by FIRST MANHATTAN under this 
          Agreement or a covenant of GMI contained herein shall not be 
          fulfilled on or before the time of the Closing or at such other time 
          and date specified for the fulfillment for such covenant or 
          condition; or

          (ii)  a material default or breach of this Agreement shall be made by 
          GMI; or

          (iii)  the Closing shall not have taken place on or prior to ________.

     (c)  By the board of directors of GMI at any time prior to the closing in 
     the event:

          (i)  a condition to GMI's performance under this Agreement or a 
          covenant of FIRST MANHATTAN contained in this Agreement shall not be 
          fulfilled on or before the Closing or at such other time and date 
          specified for the fulfillment of such covenant or conditions;

          (ii)  a material default or breach of this Agreement shall be made by 
          FIRST MANHATTAN; or

          (iii)  the Closing shall not have taken place on or prior to ________.

SECTION 10.2    EFFECT OF TERMINATION. If this Agreement is terminated, this 
Agreement, except as to Sections 11.1, 11.2, shall no longer be of any force 
or effect and there shall be no liability on the part of any party or its 
respective directors, officers or stockholders; provided however, that in the 
case of a Termination without cause by a party or a termination pursuant to 
Sections 10.1(b) (i) or 10.1 (c) (i) hereof because of a prior material default 
under or a material breach of this Agreement by another party, the damages 
which the aggrieved party or parties may recover from the defaulting party or 
parties shall in no event exceed the amount of out-of-pocket costs and expenses 
incurred by such aggravated party or parties in connection with this Agreement.

SECTION 10.3    RECISION. In the event that prior to ____________, 199_, GMI 
fails to obtain any and all consents and/or approvals that may be required from 
the GMI shareholders or any regulatory authority for the approval and 
ratification of this Agreement, then this Agreement


                                       13

<PAGE>

shall be rescinded and become null and void with the result that all shares of 
FIRST MANHATTAN Common Stock issues to GMI hereunder are to be deemed canceled 
and no longer outstanding on the transfer records of FIRST MANHATTAN and that 
those assets set forth in Exhibit 1.1 hereto shall be returned to GMI.

                                  ARTICLE XI

                                 MISCELLANEOUS

SECTION 11.1    COST AND EXPENSES. All costs and expenses incurred in connection
with this Agreement will be paid by the party incurring such expenses. In the 
event of any termination of this Agreement pursuant to Section 10.1 or 10.3, 
subject to the provisions of Section 11.2, GMI and FIRST MANHATTAN will each 
bear their own respective expenses.

SECTION 11.2    EXTENSION OF TIME: WAIVERS. At any time prior to the Closing 
date:

     (a)  FIRST MANHATTAN may (i) extend the time for the performance of any of
     the obligations or other acts of GMI. (ii) waive any inaccuracies in the 
     representations and warranties of GMI contained herein or in any document 
     delivered pursuant hereto by GMI and (iii) waive compliance with any of 
     the agreements or conditions contained herein to be performed by GMI. Any 
     agreement on the part of FIRST MANHATTAN to any such extension or waiver 
     shall be valid only if set forth in an instrument, in writing, signed on 
     behalf of GMI;

     (b)  GMI may (i) extend the time for the performance of any of the 
     obligations or other acts of FIRST MANHATTAN, (ii) waive any inaccuracies 
     in the representations and warranties of GMI contained herein or in any 
     document delivered pursuant hereto by FIRST MANHATTAN and (iii) waive 
     compliance with any of the agreements or conditions contained herein to be 
     performed by FIRST MANHATTAN. Any agreement on the part of GMI to any such 
     extension or waiver shall be valid only if set forth in an instrument, in 
     writing, signed on behalf of GMI;

SECTION 11.3    NOTICES. Any notice to any party hereto pursuant to this 
Agreement shall be given by Certified or Registered Mail, addressed as follows:

                                  GROUPMED, INC.
                           3095 South Grade Rd., Suite B
                                 Alpine, CA 91901

                               FIRST MANHATTAN, INC.
                              One Camelback Rd., #680
                                Phoenix, AZ 85012
                                           
     Additional notices are to be given to each party, at such other address 
should be designated in writing comply as to delivery with the terms of this 
Section 11.3. All such notices shall be effective when sent, addressed as 
aforesaid.


                                       14

<PAGE>

SECTION 11.4    PARTIES IN INTEREST. This Agreement shall inure to the benefit 
of and be binding upon the parties hereto and the respective successors and 
designees. Nothing in this Agreement is intended to confer, expressly or by 
implication, upon any other person any rights or remedies under or by reason of
this Agreement.

SECTION 11.5    COUNTERPARTS. This Agreement may be executed in one or more 
counterparts, each of which shall be deemed an original and together shall 
constitute one document. The delivery by facsimile of an executed counterpart of
this Agreement shall be deemed to be an original and shall have the full force 
and effect of an original executed copy.

SECTION 11.6    SEVERABILITY. The parties hereto agree and affirm that none of 
the provisions herein is dependent upon the validity of any other provision, 
and if any part of this Agreement is deemed to be unenforceable, the remainder 
of the Agreement shall remain in full force and effect.

SECTION 11.7    HEADINGS. The Article and Section headings are provided herein 
for convenience of reference only and do not constitute a part of this 
Agreement.

SECTION 11.8    GOVERNING LAW. This Agreement shall be governed by the laws of 
the State of Nevada. Any action to enforce the provisions of this Agreement 
shall be brought in a court of competent jurisdiction in the State of Nevada and
in no other place.

SECTION 11.9    SURVIVAL OF REPRESENTATIONS AND WARRANTIES. All terms, 
conditions, representations and warranties set forth in this Agreement or in any
instrument, certificate, opinion, or other writing providing for in it, shall 
survive the Closing and the delivery of the shares of FIRST MANHATTAN Common 
Stock transferred hereunder at the Closing, regardless of any investigation made
by or on behalf of any of the parties hereto.

SECTION 11.10    ASSIGNABILITY. This Agreement shall not be assignable by any of
the parties hereto without the prior written consent of the other parties.

