MEDICAL ALLIANCE INC
SC 13G, 1998-02-20
SPECIALTY OUTPATIENT FACILITIES, NEC
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                       SECURITIES & EXCHANGE COMMISSION
                           Washington, D.C. 20549
                           ______________________

                                 SCHEDULE 13G*
                                (Rule 13d-102)

            INFORMATION TO BE INCLUDED IN STATEMENTS FILED PURSUANT 
           TO RULES 13d-1(b), (c) AND (d) AND AMENDMENTS THERETO FILED 
                              PURSUANT TO 13d-2(b)

                             Medical Alliance, Inc.
                               (Name of Issuer)

                                 Common Stock
                        (Title of Class of Securities)

                                  58449S105
                                (CUSIP Number)

                                February 10, 1998
            (Date of event which requires filing of this statement)


     Check the appropriate box to designate the rule pursuant to which this 
Schedule 13G is filed:
     [ ]  Rule 13d-1(b)
     [X]  Rule 13d-1(c)
     [ ]  Rule 13d-1(d)





                           (Page 1 of 11 Pages)
________________
     *The remainder of this cover page shall be filled out for a reporting 
person's initial filing on this form with respect to the subject class of 
securities, and for any subsequent amendment containing information which 
would alter the disclosures provided in a prior cover page.

     The information required in the remainder of this cover page shall not be 
deemed to be "filed" for purposes of Section 18 of the Securities Exchange Act 
of 1934 ("Act") or otherwise subject to the liabilities of that section of the 
Act but shall be subject to all other provisions of the Act (however, see the 
Notes)


CUSIP No. 58449S105                 13G                    Page 2 of 11 Pages

____________________________________________________________________________
     (1)    NAMES OF REPORTING PERSONS 
            I.R.S. IDENTIFICATION NO. 
            OF ABOVE PERSONS (ENTITIES ONLY)
                                           Hilal Capital, LP
_____________________________________________________________________________
     (2)    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP ** 
                                                                  (a)  [X] 
                                                                  (b)  [ ] 
_____________________________________________________________________________
     (3)    SEC USE ONLY 
_____________________________________________________________________________
     (4)    CITIZENSHIP OR PLACE OF ORGANIZATION
                            Delaware
_____________________________________________________________________________
NUMBER OF      (5)  SOLE VOTING POWER 
                                                -0-
SHARES         ______________________________________________________________

BENEFICIALLY   (6)  SHARED VOTING POWER
                                                 24,826
OWNED BY       ___________________________________________________________

EACH           (7)  SOLE DISPOSITIVE POWER 
                                                -0-
REPORTING      ______________________________________________________________

PERSON WITH    (8)  SHARED DISPOSITIVE POWER 
                                                 24,826
_____________________________________________________________________________
     (9)     AGGREGATE AMOUNT BENEFICIALLY OWNED
             BY EACH REPORTING PERSON 
                                                 24,826
_____________________________________________________________________________
     (10)    CHECK BOX IF THE AGGREGATE AMOUNT 
             IN ROW (9) EXCLUDES CERTAIN SHARES **                       [ ] 
_____________________________________________________________________________
     (11)    PERCENT OF CLASS REPRESENTED 
             BY AMOUNT IN ROW (9)           
                                                0.4%
_____________________________________________________________________________
     (12)    TYPE OF REPORTING PERSON **
                                                 PN
_____________________________________________________________________________
                    ** SEE INSTRUCTIONS BEFORE FILLING OUT!


CUSIP No. 58449S105                 13G                    Page 3 of 11 Pages

____________________________________________________________________________
     (1)    NAMES OF REPORTING PERSONS 
            I.R.S. IDENTIFICATION NO. 
            OF ABOVE PERSONS (ENTITIES ONLY)
                                           Hilal Capital QP, LP
_____________________________________________________________________________
     (2)    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP ** 
                                                                  (a)  [X] 
                                                                  (b)  [ ] 
_____________________________________________________________________________
     (3)    SEC USE ONLY 
_____________________________________________________________________________
     (4)    CITIZENSHIP OR PLACE OF ORGANIZATION
                            Delaware
_____________________________________________________________________________
NUMBER OF      (5)  SOLE VOTING POWER 
                                                -0-
SHARES         ______________________________________________________________

BENEFICIALLY   (6)  SHARED VOTING POWER
                                                 79,036
OWNED BY       ___________________________________________________________

EACH           (7)  SOLE DISPOSITIVE POWER 
                                                -0-
REPORTING      ______________________________________________________________

PERSON WITH    (8)  SHARED DISPOSITIVE POWER 
                                                 79,036
_____________________________________________________________________________
     (9)     AGGREGATE AMOUNT BENEFICIALLY OWNED
             BY EACH REPORTING PERSON 
                                                 79,036
_____________________________________________________________________________
     (10)    CHECK BOX IF THE AGGREGATE AMOUNT 
             IN ROW (9) EXCLUDES CERTAIN SHARES **                       [ ] 
_____________________________________________________________________________
     (11)    PERCENT OF CLASS REPRESENTED 
             BY AMOUNT IN ROW (9)           
                                                1.3%
_____________________________________________________________________________
     (12)    TYPE OF REPORTING PERSON **
                                                 PN
_____________________________________________________________________________
                    ** SEE INSTRUCTIONS BEFORE FILLING OUT!