SECTION 11.11    AMENDMENT. This Agreement may be amended with the approval of 
the boards of directors of FIRST MANHATTAN and GMI at any time before or after 
approval thereof by stockholders of FIRST MANHATTAN, if required, and GMI, but 
after such approval by the FIRST MANHATTAN shareholders, no amendment shall be 
made which substantially and adversely changes the terms hereof. This Agreement
may not be amended except by an instrument, in writing, signed on behalf of each
of the parties hereto.


                                       15

<PAGE>

     IN WITNESS WHEREOF, the parties hereto have executed and delivered this
Acquisition Agreement in a manner legally binding upon them as of the date first
above written.

                 "GMI"
             GROUPMED, INC.                         ATTEST:


         By: /s/ Daniel N. Lomax
             -------------------------         ------------------------
         Its:          President                           Secretary


           FIRST MANHATTAN, INC.                    ATTEST:


         By: /s/ Curtis M. Jamison             /s/ Suzy Frost
             -------------------------         ------------------------
         Its:   Vice - President                           Secretary





                                       16

<PAGE>




                                     CERTIFICATE
                                           
                                          OF
                                           
                                    GROUPMED, INC.



     The undersigned, ________________ and _______________ hereby certify that 
they are the President and Secretary respectively, of GMI, a Nevada corporation 
("GMI") and further certify as follows:

     1.  That the representations and warranties of GMI contained in the 
Acquisition Agreement and Plan of Reorganization (the "Agreement") by and 
between GMI and FIRST MANHATTAN, a Nevada corporation are true and correct at 
and as of the date hereof.

     2.  The obligations and covenants of GMI to be performed and observed on or
before the Closing as defined in the Agreement have been duly performed and 
observed.

     3.  Except as otherwise disclosed in the Agreement, there has not occurred 
since the date thereof, any adverse change in the business, condition (financial
or otherwise), assets or liabilities of GMI or any event or condition of any 
character adversely affecting GMI.

     IN WITNESS WHEREOF, the undersigned have hereunto set their hands as of 
this ____ day of _____________, 199_.


                                       GROUPMED, INC.


                                       By: /s/ Daniel N. Lomax
                                          ----------------------
                                                 President

                                       By:
                                          ----------------------
                                                 Secretary

  




                                       17

<PAGE>


                                     CERTIFICATE
                                           
                                          OF
                                           
                                 FIRST MANHATTAN, INC.



     The undersigned, _____________________ and ___________________ hereby 
certify that they are the President and Secretary respectively. of FIRST 
MANHATTAN INC. a Nevada corporation ("FIRST MANHATTAN") and further certify as 
follows:

     1.  That the representations and warranties of FIRST MANHATTAN contained 
in the Acquisition Agreement and Plan of Reorganization (the "Agreement") by
and between GMI and FIRST MANHATTAN, a Nevada corporation are true and correct 
at and as of the date hereof.

     2.  The obligations and covenants of FIRST MANHATTAN to be performed and
observed on or before the Closing as defined in the Agreement have been duly 
performed and observed.

     3.  Except as otherwise disclosed in the Agreement, there has not occurred 
since the date thereof, any adverse change in the business, condition (financial
or otherwise), assets or liabilities of FIRST MANHATTAN or any event or 
condition of any character adversely affecting FIRST MANHATTAN.

     IN WITNESS WHEREOF, the undersigned have hereunto set their hands as of 
this ___ day of _____________, 199_.



                                       FIRST MANHATTAN, INC.


                                       By   /s/ Curtis M. Jamison
                                          -------------------------
                                               Vice-President

                                       By       /s/ Suzy Frost
                                          -------------------------
                                                   Secretary




                                       18


<PAGE>




                                   EXHIBIT NO. 10.2

                         MANAGEMENT AGREEMENTS WITH SOLYMAR, INC.,
                            FERNANDO TORRES, AND SERAMEX, INC.




<PAGE>

                              MANAGEMENT CONTRACT AGREEMENT
                                           
                                           
This contract is drawn this 1st day of July, 1995, representing the agreement 
entered into by and between GROUPMED INTERNATIONAL, Inc., a Nevada 
corporation, and/or its nominee, (hereinafter referred to as GMII) and 
SOLYMAR, INC., a Nevada corporation, and/or its nominee, (hereinafter 
referred to as SOLYMAR).

     It is hereby agreed to as follows:

     1. TERM OF AGREEMENT. GMII hereby agrees to contract the annual 
management services of SOLYMAR for a time certain, beginning JULY 1, 1995 and 
concluding JULY 1, 1996. The management services provided by SOLYMAR to GMII 
shall be renewed, and re-negotiated if necessary, not later than July 1, 
1996, so as to continue the effectiveness of the annual management contract 
of SOLYMAR. The management contract shall be approved by the Board of 
Directors of GMII at a properly noticed Board Meeting convened for said purpose.

     2. SCOPE OF MANAGEMENT. SOLYMAR shall provide and render to GMII the 
necessary services to conduct the business of GMII. The services provided by 
SOLYMAR to GMII shall be consistent with the duties incidental to 
the Presidency and Member of the Board of a corporation and those of an 
Executive Officer of said corporation. In addition, SOLYMAR may, from time to 
time, be called upon by the Board of Directors to perform similar duties that 
will enhance the business of GMII.

     3. COMPENSATION. SOLYMAR shall be compensated for its services to GMII, 
and under the terms and conditions of this management contract as follows:

     (a) Compensation. GMII shall pay to SOLYMAR a monthly base amount of EIGHT 
     THOUSAND, TWO HUNDRED FIFTY dollars ($8250) beginning 7/1/95. SOLYMAR 
     shall be responsible for the filing of all required tax documents in 
     regards to its corporate income, as well as all applicable federal 
     filings. SOLYMAR shall be entitled to receive an annual ten percent (10%) 
     salary increase, if said increase is in compliance with the terms and 
     conditions of Rule 15c2-11, if applicable, and the Articles of 
     Incorporation of GMII.

     (b) Stock Benefit Plan Compensation. SOLYMAR shall be eligible to receive 
     awards through the GMII Board approved Incentive and Stock Award Plan. The 
     awards presented include stock options, restricted stock, restricted stock 
     units payable in GMII common stock or cash, and other stock-based awards 
     more particularly detailed within the GMII approved Board minutes 
     regarding such matters.


<PAGE>

MANAGEMENT CONTRACT AGREEMENT - GMII/SOLYMAR
Page 2 of 4

     (c) Bonus Compensation. SOLYMAR, in addition to the monthly
     compensation base amount, is eligible to participate in GMII's 
     subjective bonus plan, as reflected within the GMII approved Board 
     minutes regarding such matters. SOLYMAR, in addition to the above 
     compensation, will receive five percent (5%) of the net profits of GMII 
     for five years. This net profit bonus is not subject to termination. This 
     bonus compensation may be increased a minimum of one percent (1%) per 
     year, to a maximum of an additional three percent (3%) per year by the 
     Board of Directors for superior quality of service and financial 
     performance.

     4. EXPENSES/REIMBURSEMENTS. SOLYMAR is authorized to incur reasonable 
expenses as it relates to the business of GMII, including but not limited to 
the expenses of entertainment and travel, and phone use. As detailed within 
the GMII approved Board minutes regarding expense reimbursement, upon 
presentation of expenses made by SOLYMAR, GMII shall reimburse SOLYMAR for 
the same.

     5. CORPORATE ALLOWANCES.

     (a) AUTOMOBILE ALLOWANCE. A corporate automobile allowance of
     $500.00 per month shall be received by SOLYMAR.

     (b) HEALTH/LIFE INSURANCE. At such time when the corporation arranges for 
     health and life insurance coverage, DANIEL N. LOMAX, a designated 
     employee of SOLYMAR, shall receive said coverage.

     6. TERMINATION. Except as otherwise provided herein, this agreement 
shall terminate upon the expiration of this management contract, or upon the 
death of DANIEL N. LOMAX, a designated EMPLOYEE OF SOLYMAR. Should 
termination occur, for whatever reason, GMII shall remunerate to SOLYMAR or 
its nominee, or heirs, as the case may be, with respect of all rights which 
shall accrue prior or subsequent to termination.

     7. TERMINATION FOR CAUSE. GMII shall have the right to terminate SOLYMAR 
"for cause", in which event continued compensation and benefits shall cease. 
Termination "for cause" shall be determined in good faith by the Board of 
Directors of GMII and shall require a vote of not less than 75% of said 
Directors. Board of Director Termination "for cause" shall be effective 
immediately upon written notification being provided to SOLYMAR.

<PAGE>

MANAGEMENT CONTRACT AGREEMENT - GMII/SOLYMAR
PAGE 3 of 4

     (a) Definition of "CAUSE". For purposes of this management contract, the 
     term "Cause" shall be strictly interpreted to:

     (i)  any material act of dishonesty by SOLYMAR's designated employee,
          Daniel N. Lomax against GMII;

    (ii)  willful or gross negligence of the performance of SOLYMAR's 
          designated employee, DANIEL N. LOMAX as it relates to her duties 
          as an executive officer of GMII;

   (iii)  material breach by SOLYMAR's designated employee, DANIEL N. LOMAX of 
          this management contract;

    (iv)  misconduct by SOLYMAR's designated employee, DANIEL N. LOMAX, which 
          results in substantial adverse effect of the business of GMII.

     8. DISABILITY. In the event that SOLYMAR's designated employee, Daniel 
N. Lomax, becomes permanently disabled during the term of this management 
contract, then he shall continue in the services of GMII, but SOLYMAR's 
compensation hereunder shall be reduced to the amount of monthly base 
compensation then in effect, (Item 3 herein) which compensation shall be 
reduced by any amounts received from worker's compensation, social security, 
disability programs, etc.

     9. GENERAL PROVISIONS. Any NOTICE to be given herewith by either party 
to the other shall be in writing, and may be effected either by personal 
delivery or by facsimile, private courier, or certified mail, return receipt 
requested. Mailed notices shall be addressed to the parties at the addresses 
set forth below. Parties may change the notice address by supplying to the 
other party written notification of the change of address. Notices delivered 
personally shall be deemed communicated upon receipt; however, facsimiles, 
private courier deliveries, or mailed notices shall be deemed communicated as 
of one day after faxing, delivery to a private courier or mailing.

       DANIEL N. LOMAX               GROUPMED, INTERNATIONAL, INC.
       2390 Willits Road             3095 South Grade Rd., #B
       Alpine, California 91901      Alpine, California 91901
       619-445-0764                  619-445-0977

     (a) Partial Invalidity of this Management Contract. Should any portion 
of this management contract agreement be held by a court of competent 
jurisdiction to be invalid, void, or unenforceable, the remaining provisions 
thereof, shall nevertheless continue in full force without being impaired or 
invalidated in any way.

<PAGE>

MANAGEMENT CONTRACT AGREEMENT - GMII/SOLYMAR
Page 4 of 4

     (b) Jurisdiction. This management contract agreement shall be governed 
by the laws and statutes and construed in accordance with the laws of the 
State of Nevada.

     (c) Assignment. This management contract agreement shall inure to the 
benefit of and bind the parties hereto, and their respective legal 
representatives, successors and assigns.

     DATED this _________ day of ___________________, 199_.

IN WITNESS THEREOF, the parties have executed this Management Contract 
Agreement.

GROUPMED, INTERNATIONAL INC., by    SOLYMAR, INC., by

________________________            _________________________________

THIS AGREEMENT IS SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF 
GROUPMED INTERNATIONAL, INC., AND LEGAL COUNSEL FOR THE GROUPMED 
INTERNATIONAL CORPORATION.

WITH SIGNATURES OF THE PRESIDENT AND SECRETARY OF GMII AFFIXED BELOW AND THE 
IMPRINTMENT OF THE CORPORATE SEAL, AS WELL AS THE SIGNATURE OF CORPORATE 
COUNSEL, THIS CONTRACT HAS BEEN APPROVED BY THE BOARD OF DIRECTORS FOR 
GROUPMED INTERNATIONAL, INC. PURSUANT TO THE TERMS AND CONDITIONS PROVIDED 
HEREIN.