CUSIP No. 58449S105                 13G                    Page 4 of 11 Pages

____________________________________________________________________________
     (1)    NAMES OF REPORTING PERSONS 
            I.R.S. IDENTIFICATION NO. 
            OF ABOVE PERSONS (ENTITIES ONLY)
                                           Hilal Capital Partners LLC
_____________________________________________________________________________
     (2)    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP ** 
                                                                  (a)  [X] 
                                                                  (b)  [ ] 
_____________________________________________________________________________
     (3)    SEC USE ONLY 
_____________________________________________________________________________
     (4)    CITIZENSHIP OR PLACE OF ORGANIZATION
                            Delaware
_____________________________________________________________________________
NUMBER OF      (5)  SOLE VOTING POWER 
                                                -0-
SHARES         ______________________________________________________________

BENEFICIALLY   (6)  SHARED VOTING POWER
                                                 103,862
OWNED BY       ___________________________________________________________

EACH           (7)  SOLE DISPOSITIVE POWER 
                                                -0-
REPORTING      ______________________________________________________________

PERSON WITH    (8)  SHARED DISPOSITIVE POWER 
                                                 103,862
_____________________________________________________________________________
     (9)     AGGREGATE AMOUNT BENEFICIALLY OWNED
             BY EACH REPORTING PERSON 
                                                 103,862
_____________________________________________________________________________
     (10)    CHECK BOX IF THE AGGREGATE AMOUNT 
             IN ROW (9) EXCLUDES CERTAIN SHARES **                       [ ] 
_____________________________________________________________________________
     (11)    PERCENT OF CLASS REPRESENTED 
             BY AMOUNT IN ROW (9)           
                                                1.7%
_____________________________________________________________________________
     (12)    TYPE OF REPORTING PERSON **
                                                 OO
_____________________________________________________________________________
                    ** SEE INSTRUCTIONS BEFORE FILLING OUT!


CUSIP No. 58449S105                 13G                    Page 5 of 11 Pages

____________________________________________________________________________
     (1)    NAMES OF REPORTING PERSONS 
            I.R.S. IDENTIFICATION NO. 
            OF ABOVE PERSONS (ENTITIES ONLY)
                                           Hilal Capital Management LLC
_____________________________________________________________________________
     (2)    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP ** 
                                                                  (a)  [X] 
                                                                  (b)  [ ] 
_____________________________________________________________________________
     (3)    SEC USE ONLY 
_____________________________________________________________________________
     (4)    CITIZENSHIP OR PLACE OF ORGANIZATION
                            Delaware
_____________________________________________________________________________
NUMBER OF      (5)  SOLE VOTING POWER 
                                                -0-
SHARES         ______________________________________________________________

BENEFICIALLY   (6)  SHARED VOTING POWER
                                                 229,038
OWNED BY       ___________________________________________________________

EACH           (7)  SOLE DISPOSITIVE POWER 
                                                -0-
REPORTING      ______________________________________________________________

PERSON WITH    (8)  SHARED DISPOSITIVE POWER 
                                                 229,038
_____________________________________________________________________________
     (9)     AGGREGATE AMOUNT BENEFICIALLY OWNED
             BY EACH REPORTING PERSON 
                                                 229,038
_____________________________________________________________________________
     (10)    CHECK BOX IF THE AGGREGATE AMOUNT 
             IN ROW (9) EXCLUDES CERTAIN SHARES **                       [ ] 
_____________________________________________________________________________
     (11)    PERCENT OF CLASS REPRESENTED 
             BY AMOUNT IN ROW (9)           
                                                3.7%
_____________________________________________________________________________
     (12)    TYPE OF REPORTING PERSON **
                                                 IA
_____________________________________________________________________________
                    ** SEE INSTRUCTIONS BEFORE FILLING OUT!