__________________________________     ___________________________________
GROUPMED INTERNATIONAL, INC.           CORPORATE LEGAL COUNSEL FOR GMII
BY PRESIDENT DAN LOMAX




ATTEST:




______________________________________
GROUPMED INTERNATIONAL, INC.
BY SECRETARY FERNANDO TORRES
    

(SEAL)




<PAGE>


                           CONSULTING CONTRACT AGREEMENT   
                                           
This contract is drawn this 1st day of July, 1995, representing the 
agreement entered into by and between GROUPMED INTERNATIONAL, INC., a Nevada 
corporation, and/or its nominee, (hereinafter referred to as GMII) and 
FERNANDO TORRES, and/or his nominee, (hereinafter referred to as TORRES).

     It is hereby agreed to as follows:

     1. TERM OF AGREEMENT. GMII hereby agrees to contract the annual 
management services of TORRES for a time certain, beginning July 1, 1995 and 
concluding July 1, 1996. The management services provided by TORRES to GMII 
shall be renewed, and re-negotiated if necessary, not later than July 1, 
1996, so as to continue the effectiveness of the annual consulting contract 
of TORRES. The consulting contract shall be approved by the Board of 
Directors of GMII at a properly noticed Board Meeting convened for said 
purpose.

     2. SCOPE OF CONSULTATION. TORRES shall provide and render to GMII the 
necessary services to conduct the business of GMII, including but not limited 
to the outline defined within Exhibit A, attached hereto, and by this 
referenced incorporated as a permanent part of this MANAGEMENT consulting 
contract agreement. The services provided by TORRES to GMII shall be 
consistent with the duties incidental to a executive officer and member of the 
Board of a corporation. In addition, TORRES may, from time to time, be called 
upon by the Board of Directors to perform similar duties that will enhance 
the business of GMII.

     3. COMPENSATION. TORRES shall be compensated for its services to GMII, 
and under the terms and conditions of this consulting contract as follows:

     (a) Compensation. GMII shall pay to TORRES a monthly base amount of FIVE 
     THOUSAND Dollars ($5,000) beginning 7/1/95. TORRES shall be responsible for
     the filing of all required tax documents in regards to its corporate 
     income, (if applicable) as well as all applicable federal filings. TORRES 
     shall be eligible to receive a minimum annual ten percent (10%) salary 
     increase, if said increase is in compliance with the terms and conditions 
     of Rule 15c2-11, if applicable, and the Articles of Incorporation of GMII, 
     and approved by the Board of Directors.

     (b) Stock Benefit Plan Compensation. TORRES shall be eligible to receive 
     awards through the GMII Board approved Incentive and Stock Award Plan. The 
     awards presented include stock options, restricted stock, restricted stock 
     units payable in GMII common stock or cash, and other stock-based awards 
     more particularly detailed within the GMII approved Board minutes 
     regarding such matters.

<PAGE>

CONSULTING CONTRACT AGREEMENT - GMII/TORRES 
Page 2 of 4

     (c) Bonus Compensation. TORRES, in addition to the monthly compensation 
     base amount, is eligible to participate in GMII's subjective bonus plan, 
     as reflected within the GMII approved Board minutes regarding such matters.
     As it specifically relates to GMIX, TORRES, in addition to the above 
     compensation, will receive two percent (2%) of the net profits 
     (after taxes) of GMIX for five years. This bonus compensation may be 
     increased a minimum of one percent (1%) per year, to a maximum of an 
     additional three percent (3%) per year by the Board of Directors for 
     superior quality of service and financial performance.

     4. EXPENSES/REIMBURSEMENTS. TORRES is authorized to incur reasonable 
expenses as it relates to the business of GMII, including but not limited to 
the expenses of entertainment and travel, and phone use. As detailed within 
the GMII approved Board minutes regarding expense reimbursement, upon 
presentation of expenses made by SERAMEX, GMII shall reimburse TORRES for the 
same.

     5. CORPORATE ALLOWANCES.

     (a) AUTOMOBILE ALLOWANCE. A corporate automobile allowance of
     $500.00 per month shall be received by TORRES.

     (b) HEALTH/LIFE INSURANCE. At such time when the corporation arranges for 
     health and life insurance coverage, FERNANDO TORRES, a designated 
     individual, shall receive said coverage.

     6. TERMINATION. Except as otherwise provided herein, this agreement 
shall terminate upon the expiration of this management contract, or upon the 
death of FERNANDO TORRES, a designated individual. Should termination occur, 
for whatever reason, GMII shall remunerate to TORRES or its nominee, or 
heirs, as the case may be, with respect of all rights which shall accrue 
prior or subsequent to termination.

     7. TERMINATION FOR CAUSE. GMII shall have the right to terminate TORRES 
"for cause", in which event continued compensation and benefits shall cease. 
Termination "for cause" shall be determined in good faith by the Board of 
Directors of GMII and shall require a vote of not less than 75% of said 
Directors. Board of Director Termination "for cause" shall be effective 
immediately upon written notification being provided to TORRES.

<PAGE>

CONSULTING CONTRACT AGREEMENT - GMII/TORRES
PAGE 3 of 4

     (a) Definition of "CAUSE". For purposes of this consulting contract, the
     term "Cause" shall be strictly interpreted to:

     (i)  any material act of dishonesty by TORRES's designated employee,
          FERNANDO TORRES against GMII;

    (ii)  willful or gross negligence of the performance of TORRES's designated 
          employee, FERNANDO TORRES as it relates to her duties as a consultant 
          to GMII;

   (iii)  material breach by TORRES's designated employee, FERNANDO TORRES of 
          this consulting contract;

    (iv)  misconduct by TORRES's designated employee, FERNANDO TORRES, which 
          results in substantial adverse effect of the business of GMII.

     8. DISABILITY. In the event that TORRES's designated employee, FERNANDO 
TORRES, becomes permanently disabled during the term of this consulting 
contract, then she shall continue in the services of GMII, but TORRES's 
compensation hereunder shall be reduced to the amount of monthly base 
compensation then in effect, (Item 3 herein) which compensation shall be 
reduced by any amounts received from worker's compensation, social security, 
disability programs, etc.

     9. GENERAL PROVISIONS. Any notice to be given herewith by either party 
to the other shall be in writing, and may be effected either by personal 
delivery or by facsimile, private courier, or certified mail, return receipt 
requested. Mailed notices shall be addressed to the parties at the addresses 
set forth below. Parties may change the notice address by supplying to the 
other party written notification of the change of address. Notices delivered 
personally shall be deemed communicated upon receipt; however, facsimiles, 
private courier deliveries, or mailed notices shall be deemed communicated as 
of one day after faxing, delivery to a private courier or mailing.

        FERNANDO TORRES           GROUPMED INTERNATIONAL, INC.
        ADDRESS TO BE SUPPLIED    3095 South Grade Rd., #B
        Alpine, California 91901  Alpine, California 91901
        619-445-0764              619-445-0977

     (a) Partial Invalidity of this Consulting Contract. Should any portion 
of this consulting contract agreement be held by a court of competent 
jurisdiction to be invalid, void, or unenforceable, the remaining provisions 
thereof, shall nevertheless continue in full force without being impaired or 
invalidated in any way.

<PAGE>

MANAGEMENT CONTRACT AGREEMENT - GMII/TORRES
Page 4 of 4

     (b) Jurisdiction. This management contract agreement shall be governed 
by the laws and statutes and construed in accordance with the laws of the 
State of Nevada.

     (c) Assignment. This management contract agreement shall inure to the 
benefit of and bind the parties hereto, and their respective legal 
representatives, successors and assigns.

     DATED this ________ day of _______, 199__.

IN WITNESS THEREOF, the parties have executed this Management Contract 
Agreement. 

GROUPMED, INTERNATIONAL INC., by           FERNANDO TORRES, by


________________________________           ____________________________

THIS AGREEMENT IS SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF 
GROUPMED INTERNATIONAL, INC., AND LEGAL COUNSEL FOR THE GROUPMED 
INTERNATIONAL CORPORATION.

WITH SIGNATURES OF THE PRESIDENT AND SECRETARY OF GMII AFFIXED BELOW AND THE 
IMPRINTMENT OF THE CORPORATE SEAL, AS WELL AS THE SIGNATURE OF CORPORATE 
COUNSEL, THIS CONTRACT HAS BEEN APPROVED BY THE BOARD OF DIRECTORS FOR 
GROUPMED INTERNATIONAL, INC. PURSUANT TO THE TERMS AND CONDITIONS PROVIDED 
HEREIN.

____________________________             ______________________________
GROUPMED INTERNATIONAL, INC.             CORPORATE LEGAL COUNSEL FOR GMII
BY PRESIDENT DAN LOMAX


ATTEST:



_________________________________
GROUPMED INTERNATIONAL, INC.
BY SECRETARY FERNANDO TORRES


(SEAL)

<PAGE>




                                       EXHIBIT "A"
                               TO BE ATTACHED TO MANAGEMENT
                               CONTRACT AGREEMENT PROPOSAL
                              GMII - FERNANDO TORRES MORENO



                                           
FERNANDO TORRES                                            JOB DESCRIPTION
__________________________________________________________________________

DUTIES

Implement policy as established by the Board of Directors of GroupMed 
International, Inc. (GMI)

Oversee the direction of all activities with regard to the operation of 
GroupMed International subsidiaries, namely GMI-Mexico, and affiliated 
companies, namely MHCC and TelMed.

Provide a liaison between the GMI Board and the GMI-Mexico Board, as well as 
with the Medical Advisory Board and the Medical Director of the GroupMed-Las 
Americas Hospital.

Establish, Monitor and Report to the GMI Board an  acceptable policy of 
Financial and Productivity standards for the effective control and efficient 
utilization of GMI's subsidiaries and affiliates material, financial and 
human resources. 

Develop, per GMI Board policy, new enterprises or ventures which further 
enhance the value of GMI's activities, assets and businesses.

<PAGE>




                            CONSULTING CONTRACT AGREEMENT
                                           
This contract is drawn this 1st day of July, 1995, representing the agreement 
entered into by and between GROUPMED INTERNATIONAL, INC., a Nevada 
corporation, and/or its nominee, (hereinafter referred to as GMII) and 
SERAMEX, INC., and/or its nominee, (hereinafter referred to as SERAMEX).

     It is hereby agreed to as follows:

     1. TERM OF AGREEMENT. GMII hereby agrees to contract the annual 
consulting services of SERAMEX for a time certain, beginning July 1, 1995 and 
concluding July 1, 1996. The consulting services provided by SERAMEX to GMII 
shall be renewed, and renegotiated if necessary, not later than July 1, 
1996, so as to continue the effectiveness of the annual consulting contract 
of SERAMEX. The consulting contract shall be approved by the Board of 
Directors of GMII at a properly noticed Board Meeting convened for said 
purpose.

     2. SCOPE OF CONSULTATION. SERAMEX shall provide and render to GMII the 
necessary services to conduct the business of GMII, including but not limited 
to the outline defined within Exhibit A, attached hereto, and by this 
referenced incorporated as a permanent part of this consulting contract 
agreement. The services provided by SERAMEX to GMII shall be consistent with 
the duties incidental to a consultant to the Board of a corporation. In 
addition, SERAMEX may, from time to time, be called upon by the Board of 
Directors to perform similar duties that will enhance the business of GMII.

     3. COMPENSATION. SERAMEX shall be compensated for its services to GMII, 
and under the terms and conditions of this consulting contract as follows:

     (a) Compensation. GMII shall pay to SERAMEX a monthly base amount of FOUR 
     THOUSAND Dollars ($4,000) beginning 7/1/95. SERAMEX shall be responsible 
     for the filing of all required tax documents in regards to its corporate 
     income, as well as all applicable federal filings. SERAMEX shall be 
     eligible to receive a minimum annual ten percent (10%) salary increase, if 
     said increase is in compliance with the terms and conditions of 
     Rule 15c2-11, if applicable, and the Articles of Incorporation of GMII, 
     and approved by the Board of Directors.