CUSIP No. 58449S105                 13G                    Page 6 of 11 Pages

____________________________________________________________________________
     (1)    NAMES OF REPORTING PERSONS 
            I.R.S. IDENTIFICATION NO. 
            OF ABOVE PERSONS (ENTITIES ONLY)
                                                  Peter K. Hilal, M.D.
_____________________________________________________________________________
     (2)    CHECK THE APPROPRIATE BOX IF A MEMBER OF A GROUP ** 
                                                                  (a)  [X] 
                                                                  (b)  [ ] 
_____________________________________________________________________________
     (3)    SEC USE ONLY 
_____________________________________________________________________________
     (4)    CITIZENSHIP OR PLACE OF ORGANIZATION
                            United States
_____________________________________________________________________________
NUMBER OF      (5)  SOLE VOTING POWER 
                                                -0-
SHARES         ______________________________________________________________

BENEFICIALLY   (6)  SHARED VOTING POWER
                                                 332,900
OWNED BY       ___________________________________________________________

EACH           (7)  SOLE DISPOSITIVE POWER 
                                                -0-
REPORTING      ______________________________________________________________

PERSON WITH    (8)  SHARED DISPOSITIVE POWER 
                                                 332,900
_____________________________________________________________________________
     (9)     AGGREGATE AMOUNT BENEFICIALLY OWNED
             BY EACH REPORTING PERSON 
                                                 332,900
_____________________________________________________________________________
     (10)    CHECK BOX IF THE AGGREGATE AMOUNT 
             IN ROW (9) EXCLUDES CERTAIN SHARES **                       [ ] 
_____________________________________________________________________________
     (11)    PERCENT OF CLASS REPRESENTED 
             BY AMOUNT IN ROW (9)           
                                               5.4%
_____________________________________________________________________________
     (12)    TYPE OF REPORTING PERSON **
                                                 IN
_____________________________________________________________________________
                    ** SEE INSTRUCTIONS BEFORE FILLING OUT!


CUSIP No. 58449S105                 13G                    Page 7 of 11 Pages

Item 1(a).     Name of Issuer:

     The name of the issuer is Medical Alliance, Inc. (the "Company").  

Item 1(b).     Address of Issuer's Principal Executive Offices:

     The Company's principal executive offices are located at 2445 Gateway 
Drive, Suite 150, Irving, Texas 75063.


Item 2(a).     Name of Person Filing:

     This statement is filed by:
          (i) Hilal Capital, LP, a Delaware limited partnership ("HC")
              with respect to the shares of Common Stock directly owned by 
              it;
         (ii) Hilal Capital QP, LP, a Delaware limited partnership
              ("HCQP") with respect to the shares of Common Stock directly
              owned by it;
        (iii) Hilal Capital Partners LLC, a limited liability company 
              organized under the laws of the State of Delaware ("HCP"), 
              with respect to the shares of Common Stock directly owned by 
              HC and HCQP;
         (iv) Hilal Capital Management LLC, a limited liability 
              company organized under the laws of the State of Delaware 
              ("HCM"), which serves as investment manager to Hilal Capital 
              International, Ltd. ("HCI"), a company organized under the 
              laws of the Cayman Islands, and to an account of a third party 
              (the "Account"), with respect to the  shares of Common Stock 
              directly owned by HCI and the Account; and
          (v) Peter K. Hilal, M.D. ("Dr. Hilal"), with respect to the 
              shares of Common Stock directly owned by each of HC, HCQP, 
              HCI and the Account. 

              The foregoing persons are hereinafter sometimes
         collectively referred to as the "Reporting Persons."  Any 
         disclosures herein with respect to persons other than the 
         Reporting Persons are made on information and belief after
         making inquiry to the appropriate party.

Item 2(b).     Address of Principal Business Office or, if None, Residence:

     The address of the business office of each of the Reporting Persons is 60 
East 42nd Street, Suite 1946, New York, New York 10165.

Item 2(c).     Citizenship:

     HC and HCQP are limited partnerships organized under the laws of the State 
of Delaware.  HCP and HCM are limited liability companies organized under the 
laws of the State of Delaware.  Dr. Hilal is a United States citizen.



CUSIP No. 58449S105                 13G                    Page 8 of 11 Pages

Item 2(d).     Title of Class of Securities:

     Common Stock, par value $0.002 (the "Common Stock")

Item 2(e).  CUSIP Number:

     58449S105


Item 3.  If this statement is filed pursuant to Rules 13d-1(b) or 13d-2(b) or 
(c), check whether the person filing is a:

          (a) [ ]   Broker or dealer registered under Section 15 of the
                    Act,

          (b) [ ]   Bank as defined in Section 3(a)(6) of the Act,

          (c) [ ]   Insurance Company as defined in Section 3(a)(19) of
                    the Act,

          (d) [ ]   Investment Company registered under Section 8 of the
                    Investment Company Act of 1940,

          (e) [ ]   Investment Adviser registered under Section 203 of the
                    Investment Advisers Act of 1940,

          (f) [ ]   Employee Benefit Plan or Endowment Fund in accordance with
                    13d-1 (b)(1)(ii)(F),

          (g) [ ]   Parent Holding Company or control person in accordance 
                    with Rule 13d-1 (b)(ii)(G),

          (h) [ ]   Savings Associations as defined in Section 3(b) of the
                    Federal Deposit Insurance Act,
                   
          (i) [ ]   Church Plan that is excluded from the definition of an
                    investment company under Section 3(c)(14) of the 
                    Investment Company Act of 1940,

          (j) [ ]   Group, in accordance with Rule 13d-1(b)(1)(ii)(J).