     (b) Stock Benefit Plan Compensation. SERAMEX shall be eligible to receive 
     awards through the GMII Board approved Incentive and Stock Award Plan. The 
     awards presented include stock options, restricted stock, restricted stock 
     units payable in GMII common stock or cash, and other stock-based awards 
     more particularly detailed within the GMII approved Board minutes 
     regarding such matters.


<PAGE>

CONSULTING CONTRACT AGREEMENT - GMII/SERAMEX
Page 2 of 4

     (c) Bonus Compensation. SERAMEX, in addition to the monthly compensation 
     base amount, is eligible to participate in GMII's subjective bonus plan, 
     as reflected within the GMII approved Board minutes regarding such 
     matters. As it specifically relates to GMIX, SERAMEX, in addition to the 
     above compensation, will receive two percent (2%) of the net profits 
     (after taxes) of GMIX for five years. This bonus compensation may be 
     increased a minimum of one percent (1%) per year, to a maximum of an 
     additional three percent (3%) per year by the Board of Directors for 
     superior quality of service and financial performance.

     4. EXPENSES/REIMBURSEMENTS. SERAMEX is authorized to incur reasonable 
expenses as it relates to the business of GMII, including but not limited to 
the expenses of entertainment and travel, and phone use. As detailed within 
the GMII approved Board minutes regarding expense reimbursement, upon 
presentation of expenses made by SERAMEX, GMII shall reimburse SERAMEX for 
the same.

     5. CORPORATE ALLOWANCES.

     (a) HEALTH/LIFE INSURANCE At such time when the corporation
     arranges for health and life insurance coverage, ELLEN HARBESTON, a
     designated employee of SERAMEX, shall receive said coverage.

     6. TERMINATION. Except as otherwise provided herein, this agreement 
shall terminate upon the expiration of this management contract, or upon the 
death of ELLEN HARBESTON, a designated employee of SERAMEX. Should 
termination occur, for whatever reason, GMII shall remunerate to SERAMEX or 
its nominee, or heirs, as the case may be, with respect of all rights which 
shall accrue prior or subsequent to termination.

     7. TERMINATION FOR CAUSE. GMII shall have the right to terminate SERAMEX 
"for cause", in which event continued compensation and benefits shall cease. 
Termination "for cause" shall be determined in good faith by the Board of 
Directors of GMII and shall require a vote of not less than 75% of said 
Directors. Board of Director Termination "for cause" shall be effective 
immediately upon written notification being provided to SERAMEX.

<PAGE>

CONSULTING CONTRACT AGREEMENT - GMII/SERAMEX 
PAGE 3 of 4

     (a) Definition of "CAUSE". For purposes of this consulting contract, the
     term "Cause" shall be strictly interpreted to:

     (i)  any material act of dishonesty by SERAMEX's designated employee,
          ELLEN HARBESTON against GMII;

    (ii)  willful or gross negligence of the performance of SERAMEX's 
          designated employee, ELLEN HARBESTON as it relates to her duties as 
          a consultant to GMII;

   (iii)  material breach by SERAMEX's designated employee, ELLEN HARBESTON of 
          this consulting contract;

    (iv)  misconduct by SERAMEX's designated employee, ELLEN HARBESTON, which 
          results in substantial adverse effect of the business of GMII.

     8. DISABILITY. In the event that SERAMEX's designated employee, ELLEN 
HARBESTON, becomes permanently disabled during the term of this consulting 
contract, then she shall continue in the services of GMII, but SERAMEX's 
compensation hereunder shall be reduced to the amount of monthly base 
compensation then in effect, (Item 3 herein) which compensation shall be 
reduced by any amounts received from worker's compensation, social security, 
disability programs, etc.

     9. GENERAL PROVISIONS. Any notice to be given herewith by either party 
to the other shall be in writing, and may be effected either by personal 
delivery or by facsimile, private courier, or certified mail, return receipt 
requested. Mailed notices shall be addressed to the parties at the addresses 
set forth below. Parties may change the notice address by supplying to the 
other party written notification of the change of address. Notices delivered 
personally shall be deemed communicated upon receipt; however, facsimiles, 
private courier deliveries, or mailed notices shall be deemed communicated as 
of one day after faxing, delivery to a private courier or mailing.

         SERAMEX, INC.                 GROUPMED INTERNATIONAL, INC.
         2250 Willits Road             3095 South Grade Rd., #B
         Alpine, California 91901      Alpine, California 91901
         619-445-0990                  619-445-0977

     (a) Partial Invalidity of this Consulting Contract. Should any portion 
of this consulting contract agreement be held by a court of competent 
jurisdiction to be invalid, void, or unenforceable, the remaining provisions 
thereof, shall nevertheless continue in full force without being impaired or 
invalidated in any way.

<PAGE>

CONSULTING CONTRACT AGREEMENT - GMII/SERAMEX
Page 4 of 4

     (b) Jurisdiction. This consulting contract agreement shall be governed by 
the laws and statutes and construed in accordance with the laws of the State 
of Nevada.

     (c) Assignment. This consulting contract agreement shall inure to the 
benefit of and bind the parties hereto, and their respective legal 
representatives, successors and assigns.

     DATED this ____________ day of _____________, 199_.

IN WITNESS THEREOF, the parties have executed this Consulting Contract 
Agreement.

GROUPMED, INTERNATIONAL INC., by               SERAMEX, INC., by

________________________________               _________________________

THIS AGREEMENT IS SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF 
GROUPMED INTERNATIONAL, INC., AND LEGAL COUNSEL FOR THE GROUPMED 
INTERNATIONAL CORPORATION.

WITH SIGNATURES OF THE PRESIDENT AND SECRETARY OF GMII AFFIXED BELOW AND THE 
IMPRINTMENT OF THE CORPORATE SEAL, AS WELL AS THE SIGNATURE OF CORPORATE 
COUNSEL, THIS CONTRACT HAS BEEN APPROVED BY THE BOARD OF DIRECTORS FOR 
GROUPMED INTERNATIONAL, INC. PURSUANT TO THE TERMS AND CONDITIONS PROVIDED 
HEREIN. 