     If this statement is filed pursuant to 13d-1(c), check this box:  [x]


Item 4.   Ownership.

A. Hilal Capital, LP
              (a) Amount beneficially owned: 24,826
              (b) Percent of class: 0.4%  The percentages used herein and in 
the rest of Item 4 are calculated based upon the 6,131,542 shares of Common 
Stock issued and outstanding as of November 12, 1997 as reflected in the 
Company's form 10-Q for the period ending September 30, 1997


CUSIP No. 58449S105                 13G                    Page 9 of 11 Pages

              (c)(i) Sole power to vote or direct the vote: -0-
                (ii) Shared power to vote or direct the vote: 24,826
               (iii) Sole power to dispose or direct the disposition: -0-
                (iv) Shared power to dispose or direct the disposition: 24,826

B. Hilal Capital QP, LP
              (a) Amount beneficially owned: 79,036
              (b) Percent of class: 1.3%  
              (c)(i) Sole power to vote or direct the vote: -0-
                (ii) Shared power to vote or direct the vote: 79,036
               (iii) Sole power to dispose or direct the disposition: -0-
                (iv) Shared power to dispose or direct the disposition: 79,036

C. Hilal Capital Partners LLC
              (a) Amount beneficially owned: 103,862
              (b) Percent of class: 1.7%  
              (c)(i) Sole power to vote or direct the vote: -0-
                (ii) Shared power to vote or direct the vote: 103,862
               (iii) Sole power to dispose or direct the disposition: -0-
                (iv) Shared power to dispose or direct the disposition: 103,862

D. Hilal Capital Management LLC
              (a) Amount beneficially owned: 229,038
              (b) Percent of class: 3.7%  
              (c)(i) Sole power to vote or direct the vote: -0-
                (ii) Shared power to vote or direct the vote: 229,038
               (iii) Sole power to dispose or direct the disposition: -0-
                (iv) Shared power to dispose or direct the disposition: 229,038

E. Peter K. Hilal, M.D.
              (a) Amount beneficially owned: 332,900
              (b) Percent of class: 5.4% 
              (c)(i) Sole power to vote or direct the vote: -0-
                (ii) Shared power to vote or direct the vote: 332,900
               (iii) Sole power to dispose or direct the disposition: -0-
                (iv) Shared power to dispose or direct the disposition: 332,900


Item 5.     Ownership of Five Percent or Less of a Class.

     Not applicable.


Item 6.     Ownership of More than Five Percent on Behalf of Another Person.

     HCP, the general partner of HC and HCQP, has the power to direct the 
affairs of HC and HCQP, including decisions respecting the disposition of the 
proceeds from the sale of the shares.  Dr. Hilal is the Managing Member of HCP 
and of HCM, and in that capacity directs their operations.  Each of the clients 
of HCM, including HCI and the Account, has the power to direct the receipt of 
dividends from or the proceeds of sale of such shares


CUSIP No. 58449S105                 13G                    Page 10 of 11 Pages

Item 7.     Identification and Classification of the Subsidiary Which Acquired 
the Security Being Reported on by the Parent Holding Company.

     Not applicable.


Item 8.  Identification and Classification of Members of the Group.

     Not applicable.


Item 9.  Notice of Dissolution of Group.

     Not applicable.


Item 10.  Certification.

     Each of the Reporting Persons hereby makes the following certification:

          By signing below I certify that, to the best of my knowledge and 
belief, the securities referred to above were not acquired and are not held 
for the purpose of or with the effect of changing or influencing the control 
of the issuer of the securities and were not acquired and are not held in 
connection with or as a participant in any transaction having that purpose or 
effect.



CUSIP No. 58449S105                 13G                    Page 11 of 11 Pages

SIGNATURES

After reasonable inquiry and to the best of our knowledge and belief, the 
undersigned certify that the information set forth in this statement is true, 
complete and correct.


DATED:  February 19, 1998    

                                    /s/ Peter K. Hilal, M.D.
                                    Peter K. Hilal, M.D., individually, and as 
                                    managing member of 
                                    Hilal Capital Partners LLC, 
                                    general partner of 
                                    Hilal Capital, LP and
                                    Hilal Capital QP, LP,
                                    and as managing member of
                                    Hilal Capital Management LLC





































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