____________________________          ________________________________
GROUPMED INTERNATIONAL, INC.          CORPORATE LEGAL COUNSEL FOR GMII
BY PRESIDENT DAN LOMAX
     

     
ATTEST:
     


_________________________________________
GROUPMED INTERNATIONAL, INC.
BY SECRETARY FERNANDO TORRES
     
(SEAL)

<PAGE>


                                      EXHIBIT "A"
                             TO BE ATTACHED TO MANAGEMENT
                             CONTRACT AGREEMENT PROPOSAL
                                 GMII - SERAMEX, INC.
                                           
Duties:

Implement appropriate and updated GroupMed International, Inc. {"GMII"} 
Business Plan(s) for the Board of Directors review and approval as new assets 
are acquired, or as otherwise needed.

In addition, develop and design similar Business Plan document(s) to include 
all GMII's subsidiaries, both domestic and international. As of this 
writing, projected Mexican subsidiaries are GroupMed International de Mexico, 
S.A. de C.V., TelMed de Mexico (sic), Tierra de Mexico (sic), EMM de Mexico 
(sic), and CBMI de Mexico (sic). It is anticipated that each international 
entity will have a corresponding U.S. corporation.

Provide liaison among GMII subsidiaries and the GMII Chairman of the Board, 
as required.

Specifically, as it pertains to Hospital Las Americas, develop and maintain 
"new business" recommendations for GMII Board approval, to increase 
profitability of facility.

Communicate with Management personnel in all subsidiaries to ensure and 
enhance cohesive and effective interactive selling adeptness.

Recommend for development, per GMII Board policy, the availability of new 
business opportunities which could further enhance GMII's assets.


<PAGE>





                                  EXHIBIT NO. 10.3

                              CONTRACT BY AND BETWEEN
            FARVEL ARRENDAMIENTOS. S.A. DE C.V. AND LA CALAFIA, INC.
            (FORMERLY GROUPMED, INC. - A PRIVATELY HELD CORPORATION).
                                 DATED MAY 20, 1995

<PAGE>

May 20, 1995

                                    CONTRACT
                                 BY AND BETWEEN

                      FARVEL ARRENDAMIENTOS, S.A. de C.V.,
                               and/or its nominee

                                       and

                   GROUPMED, INC., a privately held corporation
                               and/or its nominee


As of the date above written, May 20, 1995, in consideration of 200,000 
shares of GroupMed Inc. stock (and subject to a US$5,500,000 contract between 
the parties FARVEL and GROUPMED), FARVEL ARRENDAMIENTOS and/or its 
nominee will assign the additional equity in the HOSPITAL LAS AMERICAS land, 
equipment and improvements located in Ensenada, Baja California, Mexico to 
GROUPMED, INC. and/or its nominee.

Should the terms of the contract for US$5,500,000 referenced above not be 
fulfilled by GROUPMED, INC. and/or its nominee, for any reason, the 200,000 
shares of GROUPMED, INC. stock shall remain the property of FARVEL 
ARRENDAMIENTOS and/or its nominee.

Executed this 20 day of May, 1995.

/s/ Daniel N. Lomax                         /s/ [ILLEGIBLE]
- --------------------                        ----------------------
GROUPMED, INC.                              FARVEL ARRENDAMIENTOS
                                            S.A. de C.V.








         

<PAGE>






                                EXHIBIT NO. 10.4

                     ADDENDUM TO THE CONTRACT DATED JULY 1, 1995
                     BETWEEN FARVEL ARRENDAMIENTOS S.A. DE C.V.
                  AND GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.,
                              DATED DECEMBER 27, 1995


<PAGE>
         
                                     Addendum
                    to the Contract dated July 1st, 1995 between
                      Farvel Arrendamientos, S.A. de C.V. and
                  GroupMed International de Mexico, S.A. de C.V.
         
This document has been drawn up as an Addendum to the original Contract dated 
July 1st, 1995 between Farvel Arrendamientos, S.A. de C.V.. (FARVEL) and 
GroupMed International de Mexico, S.A. de C.V. (GROUPMED-MEXICO). Except for 
the substantive changes contained in this Addendum to the Contract, all other 
terms and conditions of the original contract shall retain their original 
force and effect.
         
1.   GroupMed International, Inc. (GROUPMED-USA), as the mayority stockholder of
     GROUPMED-MEXICO hereby commits to establish an escrow account at a mutually
     agreed agency to that effect in which 2'000,000 (two million) shares of 
     its capital stock will be deposited in escrow for FARVEL, as a deposit 
     representing the complete payment of the debt derived from the original 
     Contract between FARVEL and GROUPMED-MEXICO to which reference has been 
     made. Said deposit shall be made no later than December 31st, 1995.
         
2.   The market value of the above mentioned shares shall be, by April 1st,
     1996, a minimum of US$ 2.75 (two dollars and seventy five cents US cy)
     each, such that the total value of the deposit shall be US$ 5'500,000
     (five million five hundred thousand dollars US cy). The same minimum
     value shall prevail on the subsequent release dates of the shares to
     FARVEL. In case the market value of the shares does not attain the
     specified minimum value on the release dates, FARVEL may or may not, at
     its discretion, accept additional shares to arrive at the same total
     value.
         
3.   If by April 1st 1996 GROUPMED-USA shares do not have a market
     value of US$ 2.75 each and FARVEL does not choose to accept an
     alternate form of payment for GROUPMED-MEXICO's debt,
     GROUPMED-USA shall release 100,000 (one hundred thousand) shares
     from the escrow to FARVEL. The balance of the shares held in escrow,
     that is to say 1'900,000 (one million nine hundred thousand) shares,
     shall remain the sole property of GROUPMED-USA.
         
         




- ------------------------------------------------------------------------------
                                                                   Page 1 of 2

<PAGE>
         
4.   If all the above mentioned commitments are met by April 1st, 1996,
     GROUPMED-USA shall instruct the agency holding the escrow to make
     the following releases of shares:
         
     April 1st, 1996        363,636 shares shall be released to FARVEL
     June 1st, 1996         363,636 shares shall be released to FARVEL
     August 1st, 1996       363,636 shares shall be released to FARVEL
     November 1st, 1996     363,636 shares shall be released to FARVEL
     December 31st, 1996    545,456 shares shall be released to FARVEL (the
                            balance held for FARVEL in escrow) represent-
                            ing a total of 2'000,000 shares released to
                            FARVEL.
         
         /s/ Daniel N. Lomax                 /s/ Fernando Ariza
         ------------------------            ----------------------
         Daniel N. Lomax,                    Fernando Ariza,
         GroupMed International, Inc.        Farvel Arrendamientos, S.A.
         y/o su representante                de C.V. y/o su representante
                
         fecha: 12/27/95                     fecha: 12-29-95
               -----------------                   ----------------
         
         /s/ Fernando Torres Moreno
         ---------------------------
         Fernando Torres Moreno,               
         GroupMed International de Mexico, S.A. de C.V. 
         y/o su representante
         
         fecha: 12/27/95
               -----------------
         
         
         
         
         
- ------------------------------------------------------------------------------
                                                                   Page 2 of 2


<PAGE>

                                EXHIBIT NO. 10.5

                   MODIFICATION AND CLARIFICATION TO ADDENDUM
                  TO ORIGINAL CONTRACT DATED DECEMBER 27, 1995
                      BETWEEN GROUPMED INTERNATIONAL, INC.,
                     FARVEL ARRENDAMIENTOS, S.A. DE C.V. AND
                 GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.,
                    DATED DECEMBER 28, 1995 (SPANISH VERSION)

<PAGE>


                        Modificacion y Aclaracion al Addendum
                al Contrato celebrado el 1DEG. de Julio de 1995 entre
                       Farvel Arrendamientos, S.A. de C.V. y
                  GroupMed International de Mexico, S.A. de C.V.
                                         
Este documento ha sido elaborado para modificar y aclarar el Addendum, de 
fecha 27 de Diciembre de 1995, al Contrato original celebrado el 1DEG. de 
Julio de 1995 entre Farvel Arrendamientos, S.A. de C.V. (FARVEL) y GroupMed 
International de Mexico, S.A. de C.V. (GROUPMED-MEXICO). A excepcion de los 
cambios de fondo contenidos en esta modificacion y aclaracion, todas las 
demas condiciones y clausulas del contrato original y del Addendum al mismo 
deberan retener su efecto y fuerza original.

En el parrafo 3 del Addendum al Contrato, GroupMed International, Inc. 
(GROUPMED-EEUU) y/o GROUPMED-MEXICO podran o no, a su discrecion, ofrecer hacer
en efectivo los pagos de la deuda de GROUPMED-MEXICO a favor de FARVEL en caso 
de que, para el 1DEG. de Abril de 1996, las acciones de GROUPMED-EEUU no 
tuvlesen el valor de US$ 2.75 cada una y FARVEL no aceptase una forma 
alternativa de pago.
         
/s/ Daniel N. Lomax                      /s/ Fernando Ariza
- --------------------------------         ----------------------------------
Daniel N. Lomax,                         Fernando Ariza,
GroupMed International, Inc.             Farvel Arrendamientos, S.A.
y/o su representante                     de C.V. y/o su representante
         
fecha: 12/28/95                          fecha: Dec-28-1995
       ----------------------                   ---------------------- 
         

/s/ Fernando Torres Moreno
- ---------------------------
Fernando Torres Moreno,
GroupMed International de Mexico, S.A. de C.V.
y/o su representante 
         
fecha: 12/28/95
      ---------------------
         

<PAGE>




                              EXHIBIT NO. 10.6

                 MODIFICATION AND CLARIFICATION TO ADDENDUM
                TO ORIGINAL CONTRACT DATED DECEMBER 27, 1995
                    BETWEEN GROUPMED INTERNATIONAL, INC.,
                   FARVEL ARRENDAMIENTOS, S.A. DE C.V. AND
                GROUPMED INTERNATIONAL DE MEXICO, S.A. DE C.V.,
                    DATED DECEMBER 28, 1995 (ENGLISH VERSION)

<PAGE>

                       MODIFICATION AND CLARIFICATION TO
                         ADDENDUM TO ORIGINAL CONTRACT
                                 DATED 12-27-95
                                         
This document has been drawn to Modify and Clarify the Addendum to the 
original Contract (Addendum dated 12-27-95) (Original Contract dated 7-1-95) 
between FARVEL Arrendamientos (FARVEL) and GroupMed International de Mexico 
S.A. de C.V. (GROUPMED-MEXICO). Except for the substantive changes effected 
by the Modification, the Addendum and Original Contract terms and conditions 
shall retain their original force and effect.

Specifically, within paragraph 3 of the Addendum  to Original Contract, 
GROUPMED-USA may or may not, at its discretion, offer cash as satisfaction of 
the debt in favor of FARVEL, should if by April 1, 1996, GROUPMED-USA shares 
do not have a market value of US$ 2.75 each, and FARVEL does not choose to 
accept an alternate form of payment.

/s/ Daniel N. Lomax
- ----------------------------                 -----------------------------
Daniel N. Lomax                              Fernando Ariza
GroupMed International, Inc.                 Farvel Arrendamientos, S.A.
y/o su representante                         de C.V. y/o representante

fecha:                                       fecha:
       ---------------------                        ----------------------



- ----------------------------
Fernando Torres Moreno,
GroupMed International de Mexico, S.A. de C.V.
y/o su representante
         
fecha:
      ----------------------
         
         
         

<PAGE>





                             EXHIBIT NO. 10.7

                     MEXICO'S FM3 DOCUMENT FILED ON
                     DANIEL N. LOMAX (EQUIVALENT TO
                  WORKINGPAPERS PERMITTING MR. LOMAX TO
                     WORK AT HOSPITAL LAS AMERICAS)


<PAGE>



                               [PASSPORT]



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